Surgery Successful Operation Quotes

We have achieved most as surgeons when our patients recover completely and forget us completely. All patients are immensely grateful at first after a successful operation but if the gratitude persists it usually means that they have not been cured of the underlying problem and that they fear that they may need us in the future. They feel that they must placate us, as though we were angry gods or at least the agents of an unpredictable fate.

Psychological research has shown that the most reliable route to personal happiness is to make others happy. I have made many patients very happy with successful operations but there have been many terrible failures and most neurosurgeons’ lives are punctuated by periods of deep despair.

We have been most successful, however, when our patients return to their homes and get on with their lives and never need to see us again. They are grateful, no doubt, but happy to put us and the horror of their illness behind them. Perhaps they never quite realized just how dangerous the operation had been and how lucky they were to have recovered so well. Whereas the surgeon, for a while, has known heaven, having come very close to hell.

You might think the operation has been a success because the patient leaves the hospital alive but if you saw them years later – as I often do – you would realize that the result of the operation was a human disaster.

Of the many 'firsts' with which I have been involved at the Texas Heart Institute —including the first successful human heart transplant in the United States and the first total artificial heart transplant in the world—the achievement that may have the greatest impact on health care did not occur in the operating room or in the research laboratory. It happened on a piece of paper... when we created the first-ever packaged pricing plan for cardiovascular surgical procedures.

Surgeons are independent doers, ready to act. They prefer not to ask for help, thank you, or to place trust in much outside their own abilities. They work hard, expect perfection, and do not accept excuses. To the residents, some surgeon mentors were decent human beings; others were tyrants. Personalities aside, the central fact was this: Surgeons use their hard-earned physical skills to get results in the operating room (or create their own problems). They rely on themselves for success or failure. They are the captains of their ships. They do not need or want to rely on medication or another person to improve the quality of a patient’s life. Surgery is a specialty of instant gratification, for patient and surgeon alike.

Although Liston was renowned for his success stories—such as the removal of a forty-five-pound scrotal tumor in four minutes; prior to the operation, the poor patient had been forced to carry his scrotum around in a wheelbarrow—he also developed a reputation for the flamboyancy of his surgical failures. For instance, his joy at amputating a patient’s leg at the thigh in less than three minutes was hindered greatly when he realized he had also inadvertently sawed off the patient’s testicles. And perhaps, most famously, another leg amputation performed in less than three minutes had the unfortunate result of killing three people: the patient (who survived the surgery but died of gangrene several days later); his young assistant (whose fingers he accidentally sawed off during surgery and who would also later succumb to gangrene); and “a distinguished surgical spectator” whose coattails Liston also slashed. The man, who found himself surrounded by geysers of blood, was so convinced that the knife had pierced his vitals that he immediately “dropped dead from fright.” It was later described as “the only operation in history with a 300 percent mortality [rate].

As it turned out, the two decades immediately following the popularization of anesthesia saw surgical outcomes worsen. With their newfound confidence about operating without inflicting pain, surgeons became ever more willing to take up the knife, driving up the incidences of postoperative infection and shock. Operating theaters became filthier than ever as the number of surgeries increased. Surgeons still lacking an understanding of the causes of infection would operate on multiple patients in succession using the same unwashed instruments on each occasion. The more crowded the operating theater became, the less likely it was that even the most primitive sanitary precautions would be taken. Of those who went under the knife, many either died or never fully recovered and then spent the rest of their lives as invalids. This problem was universal. Patients worldwide came to further dread the word “hospital,” while the most skilled surgeons distrusted their own abilities.

I told her that what the family wanted would be entirely determined by what she said to them. If she said ‘we can operate and remove the damaged brain and he may just survive’ they were bound to say that we should operate. If, instead, she said ‘If we operate there is no realistic chance of his getting back to an independent life. He will be left profoundly disabled. Would he want to survive like that?’ the family would probably give an entirely different answer. What she was really asking them with the first question was ‘Do you love him enough to look after him when he is disabled?’ and by saying this she was not giving them any choice. In cases like this we often end up operating because it’s easier than being honest and it means that we can avoid a painful conversation. You might think the operation has been a success because the patient leaves the hospital alive but if you saw them years later – as I often do – you would realize that the result of the operation was a human disaster. The room was silent for a while. ‘The decision has been made to operate,’ the registrar said stiffly.

