As Surgeon in Chief as well as Chief of Pediatric Surgery at Maria Fareri Children’s Hospital in Valhalla, New York, Dr. Gustavo Stringel treats a number of common childhood conditions. One illness that causes many parents to seek care for their children is gastroenteritis.

According to Dr. Gustavo Stringel, while gastroenteritis is commonly referred to as stomach flu, it isn’t a form of influenza. Instead, the condition arises as the result of an inflammation and irritation of the gastrointestinal tract. Children with this condition may present with abdominal pain and cramping, nausea, diarrhea, vomiting, and fever.

No single cause exists for gastroenteritis. Rather, it can arise from viral, parasitical, or bacterial infection. In the case of bacterial infection, the condition may come from either infectious or food-borne types of bacteria.

One of the primary dangers of gastroenteritis, especially in children, is dehydration, brought about by prolonged nausea and vomiting. Parents should frequently offer small amounts of clear liquids to replenish lost fluids. Parents concerned about dehydration should seek advice from their doctor. Likewise, if the child is vomiting blood or expressing black or bloody stool, seek emergency medical care immediately.
Dr. Gustavo Stringel, a widely respected laparoscopic surgeon, is the Chief of Pediatric Surgery and Surgeon in Chief at Maria Fareri Children's Hospital in Valhalla, New York, as well as a Professor of Surgery and Pediatrics. In his short paper, “How To Make the Most of the Hours We Have Left,” Dr. Stringel argues that recent limits set throughout the Western world on the number of hours that surgical residents are allowed to work each week has led to a different type of residency education than he and his peers were subjected to in decades past.

He points out that previously, before limits had been set, surgeons in residence often worked for 100 or more hours per week, which had numerous benefits. The sheer amount of experience a surgeon could expect to accrue over a five-year residency was far in excess of author Malcolm Gladwell's “10,000 hour rule,” which posits that 10,000 is the minimum number of hours required to gain working proficiency in any skilled endeavor.

Additionally, being able to stay on shift as long as was deemed necessary allowed surgical residents to provide continuous, knowledgeable care and support to their patients, whereas a resident forced to leave at an arbitrary time might be handing the care of patients off to others without giving them all the information they need to continue providing adequate care. He also notes that most experienced surgeons agree that during residency, a great learning opportunity may present itself at nearly any time. Working extremely long shifts allowed residents in previous years to increase the chances that they would be on hand for any such opportunity.

Dr. Stringel avoids the contentious question of whether or not the new work week limitations are having an adverse effect on new surgical residents, but he firmly maintains that such limitations have changed the face of the residency process. Therefore, to ensure continued effectiveness, surgeons must be open to changes in the way residencies are conducted.

Dr. Gustavo Stringel's Blog