Surgery Successful Quotes

[...] the success of Egyptian surgery in setting broken bones is very fully demonstrated in the large number of well-joined fractures found in the ancient skeletons.

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 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.

My generation was weaned on subliminal advertising, stupid television, slasher movies, insipid grocery-store literature, MTV, VCRs, fast food, infomercials, glossy ads, diet aids, plastic surgery, a pop culture wherein the hyper-cool, blank-eyed supermodel was a hero. This is the intellectual and emotional equivalent of eating nothing but candy bars – you get malnourished and tired. We grew up in a world in which the surface of the thing is infinitely more important than its substance – and where the surface of the thing had to be “perfect,” urbane, sophisticated, blasé, adult. I would suggest that if you grow up trying constantly to be an adult, a successful adult, you will be sick of being grown up by the time you’re old enough to drink.

In short, the more inwardly defined I became, the less I needed to succeed and the less stressed I felt. The less I needed success, the easier it came. The less I had to get, the more I got. The less I needed to acquire power, the more power I realized I already had; before I realized that, I used to give my power away.

Mastery in any field, from cooking to chess to brain surgery, is a gradual accretion of knowledge, conceptual understanding, judgment, and skill. These are the fruits of variety in the practice of new skills, and of striving, reflection, and mental rehearsal.

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.

Leadership must evolve into a “science-based craft”, like surgery.

And the mainstreaming of the sex industry reflects that inequality. It is still women who are dieting or undergoing surgery on their bodies; still women stripping in the clubs while the men chant and cheer; still women, not men, who believe that their ability to reach for fame and success will be defined by how closely they conform to one narrow image of sexuality. If this is the new sexual liberation, it looks too uncannily like the old sexism to convince many of us that this is the freedom we have sought.

surgery was the vanguard of scientific discovery, a challenge, a test of his mettle, a set of skills that saved lives. Mother had softened at the idea of fame and success, but this contretemps over his arrival made Daniel doubt the wisdom of his choice. Surgery? Why indeed.

Alexander the Magnus was once called to solve the following challenge in the Phrygian city of Gordium (as usual with Greek stories, in modern-day Turkey). When he entered Gordium, he found an old wagon, its yoke tied with a multitude of knots, all so tightly entangled that it was impossible to figure out how they were fastened. An oracle had declared that he who would untie the knot would rule all of what was then called “Asia,” that is, Asia Minor, the Levant, and the Middle East. After wrestling with the knot, the Magnus drew back from the lump of gnarled ropes, then made a proclamation that it didn’t matter for the prophecy how the tangle was to be unraveled. He then drew his sword and, with a single stroke, cut the knot in half. No “successful” academic could ever afford to follow such a policy. And no Intellectual Yet Idiot. It took medicine a long time to realize that when a patient shows up with a headache, it is much better to give him aspirin or recommend a good night’s sleep than do brain surgery, although the latter appears to be more “scientific.” But most “consultants” and others paid by the hour are not there yet.

Every quack is, indeed, a demagogue; and relies, for his success on nearly the same arts, with his political and religious, or rather irreligious, brethren.

Children lose contact with their parents, and vice versa, when there is no present living moment in the family. You change careers, go traveling, play extreme sports, get plastic surgery, drive fast cars, take exotic holidays, or redecorate the house, constantly seeking presence. These strategies might work for an hour, a day, or a year, but they will not solve your inner deadness.

Pop leadership abuts pop psychology, and is very destructive. In no other serious domain of human endeavor (surgery, playing the violin) is the subject distilled down to nice-sounding aphorisms that mean nothing.

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.

Caesar Flickerman, the man who has hosted the interviews for more than forty years, bounces onto the stage. It’s a little scary because his appearance has been virtually unchanged during all that time. Same face under a coating of pure white makeup. Same hairstyle that he dyes a different color for each Hunger Games. Same ceremonial suit, midnight blue dotted with a thousand tiny electric bulbs that twinkle like stars. They do surgery in the Capitol, to make people appear younger and thinner. In District 12, looking old is something of an achievement since so many people die early. You see an elderly person, you want to congratulate them on their longevity, ask the secret of survival. A plump person is envied because they aren’t scraping by like the majority of us. But here it is different. Wrinkles aren’t desirable. A round belly isn’t a sign of success.

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].

3.  Once people are asked to donate, the social pressure is so great that they get bullied into giving, even though they wish they’d never been asked in the first place. Mullaney knew that number 3 was important to Smile Train’s success. That’s why their millions of mailings included a photograph of a disfigured child in need of cleft surgery. While no fund-raiser in his right mind would ever publicly admit to manipulating donors with social pressure, everyone knew how strong this incentive was. But what if, Mullaney thought, instead of downplaying the pressure, Smile Train were to highlight it? That is, what if Smile Train offered potential donors a way to alleviate the social pressure and give money at the same time? That’s how a strategy known as “once-and-done” was born. Here’s what Smile Train would tell potential donors: Make one gift now and we’ll never ask for another donation again.