He ran long at the White House, and arrived late to his next meeting with Hillary Clinton, Jake Sullivan and Frank Ruggiero—their first major strategy session on Taliban talks after the secret meeting with A-Rod. She was waiting in her outer office, a spacious room paneled in white and gilt wood, with tasseled blue and pink curtains and an array of colorfully upholstered chairs and couches. In my time reporting to her later, I only ever saw Clinton take the couch, with guests of honor in the large chair kitty-corner to her. She’d left it open for him that day. “He came rushing in. . . . ” Clinton later said. “And, you know, he was saying ‘oh I’m so sorry, I’m so sorry.’ ” He sat down heavily and shrugged off his coat, rattling off a litany of his latest meetings, including his stop-in at the White House. “That was typical Richard. It was, like, ‘I’m doing a million things and I’m trying to keep all the balls in the air,’ ” she remembered. As he was talking, a “scarlet red” flush went up his face, according to Clinton. He pressed his hands over his eyes, his chest heaving. “Richard, what’s the matter?” Clinton asked. “Something horrible is happening,” he said. A few minutes later, Holbrooke was in an ambulance, strapped to a gurney, headed to nearby George Washington University Hospital, where Clinton had told her own internist to prepare the emergency room. In his typically brash style, he’d demanded that the ambulance take him to the more distant Sibley Memorial Hospital. Clinton overruled him. One of our deputies on the SRAP team, Dan Feldman, rode with him and held his hand. Feldman didn’t have his BlackBerry, so he scrawled notes on a State Department expense form for a dinner at Meiwah Restaurant as Holbrooke dictated messages and a doctor assessed him. The notes are a nonlinear stream of Holbrooke’s indomitable personality, slashed through with medical realities. “Call Eric in Axelrod’s office,” the first read. Nearby: “aortic dissection—type A . . . operation risk @ > 50 percent”—that would be chance of death. A series of messages for people in his life, again interrupted by his deteriorating condition: “S”—Secretary Clinton—“why always together for medical crises?” (The year before, he’d been with Clinton when she fell to the concrete floor of the State Department garage, fracturing her elbow.) “Kids—how much love them + stepkids” . . . “best staff ever” . . . “don’t let him die here” . . . “vascular surgery” . . . “no flow, no feeling legs” . . . “clot” . . . and then, again: “don’t let him die here want to die at home w/ his fam.” The seriousness of the situation fully dawning on him, Holbrooke turned to job succession: “Tell Frank”—Ruggiero—“he’s acting.” And finally: “I love so many people . . . I have a lot left to do . . . my career in public service is over.” Holbrooke cracked wise until they put him under for surgery. “Get me anything you need,” he demanded. “A pig’s heart. Dan’s heart.

• No matter how open we as a society are about formerly private matters, the stigma around our emotional struggles remains formidable. We will talk about almost anyone about our physical health, even our sex lives, but bring depression, anxiety or grief , and the expression on the other person would probably be "get me out of this conversation" • We can distract our feelings with too much wine, food or surfing the internet, • Therapy is far from one-sided; it happens in a parallel process. Everyday patients are opening up questions that we have to think about for ourselves, • "The only way out is through" the only way to get out of the tunnel is to go through, not around it • Study after study shows that the most important factor in the success of your treatment is your relationship with the therapist, your experience of "feeling felt" • Attachment styles are formed early in childhood based on our interactions with our caregivers. Attachment styles are significant because they play out in peoples relationships too, influencing the kind of partners they pick, (stable or less stable), how they behave in a relationship (needy, distant, or volatile) and how the relationship tend to end (wistfully, amiably, or with an explosion) • The presenting problem, the issue somebody comes with, is often just one aspect of a larger problem, if not a red herring entirely. • "Help me understand more about the relationship" Here, here's trying to establish what’s known as a therapeutic alliance, trust that has to develop before any work can get done. • In early sessions is always more important for patients to feel understood than it is for them to gain any insight or make changes. • We can complain for free with a friend or family member, People make faulty narratives to make themselves feel better or look better in the moment, even thought it makes them feel worse over time, and that sometimes they need somebody else to read between the lines. • Here-and-now, it is when we work on what’s happening in the room, rather than focusing on patient's stories. • She didn't call him on his bullshit, which this makes patients feel unsafe, like children's whose parent's don’t hold them accountable • What is this going to feel like to the person I’m speaking to? • Neuroscientists discovered that humans have brain cells called mirror neurons, that cause them to mimic others, and when people are in a heightened state of emotion, a soothing voice can calm their nervous system and help them stay present • Don’t judge your feelings; notice them. Use them as your map. Don’t be afraid of the truth. • The things we protest against the most are often the very things we need to look at • How easy it is, I thought, to break someone’s heart, even when you take great care not to. • The purpose on inquiring about people's parent s is not to join them in blaming, judging or criticizing their parents. In fact it is not about their parents at all. It is solely about understanding how their early experiences informed who they are as adults so that they can separate the past from the present (and not wear psychological clothing that no longer fits) • But personality disorders lie on a spectrum. People with borderline personality disorder are terrified of abandonment, but for some that might mean feeling anxious when their partners don’t respond to texts right away; for others that may mean choosing to stay in volatile, dysfunctional relationships rather than being alone. • In therapy we aim for self compassion (am I a human?) versus self esteem (Am I good or bad: a judgment) • The techniques we use are a bit like the type of brain surgery in which the patient remains awake throughout the procedure, as the surgeons operate, they keep checking in with the patient: can you feel this? can you say this words? They are constantly calibrating how close they are to sensitive regions of the brain, and if they hit one, they back up so as not to damage it.

