Thomas Cox, John Preskitt, Jennifer Mooney, Julie Higginbotham
{"title":"Teaching and assessing in the operating room.","authors":"Thomas Cox, John Preskitt, Jennifer Mooney, Julie Higginbotham","doi":"10.1080/08998280.2025.2454210","DOIUrl":"10.1080/08998280.2025.2454210","url":null,"abstract":"<p><p>In the operating room of a teaching hospital, there is a need to balance surgical efficiencies, patient safety issues, and time management with preparing residents for mature practice. Gaps exist between attendings' perspectives and residents' perspectives on the quality of surgical teaching, wherein residents may perceive an unfocused stream of talk rather than a direct, structured approach. Based on a guided discovery learning model and a review of existing approaches for surgical teaching, the BID model-Briefing, Intraoperative, Debriefing-was applied for teaching in the operating room. The briefing adopts the precepts of deliberate practice while focusing on a small number of specific learning objectives. The intraoperative teaching segment consists of immediate feedback and guidance directed by the learning objectives. The debriefing element solidifies the learning that occurred and allows residents an opportunity to reflect on their performance. This approach guides future practice while fitting within the busy constraints of teaching surgeons.</p>","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":"38 2","pages":"205-208"},"PeriodicalIF":0.0,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845077/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anne Kelly Rhudy, Stephen Hohmann, Lance Oxford, Ksenia Vlassova
{"title":"Challenging carotid body tumor resection.","authors":"Anne Kelly Rhudy, Stephen Hohmann, Lance Oxford, Ksenia Vlassova","doi":"10.1080/08998280.2024.2448622","DOIUrl":"https://doi.org/10.1080/08998280.2024.2448622","url":null,"abstract":"<p><p>We describe a multidisciplinary treatment option for a challenging carotid body tumor, Shamblin type III, resection via preoperative embolization and surgical resection. Postoperative vocal cord paralysis and cricopharyngeal achalasia were resolved with botulinum toxin and hyaluronic acid gel injections.</p>","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":"38 3","pages":"350-353"},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026128/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"When banding goes bad: two rare complications of endoscopic variceal banding ligation.","authors":"Ambreen A Merchant, Samantha Zarro, Anh D Nguyen","doi":"10.1080/08998280.2025.2452126","DOIUrl":"10.1080/08998280.2025.2452126","url":null,"abstract":"<p><p>Endoscopic variceal band ligation (EVBL) is a key therapy for the management of esophageal varices in patients with cirrhosis, but complications, though infrequent, can have significant clinical implications. We report a rare case of a 76-year-old woman with metabolic-associated steatotic liver disease cirrhosis who developed esophageal obstruction followed by a severe esophageal stricture after EVBL. Initial symptoms included dysphagia and chest pain, which led to the discovery of complete esophageal obstruction secondary to sloughing mucosa and detached bands on endoscopy. After endoscopic removal of the obstructing material, the patient initially had improvement in symptoms, but these symptoms recurred with repeat endoscopy, demonstrating a severe esophageal stricture requiring serial dilations. This case underscores the importance of vigilance in recognizing and managing two rare complications of EVBL, esophageal obstruction and stricture development, to improve patient outcomes.</p>","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":"38 4","pages":"558-560"},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12184119/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144483021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Avocations.","authors":"Rolando Solis","doi":"10.1080/08998280.2025.2452129","DOIUrl":"https://doi.org/10.1080/08998280.2025.2452129","url":null,"abstract":"","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":"38 2","pages":"147"},"PeriodicalIF":0.0,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11878159/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143555786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oliver Gibb, Jacob W Lucas, Sujay Deshpande, Daniel C Edwards