The reason we don't reach our goals is three-fold: We're going after something we don't really want. That's why sometimes, we have to perform Goal Replacement Surgery. Three kinds of goals require Goal Replacement Surgery: 1. Impossible goals. 2. Someone else's goals. 3. Goals you don't really want anymore.

Scientists were able to replicate this process—successfully replacing a viral sequence with other types of DNA and inserting that DNA in the target cell—making “genomic surgery” possible. CRISPR rapidly replaced older methods of genetic engineering, making gene editing cleaner, more accurate, and much faster.

To mix metaphors, with the covenant of Noah the paramedic successfully reaches the fallen climber; with the covenant of Abraham triage is done and the climber is lowered down the cliff; with the covenants of Moses and David the airlift is accomplished and surgery begins; with the covenant of Jesus the surgery is successful and the vigil begins—will our rescued climber endure to the end?

The standard freak show chic bullshit which had beset the generation after mine thanks to a string of wildly successful reality shows centering on competitive body modification. I’d had fun watching Manual Mutants and Oddfellas when they first started, but then The League of Zeroes came along and made things too grotesque. They lost me when Rectal Rachelle died on the table during her ass-neck implant surgery.

SOO-LINL-S: Elgie, you are a Level 80 at the most successful company in the world. You’ve vested out three times. You have a daughter who’s thriving academically despite several heart surgeries. SOO-LINL-S: Your TEDTalk is ranked number four on the all-time most-watched list yet you live with a woman who has no friends, destroys homes, and falls asleep in stores? SOO-LINL-S: I’m sorry, Elgie, you are hereby TORCHed.

Naturally, it causes psychological harm as well; it shouldn’t surprise you that a national survey of 24,000 workers found that men and women with few social ties were two to three times more likely to suffer from major depression than people with strong social bonds.9 When we enjoy strong social support, on the other hand, we can accomplish impressive feats of resilience, and even extend the length of our lives. One study found that people who received emotional support during the six months after a heart attack were three times more likely to survive.10 Another found that participating in a breast cancer support group actually doubled women’s life expectancy post surgery.11 In fact, researchers have found that social support has as much effect on life expectancy as smoking, high blood pressure, obesity, and regular physical activity.12

They do surgery in the Capitol, to make people appear younger and thinner. In District 12, looking old is something of an achievement since so many people die early. You see an elderly person you want to congratulate them on their longevity, ask the secret of survival. A plump person is envied because they aren't scraping by like the majority of us. But here it is different. Wrinkles aren't desirable. A round belly isn't a sign of success

They do surgery in the Capitol, to make people appear younger and thinner. In District 12, looking old is something of an achievement since so many people die early. You see an elderly person, you want to congratulate them on their longevity, ask the secret of survival. A plump person is envied because they aren’t scraping by like the majority of us. But here it is different. Wrinkles aren’t desirable. A round belly isn’t a sign of success.

Yet the hunger to treat patients still drove Farber. And sitting in his basement laboratory in the summer of 1947, Farber had a single inspired idea: he chose, among all cancers, to focus his attention on one of its oddest and most hopeless variants—childhood leukemia. To understand cancer as a whole, he reasoned, you needed to start at the bottom of its complexity, in its basement. And despite its many idiosyncrasies, leukemia possessed a singularly attractive feature: it could be measured. Science begins with counting. To understand a phenomenon, a scientist must first describe it; to describe it objectively, he must first measure it. If cancer medicine was to be transformed into a rigorous science, then cancer would need to be counted somehow—measured in some reliable, reproducible way. In this, leukemia was different from nearly every other type of cancer. In a world before CT scans and MRIs, quantifying the change in size of an internal solid tumor in the lung or the breast was virtually impossible without surgery: you could not measure what you could not see. But leukemia, floating freely in the blood, could be measured as easily as blood cells—by drawing a sample of blood or bone marrow and looking at it under a microscope. If leukemia could be counted, Farber reasoned, then any intervention—a chemical sent circulating through the blood, say—could be evaluated for its potency in living patients. He could watch cells grow or die in the blood and use that to measure the success or failure of a drug. He could perform an “experiment” on cancer.

Another Damasio patient, “Elliot,” was a successful husband, father, and businessman until undergoing brain surgery on a tumor. The surgery damaged his frontal lobe and thereby affected his ability to carry through on plans. He would embark on a project only to lose sight of his goal in doing so. For example, asked to sort documents, he would go overboard: “He was likely, all of a sudden, to turn from the sorting task he had initiated to reading one of those papers carefully and intelligently, and to spend an entire day doing so. Or he might spend a whole afternoon deliberating on which principle of categorization should be applied.

SOO-LINL-S: I know you’ll be uncomfortable with some of the VAV terminology. I was, too. I thought, I’m not being abused by Barry. SOO-LINL-S: But at VAV, our definition of abuse is intentionally broad and esteem-positive. We are victims, make no mistake about it, but we want to move beyond victimhood, which is a subtle yet important distinction. SOO-LINL-S: Elgie, you are a Level 80 at the most successful company in the world. You’ve vested out three times. You have a daughter who’s thriving academically despite several heart surgeries. SOO-LINL-S: Your TEDTalk is ranked number four on the all-time most-watched list yet you live with a woman who has no friends, destroys homes, and falls asleep in stores? SOO-LINL-S: I’m sorry, Elgie, you are hereby TORCHed. ELGINB: Thanks for this, but I kind of have to concentrate. Will read more carefully after meeting.

