Think before you leap

Look before you leap.

The decision to leave a job can be very stressful. Multiple variables must be considered before turning in your notice. The goal of this paper is to help you decide if changing jobs is a smart decision, and, if it is, when to do it.

Look before you leap.

Think twice before you tell

Answer to the Rhythm Puzzle At first glance the ECG looks very abnormal. The P-wave morphology is not compatible with sinus rhythm, the conduction intervals are normal, and the QRS complexes are very abnormal in amplitude (micro-voltages in the extremity leads). In lead II there is almost no signal at all. Althoughmicro-voltages in the extremity leads are a common feature in one of the most pre...

Nasotracheal intubation: look before you leap.

Nasotracheal intubation is frequently used for airway management during maxillofacial surgery. Complications such as haemorrhage occur more frequently with this route of intubation than with the orotracheal route. This case report describes a male patient aged 51 yr who developed severe epistaxis after the tube had passed the nares. As an additional complication laryngoscopy and endotracheal in...

Merging medical practices: look before you leap.

Current changes in health care are forcing many physicians to merge their medical practices. Because any successful merger requires careful planning, there are many critical issues that should be reviewed, discussed, and decided by physicians considering merging their medical practices. This article explores some of these issues and provides a useful practice merger checklist.