Since some patients being discharged from the hospital will require air travel, this review from the Lancet offers some tangible advice on who is fit for travel (abstract). The notable recommendations include to defer air travel for 14 days after any major surgery and for 7-10 days after a bowel obstruction or diverticulitis. For patients with feeding tubes, urinary catheters, or tracheal tubes, the cuff should be inflated with water instead of air, to avoid gas expansion and rupture. For DVT prevention, they recommend hydration, compression stockings, and ambulation for any flight lasting > 4 hours. In general, the cardiopulmonary “fitness test” for safe travel includes being able to walk 50m or 1 flight of stairs without angina or significant dyspnea.
Have you ever wondered if there’s a correlation between Gore-Tex® (Think: rain jacket material) and Social Media? No!? Well, I have… It turns out there may be more commonality between these topics than what one might imagine. You see, Bill Gore (the company’s founder and CEO) recognized a particular number in his manufacturing plants: 150. […]
I just heard. A colleague, a man of integrity and warmth, a hard-working physician with ideals, ethics and many valued contributions, has taken his own life. His perspectives may have differed from mine at times, but every interaction was infused with respect. He was a good man. Much has been written about the rate of […]
The question of appropriate ward garb is a problem for the ages. Compared to photo stills and films from the 1960s, the doctors of today appear like vagabonds. No ties, no lab coats, and scrub tops have become the norm for a number (a majority ?) of hospital-based docs—and even more so on the surgical […]