I held Boke when they gave her anesthesia and stroked her head as she slipped off to sleep. I thought I’d leave, but Dr. Magee invited me to stay. I watched, wanting to be a witness to this miracle. It took what, forty-five minutes? And it would change Boke’s life forever. And mine, too. I had come to Kenya thinking I would be blessing these kids with good works, and I was the one being blessed. When it was over, Dr. Magee said he was impressed I didn’t flinch once. It was one of the best reviews I’ve ever received. I went with Boke to recovery so that I would be the first person she saw when she woke up. I sat cradling her and marveling that you could already see the transformation of her mouth being made whole. I held her in the crook of my right arm, and in her postoperation sleep, she wrapped her little hand around my left index finger. When she was fully awake, someone went to get her mom to tell her that the surgery was a success. She came in, and we smiled at each other. She had no idea who I was and wanted nothing from me but to step in when she was in need. I hugged her, thinking how scared she must have been. The doctors worked all day, so I stayed late and did the same the next day. When it was over, Ken and I were exhausted, and I could not stop thanking him for getting me involved in Operation Smile. It gave me perspective on what mattered. I hadn’t planned on doing so much soul searching, but being so far away gave me an opportunity to look inward in stillness.

There’s another level at which attention operates, this has to do with leadership, I argue that leaders need three kinds of focus, to be really effective, the first is an inner focus, let me tell you about a case that’s actually from the annals of neurology, there was a corporate lawyer, who unfortunately had a small prefrontal brain tumour, it was discovered early, operated successfully, after the surgery though it was a very puzzling picture, because he was absolutely as smart as he had been before, a very high IQ, no problem with attention or memory, but he couldn’t do his job anymore, he couldn’t do any job, in fact he ended up out of work, his wife left him, he lost his home, he’s living in his brother spare bedroom and in despair he went to see a famous neurologist named Antonio Damasio. Damasio specialized in the circuitry between the prefrontal area which is where we consciously pay attention to what matters now, where we make decisions, where we learn and the emotional centers in the midbrain, particularly the amygdala, which is our radar for danger, it triggers our strong emotions. They had cut the connection between the prefrontal area and emotional centers and Damasio at first was puzzled, he realized that this fellow on every neurological test was perfectly fine but something was wrong, then he got a clue, he asked the lawyer when should we have our next appointment and he realized the lawyer could give him the rational pros and cons of every hour for the next two weeks, but he didn’t know which is best. And Damasio says when we’re making a decision any decision, when to have the next appointment, should I leave my job for another one, what strategy should we follow, going into the future, should I marry this fellow compared to all the other fellows, those are decisions that require we draw on our entire life experience and the circuitry that collects that life experience is very base brain, it’s very ancient in the brain, and it has no direct connection to the part of the brain that thinks in words, it has very rich connectivity to the gastro- intestinal tract, to the gut, so we get a gut feeling, feels right, doesn’t feel right. Damasio calls them somatic markers, it’s a language of the body and the ability to tune into this is extremely important because this is valuable data too - they did a study of Californian entrepreneurs and asked them “how do you make your decisions?”, these are people who built a business from nothing to hundreds of millions or billions of dollars, and they more or less said the same strategy “I am a voracious gatherer of information, I want to see the numbers, but if it doesn’t feel right, I won’t go ahead with the deal”. They’re tuning into the gut feeling. I know someone, I grew up in farm region of California, the Central Valley and my high school had a rival high school in the next town and I met someone who went to the other high school, he was not a good student, he almost failed, came close to not graduating high school, he went to a two-year college, a community college, found his way into film, which he loved and got into a film school, in film school his student project caught the eye of a director, who asked him to become an assistant and he did so well at that the director arranged for him to direct his own film, someone else’s script, he did so well at that they let him direct a script that he had written and that film did surprisingly well, so the studio that financed that film said if you want to do another one, we will back you. And he, however, hated the way the studio edited the film, he felt he was a creative artist and they had butchered his art. He said I am gonna do the film on my own, I’m gonna finance it myself, everyone in the film business that he knew said this is a huge mistake, you shouldn’t do this, but he went ahead, then he ran out of money, had to go to eleven banks before he could get a loan, he managed to finish the film, you may have seen

