{"title":"Notes from a transplant surgeon: the table turns.","authors":"J A Light","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79639,"journal":{"name":"Hospital physician","volume":"25 6","pages":"16-7"},"PeriodicalIF":0.0,"publicationDate":"1989-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21165289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The hospital physician and organ donation.","authors":"T G Peters","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79639,"journal":{"name":"Hospital physician","volume":"25 6","pages":"13-4"},"PeriodicalIF":0.0,"publicationDate":"1989-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21165288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Presbyterian-University Hospital, Pittsburgh. The gamma knife: brain surgery without an incision.","authors":"L D Lunsford","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In July of 1987 a 20-ton gamma heavily shielded in a concrete \"hot cell\" was rolled into the basement of Presbyterian-University Hospital in Pittsburgh. Installation of the unit-one of only five in the world-and the first of its kind in the United States-was the culmination of 4.5 years of planning. It started in 1982 when the gamma knife was approved for marketing by the Food and Drug Administration. But because radioactive sources are sealed within the unit, it also had to be approved by the Nuclear Regulatory Commission (NRC), a process that required extensive and multiple levels of review within the nuclear agency. Although the device itself finally received NRC approval in 1986, the NRC Transportation Division refused to grant permission to transport a cobalt-loaded unit. So physicists at the University of Pittsburgh devised plans for on-site loading amidst the busy hospital environment in Pittsburgh! First a hot cell consisting of 3,000 lb of solid concrete block was constructed around the unit. Then, using robotic micromanipulators, the unit was loaded with 201 sources of cobalt-60, approximately 30 Ci each. The almost-6,000 Ci of cobalt provided a dosage rate of 396 cGy/min to the focal point, and patient treatment began one month later in August. Third-party reimbursement has been obtained from most major health insurance policies, and the procedure is approved for payment by Blue Shield and Medicare of Pennsylvania.</p>","PeriodicalId":79639,"journal":{"name":"Hospital physician","volume":"24 10","pages":"28, 30, 32-3 passim"},"PeriodicalIF":0.0,"publicationDate":"1988-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21172676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Malpractice, ethics, and resident training.","authors":"S J Jay","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although patient care issues will become more complex, the basic ingredients of ethical and legally \"safe\" medicine will remain-quality medical care buttressed by quality patient-physician relationships. Teaching hospitals and program directors must assist residents in accomplishing these goals. Our successes will lead to further improvement in the quality of patient care and medical education-and hopefully to a better end than the \"big crunch\" proposed by Hawking.</p>","PeriodicalId":79639,"journal":{"name":"Hospital physician","volume":"24 10","pages":"13-4"},"PeriodicalIF":0.0,"publicationDate":"1988-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21158718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Physicians' rights as hospital staff members.","authors":"H R Fenton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Physicians may be denied appointment to the staff of a hospital or may find themselves threatened by removal or limitation of their staff privileges for reasons that have nothing to do with their competence. This article reviews the conditions under which physicians can or cannot be legally denied staff membership or reappointment, as well as the legal precedents for fair procedure if a hospital tries to remove a physician from its staff. All physicians should be aware of their rights in these areas to protect themselves from unjust denial of staff privileges, which could result in adverse career consequences.</p>","PeriodicalId":79639,"journal":{"name":"Hospital physician","volume":"24 4","pages":"36-8, 40-1, 44"},"PeriodicalIF":0.0,"publicationDate":"1988-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21157317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}