Another victim of hospitals not wanting to pay their group?

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Iso4ane

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I know we like to disparage bad surgeons, but this guy came across my attention recently. After looking at some of it, some of it may be bad surgeon some of it may be hospital throwing surgeon under the bus.

Let’s be honest, intraoperative management of hemorrhagic/hypovolemic shock is definitely something that is under the purview of the anesthesiology team. What treating but not mentioned is that this particular hospital, didn’t renew its contract with the private practice group a few years ago, even that group still supplies a sister hospital. That hospital is now staffed by a national AMC who is clearly hurting if you look at the Gaswork listings. Is this like another Providence OAG situation?



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There are bad neurosurgeons everywhere

He’s not the first or last surgeon to do what’s deemed unnecessary surgery. There was a whistle blower case around 2011 (settled in 2014) in Florida where the hospital got fine 85 million and the whistle blower got 20 million for unnecessary neurological surgery especially back surgery. Surgeons incentives to do double the usually spine fusions. Hospital help covered it up. Stark law violations.
 
In July, Hatef was reportedly treating a 72-year-old patient with several conditions, including morbid obesity, hypertension and a history of transient ischemic attack and pulmonary embolism. The patient complained of leg pain in both legs and numbness in the hands, according to the letter.
Hatef recommended and performed a joint fusion that generally extended from the base of the patient’s skull to his sacrum, according to the letter. Following the procedure, the patient had complications, including hemorrhagic shock.
I mean this sounds like a nightmare case.
 
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I know we like to disparage bad surgeons, but this guy came across my attention recently. After looking at some of it, some of it may be bad surgeon some of it may be hospital throwing surgeon under the bus.

Let’s be honest, intraoperative management of hemorrhagic/hypovolemic shock is definitely something that is under the purview of the anesthesiology team. What treating but not mentioned is that this particular hospital, didn’t renew its contract with the private practice group a few years ago, even that group still supplies a sister hospital. That hospital is now staffed by a national AMC who is clearly hurting if you look at the Gaswork listings. Is this like another Providence OAG situation?



Regardless of the intra operative resuscitation issues was the surgeon competent to handle complex cases etc?

The surgeon should know their limits. Some are super stars and can handle anything and everything. Others aren't. There isn't any shame in deferring a very complex case for a second opinion etc.

The Ohio State University medical center is basically 20 minutes away from Mt Caramel. It's not like it's some medical desert.
 
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