We know that multitasking can even be fatal when lives are at stake. In fact, we fully expect pilots and surgeons to focus on their jobs to the exclusion of everything else. And we expect that anyone in their position who gets caught doing otherwise will always be taken severely to task. We accept no arguments and have no tolerance for anything but total concentration from these professionals. And yet, here the rest of us are—living another standard. Do we not value our own job or take it as seriously? Why would we ever tolerate multitasking when we’re doing our most important work? Just because our day job doesn’t involve bypass surgery shouldn’t make focus any less critical to our success or the success of others. Your work deserves no less respect. It may not seem so in the moment, but the connectivity of everything we do ultimately means that we each not only have a job to do, but a job that deserves to be done well.

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.

If they’re not practicing deliberately, even experts can see their skills backslide. Ericsson shared with me an incredible example of this. Even though you might be inclined to trust the advice of a silver-haired doctor over one fresh out of medical school, it’s been found that in a few fields of medicine, doctors’ skills don’t improve the longer they’ve been practicing. The diagnostic accuracy of professional mammographers, for example, doesn’t get more accurate over the years. Why would that be? For most mammographers, practicing medicine is not deliberate practice, according to Ericsson. It’s more like putting into a tin cup than working with a coach. That’s because mammographers usually only find out if they missed a tumor months or years later, if at all, at which point they’ve probably forgotten the details of the case and can no longer learn from their successes and mistakes. One field of medicine in which this is definitively not the case is surgery. Unlike mammographers, surgeons tend to get better with time. What makes surgeons different from mammographers, according to Ericsson, is that the outcome of most surgeries is usually immediately apparent—the patient either gets better or doesn’t—which means that surgeons are constantly receiving feedback on their performance. They’re always learning what works and what doesn’t, always getting better. This finding leads to a practical application of expertise theory: Ericsson suggests that mammographers regularly be asked to evaluate old cases for which the outcome is already known. That way they can get immediate feedback on their performance.

When we feel frustrated, our first inclination is to change whatever isn't working for us. We can try to accomplish this by making demands on others, attempting to alter our own behavior, or by a variety of other means. Having moved us to action, frustration will have done its duty. The problem is that life brings many frustrations that are beyond us: we cannot alter time or change the past or undo what we have done. We cannot avoid death, make good experiences last, cheat on reality, make something work that won't, or induce someone to cooperate with us when they may not feel like it. We are unable to always make things fair or to guarantee our own or another's safety. Of all these unavoidable frustrations the most threatening for children is that they cannot make themselves psychologically and emotionally secure. These extremely important needs — to be wanted, invited, liked, loved, and special — are out of their control. As long as we parents are successful in holding on to our children, they need not be confronted with this deep futility, fundamental to human existence. It is not that we can forever protect them from reality, but children should not have to face challenges they are not ready for. Peer-oriented children are not so lucky. Given the degree of frustration they experience, they become desperate to change things, to somehow secure their attachments. Some become compulsively demanding in their relationships with one another. Some become preoccupied with making themselves more attractive in the eyes of their peers — hence the large increase in the demand for cosmetic surgery among young people and hence, too, their obsession with being fashionably chic at earlier and earlier ages. Some become bossy, others charmers or entertainers. Some bend over backward, turning into psychological pretzels to preserve a sense of closeness with their peers. Perpetually dissatisfied, these children are out of touch with the source of their discontent and rail against a reality they have no control over. Of course, the same dynamics may also occur in children's relationships with adults — and all too often do — but they are absolutely guaranteed to be present in peer-oriented relationships. No matter how much the peer-oriented child attempts to change things by making demands, altering her appearance, making things work for others; no matter how she tones down her true personality or compromises herself, she will find only fleeting relief. She'll find no lasting relief from the unrelenting attachment frustration, and there will be the added frustration of continually hitting against this wall of impossibility. Her frustration, rather than coming to an end, moves one step closer to being transformed into aggression.

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.

What happens to a man who loses more than half of himself? Ron Lester has searched for the answer since December 2000, when he underwent Roux-en-Y gastric bypass surgery with a duodenal switch.1 Since he realized in the third grade that his massive girth could draw laughs, Lester knew his fate was as the funny fat guy. When he moved to Hollywood — a town where funny fat guys can become millionaires — he was an overnight success. There was one problem, though: His moneymaker was slowly killing him. With a family history of heart problems, the 500-pound Lester wasn’t long for this world. Surgery saved his life. It also ended his career. A shrinking man with loose skin greeted casting directors expecting the funny fat guy, and Lester struggled to score roles post-op. Now living in Dallas nearly 15 years after his glory days, he is left to ponder whether choosing life was the right decision. “Am I alive? Yes. Am I happy? No. Did I throw away my career to be skinny? Yes,” he says. “I wouldn’t do [the surgery] again. I would much rather have died happy, rich, and kept my status and gone out on top.

