CARDIAC SURGERY
‘Genius on the Edge’, by Gerald Imber, M.D.
I wrote about Dr. William Halsted’s life achievements, and about his vices, in the post https://witoldniesluchowski.com/how-did-a-cocaine-addict-change-surgery-in-america/. The book, Genius on the Edge, is, however, about a different aspect of his life story. It’s about how, out of nowhere, there appeared in Baltimore a medical excellence center. A world-class institution, and
Does a Stressful Job Shorten Your Life?
“It’s not stress that kills us, it’s our reaction to it.”―Hans Selye, Hungarian-Canadian endocrinologist, author of “The Stress of Life” Let’s see. Michael DeBakey died 2 months short of 100,Denton Cooley was 96,Francis Robicsek – 94,Domingo Liotta – 97,Viking Björk – 90,Alan Carpentier, alive at 89,Thomas Fogarty, alive at 88,Dwight
Drama in the Operating Theater
This is the first book after redesigning my writing career. I am almost ready to hit this ‘Publish’ button, but not yet. Before doing it, I want to let my readers know that the book is coming, create some buzz, and then send the story to the world. First, here’s
Miracle of the Beating Human Heart
I remember how I felt seeing an exposed human heart for the first time. I was assisting my mentor with the coronary bypass surgery. After he split the breastbone, and incised the thick layer of the sack enveloping the heart, I saw a slowly contracting glob of muscle. No bigger
How I Started My Writing Adventure
Let me tell you a story. Just imagine… Imagine yourself walking in an upscale suburban neighborhood. It’s a late evening. Through the bay window, you can see a well-lit but otherwise darkly furnished room. It looks like an old English library. There is a late-middle-age man sitting in a partially
A Misleading, Unnecessary Disclaimer
A disclaimer, frequently found at the beginning of many works of fiction, always puzzled me. “Names, characters, businesses, places, events and incidents are either the products of the author’s imagination or used in a fictitious manner. Any resemblance to actual persons, living or dead, or actual events is purely coincidental”
A Full Spectrum of Surgeons: from Brainiac to Doer
In my last three posts, I wrote about the two gods in American surgery. Cooley and DeBakey. Two personalities who achieved the pinnacle, still being on the opposite ends of the surgical universe. One was a thinker, a planner, and had vision. The other one was, let’s-operate-and-see-what-happens, man. The Brainiac
DeBakey vs Cooley, The Strife of Gods on Olympus
Ostensibly, it was all about the first implantation of an artificial heart. Argentinian surgeon, Domingo Liotta, started to work on the project at the University of Córdoba. And he was not even the first one in the history of medicine. Liotta, after his initial studies were published, was asked by
Michael DeBakey, the Surgeon who Saved His Own Life.
Putting together a puzzle of life, if you start with a piece of an enormous drive to excellence, add a piece of self-discipline, follow it with another piece of resilience, interpose these with a part of impeccable work habits, find a piece of attention to details and intolerance of error,
Denton A. Cooley, Bigger than Texas
Modify, simplify, apply Denton A. Cooley, motto of The Texas Heart Institute. A story had circulated about Denton Cooley, the famous Houston-based surgeon and innovator, an exceptionally gifted man. While testifying in court, Dr. Cooley was asked by the opposing attorney if he considered himself to be the best heart
Francis Robicsek, the Renaissance Man.
