13). Communicate to inform and allay their fears.

14). See them back in the post-op period sooner and more often than you think they need.

15). Give them a very detailed talk as they leave the hospital about everything to expect at home post-op for instance, pain control, GI function, fatigue, bad dreams, loss of appetite, depression, 6 weeks of not being back to normal, when to shower, when to drive, when to have gentle sex, etc.. They will love you for knowing all this and warning them and reassuring them its OK.

16). Do some volunteer work. Join the fish and game club. Get your wife involved.

17). Don’t drink in public beyond a glass of wine at dinner and never on call.

18). Join the EMS director in giving some talks to the medics and volunteer EMTs on prehospital trauma. They have a vast network in the community.

19). Talk to the Rotary, Kiwanis, Elks, and Soroptomists about the latest and greatest surgery, such as like a laparoscopic gallbaldder surgery. Use slideshows and bring instruments for them to see.

20). Any new surgical partnership is potentially problematic as it necessitates an adjustment of two super-surgical egos. Don’t let this become a competitive fight between you and your partner. Talk to him. Let him know your feelings and needs and don’t let it get hostile. You both need a partner that is a “brother”. You can be each other’s best supporter. Assist each other in cases that don’t even need assisting or even give you payment for an assist. The OR table is a great place to bond your brotherhood. Do favors. Tell him you will take the crummy cases or the Medicaid cases off his hands. Take his call when he’s had a rough night or on his anniversary or Christmas or when he has a cold, and don’t look for any payback. It will come in due time.

21). Everything you do or say in a small town will be known by everyone very quickly. You need to be above reproach in the community—a saint. And if you really do all this it will become a comfortable way of life. Enjoy it and success will find you

122. Хиругическая польза женского влагалища

122. Хиругическая польза женского влагалища

Намедни получил новость: «НОВОСИБИРСКИЕ ХИРУРГИ УДАЛИЛИ ЧАСТЬ ЖЕЛУДКА ЧЕРЕЗ ВЛАГАЛИЩЕ».

Где-то в конце 80-х годов сидел я на заседании Учёного Совета по защите кандидатских диссертаций и с интересом слушал презентацию материала по лапароскопической лимфодиссекции забрюшинного ретрогастрального пространства.

Для нас, примитивных онкологов, тогда дело это было новое, а потому казалось абсолютно неприемлемым. Не скрою, я присоединил свой невежественный голос к хору сомневающихся хирургических бестолочей…