One of them told me the craving disappeared as soon as we turned the electricity on,” Mueller said. “Then, we turned it off, and the craving came back immediately.” Eradicating the alcoholics’ neurological cravings, however, wasn’t enough to stop their drinking habits. Four of them relapsed soon after the surgery, usually after a stressful event. They picked up a bottle because that’s how they automatically dealt with anxiety. However, once they learned alternate routines for dealing with stress, the drinking stopped for good. One patient, for instance, attended AA meetings. Others went to therapy. And once they incorporated those new routines for coping with stress and anxiety into their lives, the successes were dramatic. The man who had gone to detox sixty times never had another drink. Two other patients had started drinking at twelve, were alcoholics by eighteen, drank every day, and now have been sober for four years.

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.

surgery, which would necessitate well-timed, perfect precision in execution.) Grow by purposefully contributing, connecting, and learning, with doses of compassion. Give your time and add real value in good causes. Communicate empathetically and clearly, and keep learning to do so. Inspire others. You will very likely end up getting more by giving. Over time, your good deeds will translate subconsciously to solid success habits. Keep at it, and you will find your identity and confidence enhanced. Without contribution and growth, you will not be fulfilled. Without fulfillment, you may not feel truly successful. Your biggest competitor should only ever be yourself. Avoid the trap of

The next morning, while everyone else sat in the waiting area, Mia and I met with the doctor. “Well, I have good news and bad news,” Dr. Genecov said. “The bad news is that she needs this surgery, and we need to get it on the books right now. The good news is that I’ve worked with a company to invent a new device. Instead of using the halo, I can now do everything internally.” What? Did I just hear what I think I heard? He continued talking, but I honestly didn’t hear anything for the next few seconds while I tried to process this new information. Seriously? I can’t believe this! I thought. Where did this come from? I knew he was working on a better bone graft procedure before we needed it, but this just came out of nowhere! I tried my best to hold myself together. All I wanted to do was call Jase and tell him this news. Actually, I wanted to climb the nearest mountain (if there were mountains in Dallas) and shout it from the top of my lungs! After thanking him profusely, Mia and I walked down the hall for our appointment with Dr. Sperry. “Do you know what you just avoided?” Dr. Sperry asked, grinning from ear to ear. “A shaved head, the intensive care unit for a week, and a much longer recovery period.” That was it. I couldn’t hold back any longer and let my tears flow. Mia looked at me in surprise. If I was embarrassing her, I didn’t care. It was for a good reason. “Dr. Genecov has been working hard to perfect this procedure, and he has done it one time so far.” She looked right at Mia and said, “And I’m convinced he did that one to get ready for you.” Mia smiled and said, “Cool.” Mia had enjoyed her honeymoon period. She felt no stress or anxiety about the future, which was a great blessing. I was thankful that I had not told her about the distraction surgery and glad that my eleven-year-old daughter didn’t understand all that she had been spared because of this development. When I filled in my mom, Bonny, and Tori on this unexpected and exhilarating news, they all gasped, then shouted and hugged me. All I could think of was how grateful I was to my Father in heaven. He had done this. Why? I don’t know. But I knew He had chosen this moment for Dr. Genecov to perfect a new invention that would spare my daughter, at this exact time in her life, the ordeal of a device that would have been surgically screwed into her skull. After getting to the parking lot, I immediately called Jase with this incredible news. Like me, he was having a hard time wrapping his head around it. “How many of these has he done?” I hesitated, then said, “One.” “One? He’s done one? I don’t know about this, Missy.” I quickly reminded him of Dr. Genecov’s success in the new bone graft surgery and said, “Babe, I think it’s worth the risk. He’s proven to us just how good he is.” Jase is not one to make a quick decision about anything, but before our phone call ended, he agreed that we should move forward with the surgery.

The advantages of using account of the legal defense DUI professional According to a DUI or DWI they have very high values, and can be much more difficult, if not able to qualified lawyer in these types of services. It important to get the services of professionals who are familiar with the course of DUI criminal record because the team is almost certainly best, highest paid on the common law also working for many years in a row, and he is almost certain that the officials involved to enforce the law and choose the most effective way. The consumption can peak at promoting the method of blood flow to help ease and the minimum number of punches than likely. Even if you do not want the removal of a fence of a demo, it is deliberately allowed to produce only for the ingredients so suddenly that the interest will be at least in his imprisonment and the decision of the necessary business expense. Education Lawyer, worth DUI, because they understand the rules on the details of the DUI. Great leadership only recognizes attorneys who offer surgery that seemed to bend the lowest possible cost. Field sobriety tests are defense without success, and when the lawyer to provide classroom-oriented, to the surprise of identifying the brain decides what industry breathalyzer sobriety vote or still under investigation. Trying to fight against DUI private value, it may be impossible for the layman is that much of the Berufsrecht did. DUI lawyer can be a file with the management consultants can be used or deny the accuracy of the successful management of blood or urine witnesses. Almost always one day, you can not help learning tool. If there is a case where the amount, solid, is the legal adviser to shock and other consultants witnesses are willing to cut portions and finds out she has some tire testing and influence. Being part of the time, problems with eating problems and more experience DUI attorney in looks secrets and created. The idea that the lawyer is suddenly more than the end result of controlling historical significance of countless people do not share the court made. It very appropriate, qualified, but two at the end of every little thing that you do not agree even repentance and uses for what was happening right opportunity. It can not be argued, perhaps, costs, what seems to be one that includes many just go to the airport to record driving under the influence, but their professional experience and meetings, both issues related to diversity, Lange random taxation measures. Many people today claim that the market is in DUI cases, of course, exhausted, and are a lawyer, go to their rights in the region.

