Practice makes perfect?

by on November 18, 2007 at 9:02 am in Medicine | Permalink

Technological innovations, especially the use of laparoscopic
procedures [for stomach surgery], have made for considerable gains in safety and efficacy.
While the operation is still dangerous in some circumstances – one
study found that for a surgeon’s first 19 bariatric operations,
patients were nearly five times as likely to die than patients that the
surgeon later operated on – the overall mortality rate is now in the
neighborhood of 1 percent.

That is from Dubner and Levitt, the full story offers much more, mostly about weight loss, and here is further discussion.

Bernard Yomtov November 18, 2007 at 12:27 pm

Hmm. So there’s evidence to support my piano teacher’s opinions? Big news.

Bob Montgomery November 19, 2007 at 2:57 pm

That effect is well-documented – if you have to have surgery, the most important question to ask your surgeon is: “How often do you perform this surgery?”

Serg December 16, 2007 at 1:20 pm

In men for whom sexual activity is not recommended because of their underlying cardiovascular status, any treatment for erectile dysfunction, including Levitra,
generally should not be used. In patients taking certain CYP3A4 inhibitors (eg, ritonavir, indinavir, saquinavir, atazanavir, ketoconazole, itraconazole, erythromycin, and clarithromycin), lower doses of Levitra are recommended, and time between doses
of Levitra may need to be extended. See prescribing information for Levitra for
dosing guidance.In clinical trials, the most commonly reported adverse events with Levitra were headache, flushing, and rhinitis. Adverse events were generally transient.

Serg December 16, 2007 at 1:22 pm

The recommended starting dose of Levitra is 10 mg. Titrate up to 20 mg or down
to 5 mg based on efficacy and side effects. The maximum recommended dosing frequency is once daily. Levitra is available in
2.5-mg, 5-mg, 10-mg and 20-mg tablets. For Prescribing Information please visit New Online Pharmacy

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