The Cox-Maze procedure is an effective and successful method of surgical ablation. However, for lone atrial fibrillation cases, invasive sternotomy is not feasible. Patients with persistent atrial fibrillation can benefit by combining left atrial endocardial and epicardial interventions. A step-by-step approach of this hybrid totally thoracoscopic maze procedure is demonstrated in this video.
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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.
December 12, 2000
The relationship between the attending physician and the treated patient is of a very high order and is best described by the French definition "Le Colloque Singulier." The "Colloque" suggests an equality between the two partners of the relationship and also conversation as the most intense force of interaction. The inequality in medical expertise and resources is no objection for equality in the relationship. The "Singulier" stresses the uniqueness, the intensity and the particularity of this relationship.
December 6, 2000
Years ago I used to write. Usually late at night. Usually focused on the college student's search for meaning, for purpose. Usually struggling with the reconciliation of idealism with reality. I still have a small package of those writings.
November 16, 2000
Changes that are currently sweeping over the world are having a great effect on the professional lives of doctors and especially cardio-thoracic surgeons. Perhaps the most important of these trends are the everyday use of Information Technology (IT). Also important changes are demands for better cost-efficiency in medicine, a declining respect for the medical profession, and globalisation.
November 29, 1999
During the past year, we have been inundated by stories about the massive changes that are taking place in our lives as a result of the application of electronic technology. Even those infatuated by the absorbing nature of this new world must have reservations about the extent of the unimaginable permeation of our lives by its power. Regardless of one's reservations, there is no going back.
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