Training Surgeons and Not Sissies?

I stumbled across this blog post today which examined the resident duty hour restrictions imposed by the Accreditation Council for Graduate Medical Education (ACGME) for physicians in training, specifically when applied to surgeons. The restrictions state that a trainee’s duty hours shall not exceed 80 hours per week. This has recently been amended, adding that no shift shall exceed 16 consecutive hours, as opposed to the 24-hour shifts we used to work when I was a resident. The whole goal is the idea that with Continue reading →

What Causes Adhesions After Abdominal Surgery?

Adhesions are fibrous bands of scar tissue that form after abdominal, pelvic, or thoracic surgery. They are part of the healing process and develop when the body’s repair mechanisms respond to any tissue disturbance, such as during surgery. Adhesion formation is a common result of surgery, occurring in up to 93% of people who undergo abdominal or pelvic surgery. Most adhesions are painless and do not cause complications. However, they are the most common cause of small bowel obstructions in adults and are believed to Continue reading →

How Your Diabetes Can Affect Wound Healing

Diabetes is a condition where the body cannot use blood sugar effectively. According to the National Institute of Diabetes and Digestive and Kidney Diseases, an estimated 18 million Americans are known to have diabetes, and in 5.2 million the condition is undiagnosed. Patients with diabetes will often find themselves needing surgery for one reason or another. Whether it’s an elective procedure or an emergency surgery, your diabetes affects the way your body protects itself and heals in several ways. Strict control of blood sugar levels Continue reading →

U.S. News Ranks Valley Presbyterian Hospital & Providence Tarzana Hospital Among Best Hospitals in Los Angeles

Valley Presbyterian Hospital and Providence Tarzana Hospital were ranked today among the top hospitals in the Greater Los Angeles Area by U.S. News & World Report’s new Best Hospitals metro area rankings. The magazine ranked the top 50 hospitals in the Los Angeles-Orange County metropolitan area – as well as hospitals in other large metro areas across the country. Valley Presbyterian Hospital was recognized for it’s outstanding orthopedic and urology services. Providence Tarzana Hospital has long had a reputation as one of the Valley’s finest Continue reading →

Updated Single Port Laparoscopic Surgery Page on Website

Check out the newly updated Single Port Laparoscopic Surgery page on www.zadehsurgical.com The newly designed page includes a short animated video on the concept of Single Port Laparoscopic Surgery, and how Dr. Zadeh can perform various procedures using a tiny incision through the patient’s belly button leaving the potential for no visible scar!         9EMC3DTZRW2G

A Life Saved, A Life Lost

Part of the reason I became a physician was because I got tired of watching those close to me as they suffered through illness and eventually died, while I stood helplessly by, unable to do a thing. Throughout my training I watched as my mentors interacted with their patients, displaying a political correctness matched with just enough outward emotion so that there was no telling the difference between the good news and the bad. “Don’t let your emotions get too involved” and “Never take those feelings home with you” Continue reading →

Surgery During Pregnancy: Operating on the Pregnant Patient

It is common for women to experience abdominal pain during their pregnancies. In some pregnant women, this abdominal pain may progress to a severe intensity, possibly requiring surgical intervention. Abdominal pain in the pregnant patient can be separated into obstetrical and non-obstetrical causes. Approximately 1 in 500 to 1 in 635 women will require non-obstetrical abdominal surgery during their pregnancies. The most common non-obstetrical surgical emergencies complicating pregnancy are acute appendicitis, inflammation of the gallbladder (cholecystitis), and intestinal obstruction. Other conditions that may require operations Continue reading →

Surgery During Pregnancy: Using Radiographic Studies in the Diagnostic Work Up of the Pregnant Patient

It is common for women to experience abdominal pain during their pregnancies. In some pregnant women, this abdominal pain may progress to a severe intensity, possibly requiring surgical intervention. Abdominal pain in the pregnant patient can be separated into obstetrical and non-obstetrical causes. Approximately 1 in 500 to 1 in 635 women will require non-obstetrical abdominal surgery during their pregnancies. The most common non-obstetrical surgical emergencies complicating pregnancy are acute appendicitis, inflammation of the gallbladder (cholecystitis), and intestinal obstruction. Other conditions that may require operations Continue reading →

Smokers and Mental Illness

**From the AMA Wire   Forty percent. That’s the percentage of cigarettes consumed in the United States that are smoked by people with mental illness. It’s a significant reason why people with mental illnesses and substance-abuse problems account for nearly half—46 percent—of the nation’s 435,000 annual tobacco-related deaths. Hundreds of thousands of these patients are dying each year not from their illnesses, but because of their tobacco use. Research shows that patients with mental illnesses and substance-abuse disorders are nicotine dependent at rates two to Continue reading →

Appendicitis Without the Appendix? Maybe its Stump Appendicitis

Removal of the appendix (appendectomy) is one of the most commonly performed surgeries in the United States, with >250,000 performed annually. Stump appendicitis is an acute inflammation of the residual appendix, and is an under-reported complication that can occur after open or laparoscopic appendectomy. Stump appendicitis results from obstruction of the lumen of the remaining appendix, usually by a hard piece of stool called a fecalith. This leads to an increase in the pressure of the stump of the appendix. As blood flow is impaired, Continue reading →

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