Tricuspid valve (TV) treatment, at its current status, represents a real dilemma since different options are available but long-term results still to be seen and lots of new strategies are still to come.
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December 1, 2002
Even cardiothoracic surgeons, who are characteristically fearless in facing their patients' complex problems decisively, may sometimes find it hard to be equally resolute when confronting certain challenges in their personal lives. In particular, some surgeons are deeply apprehensive about the prospect of retirement, particularly as it involves making a transition to life outside the operating room.
October 16, 2002
Presently, during the Technological era (arbitrarily defined as the beginning of jet travel) and with increasingly sophisticated means of travel and communication, man finds him/herself less constrained by regular work hours and workplaces. Much work can be performed out of the home (if one wishes) and at any time of the day or night. Travel is rapid and communication almost instantaneous.
October 16, 2002
As members of our cardiothoracic surgical specialty are subjected to an increasing frequency and variety of stresses, ethical considerations are assuming a more prominent role in everyday practice. Frustrated by the ever-changing procedural and financial restrictions of Medicare and managed care; by the complexities of business arrangements with partners, competitors, referring physicians and hospitals; by the inducements to utilize new drugs, devices and protocols; by the unrelenting pressure to lower morbidity and expected/ observed mortality rates; by shortening hospital lengths of stays and constraining hospital costs, today's surgeons are experiencing difficulties in avoiding conflicts of interest or obligation. Consequently, there is added responsibility to function as moral fiduciaries and patient advocates, protecting and promoting the patients' best interes
July 24, 2002
The Society of Cardiothoracic Surgeons of Great Britain and Ireland SCTS was founded in 1934 and was initially devoted to the practice of thoracic surgery, which at that time was mostly for tuberculosis. After World War II, with such pioneers as Lord Brock and Sir Thomas Holmes-Sellors, cardiac surgery was introduced and the number of cardiothoracic surgeons steadily increased.
May 28, 2002
Although one may cast doubt upon the significance of the World Congress of the International Society in the current era of internet or satellite transmission, nobody denies the importance of international communication. English is the international language at this moment and will continue to be so as long as the worldwide webs are growing. It is probably fair to say that this is a real advantage for the native English (NE) speakers and quite a burden for those who must use English as the second language (SL).
April 2, 2002
From November 2000 until November 2001, I served as president of the BACTS, The Belgian Association of Cardio-Thoracic Surgery. Our sixth General Assembly was held on November 10, 2001 and for my Presidential Address I chose this quotation from Winston Churchill: "This is not the end. It is not even the beginning of the end. But it is, perhaps, the end of the beginning".
March 18, 2002
The following represents my views and experiences as a cardiovascular and thoracic surgeon. It is my hope that the reader will gain some insight into a specialty that has undergone major changes in the last decades.
February 20, 2002
A few weeks ago I took a weekend trip to Denver from my home in Billings, Montana. I arrived at the airport 90 minutes early as directed. Three minutes later I was ready to board, as things are a little slow in Billings at 0600 on Saturday morning. Two baby faced National Guard conscripts patrolled the airport trying to look tough.
January 21, 2002
"Who Moved My Cheese? is a simple parable that reveals profound truths about change."(1) It describes four characters, two mice named Sniff and Scurry and two 'little people' Hem and Haw, who are the same size as mice but act and appear like people. Sniff and Scurry possess simple rodent brains, but have good instincts.
December 24, 2001
This is a strange, brave new world indeed. As I surf the Net for updates in post-operative mediastinal infection management, my computer server is being infected by cyber worms and viruses. The Nobel Peace prize is announced as a new "world war" commences.