Patients appreciate the white coat, despite the rise in blood pressure that comes with the anxiety it also provokes. Sitting down during rounds, which seems inefficient to a surgeon, actually increases the perception that surgeons are listening by over 50%. In addition, it doesn't add extra time and may rest our aging knees!
Having the nursing staff accompany the surgeon during rounds improves patient care and allows the staff to relay concerns and reduce follow-up calls. Keeping the family in the room during rounds achieves a similar effect.
All in all, most of this is common sense, but it doesn't hurt to review and try out new things to improve patient outcome.
What does this mean? Well, one example would be doing surgery on a beating heart, but the instruments and camera would move in concert with the heart beat, making the surgeon less distracted during surgery. Maybe it would also bring more innovation to surgery, taking it out of the monopoly situation we are in right now.
|A homeobox transcription gene in endoplasmic reticulum|
Men were 5 times more likely to develop early prostate cancer if they had mutation in the HOXB13 gene. About 3% of men who had early prostate cancer also had the mutation. While this number sounds low, I think it is an important marker, which could help identify patients who should be subject to screening.
In addition, it would be interesting to see if there is anything that could be done to the mutation as a sort of preventive therapy.
In San Antonio, we have seen a definite increase in interest in predictive tests for prostate cancer. A genetic test would be great to help identify patients who would be candidates for treatment with a robotic radical prostatectomy.
Kirby EagleNation Goman Outwardly super-healthy 51 y.o. has PSA of 20.6. Turns out to be Stage 3, with seminal vesicle involvement and extra-prostatic extensions. Thank God for my surgeon, Naveen Kella of Urology San Antonio. Everyday is a gift.
Thanks for the mention, Mr Goman. I'm going to check out the Blue Cure.
This kind of skin could be placed on robots-- Imagine placing this on a robotic instrument with a way to pass on the force sensation to the human controlling the motion. Or perhaps creating a emergency stop when parts of the robotic instrument start running into resistance... This technology was created not only at my alma mater, but also by my old chemE department!