He was Hungarian. His name, however, like the name of the city he was born, Miskolc, was Slavic. He came from the part of Eastern Europe which for a long time was dominated culturally and politically by the Austrians, and the borders between the nations were in constant flux. He
Cardiac Pacemakers
My uncle died in Poland during the implant of his permanent pacemaker. At that time, I was a medical student, and I thought I should be able to understand why did it happen. I couldn’t, and I still don’t. A few years later, I came to this country and started
Forty-five years of cardiac surgery
In my gym, I meet the best people, and have the most interesting conversations, in the jacuzzi. It’s located in a corner of the large pool area and surrounded by a huge bay window extension. The sun is abundant, the water seems tropical, and, if I would drink, I would
Why Doctors Commit Suicides
This had happened at the end of one of my surgical boards’ exams, quite a long time ago. The day was long and we were all exhausted. We were also anxious to know if we passed. Years of studies, sacrifices and high expectations finally came to the end. We were
The Physicians with an Artistic Mind
Recently, I came across of a unique book. This work is a tribute by Dr. Gosta Iwasiuk to his father Vladimir. It’s an anthology of the works of a person, who created a magnificent body of paintings and sculptures. In his spare time, he was also a physician. Born just
How to Deal with Anger like Buddha
One day, the Buddha and a large following of monks and nuns were passing through a village. The Buddha chose a large shade tree to sit beneath, so the group could rest for a while out of the heat. He often chose times like these to teach, and so he
Anger in the operating room
This scene looks familiar to most people who ever worked in the operating room. A high-power doctor, say a cardiac surgeon, is doing a long and complicated case. The stakes are high, the chances for complications significant, and he dreads any mistakes. Everybody in the room senses a tense situation,
Story behind the picture
There are no colleges in Poland. In our last year of high school, we had to decide where to continue our education. To help us make a conscious choice, our beloved Latin, French and an ancient history teacher, Mrs. Libera invited several of her graduated students to talk to us
How to Take Stress while Doing Surgery
By the end of my medical school, I was set to become a cardiologist. At that time, a prominent cardiology department in Warsaw Medical School even offered me a position. Then I had a conversation about my future with a professor who was the head of general surgery powerhouse, well
Should Surgeons Friend Their Patients on Facebook?
Throughout the history, surgeons not always were held in a high esteem. The first barbers-surgeons in medieval Europe had a terrible reputation. Their job included a wide range of procedures from cutting hair to pulling teeth and amputating limbs. Another favorite procedure was bloodletting, a very impressive event, quite terrifying
Is a Novel about and by a Cardiac Surgeon Better than One Written by a Layman?
I’ve never liked reading fiction novels. Always thought it was a waste of time. I could learn much more from a good non-fiction book and quite often immediately apply the knowledge into my everyday life. Then I discovered John Grisham’s novels. They were not literary novels, but their
Would You Like Your Surgeon to be Fast, or Meticulous?
One of the chief fascinations of surgery is the management of wounded vessels and avoidance of hemorrhage. The only weapon with which the unconscious patient can immediately retaliate upon the incompetent surgeon is hemorrhage. If he bleeds to death, it may be presumed that the surgeon is to blame. Whereas
Anger in the Operating Room
Anyone can become angry – that is easy, but to be angry with the right person at the right time, and for the right purpose and in the right way – that is not in everybody’s power and that is not easy. Aristotle We have four children. I’ve spanked my
How to Measure Success in the Life of a Surgeon
Success is not the key to happiness. Happiness is the key to success. If you love what you are doing, you will be successful. Albert Schweitzer But how to get there? It was the second half of the 19th century. In Albany, New York, a middle age woman developed sharp,
How Do We Look at a Genius with Flaws
The year was 1881 and a young woman was dying from the postpartum hemorrhage. The young, 29 years old surgeon was contacted and after deliberations he drew blood from his own vein and transfused it to the patient. The patient recovered. German scientist Landsteiner discovered and described ABO blood group
Being Headstrong Helps to Succeed as a Cardiac Surgeon
Lawyer: Dr Cooley, do you consider yourself the best surgeon in the world? Dr Cooley: Yes, I do. Lawyer: Don’t you think it is rather immodest? Dr Cooley: Perhaps, but remember, you put me under oath. Dr Denton Cooley was considered by many to be probably the best surgeon in
Look Back on My Surgical Career
Does it ever happen to you, that after a conversation or event is over, an untimely thought comes to mind? Something you should say or do, and you didn’t think of it at a proper time? Then suddenly you do, and now obviously it’s too late. Or somebody said a
A Path to Become a Surgeon, cont.
It is sometimes asserted, that a surgical operation is or should be a work of art… fit to rank with those of the painter or a sculptor. .That proposition does not admit to discussion. It is a product of the intellectual innocence which I think we surgeons may fairly claim
A Path to Become a Surgeon
It is necessary that a surgeon should have a temperate and moderate disposition. That he should have well-formed hands, long slender fingers, a strong body, not inclined to tremble and with all his members trained to the capable fulfillment of the wishes of his mind. He should be of deep
