- Joined
- Aug 5, 2005
- Messages
- 3,637
- Reaction score
- 1,141
I recently saw a patient with a sub-cm acoustic neuroma that was essentially in the middle ear. Given its proximity to the cochlea and vestibular apparatus, I recommended fractionated RT instead of SRS.
The patient sought a second opinion with an ENT in a major city and they wrote in their note that fractionated RT would be very likely to cause hearing and balance issues and they recommended "Gamma Knife" instead. Keep in mind we have both IMRT and SRS capability in my clinic.
My partner doesn't think it's worth calling these people out because they never change. But this kind of thing just annoys me. The patient hasn't called back because they are convinced that this other surgeon from the big city must be right and I don't know what I'm doing - when the exact opposite is true.
How do you guys deal with this?
The patient sought a second opinion with an ENT in a major city and they wrote in their note that fractionated RT would be very likely to cause hearing and balance issues and they recommended "Gamma Knife" instead. Keep in mind we have both IMRT and SRS capability in my clinic.
My partner doesn't think it's worth calling these people out because they never change. But this kind of thing just annoys me. The patient hasn't called back because they are convinced that this other surgeon from the big city must be right and I don't know what I'm doing - when the exact opposite is true.
How do you guys deal with this?