Feeling dissatisfied with yourself, how you look, the person you are, or how you feel is an almost universal female experience within our culture. Even when we outwardly reject the cultural mores, many of us are still left with internalised feelings of inadequacy, of not quite ‘measuring up’. Women, in particular, are encouraged to focus on their appearance and body shape—hence the success of special diets, low-fat foods, slimming aids and cosmetic surgery.

This minimally invasive approach to hysteropexy involves laparoscopic plication of the round ligaments to the rectus sheath. A case series by O’Brien and Ibrahim (1994) of nine postmenopausal women with “moderate or marked” uterovaginal prolapse who underwent laparoscopic ventrosuspension provide discouraging results with 89% of women experiencing complete recurrence within 3 months, all of whom required additional surgery. Other authors have reported success with this procedure (Lin et al., 2005), although most literature focuses on uterosacral ligament plication and sacrohysteropexy, which are thought to provide more durable and anatomic repairs.

Ellen Carney was told that she was the first pregnant woman in America who underwent heart surgery. “I was seen as a special case in the University Hospital in Philadelphia and I became a media star overnight.” The surgery was successful,

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

Kis for Knowledge. Unlike the old saying, what you don’t know will hurt you. You’ve got to acquire new knowledge. I don’t give you much chance for success after surgery if you rely on the same old information. If you continue to think that beef jerky is a good snack, then I foresee weight struggles in your future. If you keep hoping that “low fat” or “fat-free” will make you healthy, I only see more disappointments headed your way. You have to read new and better books, watch better TV programs, hang out with better people who will inspire you. You have to take the classes, learn new skills, and challenge yourself to be better.

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.

Now take a few moments to consider how obesity has affected you. Complete your first activity: on the following page, write your personal story of obesity, making sure to include how obesity affects you emotionally, how long you’ve lived with obesity, how your excess weight interferes with your life, and any obesity-related health problems you experience.

The first step in developing realistic expectations is to calculate your excess weight. Now that you know your BMI, it’s time to calculate your excess weight. The amount of excess weight you’re carrying is defined as the amount of weight you need to lose to reach the normal BMI range (18.5 to 24.9). Look at the following table to determine how much you need to weigh to have a BMI of 22 (middle of the normal range). The amount of weight you can expect to lose depends, in part, on surgery type, but losing 40 to 70 percent of excess weight is a good WLS outcome (Norris 2007). It’s important to remember that we are talking about percent of excess weight, not percent of total weight.

Consider how obesity has affected your social life. Are there social activities you avoid? How are your relationships affected by your weight? In the following space, describe how obesity affects your social interactions. My obesity affects my social interactions by:

Below, write about how you perceive your health. Do you feel unhealthy because of your weight? If you do feel unhealthy, what is it about being obese that makes you feel unhealthy?

Obesity interferes with my mood by:

Although I owned a boat, I had no sonar, metal detector or any practical method of surveying the ocean bottom. With an incurable illness, no prospect of financial reward, little chance of success, brain surgery looming, and one child in college with another about to start, I was not in a position to spend thousands of dollars on a search. Still, desperate for a distraction, anything to pry my focus away from the disease, I decided—the hell with Parkinson’s. I’m doing it.

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

* Who do you think of when you hear the word “successful”? “The first people who come to mind are the real heroes of Task Unit Bruiser: Marc Lee, first SEAL killed in Iraq. Mike Monsoor, second SEAL killed in Iraq, posthumously awarded the Medal of Honor after he jumped on a grenade to save three of our other teammates. And finally, Ryan Job, one of my guys [who was] gravely wounded in Iraq, blinded in both eyes, but who made it back to America, was medically retired from the Navy, but who died from complications after the 22nd surgery to repair his wounds. Those guys, those men, those heroes, they lived, and fought, and died like warriors.” * Most-gifted or recommended books? “I think there’s only one book that I’ve ever given and I’ve only given it to a couple people. That’s a book called About Face, by Colonel David H. Hackworth. The other book that I’ve read multiple times is Blood Meridian [by Cormac McCarthy].” * Favorite documentaries? “Restrepo, which I’m sure you’ve seen. [TF: This was co-produced and co-filmed by Sebastian Junger, the next profile.] There is also an hour-long program called ‘A Chance in Hell: The Battle for Ramadi.’” Quick Takes * You walk into a bar. What do you order from the bartender? “Water.” * What does your diet generally look like? “It generally looks like steak.” * What kind of music does Jocko listen to? Two samples: For workouts—Black Flag, My War, side B In general—White Buffalo

