A young boy's leg is mangled by a tractor: risk the boy's life to save his leg, or amputate immediately? A woman diagnosed with bone cancer injures her hip: go through a painful hip operation even though she has only months to live? Like a jolt to the system, he is faced with the reality of suffering and death as he struggles to reconcile his idealism and aspiration to heal with the recognition of his own limitations and imperfections. Every day he is confronted with decisions that will change people's lives-or end them-forever. With unparalleled humor, he recounts the disparity between people's perceptions of a doctor's glamorous life and the real thing: a succession of run down cars that are towed to the junk yard, long weekends moonlighting at rural hospitals, a family that grows larger every year, and a laughable income.Ĭollins' good nature helps him over some of the rough spots but cannot spare him the harsh reality of a doctor's life. This story of Collins' four-year surgical residency traces his rise from an eager but clueless first-year resident to accomplished Chief Resident in his final year. All too soon, the euphoria of beginning his career as an orthopedic resident gives way to the feeling he is a counterfeit, an imposter who has infiltrated a society of brilliant surgeons. But compared to his fellow residents Collins feels inadequate and unprepared. A natural overachiever, Collins' success, in college and medical school led to a surgical residency at one of the most respected medical centers in the world, the famed Mayo Clinic. New drawings show the important neurovascular structures that need to be protected.When Michael Collins decides to become a surgeon, he is totally unprepared for the chaotic life of a resident at a major hospital. New illustrations of the appendicular skeleton are included.
Other highlights include new external fixation approaches for many regions and surgical approaches to the os calcis. The Fourth Edition describes new minimally invasive approaches to the spine, proximal humerus, humeral shaft, distal femur, proximal tibia, and distal tibia. Each chapter details the techniques and pitfalls of a surgical approach, gives a clear preview of anatomic landmarks and incisions, and highlights potential dangers of superficial and deep dissection. Featuring 775 full-color illustrations, this atlas demonstrates the surgical approaches used in orthopaedics and provides a surgeon's-eye view of the relevant anatomy. A standard textbook for 25 years, Surgical Exposures in Orthopaedics: The Anatomic Approach is now in its Fourth Edition.
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