tag:blogger.com,1999:blog-2760353953251845523.post6456888372144465028..comments2024-02-10T02:14:39.898-05:00Comments on Buckeye Surgeon: Surgeon TryoutsJeffrey Parks MD FACShttp://www.blogger.com/profile/15650563299849196122noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-2760353953251845523.post-8136894164016050162008-05-12T15:19:00.000-04:002008-05-12T15:19:00.000-04:00There's this company, Immersion, that makes Lapara...There's this company, Immersion, that makes Laparascopic and other procedural training simulators. You would think that this would be a better test environment than moving a bunch of balls around.<BR/><BR/>Can you imagine if we tested pilots on how fast they could turn the wheel or hit the pedals.Anonymoushttps://www.blogger.com/profile/03130710685725616881noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-85136039333782275292008-05-11T20:06:00.000-04:002008-05-11T20:06:00.000-04:00Tryouts""??Over the past several years, residency ...Tryouts""??<BR/>Over the past several years, residency requirements (at the behest of the ACGME) require demonstration of skills measured by a number of metrics.<BR/>One would think that a scientific group could find a better and more accurate means of determinng dexterity and measure ethics, competence and honesty.<BR/>Consumers and health insurers will get what they deserve. How about this one for personal accountability. Surgeon does several casses with the head of his section..Gary M. Levinhttps://www.blogger.com/profile/16205704913440150198noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-89712577173547456282008-05-11T17:31:00.000-04:002008-05-11T17:31:00.000-04:00I don't mean to paint the tertiary referral center...I don't mean to paint the tertiary referral centers in a bad light. I learned how to be a general surgeon from some truly exceptionally talented doctors at such an institution. There are some disease processes that probably are better off being taken care of downtown. But I don't like this trend we see of big hospitals cherry picking "the cool cases" by declaring themselves a "center of excellence". The best surgeon for your disease might be the one right down the street. Or it could be the well published surgeon downtown. It all depends on the surgeon. Not necessarily the institution.Jeffrey Parks MD FACShttps://www.blogger.com/profile/15650563299849196122noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-85597040505858239572008-05-11T14:38:00.000-04:002008-05-11T14:38:00.000-04:00From a patient's POV, another thing to fear from s...From a patient's POV, another thing to fear from surgery at the BIG academic hospital, is that there is a likelihood your surgery will be performed in part or all by a doctor in training. And the hotshot surgeon you thought would be operating on you will be just standing by.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-46685352904940203372008-05-10T21:37:00.000-04:002008-05-10T21:37:00.000-04:00Buckeye, from a patients perspective (and experien...Buckeye, from a patients perspective (and experience) I have to agree with you. <BR/><BR/>Back in 1994, my husband needed to have a Nissen fundoplication. I'm not even sure if they were doing these laproscopic at that time. Regardless, he had it done locally, by a general surgeon and it was a big open surgery. He recovered good and to this day he has not ever experienced symptoms of acid reflux nor has he ever been on, or needed, any PPIs or tagamet since his surgery. <BR/><BR/>In contrast, in 2003, I was sent to one of the big acedemic hospitals (really close to where you are at) for a nissen fundoplication. The reason being, I had 6 cm barrett's esophagus, ulcers, strictures and short esophagus. local general surgeons would not touch me. I had my surgery done laproscopically by suppossedly one of the best thoracic surgeons in the country. The section head of thoracic surgery in fact. I had never met a more rude arrogant person in my entire life. My local GI wanted me to stay on PPIs for a time following surgery just to make sure all was well. Thoracic surgeon would not hear of it. "absolutely, no nexium" is what he told me..."This is why I just did this surgery on you"....Heartburn and other reflux symptoms started almost immediately. My local GI finally took me to surgery center for EGD, and I was refluxing all the way up my food pipe, 2 new ulcers and stricture. The surgery was a complete failure. my LES was wide open. GI said it was almost like I had not even had surgery, the wrap was done so loose. I do understand there is a significant failure rate with this surgery and that is not my complaint. My problem was with his arrogance and his belief that it COULD NOT be possible for him to perform a failed surgery.<BR/><BR/>Trust me, I have alot more faith in the local small hospital and small town general surgeons, than what I do these BIG academic hospitals.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-5960493063006139672008-05-09T06:00:00.000-04:002008-05-09T06:00:00.000-04:00I agree J. As long as the designation is based on...I agree J. As long as the designation is based on outcomes and results rather than whether or not a facility has all the "pieces in place". Center of Excellence ought to be a term associated with, you know, excellent surgical care. Not whether or not you have a specially trained "weight loss nutritionist" on the staff.Jeffrey Parks MD FACShttps://www.blogger.com/profile/15650563299849196122noreply@blogger.com