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Tag: change

Something’s Gotta Give

By Alexander Lauder, MD Why do we go into hand surgery? What goals do we have in our career? What goals do we have in our personal life? Are these aligned? A mentor once described work-life balance as a triangle with the apices representing professional career, personal life/family, and monetary income, noting that “You are […]

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A Different Kind of Travel List

By Divya Singh, MD I put down the deposit last week. I had checked cancellation policies and insurance coverage before booking the trip to the Pantanal. 2020 has been challenging for everyone; traveling has been one of many casualties. The year started out well enough—snorkeling and paddling at an eco-resort in Panama in January, the World Ice Art […]

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An Opportunity to Educate

By Jacqueline Corona, MD “Hello, my name is Dr. Jacqueline Corona. Pleasure to meet you. … Yes, that’s right—Corona.” With every greeting to a newly arrived patient, the pandemic is inescapably conjured into my examination room. When I utter the word Corona through my n95 mask, it brings to the foreground of my patient encounters […]

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Less Invasive Procedures

By Alejandro Badia, MD, FACS I am inclined to perform a new operation or variation of a procedure when I feel the existing option does not lead to ideal results, or more often, when the newer option is more efficient and often cost-effective, and more imporantly, when the patient will recover faster and with less […]

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My New Go-To Fixation Technique

By Ryan D. Endress, MD I’ve recently adopted the technique of cannulated intramedullary screws for metacarpal neck and shaft fractures. Depending on the fracture pattern, I would previously either perform percutaneous fixation with wires, or open fixation with plates and/or lag screws. I was looking for a way to provide the best of both worlds (i.e. less […]

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My New Magic Recipe

By Constantinos Ketonis, MD, PhD Surgeons are often called “creatures of habit” and are known to abide by the slogan “if it’s not broken don’t fix it.” We like routine and we like to perform each procedure the exact same way, every time–from the placement of the retractors to the application of the bandages. There […]

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Retrospective Thoughts on Adapting to New Technologies

By John G. Kloss, MD Thank you for the invitation to comment on the forces that may induce us to accept new technologies. Here is perhaps another perspective as to what that might mean from a business perspective. Upon completion of a Hand Fellowship in Louisville, my wife and I moved to Boise, Idaho to […]

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Treatment Comfort Zone

By Michael B. Lilyquist, MD We have likely all heard the phrase, “don’t be the first, but don’t be the last” to adopt a new surgical technique or device.  This is seemingly wise counsel and was often repeated during my orthopaedic residency training. It was almost always stated when an x-ray was reviewed in morning […]

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Intramedullary Fixation

By Tyler Steven Pidgeon, MD “If it ain’t broke, don’t fix it” is a common adage that many surgeons live by. When success is more or less assured with a certain procedure, it can be hard to step outside of one’s comfort zone and try something new. Why take a risk with your patient’s outcome? […]

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When Should I Try Something New?

By Michael M. Vosbikian, MD This is a question that plagues us all whenever we read an article, see something at a meeting, or get approached by someone from industry. We see the technique or the technology, we get seduced, and all of a sudden, to this shiny new hammer, everything looks like a nail. […]

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