4 ms·
A family member needed a surgery that had a 60% complication rate, so this was a topic I researched. We flew across the country to the doctor I found, who inven
by ericb 9y ago
A family member needed a surgery that had a 60% complication rate, so this was a topic I researched. We flew across the country to the doctor I found, who invented the technique, publishes on it, was improving on it, and performed more of this repair than anyone I interviewed. He said "I don't get those complications" and he was right.
Here are my takeaways for finding the right person:
- Surgical success is highly correlated to number of that exact procedure the surgeon performs. The most important question is therefore how many of this procedure a surgeon does a year. The more narrow the specialization, the better. Ask this, and compare.
- It is worth travelling for complex procedures where possible. Find your person and make it work.
- Doctors often list their specialties and areas of interest on their website. Pick one who is specializing in what you need, and for whom it is an area of interest.
- Age-wise, it seems like surgeons with 10+ years of experience are best, but ones nearing retirement age may be out of their prime. I think there's science backing up declines in vision and maybe fine motor skills.
- Searching pubmed is a great way to find out who is publishing on an area as well as the complication rate and outcomes for what is being proposed. https://www.ncbi.nlm.nih.gov/pubmed/ https://www.ncbi.nlm.nih.gov/pubmed/
- Specialists trump generalists.
- Bedside manner does not correlate with outcome particularly well, so "seems nice" is the wrong way to choose a doctor.
- Larger and more prestigious hospitals tend to attract better talent, so the most convenient option (closest) is often the worse choice.
- pdevr 9y agoThanks for the first point - pointed out by marckemil and you. Agree with almost everything which you said. Regarding the last point, I guess the exception would be those small "niche hospitals" which are not that well known, but perform the same type of procedures month after month, year after year.