As we’ve seen, up to 25 percent of employed seniors from our top universities are heading to financial services each year. Our financial services industry (and to a lesser extent its attendant legal industry) plays an equivalent role to the oil industry in Saudi Arabia in terms of talent attraction. You can see a similar dynamic at work in other fields with fixed slots. There were 682 orthopedic surgery residents in the United States in 2012. That number is set because there are only so many funded residency slots in teaching hospital programs throughout the country.4 If I were to kick butt in medical school and get one of these residencies, I would be on the way to becoming an orthopedic surgeon, probably the most coveted residency due to money, lifestyle, low morbidity of patients, gratification from restoring mobility, and other factors. But let’s say that I didn’t make it and fell short—there would still be 682 orthopedic surgeons five years from now because the next guy would have gotten that slot. We’re all competing to fit through the same finite gate. The value difference if I perform really strongly and get one of these coveted spots is not one more surgeon—it’s the gap between me and the 683rd person who didn’t get it (and perhaps went into a less prestigious or less lucrative specialty). From a value creation standpoint, it’s not ideal for a massive level of talent to be going to existing enterprises that have captured large economic rents or where people are fighting for a set of finite slots. The rents and slots will stay essentially constant. Contrast this with new business formation. If I were to say, “There are only going to be 682 new successful businesses started in the United States next year,” people would instantly regard that as ridiculous. It’s unknown and unknowable. But we all know that if another enterprising team comes along and starts a cool company, that number goes up by one.

the treatment of sewage with a chemical called carbolic acid reduced the incidence of disease among the people and cattle of a nearby small English town. Lister follows the lead and, in 1865, develops a successful method of applying carbolic acid to wounds to prevent infection. He continues to work along this line and establishes antisepsis as a basic principle of surgery. Thanks to his discoveries and innovations, amputations become less frequent, deaths due to infection plummet, and new surgeries previously considered impossible are being routinely

We expect that life will be better once we are done with premed, medical school, and residency. But it doesn’t get better. It will stay the same … unless you change your mentality. Enjoy the now. Enjoy studying for the organic chemistry test if you are a premedical student. Enjoy rotating through general surgery as a medical student. Enjoy working 80-hour weeks as a resident. If you do not enjoy your current situation, you will not enjoy your future one.

Caperton Fertility Institute is the leading fertility practice in the Southwest, combining personalized, compassionate care with deep clinical expertise and the region’s most advanced medical technology to help thousands of people achieve their dream of parenthood. CFI’s clinics, located in Albuquerque, NM, and El Paso, TX, are nationally acclaimed and well-known for unprecedented pregnancy success rates. Our team provides fertility-related services and treatment options such as in-vitro fertilization (IVF), artificial insemination, fertility surgery and more.

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.

COUPLES HAVING BARIATRIC SURGERY TOGETHER It happens more and more often: Two people will have bariatric surgery together. It is difficult being the patient. It can also be trying for the significant other. When couples have the surgery together, it can be twice as hard. Each person has the problems of both the patient and the significant other. I have found that people in healthy relationships do well together, but those having problems often see increased relationship difficulties after surgery. If you plan to have the surgery with a partner, try to remain independent as far as exercise and food choices. Working out together is a bonus, but do not get into the habit of skipping workouts because your partner cannot participate. Do not let your partner be in charge of your habits. Good communication is the key to a couple’s success. Before the surgery, discuss the logistics of the changes you must make. After the surgery, talk to each other weekly about your feelings regarding the surgery and the changes you are both experiencing. It is possible to grow much closer as a couple as a result of this experience. There will be a tendency to talk each other into tiny cheats. Typically, this is how it works: “C’mon, let’s just have a little bit. We deserve it.” Having the surgery together represents some increased challenges, but has the potential for increased excitement and support. Keep communication flowing and problems will be minimized.

Truth without love is like surgery without anesthesia. Love without truth is like a cheerleader without a team. But truth in love is medicine. It is meaningful, and it is the only way communication can be effective and cause growth in relationships.

Every single year, at least one tree is cut down in your name. Here’s my personal request to you: If you own any private land at all, plant one tree on it this year. If you are renting a place with a yard, plant a tree in it and see if your landlord notices. If he does, insist to him that it was always there. Throw in a bit about how exceptional he is for caring about the environment to have put it there. If he takes the bait, go plant another one. Baffle some chicken wire at its base and string a cheesy bird house around its tiny trunk to make it look permanent, then move out and hope for the best... …There are more than one thousand successful tree species for you to choose from... You must choose with a clear head and open eyes. You are marrying this tree: choose a partner, not an ornament... …If you do own the land that it is planted on, create a savings account and put $5 in it every month, so that when your tree gets sick between ages twenty and thirty—and it will—you can have a tree doctor over to cure it, instead of just cutting it down. Each time you blow your account on tree surgery, put your head down and start over, knowing that your tree is doing the same... …While you're at it, would you carve Bill's name into your tree as well?...

An identity thief stole the identity of a surgeon and while aboard a Navy destroyer was tasked with performing several lifesaving surgeries. He proceeded to memorize a medical textbook just before hand and successfully performed the surgery with all patients surviving.

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.