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I kept thinking how grateful I felt to have been part of this magnificent team. For five months we had been one unit, all specialists and all tackling the same problem together. The staff at the pediatric ICU and the consultants in the children's center reacted spectacularly. They rallied behind us and spent countless hours without charge, working to make this operation successful. As pessimistic as I was about the eventual outcome of the surgery, I still felt a glow of pride in being able to work side by side with the best men and women in the medical field. And the end of the surgery wasn't the end of our teamwork. The postoperative care was as spectacular as the surgery. Everything in the weeks following the surgery confirmed again our togetherness. It seemed as if everyone from ward clerks to orderlies to nurses had become personally involved in this historic event. We were a team--a wonderful, marvelous team.

Trained Obstetrician and Gynaecologist in Dubai Dr Elsa de Menezes Fernandes is a UK trained Obstetrician and Gynaecologist. She completed her basic training in Goa, India, graduating from Goa University in 1993. After Residency, she moved to the UK, where she worked as a Senior House Officer in London at the Homerton, Southend General, Royal London and St. Bartholomew’s Hospitals in Obstetrics and Gynaecology. She completed five years of Registrar and Senior Registrar training in Obstetrics and Gynaecology in London at The Whittington, University College, Hammersmith, Ealing and Lister Hospitals and Gynaecological Oncology at the Hammersmith and The Royal Marsden Hospitals. During her post-graduate training in London she completed Membership from the Royal College of Obstetricians and Gynaecologists. In 2008 Dr Elsa moved to Dubai where she worked as a Consultant Obstetrician and Gynaecologist at Mediclinic City Hospital until establishing her own clinic in Dubai Healthcare City in March 2015. She has over 20 years specialist experience. Dr Elsa has focused her clinical work on maternal medicine and successfully achieved the RCOG Maternal Medicine Special Skills Module. She has acquired a vast amount of experience working with high risk obstetric patients and has worked jointly with other specialists to treat patients who have complex medical problems during pregnancy. During her training she gained experience in Gynaecological Oncology from her time working at St Bartholomew’s, Hammersmith and The Royal Marsden Hospitals in London. Dr Elsa is experienced in both open and laparoscopic surgery and has considerable clinical and operative experience in performing abdominal and vaginal hysterectomies and myomectomies. She is also proficient in the technique of hysteroscopy, both diagnostic and operative for resection of fibroids and the endometrium. The birth of your baby, whether it is your first or a happy addition to your family, is always a very personal experience and Dr Elsa has built a reputation on providing an experience that is positive and warmly remembered. She supports women’s choices surrounding birth and defines her role in the management of labour and delivery as the clinician who endeavours to achieve safe motherhood. She is a great supporter of vaginal delivery. Dr Elsa’s work has been published in medical journals and she is a member of the British Maternal and Fetal Medicine Society. She was awarded CCT (on the Specialist Register) in the UK. Dr Elsa strives to continue her professional development and has participated in a wide variety of courses in specialist areas, including renal diseases in pregnancy and medical complications in pregnancy.

If a heart surgery was only successful once every ten thousand operations, or a plane landing safely occurred only once every ten thousand times, what would people demand? Change the way it was done. Now.

Get ready for the new things God has in store Pastor Dutch Sheets told a story about a forty-year-old lady having open-heart surgery. She had blockage in one of her arteries and had to have bypass surgery. Although this is a delicate procedure, it’s considered a routine surgery and performed successfully more than 230,000 times every year. During the operation, the surgeon clamps off the main vein flowing to the heart and hooks it to machine that pumps the blood and keeps the lungs working. The heart actually stops beating while the vein is being bypassed. When the procedure is over and the machine is removed, the warmth from the body’s blood normally causes the heart to wake back up and start beating again. If that doesn’t work, they have drugs that will wake up the heart. This lady was on the operating table and the bypass was finished, so they let her blood start flowing, but for some reason her heart did not start beating. They gave her the usual drugs with no success. She had no heartbeat. The surgeon massaged her heart with his hand to stimulate that muscle and get it beating again, but even that did not work. The surgeon was so frustrated, so troubled. It looked as if his patient was finished. After doing everything he could medically, he leaned over and whispered in her ear, “Mary, I’ve done everything I can do. Now I need you to tell your heart to beat again.” He stepped back and heard bump, bump, bump, bump. Her heart kicked in and started beating. Do you need to tell your heart to beat again? Maybe you’ve been through disappointments and life didn’t turn out like you had hoped. Now you’re just sitting on the sideline. You’ve got to get your passion back. Get your fire back. Tell your heart to dream again. Tell your heart to love again. Tell your heart to laugh again. Tell your heart to believe again.

