MinervaBMJ 2004; 329 doi: https://doi.org/10.1136/bmj.329.7466.E323 (Published 09 September 2004) Cite this as: BMJ 2004;329:E323
There's a new culinary show on Canadian television—an eight part series cooked up by an orthopedic surgeon, with each episode featuring a specialist surgeon preparing two gourmet meat dishes. It's called “Close to the Bone” and claims to provide a blend of cooking, surgery, and lessons in human anatomy. The otolaryngologist offers up pig snout and calf's tongue; the hand surgeon prepares stuffed pig's foot; the urologist makes lamb's kidney and deep-fried bull's testicles (CMAJ 2004;170: 1825).
Patients are often asked to stop taking aspirin a week or so before cardiac surgery because it's assumed that by doing so they will bleed less during the procedure. But is this necessary? A Japanese team reporting the results of their pilot study found that after stopping aspirin the inhibition of platelet aggregation fell quickly after just one day and had completely vanished after three days (Journal of Thoracic and Cardiovascular Surgery 2004;127: 1814-1815).
Arm position alters blood pressure readings considerably, with the dependent arm position likely to lead to an overdiagnosis of hypertension. The American Heart Association states that when the patient is seated, “placing the arm on a nearby table top, a little above waist level, will result in a satisfactory position.” An audit published …