A perforated ulcer is a condition where an untreated ulcer can burn through the wall of perforated ulcerthe stomach (or other areas of the gastrointestinal tract), allowing digestive juices, food and/or blood to leak into the abdominal cavity. The severe inflammation and infection inside of the abdomen is called peritonitis and this is a very serious condition. The ulcer is known initially as a peptic ulcer before the ulcer burns through the full thickness of the stomach or duodenal wall. This is, in fact, one of the very few occasions in modern times Continue reading



Osteomyelitis is a medical word used for a bone infection. Infections may reach the bone by migrating through the blood system or distributed from tissues which are nearby. Osteomyelitis may also start in the bone if there has been an injury that leaves the bone open to germs. With children, osteomyelitis normally disturbs the longer bones of the upper arm or legs, although adults are likely to have osteomyelitis in Continue reading


rotator cuff tearIt seems as though the older we get, everything starts to fall apart! I know I did not really have many issues until the double nickel era (55) and things just started to happen. One very common problem that occurs with aging is called a rotator cuff injury. It can be an acute or chronic problem that may involve an actual tear in the rotator cuff. Extensive tears may require surgical intervention, transfer of alternative tendons or joint replacement. To start with some anatomy, the rotator cuff is a group of muscles and tendons that surround the shoulder joint, keeping the head of your upper arm bone firmly within the shallow socket of the shoulder. A rotator cuff injury can cause a dull ache Continue reading


femoral endarterectomyA friend of mine is having a femoral endarterectomy at the end of this month. As we get older, it is fairly common to develop atherosclerosis. This is the build-up of fatty deposits (called atheroma) within the wall of the arteries within the body. When this build-up occurs in the arteries in the legs, it is called peripheral arterial disease. The narrowing or even blockage of the arteries in the legs can cause a variety Continue reading


          Hospital-acquired infections, also called nosocomial infections, are usually ones that first appears three days after a patient is admitted to a hospital or other health-care facility.  About 5-10% of patients admitted to hospitals in the United States develop these particular infections and they are normally related to a procedure or treatment used to diagnose or treat the patient’s illness or injury.  Amazingly, approximately 25% of these infections can be prevented by Continue reading


          Not very long ago, I was the Administrator for a same-day orthopaedic surgery center.  I just loved it and never dreamt that one day we would have a sentinel event.  By sentinel event, I mean an event that is an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof.  Any such injury signals the need for immediate investigation and response.  Sure enough, after two and one half years on the job, the nightmare and horror of a wrong-site surgery emerged Continue reading