For example, having been in the rare position of working in the fields of both healing and management, I could not help but notice that the batting average in the war on cancer and the batting average in the struggle to heal chronically troubled institutions are remarkably similar, with cancer perhaps a little ahead. I have been struck by how families, corporations, and other kinds of institutions are constantly trying to cure their own chronic ills through amputations, “strong medicine,” transfusions, and other forms of surgery only to find that, even when successful for the moment, the excised tumor returns several years later in “cells” that never knew the “cells” that left. “New blood” rarely thwarts malignant processes, anywhere. Indeed, with both cancer and institutions, malignant cells that appear to be dead can often revive if they receive new nourishment. Or, to put the problem another way, when we say something has gone into remission, where do we think it has gone?

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.

It is a remarkable achievement, but the neurosurgeons seem oblivious to it all. They have a job. The job requires skill. The job does not require emotional involvement. They do the job. Surgery was a success? That's nice. Next.

PR Scully & Co Solicitors is a reputable personal injury law firm based in Manchester. With over 25 years of experience, they specialise in handling complex personal injury claims, including medical negligence, accidents at work, serious injuries, pedestrian accidents, motorcycle accidents, and more. They also handle compensation claims related to cosmetic surgery, laser treatments, tattoos, liposuction, breast surgery, and other procedures. The firm operates on a no-win, no-fee basis and has successfully recovered millions of pounds in compensation for their clients. The team at PR Scully & Co is dedicated to providing a straightforward and reliable service, offering free advice and assistance 24/7. They prioritise their clients' well-being and aim to be the best in their field.

positive impact on my recovery. (It also helps you sleep if used before bed.) Warning: Start slow. I tried to copy Amelia and did 20-plus minutes my first session. The next day, I felt like I’d been put in a sleeping bag and swung against a tree for a few hours. Rolling your foot on top of a golf ball on the floor to increase “hamstring” flexibility. This is infinitely more helpful than a lacrosse ball. Put a towel on the floor underneath the golf ball, lest you shoot your dog’s eye out. Concept2 SkiErg for training when your lower body is injured. After knee surgery, Amelia used this low-impact machine to maintain cardiovascular endurance and prepare for the 2014 World’s Toughest Mudder, which she won 8 weeks post-op. Kelly Starrett (page 122) is also a big fan of this device. Dry needling: I’d never heard of this before meeting Amelia. “[In acupuncture] the goal is not to feel the needle. In dry-needling, you are sticking the needle in the muscle belly and trying to get it to twitch, and the twitch is the release.” It’s used for super-tight, over-contracted muscles, and the needles are not left in. Unless you’re a masochist, don’t have this done on your calves. Sauna for endurance: Amelia has found using a sauna improves her endurance, a concept that has since been confirmed by several other athletes, including cyclist David Zabriskie, seven-time U.S. National Time Trial Championship winner. He considers sauna training a more practical replacement for high-altitude simulation tents. In the 2005 Tour de France, Dave won the Stage 1 time trial, making him the first American to win stages in all three Grand Tours. Zabriskie beat Lance Armstrong by seconds, clocking an average speed of 54.676 kilometers per hour (!). I now use a sauna at least four times per week. To figure out the best protocols, I asked another podcast guest, Rhonda Patrick. Her response is on page 7. * Who do you think of when you hear the word “successful”?

Dr. Yogesh Gupta emphasizes focusing on the patient as a whole and not just the disease process, always recommending the least invasive treatments necessary to provide the best possible outcomes. He develop himself and giving the result to the patient, many spine surgery done by him and he got the 100% success result in his surgery. He is awarded by the govt. Of rajasthan as best youngest neurosurgeon in rajasthan and in jaipur.

The placebo works the same way. The more you believe that a particular substance, procedure, or surgery will work because you’ve been educated about its benefits, the better your chances of responding to the thought of improving your health and getting better. In other words, if you place more meaning behind a possible experience with a person, place, or thing in your external environment in order to change your internal environment, then you’re more likely to be successful at intentionally changing your inner state by thought alone.

They do surgery in the Capitol, to make people appear younger and thinner. In District 12, looking old is something of an achievement since so many people die early. You see an elderly person you want to congratulate them on their longevity, ask the secret of survival. A plump person is envied because they aren’t scraping by like the majority of us. But here it is different. Wrinkles aren’t desirable. A round belly isn’t a sign of success

