The Martlet: Where Surgery, Culture, Innovation,
Finance and Informatics Rendezvous

March 15, 2023
GOAT TESTICLE TRANSPLANT SURGERY CURES MALE IMPOTENCE

How's that for click bait? Fake medical news is nothing new. In fact the "goat gland transplant procedure" is an actual claim “Dr.” John R. Brinkley made in the 1920s. At his hospital in Kansas he would have men choose a goat from his pasture and then would transplant the goat’s testicle into the man’s inner thigh. He also had a popular radio show where he dispensed medical advice and is credited with creating the first infomercial. The only problem was that he never went to medical school and his assertions were not backed by any scientific knowledge. His quackery was part of the impetus for the founding of the American Medical Association. When his radio show was banned by the FCC, he moved the tower to the Mexican side of the border and continued broadcasting into the US. Physicians' privileges are granted by society, and that honor should never be taken for granted or misused.

According to Mark Twain, "history doesn't repeat itself, but it does rhyme". We should safeguard the sacredness of medical knowledge in this new era where facts are fluid and uncoupled from reality.

The entire story is humorously depicted in the documentary NUTS, available on Amazon Prime.
What we're reading:
Dr. Jonathan Kaplan
Dr. Kaplan is a Surgeon and a Writer, chronicling his adventures around the world as a humanitarian War Surgeon. He has inspired an entire generation of Surgeons, such as myself, with his two most popular books: The Dressing Station, and Contact Wounds. If you’re looking for a read to rekindle that spark in healthcare, look no further. One of his stories about working as a ship’s surgeon in Asia inspired me to work on an Icebreaker out of the port of Ushuaia Argentina.

Ready to Operate on yourself in the cold?

InterTrauma physicians are ready to traverse all kinds of conditions across the globe. I, myself, have had the distinct opportunity of operating in Antarctica in 2011 at Vernadsky Station, the Ukrainian Antarctic base in the Gerlache Strait region and believe me, it's no picnic. But, that didn’t stop Russian surgeon Leonid Rogozov from performing his own appendectomy there in 1961. He was stationed in Antarctica to help build a new base at the Schirmacher Oasis when he realized he had appendicitis. Air evacuation was impossible due to weather. The resupply ship wasn’t set to come back for another year. With no other option, he did the unimaginable, removing his own appendix using lots of local anesthesia, a mirror, and a lamp. Two weeks later, Rogozov was back to doing his normal duties. He definitely has that InterTrauma spirit.
Balancing Out the Four Humors with Leeches
What’s old is new again. In the Medieval times leeches were used for bloodletting, to balance out the 4 humors (blood, phlegm, choler and black bile) and improve health. While the theory of bloodletting has gone out of favor due to it having no scientific basis, leeches are still used. Their main use is in finger reattachment surgery. When a finger is severed, and re-implanted, the arteries that go the finger are sewn back together, typically with the aid of a microscope. Veins can not be sewn back together so even though there is blood flow, there’ no way for the venous blood to exit the finger. Medical leeches can be attached to the finger with 2 goals. 1) to suck out the venous blood while the body forms new connections and 2) they secrete a mild anticoagulant to prevent the arterial blood from clotting. Thankfully, one company, BioPharm Leeches has been in business in 1812 and is available for all your blood letting needs. On an interesting note, baby leeches are raised on sheep's blood.
Where we're hanging out: The Frontline Club of London
In the world of John Wick, the assassins have their own club where you can find them, but in London there’s a little known club, just as highly specialized, and similarly exclusive. This is where war correspondents, humanitarian workers and war surgeons hang out. It’s called the Frontline Club in Paddington. The clubhouse bar is cool, the guestrooms are affordable, and their lecture series is wonderfully thought-provoking. Interestingly, it is where Alexander Litvenenko spoke just before he was poisoned with polonium-210 and where Benazir Butto also spoke before she was assassinated. There’s even a mini museum with a collection from war zones. The most striking is a cell phone with a bullet, that was in a report’s pocket that saved their life. Notable members include Louis Theroux and Julian Assange, as well as a few Surgeons from the InterTrauma family.
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