Inadvertent liver resection

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By the way, this is the address of record on the board of health order. Apparently they still name streets “Olde Plantation Place”.

www.realtor.com

4516 Olde Plantation Pl, Destin, FL 32541 | realtor.com®

View 122 photos for 4516 Olde Plantation Pl, Destin, FL 32541, a 5 bed, 5.5+ bath, 6,887 Sq. Ft. single family home built in 2002 that was last sold on 07/28/2020.
www.realtor.com www.realtor.com

Might partly explain why IR embo was not offered.

Would also be interesting to see if the autopsy and preop imaging findings of the spleen correlate.
 
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nimbus said:
By the way, this is the address of record on the board of health order. Apparently they still name streets “Olde Plantation Place”.

www.realtor.com

4516 Olde Plantation Pl, Destin, FL 32541 | realtor.com®

View 122 photos for 4516 Olde Plantation Pl, Destin, FL 32541, a 5 bed, 5.5+ bath, 6,887 Sq. Ft. single family home built in 2002 that was last sold on 07/28/2020.
www.realtor.com www.realtor.com

Might partly explain why IR embo was not offered.

Would also be interesting to see if the autopsy and preop imaging findings of the spleen correlate.
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That house is wild.
 
nimbus said:
By the way, this is the address of record on the board of health order. Apparently they still name streets “Olde Plantation Place”.

www.realtor.com

4516 Olde Plantation Pl, Destin, FL 32541 | realtor.com®

View 122 photos for 4516 Olde Plantation Pl, Destin, FL 32541, a 5 bed, 5.5+ bath, 6,887 Sq. Ft. single family home built in 2002 that was last sold on 07/28/2020.
www.realtor.com www.realtor.com

Might partly explain why IR embo was not offered.

Would also be interesting to see if the autopsy and preop imaging findings of the spleen correlate.
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Homestead exemption in FL is very generous I beleive. Correct me if I am wrong, but assuming it is his primary residence, I beleive it is safe from creditors/litigation. Probably useful for this guy.
 
rick roller pump said:
Homestead exemption in FL is very generous I beleive. Correct me if I am wrong, but assuming it is his primary residence, I beleive it is safe from creditors/litigation. Probably useful for this guy.
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The court would look at your assets and let the other sides lawyers put a lien against it, essentially making your house much harder to sell and it would go at a much lower price to come corporate entity as most normal buyers can’t get financing for a house with a lien
 
nimbus said:
By the way, this is the address of record on the board of health order. Apparently they still name streets “Olde Plantation Place”.

www.realtor.com

4516 Olde Plantation Pl, Destin, FL 32541 | realtor.com®

View 122 photos for 4516 Olde Plantation Pl, Destin, FL 32541, a 5 bed, 5.5+ bath, 6,887 Sq. Ft. single family home built in 2002 that was last sold on 07/28/2020.
www.realtor.com www.realtor.com

Might partly explain why IR embo was not offered.

Would also be interesting to see if the autopsy and preop imaging findings of the spleen correlate.
Click to expand...
The vast majority of general surgeons aren't paid that well to begin with. And now income is nil. Will be listed soon enough.
 
This house would be a nightmare to own, all those pools/fish tanks/trees/landscaping probably cost hundreds to thousands a month in upkeep. Add to that it’s 20 years old so the roof appliances etc are all going to need replacing, and a hurricane just went over it.

Maybe this guy just makes a lot of bad decisions in general?
 
ambiturner said:
This house would be a nightmare to own, all those pools/fish tanks/trees/landscaping probably cost hundreds to thousands a month in upkeep. Add to that it’s 20 years old so the roof appliances etc are all going to need replacing, and a hurricane just went over it.

Maybe this guy just makes a lot of bad decisions in general?
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If I had that much space, I would definitely have a ping pong table and some old school arcade games…space invaders, asteroids, etc. Bad decisions indeed.
 
nimbus said:
If I had that much space, I would definitely have a ping pong table and some old school arcade games…space invaders, asteroids, etc. Bad decisions indeed.
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We had Space Invaders (table top) and Cosmic Blasters in our play room when I was a kid with a pool table. We got them all at an orthopaedic surgeon's estate sale. My dad was upset my mom didn't get the pinball machine for him. Were we spoiled? Yeah, but I didn't know it at the time. (We did not have a Nintendo, though.)
 
nimbus said:
If I had that much space, I would definitely have a ping pong table and some old school arcade games…space invaders, asteroids, etc. Bad decisions indeed.
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I thought of doing this but you'd probably use it less than you think
My friend bought a ping pong table and it just sits there in the house, they used it once.
 
