Podcast Central

[SCcoug]

I enjoyed this episode of Peter Attia's podcast, the drive, with Apolo Anton Ohno.

https://peterattiamd.com/apoloohno/

[Bo Diddley]

Thank you. Really glad I got to visit with her a few weeks ago.

Glad you had that. Sorry for your loss.

[smokymountainrain]

can i get a referral? my mother in law needs a fusion

[Pelado]

Sorry to hear about your aunt, Pelado.

Thank you. Really glad I got to visit with her a few weeks ago.

[Northwestcoug]

Sorry to hear about your aunt, Pelado.

[Pelado]

can i get a referral? my mother in law needs a fusion

Sure. Let me get the surgeon's deets for you.

[old_gregg]

As far as I know, there were no symptoms of problems immediately following the surgery. She went into the hospital yesterday and they initially thought it was a heart attack. She either went into a coma or it was induced - not yet clear to me which. A few hours later we were notified that she had passed.

Couldn't help but think of this article when I heard the news.

can i get a referral? my mother in law needs a fusion

[Pelado]

My aunt passed away yesterday from complications related to a back surgery performed last week.

As far as I know, there were no symptoms of problems immediately following the surgery. She went into the hospital yesterday and they initially thought it was a heart attack. She either went into a coma or it was induced - not yet clear to me which. A few hours later we were notified that she had passed.

Couldn't help but think of this article when I heard the news.

[smokymountainrain]

My aunt passed away yesterday from complications related to a back surgery performed last week.

[Pelado]

My aunt passed away yesterday from complications related to a back surgery performed last week.

[hostile]

I would appreciate your insight into how many surgeries a spine fellow should do. Sounds like this guy did under 100 surgeries as a neurosurgery resident and under 100 as a spine fellow. Seems low — in cardiology it’s typical to have done 1000 procedures in training before you work on your own.

One of the crazy things about medical training is that no matter how many cases you do as a resident/fellow, there is still a moment of truth where you need to step up all by yourself and do a difficult thing on your own as an attending doctor.

I think with cardiology procedures about 98% can do it but there probably are 2% who function fine in the “assistant” role alongside an attending but literally can’t do it safely on their own and should probably quit. I don’t know how you tell somebody who has invested 4 years of med school and 7-8 years of subsequent training that they just can’t cut it — there needs to be a way to weed out these people earlier I guess.

I talked with one of the neurosurgeons about this. He said he did around 600 cases/year during residency.

I did a bit over 600 during my fellowship year. Currently I do around 550-600/year although this year I’ll end up well past 600.

I remember doing one of my first pelvic fractures on a 550 lb patient. I was expecting an attending to look over my shoulder and tell me what to do next.

[CardiacCoug]

My PA mentioned this one for me to listen to.

I would appreciate your insight into how many surgeries a spine fellow should do. Sounds like this guy did under 100 surgeries as a neurosurgery resident and under 100 as a spine fellow. Seems low — in cardiology it’s typical to have done 1000 procedures in training before you work on your own.

One of the crazy things about medical training is that no matter how many cases you do as a resident/fellow, there is still a moment of truth where you need to step up all by yourself and do a difficult thing on your own as an attending doctor.

I think with cardiology procedures about 98% can do it but there probably are 2% who function fine in the “assistant” role alongside an attending but literally can’t do it safely on their own and should probably quit. I don’t know how you tell somebody who has invested 4 years of med school and 7-8 years of subsequent training that they just can’t cut it — there needs to be a way to weed out these people earlier I guess.

[CardiacCoug]

isn’t one point of that how hard it is for a layman to verify proven good outcomes ?

Yes I agree. One of the lawyers involved in prosecuting Duntsch is shocked to hear his own primary doctor mentioned as one of the doctors who sent patients to Duntsch.

I guess one simple screening test would be to choose a doc who has been at the same hospital for 5+ years. That would probably weed out the worst of the worst docs at least.

[Omaha 680]

Just listened to the Dr. Death podcast. Holy shit — stay away from any surgeon unless he has proven good outcomes for many years.

https://www.propublica.org/article/d...t-was-criminal

I read that article a couple weeks ago. The story from the doctor who saw him cutting out a ligament around the spine that wasnt supposed to be disturbed during that particular procedure turned my stomach. WTF would you do if you witnessed something like that?

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[Applejack]

Just listened to the Dr. Death podcast. Holy shit — stay away from any surgeon unless he has proven good outcomes for many years.

https://www.propublica.org/article/d...t-was-criminal

Baylor. Why does everything bad come from Texas?