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Medical Management of the Surgical Patient
  • A Textbook of Perioperative Medicine
  • 5th edition
  • Edited by Michael F. Lubin, Thomas F. Dodson, Neil H. Winawer
  • Published online:
    05 September 2013
    Print publication:
    15 August 2013
  • Now in its fifth edition, Medical Management of the Surgical Patient: A Textbook of Perioperative Medicine has been fully revised and updated and continues to provide an authoritative account of all aspects of perioperative care for surgical patients. Including recommended plans which aid accurate treatment of patients, it provides an evidence-based approach for consulting physicians to care for patients with underlying medical conditions that will affect their surgical management. The latest minimally invasive surgical techniques are included, with new chapters on thoracic aortic disease, reconstruction after cancer ablation, lung transplantation, esophagomyotomy, vasectomy and thyroid malignancies, amongst others. With detailed descriptions of nearly one-hundred operations, highlighting their usual course as well as their common complications, the book encourages learning from experience. This definitive account includes numerous contributions from leading experts at national centers of excellence. It will continue to serve as a significant reference work for internists, hospitalists, anesthesiologists and surgeons.

  • Introduction

  • Edited by Michael F. Lubin, Emory University, Atlanta, Thomas F. Dodson, Emory University, Atlanta, Neil H. Winawer, Emory University, Atlanta
  • Book:
    Medical Management of the Surgical Patient
    Published online:
    05 September 2013
    Print publication:
    15 August 2013, pp xx-xxii

  • Summary

    The interchange between physicians discussing a patient’scase has been mentioned in written history since ancientGreece. From the time of Hippocrates, physicians have beenencouraged to seek consultation on difficult cases when theywere in doubt. They were urged not to be jealous of oneanother but to realize their own limitations and to use theknowledge of their colleagues to help. “Nor, among physicians,do those who treat by diet envy those who employsurgery, but they even call each other into consultation andcommend one another.” It is clear, however, that there weredisagreements in those days: “Physicians who meet in consultationmust never quarrel or jeer at one another.” Therewere also “wretched quarrelsome consultations at the bedsideof the patient, with no consultant agreeing with another,fearing he might acknowledge a superior.”

    Over the next 25 centuries, consultation has had its ups anddowns. Much of what was written had to do with the etiquetteand ethics of the interaction. In medieval Europe, littlechanged from ancient times. Physicians were encouraged toask colleagues for help if needed and to refrain from criticizingeach other in front of non-physicians.

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