tag:blogger.com,1999:blog-30499448.post115238231025408838..comments2024-02-18T13:53:30.168-08:00Comments on Surgeonsblog: Hard caseSid Schwabhttp://www.blogger.com/profile/14182853083503404098noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-30499448.post-45132510316841590592007-02-28T20:21:00.000-08:002007-02-28T20:21:00.000-08:00Having core biopsies before seeing a surgeon bothe...Having core biopsies before seeing a surgeon bothers me more than the directing of care, as a matter of fact: I've seen many patients who'd had stereotactic biopsies of easily palpable lesions, instead of a fine-needle aspiration at one tenth the cost. I think surgeons should be involved in the decision tree before any interventions are done. In the best of all worlds, we'd be working together and communicating directly, rather than via reports. My dream was to work in a dedicated breast care center that included surgeons, oncologists, radiologists and pathologists who talked together over each case, who were on the same page, all the time. Think of the efficient and rapid care that would be rendered!Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-71522101244165226282007-02-28T20:12:00.000-08:002007-02-28T20:12:00.000-08:00Hi, nice blog.Just have to take issue with your co...Hi, nice blog.<BR/>Just have to take issue with your comment about hating when a radiologist recommends the next diagnostic step/biopsy. As a breast radiologist, we are OBLIGATED to provide a final diagnostic category (BIRADS, which I am sure you are familiar) and the two highest concern categories explicitly state biopsy to be considered or biopsy highly recommended respectively. <BR/><BR/>To not indicate that is below the standard or care!!!! As radiologists we strive to provide comprehensive breast diagnostic services. In many institutions (including ours) the patient would have been recalled directly to discuss the findings with us, and if agreeable, a stereo core would have been done before she arrived in your clinic.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-1153361050542169402006-07-19T19:04:00.000-07:002006-07-19T19:04:00.000-07:00I hope she someday finds peace with what life has ...I hope she someday finds peace with what life has dealt her. Sorry you got caught in the crossfire of her emotions...nuclearvisionhttps://www.blogger.com/profile/15234802591459481539noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-1153158499031201342006-07-17T10:48:00.000-07:002006-07-17T10:48:00.000-07:00After working in a Radiology department at a commu...After working in a Radiology department at a community hospital for a year, I can understand the level of anxiety that women undergo in regards to their mammos: there is such a huge level of suspicious calcifications out there.<BR/><BR/>Also, so glad to see you blogging! I bought your book and have read it several times, it's simply incredible, I've been hoping to read more from you and re: your experiences.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-1153069276563379312006-07-16T10:01:00.000-07:002006-07-16T10:01:00.000-07:00Sid,great insight you write about. I had a similar...Sid,<BR/><BR/>great insight you write about. I had a similar discussion re. breast reconstruction with a patient who was furious that she was 'mutilated' for a simple mastectomty that was done (appropriately) for multi-focal DCIS. I must have spent an hour being attacked for someone else's surgery when I tried to explain I would have done it the same way.<BR/><BR/>Cheers!<BR/>Rob Oliver<BR/><BR/>check me out at http://plasticsurgery101.blogspot.com/Dr. Rob Oliver Jr.https://www.blogger.com/profile/09059882318849767896noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-1152878374426247512006-07-14T04:59:00.000-07:002006-07-14T04:59:00.000-07:00oh , another surgeon blog! welcome.oh , another surgeon blog! welcome.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-1152480918049047992006-07-09T14:35:00.000-07:002006-07-09T14:35:00.000-07:00some things we never forget, and some patients nev...some things we never forget, and some patients never seem to give us peace...that's why we blog. welcome to the blogosphere :)Anonymousnoreply@blogger.com