The good doctor: more than medical knowledge & surgical skill

Ultrasound: more harm than good?

Understanding Is More Than Scientific Skill

Too many of today's supts. concern themselves solely with such headaches as weather, manpower, money limitations and p l a y e r interference. These c o n s i d e r a t i o n s are very important, yet most of us have been coping with them for the last 30 years. Of late, we have been aided by radically improved chemicals, increased budgets and other new and effective aids. We combat the intrusio...

PSA in screening for prostate cancer: more good than harm or more harm than good?

The aim of screening for prostate cancer is to detect malignancy at an early and potentially treatable stage, thereby increasing the chance of cure. Although serum PSA has been used as a screening test for prostate cancer for over 20 years, the practice is controversial. As a screening test for prostate cancer, PSA lacks sensitivity and specificity for early disease. Furthermore, screening may ...

Surgical care improvement project in the value-based purchasing era: more harm than good?

The Surgical Care Improvement Project (SCIP) started in 2006 as a core measure to reduce perioperative morbidity and mortality, with many measures addressing perioperative antibiotic usage and timing. However, measures are often rolled out without consideration of their full impact, causing confusion, frustration, and possibly patient harm. We have provided examples of each. The institution of ...

Breastfeeding: more than just good nutrition.

1. Discuss the nutritional benefits of breastfeeding and its effects on growth and development. 2. Delineate the advantages to the baby of breastfeeding. 3. Describe the benefits to the mother of breastfeeding. 4. Explain the role that breastfeeding plays in the bonding process. 5. List the differences in composition of human milk, colostrum, cow milk, and formula. 6. Describe the effects of ma...