SECOND OPINION: A surgeon’s view of healthcare and policy in India
Inferior vena cava thrombus with pulmonary embolism complicating amebic liver abscess
Amebic liver abscess leading to hepatic vein thrombus is described, but pulmonary embolism is exceedingly rare. Treatment was with percutaneous aspiration, metronidazole, and low molecular weight heparin with which symptoms resolved in 2 weeks with a resolution of the pulmonary thrombus on follow up CT.
Adult Onset Nesidioblastosis Treated by Subtotal Pancreatectomy
Nesidioblastosis should be suspected in patients with endogenous hyperinsulinemic hypoglycemia without any detectable pancreatic tumor on preoperative imaging.
The Cost of Drugs
While the Supreme Court decision in the recent Novartis case has cleared the way for production of generic drugs in India, doctors have to prescribe cheaper alternatives to costly brands if patients with limited means are to benefit.
Rectal adenocarcinoma in an adult with imperforate anus at birth
The relationship between imperforate anus, rectourethral fistula and carcinoma of rectum is disclosed.
Surgery in a Patient with Liver Disease
Doctors in Entrepreneurial Gowns
Given the increasingly commercial and corporatised nature of healthcare, organisations like the IMA should provide leadership and a sense of direction to the individual medical professional overwhelmed by change.
Fire in a hospital
Why is the safety quotient so low in our society both in general, and in healthcare? Should our natural instinct for self preservation not make us sensitive to basic safety issues? Are there some socioeconomic and cultural factors at work here which numb us to safety?
Secondary omental torsion
A case study that's a reminder of an important clinical lesson