Tag: Jayant Radhakrishnan
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The appendicitis conundrum
Jayant RadhakrishnanNathaniel KooDarien, Illinois, United States Acute appendicitis is the most common abdominal surgical emergency in the world. One would expect consensus regarding its management, but that has not been the case from the time the appendix was first identified. Galen (129–216 CE) was not permitted to dissect human bodies, so he dissected monkeys. Since…
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Recognition at last
Jayant RadhakrishnanDarien, Illinois, United States “Though she be but little, she is fierce.” — William Shakespeare, A Midsummer Night’s Dream The adage “out of sight, out of mind” appears to have been coined for microbes. We only think about them when they cause havoc, as in the current pandemic. Lately the situation seems to be…
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Atypical appendectomies
Jayant RadhakrishnanNathaniel KooChicago, Illinois, United States Appendectomies are routine procedures—until they are not. Three cases of auto-surgery and three other semi-pro appendectomies are worth revisiting. Evan O’Neill Kane (1861-1932) was a well-regarded surgeon who gave an exceptionally detailed account of his auto-appendectomy on February 15, 1921.1 While waiting in the operating room for the surgical…
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Tutorial for surgeons by Lawrence Peter Berra
Jayant RadhakrishnanChicago, Illinois, United States Since the turn of this century, and more so over the past decade, surgeons at various stages of their careers have been dissatisfied with their work and the surgical lifestyle. The main reason for their dissatisfaction seems to be an ever-increasing burden of administrative work, leaving them with little time…
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Presentism
Jayant RadhakrishnanChicago, Illinois, United States The Oxford English Dictionary defines presentism as “uncritical adherence to present-day attitudes, especially the tendency to interpret past events in terms of modern values and concepts.” The term may have been used as far back as the 1870s and applies to acts, beliefs, and people that were acceptable or even…
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Use of masks to control the spread of infection: more than a century of confusion
Jayant RadhakrishnanDarien, Illinois, United States Johann von Mickulicz-Radecki (1850-1905) was an ardent advocate of the one-time novel concept of aseptic surgery. To improve his results, he began working with a hygienist and bacteriologist, Carl Flugge (1847-1923), who pointed out possible sources of infection for the surgical patient, including droplets dispersed from the nose and mouth…
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Unlikely pioneers in renal transplantation: The Little Company of Mary Sisters
Jayant RadhakrishnanDarien, Illinois, United States Dr. Joseph Murray deservedly received the Nobel Prize in 1990 for his magnificent pioneering work in the field of renal transplantation.1 However, it is not widely known that religious sisters from the congregation of the Little Company of Mary also deserve much credit for their support of renal transplantation in…