Thomas Serena

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by Thomas E. Serena MD, FACS, FACHM, FAPWCA

"Would you like that super-sized?" is a phrase made popular by the fast food giant McDonald’s. The McDonald’s marketing geniuses tapped into a sentiment that permeates the American psyche. We are convinced that bigger is better; that size can be equated with financial stability and better service. However, if there is a lesson to be learned from recent history it is bigger is not always better or even desirable.

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by Thomas E. Serena MD, FACS, FACHM, FAPWCA

From the third floor patio of the Foreign Correspondent’s Club (FCC), the evening breeze is a welcome respite from the sweltering heat of Phnom Penh’s hospital wards. An assortment of barges and boats strung with neon lights drifts along the Mekong Delta. This location, made famous by the movie the Killing Fields, has become the meeting place for NGOs (non-governmental organizations) and volunteers of all sorts. Nightly, we would share our tales of life and death in Cambodia’s capital city. A recurring theme was the lack of active ingredients in medicines purchased at local pharmacies. A trio of Brits complained that it was far worse in other resource poor nations. I was appalled that someone would reduce the dose of a medicine for economic gain.

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by Thomas E. Serena MD, FACS, FACHM, FAPWCA

One of the greatest honors of my life was being inducted into the Athletic Hall of Fame at The College of William and Mary. I was a gymnast there during my college days, a sport I chose early in life. My first loves were basketball and football, but I was always either too small or too light to play these sports competitively for my school teams. Even on the playground I was frequently chosen last in basketball pick-up games. To this day I remain sensitive to team picking. I recently received a call from a physical therapist looking to join my wound care team. Her hospital had enlisted the services of a management company that had marginalized the role of physical therapy in the outpatient wound care center.

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by Thomas E. Serena MD, FACS, FACHM, FAPWCA

I owe my humble thanks to GK Chesterton, the Christian apologist, for the title of this blog. In Chesterton’s book of the same title he observes that men have a strong tendency to cling to a deeply held belief despite overwhelming evidence to the contrary.This is true as it applies to the current thinking surrounding hyperbaric oxygen therapy.

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