Gentle Sir Conan, I'll venture that few have been Half as prodigiously lucky as you have been. Fortune, the flirt! has been wondrously kind to you. Ever beneficent, sweet and refined to you. Doomed to the practise of physic and surgery, Yet, growing weary of pills and physicianing, Off to the Arctic you packed, expeditioning. Roving and dreaming, Ambition, that heady sin, Gave you a spirit too restless for medicine: That, I presume, as Romance is the quest of us, Made you an Author-the same as the rest of us. Ah, but the rest of us clamor distressfully, "How do you manage the game so successfully? Tell us, disclose to us how under Heaven you Squeeze from the inkpot so splendid a revenue!" Then, when you'd published your volume that vindicates England's South African raid (or the Syndicate's), Pleading that Britain's extreme bellicosity Wasn't (as most of us think) an atrocity Straightaway they gave you a cross with a chain to it (Oh, what an honor! I could not attain to it, Not if I lived to the age of Methusalem!) Made you a knight of St. John of Jerusalem! Faith! as a teller of tales you've the trick with you! Still there's a bone I've been wanting to pick with you: Holmes is your hero of drama and serial: All of us know where you dug the material! Whence he was moulded-'tis almost a platitude; Yet your detective, in shameless ingratitude Sherlock your sleuthhound with motives ulterior Sneers at Poe's "Dupin" as "very inferior!" Labels Gaboriau's clever "Lecoq," indeed, Merely "a bungler," a creature to mock, indeed! This, when your plots and your methods in story owe More than a trifle to Poe and Gaboriau, Sets all the Muses of Helicon sorrowing. Borrow, Sir Knight, but in decent borrowing! Still let us own that your bent is a cheery one, Little you've written to bore or to weary one, Plenty that's slovenly, nothing with harm in it, Give me detective with brains analytical Rather than weaklings with morals mephitical Stories of battles and man's intrepidity Rather than wails of neurotic morbidity! Give me adventures and fierce dinotheriums Rather than Hewlett's ecstatic deliriums! Frankly, Sir Conan, some hours I've eased with you And, on the whole, I am pretty well pleased with you

A road trip with Richard Nixon would seem like gum surgery on wheels. But Hunter S. Thompson actually went on a road trip with Nixon—or, anyway, on a car ride—in New Hampshire during the 1968 presidential campaign. Hunter described it in Fear and Loathing on the Campaign Trail ’72: There were only two of us in the back: just me and Richard Nixon, and we were talking football in a serious way. . . . It was a very weird trip; probably one of the weirdest things I’ve ever done, and especially weird because both Nixon and I enjoyed it. What’s weirder yet is that Nixon might have had greater success than Kennedy as president. He

What it does NOT do is help people deal with emotional food issues or food cravings that can still linger following surgery.

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.

New Goals As a major-league player, Hershiser continued to work hard at improving his game, and after five years in the majors, he set a new goal for himself: He wanted to be the youngest, smartest major-league pitcher ever.4 His new goal was realized in 1988. After recovering from knee surgery

If machine learning can help reveal relationships between genes, diseases and treatment responses, it could revolutionize personalized medicine, make farm animals healthier and enable more resilient crops. Moreover, robots have the potential to become more accurate and reliable surgeons than humans, even without using advanced AI. A wide variety of robotic surgeries have been successfully performed in recent years, often allowing precision, miniaturization and smaller incisions that lead to decreased blood loss, less pain and shorter healing time.

The shabby frock coat that Dr. Ozanne wore for work in the surgery was none too clean either, and there was a slight tremor about his hands, as he tried to bring a little order into the litter on his desk, that Marianne had not noticed before. . . . She had been right. His practice was not going to improve. He would never be a successful doctor. Yet the moment he turned his attention to the boy, she had to admit that there are two ways of being a successful doctor.

The other feature of this list is that many of these signals could easily be viewed as obvious and redundant. For instance, do highly experienced professionals like nurses and anesthesiologists really need to be explicitly told that their role in a cardiac surgery is important? Do they really need to be informed that if they see the surgeon make a mistake, they might want to speak up? The answer, as Endmondson discovered, is a thundering yes. The value of those signals is not their information but in the fact that they orient the team to the task and to one another. What seems like repetition is, in fact, navigation.

You go in through the front door of the hospital and depending on how successful your treatment is determines whether you leave through the front door or in a box out of the back door.

Surgery is easy; it's recovery that's hard.

I have been struck by how families, corporations, and other kinds of institutions are constantly trying to cure their own chronic ills through amputations, “strong medicine,” transfusions, and other forms of surgery, only to find that, even when successful for the moment, the excised tumor returns several years later in “cells” that never knew the “cells” that left.

In a very different study with similar conclusions, my colleagues Bradley “Brad” Staats and Francesca Gino—then professors at the University of North Carolina—studied how seventy-one surgeons learned from failure versus success on a total of 6,516 cardiac surgeries in ten years. The surgeons learned more from their own successes than from their own failures, but learned more from others’ failures than from others’ successes. This effect—again ego protecting—was less pronounced if a surgeon had a history of personal success. Failures presumably stung less sharply with that cushion of prior success.

Don't forget about the NSVs (non-scale victories)!

Be bold and stand out! You will be surprised how your healthy changes inspire others to do the same.

My message is that you deserve to live your best life with vitality--and without judgment based on your appearance or decisions about your health.

Drop a bombshell on the negative thoughts and judgments--blow them up, and do what you know is right for you.

For some individuals, weight struggles and health issues persist despite their best efforts--no matter how diligently they adhere to dietary guidelines, engage in physical activity, or follow medical advice, controlling their weight remains a constant battle.

Long-term weight loss is much more mental than physical. Most of it starts and stops with what is happening inside our minds.

The story we tell ourselves becomes reality because it's what we focus on. Thoughts become things because they are what we base our decisions on.

A successful plastic surgery will make you look beautiful, but it might not always succeed in making you feel beautiful.