tag:blogger.com,1999:blog-2760353953251845523.post2237532646316188509..comments2024-02-10T02:14:39.898-05:00Comments on Buckeye Surgeon: HedgingJeffrey Parks MD FACShttp://www.blogger.com/profile/15650563299849196122noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-2760353953251845523.post-56304216502332887292010-06-21T12:22:17.885-04:002010-06-21T12:22:17.885-04:00Those are tough ones.
FWIW, I always see the pati...Those are tough ones.<br /><br />FWIW, I always see the patient fully clothed first. I have them change after I've done the history and "diffused the situation". I think they are more comfortable. It takes a little more time, but well worth it in my humble opinion.<br /><br />With many of the pathology reports I"ve been seeing in the past few months, makes me long for the day we did all breast biopsies open, none of this fooling around with FNA and Stereotactic. I understand the reasoning and the science, but sometimes it is hard to explain all that to the patient.Kellienoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-5771849316893599482010-06-20T20:24:46.889-04:002010-06-20T20:24:46.889-04:00Doing rational follow-up testing requires that &qu...Doing rational follow-up testing requires that "can't rule out" must instead be a probability.<br /><br />Such as "1 in 10,000 chance that cells are cancerous". Then, the patient could decide if the follow-up biopsy is warranted, consulting with the doctor.<br /><br />Possibly, there is a 1 in 1,000 chance of harm from the biopsy, which would far exceed the harm from the possible cancers discovered.<br /><br />Or, in a medical free-market, one could buy insurance that covered follow-up procedures only where the cost/life-year saved is (say) $30,000 or less. That is something like the idea of a government panel to set the costs of medical care, but it would be a choice of the consumer who would face the risks and pay the premiums associated with a given level of insurance support.<br /><br />These considerations exist in a world where the chance of death in an auto accident is approximately 14 per 100,000 each year, being 1 chance in 100 over a lifetime.Andrew_M_Garlandhttps://www.blogger.com/profile/02855052302054611917noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-72927505106210586562010-06-20T07:32:50.061-04:002010-06-20T07:32:50.061-04:00Happy Father's Day, Buckeye!
Nice post.Happy Father's Day, Buckeye! <br /><br />Nice post.rlbateshttps://www.blogger.com/profile/15236331355857884458noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-50762633841472788812010-06-20T05:59:14.760-04:002010-06-20T05:59:14.760-04:00Great Post Buckeye, and I actually wanted to be a ...Great Post Buckeye, and I actually wanted to be a Pathologist till I found out they don't really get to solve murders like Quincy used to...<br />And thats what I love about Anesthesia, No Hedging, you definately need Anesthesia for that Median Sternotomy, otherwhise it's really gonna hurt.<br />One Question?<br />Why do they call some Operations "Formal"??? In 3rd year Med School I showed up for a "Formal" Colectomy in Black Tie and got shown the door...<br />are there "Informal" Operations??<br />"Casual Colostomy Fridays"?<br /><br />thanks,<br /><br />FrankAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-90549678105470651162010-06-19T22:02:21.064-04:002010-06-19T22:02:21.064-04:00I'm a third year student, who just recently fi...I'm a third year student, who just recently finished a brief rotation through a breast clinic during my surgery clerkship.<br /><br />Your words mean all that much more now, having experienced this process first hand.<br /><br />Thank you for continuing to share your strong voice on the issues that are often so difficult to put into words.BR Morrisseyhttps://www.blogger.com/profile/03933855466265518073noreply@blogger.com