{"title":"Massive paraganglioma masquerading as ovarian tumor: a unique case of paraganglioma of undetermined genetic origin.","authors":"Oliver Gibb, Jacob W Lucas, Sujay Deshpande, Daniel C Edwards","doi":"10.1080/08998280.2024.2448639","DOIUrl":"10.1080/08998280.2024.2448639","url":null,"abstract":"<p><p>Paraganglioma and pheochromocytoma are rare tumors originating from chromaffin cells: pheochromocytoma from within the adrenal gland and paraganglioma from the sympathetic chain in the retroperitoneum. Though many are clinically silent, both classically present with hyperadrenergic symptoms. We present a case of a patient with an immense retroperitoneal mass found to be a clinically silent paraganglioma. The unusual size and presentation of the tumor as well as its undetermined genetic origin give a unique perspective into this rare tumor.</p>","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":"38 4","pages":"555-557"},"PeriodicalIF":0.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12233688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144582956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Walking the tightrope: toward clinical equipoise in portal vein thrombosis.","authors":"Lawrence R Schiller","doi":"10.1080/08998280.2024.2449320","DOIUrl":"10.1080/08998280.2024.2449320","url":null,"abstract":"","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":"38 2","pages":"126"},"PeriodicalIF":0.0,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844925/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143481991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Choreoathetosis as a rare complication of paraneoplastic syndrome: a case report in small cell lung cancer with positive anti-Hu antibodies.","authors":"Sakditad Saowapa, Yaw Adu, Kanak Parmar, Veena Agusala, Gwyn Srifuengfung, Natchaya Polpichai, Pharit Siladech, Manasawee Tanariyakul","doi":"10.1080/08998280.2024.2448637","DOIUrl":"https://doi.org/10.1080/08998280.2024.2448637","url":null,"abstract":"<p><p>Choreoathetosis is a rare complication of paraneoplastic syndrome, particularly associated with small cell lung cancer. We report a case of an elderly woman with small cell lung cancer who was diagnosed with choreoathetosis due to autoimmune-mediated paraneoplastic syndrome. The differential diagnoses for focal neurological deficits such as stroke, immunotherapy-related toxicity, radiation-induced toxicity, and brain metastasis were considered but the presence of onconeural antibodies made paraneoplastic syndrome a more likely diagnosis. Management of choreoathetosis in paraneoplastic syndrome can be challenging, with limited treatment options available.</p>","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":"38 3","pages":"339-342"},"PeriodicalIF":0.0,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143969481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Airway management-being prepared for the difficult case.","authors":"Michael A Ramsay","doi":"10.1080/08998280.2024.2448614","DOIUrl":"10.1080/08998280.2024.2448614","url":null,"abstract":"","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":"38 2","pages":"140-141"},"PeriodicalIF":0.0,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845080/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Carrel, Abraham Flexner, and Osler: selected World War I correspondence.","authors":"Mathieu Ginier-Gillet","doi":"10.1080/08998280.2024.2441615","DOIUrl":"10.1080/08998280.2024.2441615","url":null,"abstract":"<p><p>The relationship between Alexis Carrel, who received the Nobel Prize in Physiology or Medicine in 1912, and Simon Flexner, director of the Rockefeller Institute for Medical Research, is well documented. However, Carrel's collaboration with Abraham Flexner, a key figure in US medical reform, is less widely recognized, and it seems there are no previous mentions of a connection with William Osler. This historical vignette offers insights into the interactions among these three figures during World War I. Five letters, preserved in the library of the National Academy of Medicine in Paris, are presented in full.</p>","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":"38 2","pages":"202-204"},"PeriodicalIF":0.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Transient oculomotor nerve palsy associated with spontaneous intracranial hypotension in a pediatric patient.","authors":"Yi Fang, Stephanie Blasick, Ehab Dayyat","doi":"10.1080/08998280.2024.2439232","DOIUrl":"https://doi.org/10.1080/08998280.2024.2439232","url":null,"abstract":"<p><p>Spontaneous intracranial hypotension (SIH) is a condition where cerebrospinal fluid (CSF) levels decrease and is primarily caused by spontaneous CSF leaks, most commonly occurring at the level of the thoracic spine. We report the first case of a transient and isolated oculomotor nerve (cranial nerve III) palsy associated with SIH and elevated CSF protein in a pediatric patient. Unlike typical SIH cases that often present with decreased CSF protein, this patient's findings emphasize the variability in SIH manifestations and emphasize the necessity for clinical suspicion and accurate diagnosis to avoid serious complications.</p>","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":"38 3","pages":"343-345"},"PeriodicalIF":0.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143961500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}