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The Surgical House Call

The Surgical House Call Abstract We surgeons perform some cures; more often we palliate, leaving unfinished business that then becomes the responsibility of some member of our profession. I propose that the act of fulfilling this responsibility should be undertaken, at least occasionally, in the patient's home and by his surgeon. Take, for example, the lonely frightened woman with a long-standing ileostomy for ulcerative colitis suffering severe abdominal cramps and having no neighbors, friends, or ready means of transportation; the older patient with recurrent cancer of the pharynx, obviously preterminal, but with an intermittent airway problem; the patient with a large venous stasis ulcer being treated at home on wet dressings and elevation; the hemiplegic with a failed femoropopliteal bypass graft for toe gangrene in his paralytic leg, awaiting decision for or against amputation. The surgeon is rarely called to the home to see new patients suffering from "primary care" problems. But those whom he References 1. Rogers DE: The doctor himself must become the treatment . Pharos 37:124-129, 1974. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

The Surgical House Call

Archives of Surgery , Volume 110 (8) – Aug 1, 1975

The Surgical House Call

Abstract

Abstract We surgeons perform some cures; more often we palliate, leaving unfinished business that then becomes the responsibility of some member of our profession. I propose that the act of fulfilling this responsibility should be undertaken, at least occasionally, in the patient's home and by his surgeon. Take, for example, the lonely frightened woman with a long-standing ileostomy for ulcerative colitis suffering severe abdominal cramps and having no neighbors, friends, or ready means...
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Publisher
American Medical Association
Copyright
Copyright © 1975 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1975.01360140015001
Publisher site
See Article on Publisher Site

Abstract

Abstract We surgeons perform some cures; more often we palliate, leaving unfinished business that then becomes the responsibility of some member of our profession. I propose that the act of fulfilling this responsibility should be undertaken, at least occasionally, in the patient's home and by his surgeon. Take, for example, the lonely frightened woman with a long-standing ileostomy for ulcerative colitis suffering severe abdominal cramps and having no neighbors, friends, or ready means of transportation; the older patient with recurrent cancer of the pharynx, obviously preterminal, but with an intermittent airway problem; the patient with a large venous stasis ulcer being treated at home on wet dressings and elevation; the hemiplegic with a failed femoropopliteal bypass graft for toe gangrene in his paralytic leg, awaiting decision for or against amputation. The surgeon is rarely called to the home to see new patients suffering from "primary care" problems. But those whom he References 1. Rogers DE: The doctor himself must become the treatment . Pharos 37:124-129, 1974.

Journal

Archives of SurgeryAmerican Medical Association

Published: Aug 1, 1975

References