Presidential address| Volume 42, ISSUE 12, P949-962, December 2017

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ASSH Presidential Address: Engagement and Our Professional Responsibility

  • Ghazi M. Rayan
    President, American Society for Surgery of the Hand (2016–2017), Chicago, IL

    Clinical Professor of Orthopedic Surgery, University of Oklahoma College of Medicine

    Adjunct Professor of Anatomy/Cell Biology, University of Oklahoma

    Program Director, Oklahoma Hand Surgery Fellowship Program

    Alternate Chair, Department of Hand Surgery, INTEGRIS Baptist Medical Center, Oklahoma City, OK
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      Good afternoon, Ladies and Gentlemen. On a summer day in 1958, I gazed off into in the distance, at the American aircraft carrier USS Essex of the Sixth Fleet as it was docking offshore the coastal city of Beirut, Lebanon, a country that was plagued by an unsettling civil war. I was a child with uncertain prospects for the future. Raised in a modest traditional Middle Eastern family and living in a war-torn country, I became a photographer taking pictures at weddings and funerals and later became a photojournalist for celebrities.
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        • Bunnell S.
        Surgery of the Hand.
        Lippincott Company, Philadelphia, PA1944
        • Tecker G.
        • Meyer P.
        • Crouch B.
        • Wintz L.
        The Will to Govern Well: Knowledge, Trust, and Nimbleness.
        ASAE: The Center for Association Leadership, Washington, DC2010
        • Baxter R.
        The Membership Economy.
        McGraw Hill, New York2015
        • Berwick D.M.
        • Hackbarth A.D.
        Eliminating waste in health care.
        JAMA. 2012; 307: 1513-1516
        • Lutz K.
        • Yeoh K.M.
        • MacDermid J.C.
        • Symonette C.
        • Grewal R.
        Complications associated with operative versus nonsurgical treatment of distal radius fractures in patients aged 65 years and older.
        J Hand Surg Am. 2014; 39: 1280-1286
        • Young B.T.
        • Rayan G.M.
        Outcome following nonoperative treatment of displaced distal radius fractures in low-demand patients older than 60 years.
        J Hand Surg Am. 2000; 25: 19-28
        • Becker Jr., K.E.
        • Carrithers J.
        Practical methods of cost containment in anesthesia and surgery.
        J Clin Anesth. 1994; 6: 388-399
        • Rhee P.C.
        • Fischer M.M.
        • Rhee L.S.
        • McMillan H.
        • Johnson A.E.
        Cost Savings and patient experiences of a clinic-based, wide-awake hand surgery program at a military medical center: a critical analysis of the first 100 procedures.
        J Hand Surg Am. 2017; 42: e139-e147
        • Lalonde D.
        • Martin A.
        Tumescent local anesthesia for hand surgery: improved results, cost effectiveness, and wide-awake patient satisfaction.
        Arch Plast Surg. 2014; 41: 312-316
        • Hustedt J.W.
        • Chung A.
        • Bohl D.D.
        • Olmschied N.
        • Edwards S.G.
        Comparison of postoperative complications associated with anesthetic choice for surgery of the hand.
        J Hand Surg Am. 2017; 42: 1-8
        • Albert M.G.
        • Rothkopf D.M.
        Operating room waste reduction in plastic and hand surgery.
        Plast Surg (Oakv). 2015; 23: 235-238
        • Cicero T.J.
        • Ellis M.S.
        • Surratt H.L.
        • Kurtz S.P.
        The changing face of heroin use in the United States: a retrospective analysis of the past 50 years.
        JAMA Psychiatry. 2014; 71: 821-826
        • Franklin G.
        • Sabel J.
        • Jones C.M.
        • et al.
        A comprehensive approach to address the prescription opioid epidemic in Washington State: milestones and lessons learned.
        Am J Public Health. 2015; 105: 463-469
        • Quinones S.
        Dreamland: The True Tale of America's Opiate Epidemic.
        Bloomsbury Press, New York2015
        • Rodgers J.
        • Cunningham K.
        • Fitzgerald K.
        • Finnerty E.
        Opioid consumption following outpatient upper extremity surgery.
        J Hand Surg Am. 2012; 37: 645-650
        • Brand P.
        • Yancey P.
        Pain: The Gift Nobody Wants.
        HarperCollins Publishers, New York1993