Star Struck Our group visited the laser light show, an attraction mixing music and beams of bright colors as they formed constellations and abstract shapes. An awe-inspiring performance, but as it ended, I noticed the stranger, eyes still focused on me. I turned away quickly. “Look--over by the door. There he is again.” I gestured for my friend to sneak a peek in the direction of the man. “Where?” She squinted, her head pointed straight at him. “I don’t see him--maybe he left.” Frustration tinged my voice. “He’s right there--hasn’t moved an inch. He’s almost smiling at me now. Please don’t try to say I’m imagining him.” Fear mounted in me. Was I being stalked? I tucked the thought away, determined to enjoy this time with my companions, to relax in the gentle warmth of the sun. As our excursion neared its end, I glanced to the left, at the wall of a building, devoid of gates or doors of any sort. The man leaned against it, looking at me. This time I stared back, determined to show a bravery I didn’t feel. Hidden in pockets, my hands trembled. A calm smile and deep compassion shone on his face as we locked eyes for what felt like minutes, but probably lasted only seconds. Then--I don’t know how to explain it--it was as though a burst of conversation swept from his mind to mine. “Everything’s going to be all right.” I felt an intense warmth head to toe, as though embraced in a spiritual hug from the inside out. “There’s work ahead.” I took a deep breath, maintaining the eye contact, listening. He continued to smile with his eyes. “I’ll be watching.” I nodded slowly, softly. I understood. And felt safe. A friend tugged on my arm, pulling me toward another monument. I turned my head back for a glimpse of the man, but he was gone. I scanned the building once more, searching for openings he could have exited through. There were none. I shook my head. I knew I’d seen him. And he’d seen me. I was certain he was real. I still felt his warmth. We headed for home, my mind filled with questions about the man, and the message I’d somehow received. Reason fought against intuition. He was just an ordinary guy. Or was he? In the months to come, I overcame my fears and visited the doctor. I underwent three cardiac catheterization operations, and a successful triple-bypass surgery. Through them all, I knew I’d be al right. Years have passed since that day. But the peace he projected has remained with me. God sent me comfort in a way I needed, in a form I could understand and trust--an ordinary-looking man. He gave me the courage and the confidence to take care of my health problems. My angel. And even though I can’t see him, I know he’s still watching. I know things are going to be all right. How can I be so sure? Because there’s still work for me to do. He told me so. -Nancy Zeider

Star Struck We headed for home, my mind filled with questions about the man, and the message I’d somehow received. Reason fought against intuition. He was just an ordinary guy. Or was he? In the months to come, I overcame my fears and visited the doctor. I underwent three cardiac catheterization operations, and a successful triple-bypass surgery. Through them all, I knew I’d be al right. Years have passed since that day. But the peace he projected has remained with me. God sent me comfort in a way I needed, in a form I could understand and trust--an ordinary-looking man. He gave me the courage and the confidence to take care of my health problems. My angel. And even though I can’t see him, I know he’s still watching. I know things are going to be all right. How can I be so sure? Because there’s still work for me to do. He told me so. -Nancy Zeider

The seriousness of Father's illness set in right away. Bernie took Father to the Sloan Kettering Hospital or Cancer Memorial, as it was called then. The diagnosis made by Dr. Falk in Paris was confirmed. After exploratory surgery, the well-know surgeon, Dr. Peck, decided that it was too late to operate successfully, that the cancer had spread too far, it had metastasized from the stomach to the liver. The best we could hope for was six months. My Father lived exactly seven months longer, a time of intense suffering for him and for us.

I have operated on dozens and dozens of people to improve deficient features only to find that, after surgery, they replaced this real physical fault in their minds with a nonsensical belief which continued their unswerving fixation on their inferiority. Their negative beliefs varied; their movement toward failure was the same kind of mechanism.

As obesity rates climbed, medical equipment companies devised new operations using new products to help combat the condition, and bariatric surgery was a boom field. Companies, hospitals, and doctors’ groups lobbied successfully to have insurers pay for it all. Being overweight was rebranded as a disease.