5 ms·

I find it bonkers that the surgeon had no prior involvement in reviewing the case before the patient is brought into the operating room. That's really scary.

by Renaud 6y ago

boomboomsubban 6y ago
Requiring a surgeon's consultation before scheduling seems like it would be a huge hassle to arrange, and greatly reduce the amount of surgeries they could perform. Beyond that, I'm not sure what benefit there would be to a surgeon independently reviewing the case early. Thinking about what they'll need you do in tomorrow's surgery would distract them during today's surgery.
- wl 6y ago
  At least with the surgeons I know in the United States, they have days devoted to clinic and days devoted to surgery. They meet with nearly all their patients beforehand to evaluate their conditions and discuss the options. The exceptions are emergent cases or if a surgeon (resident, fellow, or attending) is assisting on someone else's case that was seen in clinic by the primary surgeon.
- billforsternz 6y ago
  When I had cancer surgery, it was the surgeon (literally "the consulant") who consulted with me. He looked at the scan with me and explained my diagnosis and prognosis. We had at least one more meeting before the surgery, and I still see him every year for follow up (I think he's cutting me loose next year after six years - I will miss him he's a nice guy). Isn't this how it normally goes?
- tsimionescu 6y ago
  My understanding is that (1) the patient has the right to be explained what the surgery will be, what is their prognosis, what are the risks etc, so they can give informed consent - not sure who other than the surgeon could do this; and (2) that surgery needs to be planned, the surgeon needs to know how many nurses they will need, whether they need any assisting surgeons etc. This is all medical knowledge, a surgeon is not waiting in an operating room and operating whoever they bring in. The whole story smells of very bad medical practices (and I'm speaking with the perspective of someone living in a formerly communist country, not some medical Mecca).

I find it bonkers that the surgeon had no prior involvement in reviewing the case before the patient is brought into the operating room. That's really scary.

by Renaud 6y ago

I find it bonkers that the surgeon had no prior involvement in reviewing the case before the patient is brought into the operating room. That's really scary.

boomboomsubban 6y ago

Requiring a surgeon's consultation before scheduling seems like it would be a huge hassle to arrange, and greatly reduce the amount of surgeries they could perform. Beyond that, I'm not sure what benefit there would be to a surgeon independently reviewing the case early. Thinking about what they'll need you do in tomorrow's surgery would distract them during today's surgery.

wl 6y ago
At least with the surgeons I know in the United States, they have days devoted to clinic and days devoted to surgery. They meet with nearly all their patients beforehand to evaluate their conditions and discuss the options. The exceptions are emergent cases or if a surgeon (resident, fellow, or attending) is assisting on someone else's case that was seen in clinic by the primary surgeon.
billforsternz 6y ago
When I had cancer surgery, it was the surgeon (literally "the consulant") who consulted with me. He looked at the scan with me and explained my diagnosis and prognosis. We had at least one more meeting before the surgery, and I still see him every year for follow up (I think he's cutting me loose next year after six years - I will miss him he's a nice guy). Isn't this how it normally goes?
tsimionescu 6y ago
My understanding is that (1) the patient has the right to be explained what the surgery will be, what is their prognosis, what are the risks etc, so they can give informed consent - not sure who other than the surgeon could do this; and (2) that surgery needs to be planned, the surgeon needs to know how many nurses they will need, whether they need any assisting surgeons etc. This is all medical knowledge, a surgeon is not waiting in an operating room and operating whoever they bring in. The whole story smells of very bad medical practices (and I'm speaking with the perspective of someone living in a formerly communist country, not some medical Mecca).