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Gambling in the OR
A candid pre-operative reflection on the uncertainty of relying on a nuclear medicine GI bleeding scan to guide surgery for an AVM, with fingers crossed that the bleeding stops before the operation is finished.
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Happy Anniversary!
A brief heartfelt note celebrating 14 wonderful years of marriage and expressing that he would do it all over again without hesitation.
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Breast CA for Cosmetic Surgeons
A recap of a breast cancer talk given to the American Society of Cosmetic Breast Surgery, covering three core points: refer cancer cases to specialists, investigate suspicious exam findings before any cosmetic procedure, and always obtain a screening mammogram first.
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My Trip to the Apple Store
A first visit to the Apple Store at Fashion Island results in spending more than ten times the planned budget, prompting the rueful observation that it is probably a good thing there is not one nearby.
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Happy Birthday Dave!
A short belated birthday message to Dave Winer on his 50th birthday, with thanks for the opportunity to beta test Pike years earlier.
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Interesting Precedent
Responding to Aggravated DocSurg, the author argues that the FDA advisory panel overstepped its mandate by restricting silicone implant sales to board-certified plastic surgeons only, since credentialing is a hospital responsibility, and predicts the FDA will have to back down.
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Silicone Breast Implants Are Back?
An FDA advisory panel voted 7-2 to recommend lifting the ban on Mentor silicone breast implants with strict conditions, including a board-certification requirement the author argues constitutes an unlawful restraint of trade given the varied specialties of surgeons who routinely place implants.
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Bargaining with HMOs
Responding to a surgeon colleague facing an unacceptable HMO contract, the post argues that relentlessly declining physician reimbursement will turn most doctors into salaried employees, threatening professional drive and innovation, and predicts a major US healthcare collapse before things improve.
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Happy Birthday Jonathan!
A loving birthday message to son Jonathan on his 10th birthday, reflecting on how profoundly fatherhood has changed life for the better.
