Friedberg

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ecCA1

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Honestly, I am not sure what the fuss is about this guy. His input is very useful--even if he wants to make money off of it by trademarking the term "MIA," etc. It is obvious that when you do anesthetics outside the hospital that the risks are greater, and, as Friedberg stated in the CSA bulletin from 2003, the expectations are greater.

The public doesn't have a great understanding of what's going on when they're being anesthetized. The fact that they get discharged from breast implantation and the like the same day adds to the perception that we're just doing something simple, something that should NEVER result in a serious negative outcome. Knowing that this is the case, I'm glad that Friedberg published his book as it gives valuable insights into this area of anesthesia.

Overall, it shouldn't matter if Friedberg wants to maximize his profits doing what he does. Patients already refer to themselves as our "clients" and doctor-shop left and right before they settle on a physician. Times have changed--why shouldn't we with them?
 
His arrogant implicit assertion is that we are doing "cookie cutter" anesthesia and that he is somehow offering superior techniques. He minimizes the fact that what he is doing is general anesthesia but that somehow patients his patients are at a lower risk for negative outcome, even though many of us are already doing these same techniques and disclosing to our patients the fact that any anesthetic has risks. He's selling a pipe-dream, and misinforming the public about what we do. There is nothing unique, special, or unknown to what he is doing. The only difference is that he is a marketing huckster who's trying to put personality in front of the science.

I lump him in the same category as I do Andrew Weil, Mehmet Oz, Robert Jarvik, and a host of other wannabe "celebrity" docs. They care less about actual patient care and safety than they do about their own self-aggrandizement. That's the problem I have with his ilk. And, that is problem enough.

-copro
 
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