tag:blogger.com,1999:blog-30499448.post7266654125339241834..comments2024-02-18T13:53:30.168-08:00Comments on Surgeonsblog: Under the MicroscopeSid Schwabhttp://www.blogger.com/profile/14182853083503404098noreply@blogger.comBlogger11125tag:blogger.com,1999:blog-30499448.post-33370671369135818892010-04-09T14:02:04.044-07:002010-04-09T14:02:04.044-07:00As a pathologist, I actually agree with you that t...As a pathologist, I actually agree with you that too many of my colleagues give "cloaked" diagnoses that are too general, out of a desire to avoid being "wrong." As I near retirement, I see this as a generational thing... medical students and residents are not being taught or encouraged to use their knowledge and common sense to reach an actual conclusion. As a result our world of medical care becomes increasingly nebulous... and expensive... as more data are accrued to get to the "answer."<br /><br />As you might imagine, I choose doctors VERY carefully for my family!<br /><br />LungpathguyMark Wickhttp://markwickmd.comnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-55450301659269936202006-11-09T23:15:00.000-08:002006-11-09T23:15:00.000-08:00I had a surgery to remove a tumor from my kidney. ...I had a surgery to remove a tumor from my kidney. The surgery started at 2:00 P.M. on a Friday. A frozen section was supposed to be tested by a pathologist during surgery, but that never happened. Looking back, I think that my surgery lasted an extra 2 hours because the surgeon was trying to find a pathologist after 5:00 on a Friday and couldn't find one.<br /><br />After the surgery, the doctor told my family he did not think it was cancer and even hugged my sister. Five days later, right before I checked out of the hospital, he gave me the results of the Pathology report and told me it was cancer, but he had got it all.<br /><br />Two weeks later when I went to remove the staples, he tells me that I had positive margins. His followup plan was to wait three months and have a scan to see if the cancer came back.<br /><br />About one month after my surgery, I joined a kidney cancer email group on ACOR and told me story. They were alarmed and said to post the exact information from my pathology report to the list. After several attempts of having the report faxed to me, I finally received it and posted the information to the list.<br /><br />Everyone was dismayed at what my doctor had advised me for follow up. The report said I had a Fuhrman Grade 3 of 4 indicating an aggressive cancer. They recommended I get another opinion right away as they believed my entire kidney should be removed.<br /><br />Two Oncologists and the Chairman of the Glickman Urological Institute, Dr. Novick from the Cleveland Clinc all said my kidney should be removed right away.<br /><br />Thank God for the internet!!Unknownhttps://www.blogger.com/profile/11613534960302012372noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-74291728667945675272006-11-06T08:00:00.000-08:002006-11-06T08:00:00.000-08:00A doc personally confering with a pathologist or r...A doc personally confering with a pathologist or radiologist? Why, that's crazy talk!beajerryhttps://www.blogger.com/profile/16721586072565803661noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-88244178976981489342006-11-05T15:17:00.000-08:002006-11-05T15:17:00.000-08:00I don't have a primary doc, haven't for over ten y...I don't have a primary doc, haven't for over ten years, am in perfect health at age 66, but tripped and broke the hip. By the time I got to the emergency room I was doped to the gills with morphine but managed to answer all the questions. I don't know how I got the ortho surgeon who pinned the bones together, but I really liked him. My recovery is great.<br /><br />The point is, should I begin checking out different specialists, so that should another accident happen I can give a name, my preference, in OR? Not that I plan to make another such trip again, ever! I don't like hospitals, though my stay this time convinced me this one is very good!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-39741142738732828342006-11-04T02:49:00.000-08:002006-11-04T02:49:00.000-08:00Attention, friends of Miss Bee, November 4, 2006 i...Attention, friends of Miss Bee, November 4, 2006 is a special day for Miss Bee. There is a party going on at my blog, “sarge charlie”, which is on Miss Bee’s sidebar. Everyone is going to be there, stop on by and join the party.Sarge Charliehttps://www.blogger.com/profile/03533766216808955625noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-8454795859778070512006-11-03T13:57:00.000-08:002006-11-03T13:57:00.000-08:00Not that it matters much but I have woken up durin...Not that it matters much but I have woken up during 2 different surgeries and remember it. In both cases nothing hurt, I could hear the Dr's talking and knew they weren't done yet and and I must have moved because I heard them ask the anesthesiologist to up the dosage.<br /><br />I never mentioned it to them because I didn't think it was a big deal.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-78610982725857528822006-11-03T12:06:00.000-08:002006-11-03T12:06:00.000-08:00Thank you for being sensitive to the fact that wai...Thank you for being sensitive to the fact that waiting on a pathology report, even for a few days, is like walking on the glass shards of hell. But if you can't figure out who the competent ologists are how is anyone else expected to do so?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-81035978231577028632006-11-03T04:29:00.000-08:002006-11-03T04:29:00.000-08:00Thanatologist -- LOL! Complimentary parking valid...Thanatologist -- LOL! Complimentary parking validation and coins for the boat crossing... (quid pro quo Greek reference :P )<br /><br />And lookie lookie...without reading this post, you already addressed the comment I made in the previous post just a few minutes ago about "indecisive" radiologists. <br /><br />Speaking seriously (*cough*) I really can't see how physicians, ostensibly "enlightened" individuals wouldn't want to expand their knowledge, etc. at the expense of a little ego to say, "perhaps I do have something to learn here." I have always wanted to teach no matter what I did with medicine, so the idea of mentoring and being mentored is for me just as natural as breathing. Like breathing, it should be seamless and integral unless a toxic individual/relationship comes into play, at which point you're better off going elsewhere before you cough up more lung cookies.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-80013045451849832162006-11-02T17:19:00.000-08:002006-11-02T17:19:00.000-08:00Oh, and thank you for giving your patients biopsy ...Oh, and thank you for giving your patients biopsy results the same day. Nothing frustrates me more than to see some frightened patient in the ER who had a test (biopsy, CT scan, stress test) on Thursday and comes in Sunday or Monday night with the same concern.<br /><br />Of course their physician is not on call, and their partner doesn't know the test results.<br /><br />It happens so often it is apparently the standard of care around here, and it makes me sick.scalpelhttps://www.blogger.com/profile/12163296819469420123noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-68438134132007314202006-11-02T14:45:00.000-08:002006-11-02T14:45:00.000-08:00gosh if YOU feel this way, what must the rest of u...gosh if YOU feel this way, what must the rest of us feel like? when i had my lung surgery i had no idea who to get. my dr. was in another state and i knew no one to ask. sigh. i actually went to the yellow pages to start. then of course, i went online to check him out all i could, but you never really know. i was blessed with the best. <br /><br />and a funny side note, i asked his receptionist how he was and she told me he was wonderful and i later found out she was his WIFE! she has also been wonderful by the way... beeEmpress Bee (of the high sea)https://www.blogger.com/profile/08300140506585000934noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-86113761095471143082006-11-02T14:12:00.000-08:002006-11-02T14:12:00.000-08:00This segues nicely with your last post, in the sen...This segues nicely with your last post, in the sense that the best medical care is accomplished when physicians (and associates) work together seamlessly.scalpelhttps://www.blogger.com/profile/12163296819469420123noreply@blogger.com