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News, opinions and meeting coverage in anesthesiology.

Excerpt: Black Man in a White Coat

A new book by Damon Tweedy, MD, explores the role of race in medicine

PodMed: A Medical News Roundup From Johns Hopkins

This week's topics include complications following surgery for urinary incontinence, real-life data on HIV prevention in high-risk men, transmission of pertussis among siblings, and telemedicine recommendations.

No Joke: 'Extraction of Phallic Objects Requires Ingenuity'

How do you remove a sex toy stuck in a man's rectum?

Clear Health Costs: Having Insurance Doesn't Always Pay

The case of the $1,700 mammogram

Playing the Name Game With Horner Syndrome

Many people described oculosympathetic palsy before Johann Friedrich Horner

Tales from the OR: Appalling? Criminal? And Anonymous

Bad actors in the OR, but who tells?

Dorry Segev, Extreme Renaissance Man

"Every day, I try to take on something Im not good at," says renowned transplant surgeon.

Orthopedists' Financial Conflicts Can Hurt Patients, Surgeon Says

It's financially compelling for doctors to do things that don't help patients.

Stop DMARDs Before Orthopedic Surgery in RA Patients?

Deft medication management is important.

These Men Had Their Penises Broken, Cut, and Shot

Industrial accidents, self-inflicted genital mutilation, and gunshots: It's dangerous out there for the male member.

Are There Fewer 'Tasty' Meals After Bariatric Surgery?

Taste buds may be diminished by weight-loss surgery.

Evolution: Breast Reconstruction After Mastectomy

Techniques have changed and improved.

Two Gastric Balloons May Be Better than One

A dual-balloon intragastric device helped patients shed more pounds.

BCS: 'Jolie Effect' Drives Genetic Test Referrals

SAN FRANCISCO -- Referrals for genetic testing almost doubled in the first 6 months after actress Angelina Jolie said she would undergo bilateral mastectomy after testing positive for BRCA1 mutation.

Truth vs. Fiction: Measuring 'The Knick'

How does John Thackery -- from Cinemax's "The Knick" -- measure up to the surgeon his character is based on, William S. Halsted?

Staples or Sutures: Which Is Better After C-Section?

The decision to use sutures or staples to close incisions after a cesarean delivery has been debated in the obstetrics community, but results from a new study seem to give sutures the edge.

Antibiotics No Help After Gallbladder Surgery

Postoperative antibiotics after gallbladder removal do not reduce the risk of infection, researchers reported.

AMA Highlights: VA, Cheerleaders, and Guns

CHICAGO -- Wrapping up a full agenda, the AMA agrees cheerleading is a sport, doctors outside the VA need to pitch in to help care for veterans, and e-cigarettes need to be regulated.

AMA Clamps Down on MOC, But Punts on Gun Regs

CHICAGO -- The AMA鈥檚 House of Delegates drew the line on this year's hot button topic -- maintenance of certification (MOC), saying it should not be mandatory, nor should it be a condition of licensure.

CCSVI Practices Suboptimal but Patients Don't Mind

DALLAS -- Canadian multiple sclerosis patients who left the country to undergo the controversial procedure called chronic cerebrospinal venous insufficiency (CCSVI) often received poor pre- and postoperative care, but most were still relatively satisfied overall, a researcher reported here.

Lung Foam Disappoints in COPD

SAN DIEGO -- A trial of hydrogel-based lung volume reduction therapy in patients with chronic obstructive pulmonary disease (COPD) complicated by emphysema failed to show consistent enough results and has been abandoned by the agent's developer, researchers said here.

Dieting Shrinks Liver, Eases Gall Bladder Surgery

CHICAGO -- A 2-week-long restrictive diet appears to shrink obese patients鈥� livers enough to make gall bladder laparoscopic surgery quicker and easier, researchers reported here.

Patients鈥� Eye Color a Clue to Pain Tolerance

TAMPA -- Caucasian women with light-colored eyes -- blue or green -- appear to tolerate pain better than Causcasian women with brown or hazel eyes, researchers reported here.

Missed Doses Cripple Postop DVT Prevention

Missed doses of prophylactic anticoagulation account for much of the deep vein thrombosis that occurs in surgery and trauma patients, a study showed.

ACC: CoreValve Bests Surgery

WASHINGTON -- Transcatheter aortic valve implantation (TAVI) with the CoreValve device improved survival compared with surgery in the high-risk pivotal trial cohort.

Medtronic Sued by 1,000 Infuse Patients

Medtronic said about 1,000 people have sued the company over its bone morphogenetic protein-2 product, Infuse, and that many more lawsuits may be coming.

Which Bullets Are Safe in an MRI?

Don't go ballistic -- only steel bullets will cause problems in MRI, says a study of 39 kinds of the projectiles.

Diabetes: TAVI Trumps Heart Surgery

Patients with diabetes who had aortic stenosis fared better in terms of mortality and kidney function during the first year if they underwent transcatheter aortic valve implantation (TAVI) rather than surgery, a post-hoc analysis found.

Fast-Acting AMA Group Hopes to Fix SGR

NATIONAL HARBOR, Md. -- A large coalition of American Medical Association members met in seclusion Sunday morning here at the interim meeting of the House of Delegates and rapidly found consensus on a proposed resolution for the repeal of Medicare's sustainable growth rate (SGR) formula.

Will You Make More $$ if You Subspecialize?

Ivan Today looks at a study that looks at whether fellowships pay off.

N.H. Hospital May Have Exposed Patients to CJD

Health officials in New Hampshire said eight neurosurgery patients at one hospital in the state may have been unwittingly exposed to Creutzfeldt-Jakob disease (CJD).

Wounds Heal Better When Debrided Often

Faster and more complete wound healing was achieved with more frequent debridement regardless of wound type, size, or duration, researchers found.

Shots Best Way to Give B12 After Bariatric Surgery

Vitamin B12 injections are the preferred treatment for patients who develop a deficiency following bariatric surgery, researchers found.

Zilver Stent Recalled, System May Break

Cook Medical's Zilver PTX drug-eluting stent for peripheral artery disease has been recalled because of a defect in its associated delivery system, the company and the FDA said.

On-Call Pay Varies Widely by Specialty

Surgeons commanded more than $1,000 a day for being on-call at the hospital, while primary care physicians reported compensation rates of around $150 a day, according to annually compiled data.

Full Thyroid Removal May be Best in Graves' Disease

Removing the whole thyroid lessens the chance of hyperthyroidism recurrence in Graves' disease compared with partial thyroidectomy, but it also leads to increased temporary hypoparathyroidism, researchers found.

Acute Pain Yields to Lower-Dose Diclofenac

FORT LAUDERDALE, Fla. - Lower-dose submicron particle diclofenac offered good pain control compared with placebo, researchers reported here.

Preop Ketamine May Lower Pain in Fibromyalgia

FORT LAUDERDALE, Fla. -- In fibromyalgia patients undergoing knee or hip replacement surgery, low-dose, intraoperative ketamine appeared to reduce the need for post-surgical opioid therapy, researchers said here.

FDA Warns About Codeine Following Tonsillectomy

Products that contain codeine should not be used for pain relief in children following tonsillectomy or adenoidectomy because of a possible risk of serious adverse events or death, the FDA said Wednesday.

No Need for Skin Preps to Be Sterile, FDA Told

WASHINGTON -- Requiring that antiseptic skin preparation products be sterile is unnecessary and wouldn't lead to a dramatic drop in infections, speakers told the FDA Wednesday.

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