340: Dr. Rahul Seth—My Happy Place is the Operating Room
Aug 22, 2023
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Dr. Rahul Seth, otolaryngologist and facial reconstructive surgeon, discusses prevalent deviated septums, preparing for a 12-hour surgery, and the bicycle accident that nearly ended his surgical career.
Septoplasty can be life-changing for mouth breathers, providing improved airflow and the ability to breathe through the nose.
Doctors face challenges such as shortages in the healthcare system, the importance of self-care, and the significance of making a positive impact in patients' lives.
Facial plastic and reconstructive surgery goes beyond restoring form and function, playing a crucial role in restoring a patient's identity and sense of self.
Deep dives
The Impact of Septoplasty on Breathing
Septoplasty, a surgical procedure to correct a deviated septum that affects breathing, can be life-changing for mouth breathers. The procedure involves repositioning and shaping the septum, the central wall of the nose. Many adults have a deviated septum, with estimates ranging from 50% to 80%. The decision to undergo septoplasty often comes after experiencing breathing difficulties or being advised by a doctor. While the surgery may have varying levels of discomfort and recovery time, the long-term benefits, including improved airflow and the ability to breathe through the nose, are worth considering.
The Challenges and Rewards of Being a Surgeon in 2023
In a conversation with Dr. Rahul Seth, an accomplished surgeon who specializes in ear, nose, and throat procedures, the challenges faced by doctors in the modern healthcare landscape are discussed. Dr. Seth highlights the shortage of doctors in many areas, as well as the impact of the nursing shortage on recruiting and patient care. The conversation also touches on the importance of finding fulfillment in medicine and the need for doctors to prioritize self-care. Despite the challenges, being able to help patients and make a positive difference in their lives is a rewarding aspect of being a surgeon.
The Art and Science of Facial Reconstruction
Dr. Rahul Seth's expertise extends beyond septoplasty to facial plastic and reconstructive surgery. He shares insights into various procedures, including complex reconstructive surgeries for head and neck cancers. Using techniques like free flaps, which involve transplanting bone and tissue from one part of the body to another, he rebuilds faces with impressive results. Dr. Seth points out that reconstructive surgery goes beyond restoring form and function; it plays a vital role in restoring a patient's identity and sense of self. The field continues to advance, with future applications of AI and genetic therapy reshaping the landscape of surgical sciences.
Challenges of Recovery After Nasal Surgery
The podcast episode discusses the challenges and discomfort patients face during the recovery process after nasal surgery. The speaker mentions the presence of plastic splints and sheets inside the nose, which can cause irritation and make breathing difficult. The recovery period, which lasts for five to seven days, is described as uncomfortable due to the obstruction caused by the splints. The speaker also mentions the use of pain management medications, highlighting the need to balance the use of opioids with other non-opioid options to prevent addiction. The importance of minimizing opioid use and implementing multimodal analgesia techniques to alleviate pain is emphasized.
The Cost and Realities of Being a Surgeon in the Bay Area
In this segment, the podcast delves into the financial challenges faced by doctors, particularly surgeons, in the Bay Area. The speaker discusses the high cost of medical education, with current graduates often burdened with debts of around $400,000. The rising cost of living and housing in the area adds additional stress and financial strain to physicians. The impact of insurance coverage on medical costs is also explored, with the speaker highlighting how high costs for insured procedures can be attributed to reduced reimbursements from insurance companies. The need for comprehensive healthcare reform to address these issues and ensure fair valuation of medical services is discussed.