tag:blogger.com,1999:blog-2760353953251845523.post297969782755232475..comments2024-02-10T02:14:39.898-05:00Comments on Buckeye Surgeon: Hold, please...Jeffrey Parks MD FACShttp://www.blogger.com/profile/15650563299849196122noreply@blogger.comBlogger10125tag:blogger.com,1999:blog-2760353953251845523.post-14456386682622538242010-03-15T22:59:39.865-04:002010-03-15T22:59:39.865-04:00I have never sent a kid with an appy out of my lit...I have never sent a kid with an appy out of my little hospital - ever. <br /><br />Doing an appendectomy in a child is just like doing it in an adult - only easier.<br /><br />Anyone who thinks a kid with an appy (or a kid with a hernia) needs a peds surgeon is really drinking the koolaid. Unfortunately my local pediatricians think this about hernias - thats why i get so few of them, and they are SO fun and easy to do.Victor Lazaronhttps://www.blogger.com/profile/11634100793910465958noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-5634481268637926372010-03-13T16:26:46.814-05:002010-03-13T16:26:46.814-05:00It's just a way for the Evil Empire and their ...It's just a way for the Evil Empire and their 168 acres of prime Downtown property to retain a greater amount of control over what happens in the medical universe, in preparation for the shiny new hospital opening up 3 exits down the road.Brian and Jenniferhttps://www.blogger.com/profile/09641593122171997030noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-32185377605481049152010-03-12T18:10:13.566-05:002010-03-12T18:10:13.566-05:00When health care became a commodity the "need...When health care became a commodity the "need" for marketing uniqueness followed. I would be more interested in data on infection rates, deaths, ALOS, etc After all what good is "special' if the outcomes are lousytomnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-36817322290865840232010-03-12T10:40:10.386-05:002010-03-12T10:40:10.386-05:00I'm so tempted to place an ad in the local pap...I'm so tempted to place an ad in the local paper touting my "single incision hysterectomy!" and my "scarless hysterectomy!"<br /><br />After all, an old-fashioned vaginal hysterectomy uses a single incision. The scar is not visible (to most people)...<br /><br />;)ER's Momhttps://www.blogger.com/profile/03203520439121823165noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-22179391672918207592010-03-12T09:35:41.395-05:002010-03-12T09:35:41.395-05:00Gotta agree with ya Buckeye..
Y'know the harde...Gotta agree with ya Buckeye..<br />Y'know the hardest part of Pediatric Anesthesia?? Workin the dials on the tiny little anesthesia machine....<br />Seriously, all you have to do is multiply all your adult doseages by whatever fraction of adult weight your tiny adult is...<br />its like 5th grade math, 10mg is to 70kg as "X" mg is to 7 kg<br />Cause Children really are just tiny adults,<br />Oh yeah, don't use Succinycholine on kids unless you really have to,because of the risk of ummm...<br />umm, something really bad can happen.<br /><br />FrankAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-24088745561736310112010-03-11T18:07:02.058-05:002010-03-11T18:07:02.058-05:00"All the general surgeons here do lap appies ..."All the general surgeons here do lap appies on kids less than 10" <br /><br />wow, that's surprising but cool. No offense but the peds surgeons have brain washed me and I think I might drive the extra hour to get the hospital with the ped surgeon if my kid had RLQ pain. <br /><br /><br />The intussusception comment was referring to the ones that perf or fail after the radiologist tries. our peds ED had one perf this last month. Aside from that specific example, it just seems like we get surgical abdomens in our peds ED almost every day; half the time it's not obvious the kid needed to be rushed to a tertiary care center. I'm just saying broad access to peds surgeons is a very good thing.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-27560143380342624302010-03-11T17:10:37.764-05:002010-03-11T17:10:37.764-05:00Looks like you'll just have to increase your s...Looks like you'll just have to increase your strength of schedule next year if you have any hope of becoming Level 1.BR Morrisseyhttps://www.blogger.com/profile/03933855466265518073noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-6014819222735296012010-03-11T13:31:52.327-05:002010-03-11T13:31:52.327-05:00Anon-
All the general surgeons here do lap appies ...Anon-<br />All the general surgeons here do lap appies on kids less than 10. The anesthesiologists hesitate for kids under 5 so sometimes we send those to the Children's hospital.<br /><br />And air enemas are usally done by pediatric radiologists. And foreign body extractions can be done by either a peds Gi or peds surgeon. But it's a rare enough event that you can hardly justify creating a dept of pediatric surgery just to retrieve marbles from some kid's esophagus.Jeffrey Parks MD FACShttps://www.blogger.com/profile/15650563299849196122noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-48569827366950692442010-03-11T13:14:39.203-05:002010-03-11T13:14:39.203-05:00what about that rare appy in the under 10 crowd? w...what about that rare appy in the under 10 crowd? what about that air enema for intussusception that perfs? What about the foreign body endoscopy? <br /><br />seems like having peds surgery coverage around would be a good idea, even for a community hospital with no PICU.tAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-65063192216399660822010-03-11T12:09:19.895-05:002010-03-11T12:09:19.895-05:00I so agree with you on marketing has infiltrated m...I so agree with you on marketing has infiltrated medicine.rlbateshttps://www.blogger.com/profile/15236331355857884458noreply@blogger.com