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GassYous said:
I thought of doing this but you'd probably use it less than you think
My friend bought a ping pong table and it just sits there in the house, they used it once.
Click to expand...

The problem with ping pong and air hockey is that you need someone else to play with you. Billiards, pinball, and video games you can play yourself. Ask me how I know…
 
GassYous said:
I thought of doing this but you'd probably use it less than you think
My friend bought a ping pong table and it just sits there in the house, they used it once.
Click to expand...
I would probably do pinball machine(s) and a build your own arcade cabinet that could load multiple games for variety
 
Hahaha
IMG_8736.jpeg
 
Perfectly dissecting a liver off the diaphragm IS a tough feat. This guy had to transect huge thin walled vessels both above and below the liver to get it out and I would have assumed he had just torn them if he was lost anatomically. Wonder what vessel above the spleen he thought the IVC was. Relatable: another general surgeon walked in the room, saw the back table, said "that's the ****ing liver" and noped right out of there. Clearly she didn't want to be part of the ensuing lawsuit by being named a participant, and it was too late at that point anyways. Maybe I'm crazy, but if my patient is coding on the table, I'm helping to code them, not continuing to work in the abdomen (although I would try to clamp a bleeder if that was the problem) while everyone else tries to save them. Lots of questions remain. And the CMO came into the OR to help with a code? WTF indeed.
 
I figured the CMO must’ve been a surgeon. Many times, the CMO can’t even find the OR.
 
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How common is it not to have an attending anesthesiologist come to help with a massive resuscitation? Patient was dead no matter what but kind of sad the CRNA is the only one managing the anesthesia portion of the code
 
The guy sounds like a dopey hack that everyone knew was weak, but not weak enough to get canned. Though it also seems like he had a pattern of misadventures that were never reported. Things that he should have reported himself.
Also, why is a splenectomy some major surgery where you need 2 attending surgeons and lots of blood products and it has to be scheduled early in the day? WTF?
If I’ve made one good decision that has made my career easier, even though I’ve worked at a couple of big deal, big name referral centers, I made sure I worked at places that have great surgeons. Maybe not the fastest, but clearly 2 standard deviations above the mean. They are experts at what they do and make major cases look routine. These hacks can’t even do a fracking splenectomy. Omfg.
 
IlDestriero said:
The guy sounds like a dopey hack that everyone knew was weak, but not weak enough to get canned. Though it also seems like he had a pattern of misadventures that were never reported. Things that he should have reported himself.
Also, why is a splenectomy some major surgery where you need 2 attending surgeons and lots of blood products and it has to be scheduled early in the day? WTF?
If I’ve made one good decision that has made my career easier, even though I’ve worked at a couple of big deal, big name referral centers, I made sure I worked at places that have great surgeons. Maybe not the fastest, but clearly 2 standard deviations above the mean. They are experts at what they do and make major cases look routine. These hacks can’t even do a fracking splenectomy. Omfg.
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He was horrible , amazed he wasn’t fired.
 

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They started this elective splenectomy at 5:30pm. Perfect time of the day to do a big elective case. It is odd that they rarely mention the anesthesiologist. Interviewed the CRNA.

Dude previously severed the CBD, severed a ureter, and mistook the adrenal for the pancreas in other cases. But, whatever, he is generating RVUs.
 
Ronin786 said:
Funny thing is they clearly have a robust reporting system, peer review process and remediation and still this guy kept his privileges.

The last time he ****ed up they gave him modules to complete.

What a joke.
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Probably a difficult to staff location. They will put up with more.
 
Ronin786 said:
Funny thing is they clearly have a robust reporting system, peer review process and remediation and still this guy kept his privileges.

The last time he ****ed up they gave him modules to complete.

What a joke.
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"Please spend 20 hours playing surgery simulator with your child at home. See you next week. Thanks."
 
Reading this gives me a newfound respect for my own hospital that has fired 2 subspecialty surgeons since i got here 3 years ago despite them being the highest RVU generating docs in the whole institution not to mention god only knows how much downstream revenue.

Makes me wonder where the surgery dept chief was in all of the lead up to this. Where’s the chat over a cup of coffee to talk about things? Maybe they did that and it just didn’t make the report.

I just feel like if I tried to book a case that was way beyond my skills that someone would call one of my senior partners and they would have a chat with me about it. Shoot, I got a lot of similar calls early on when I was doing sub specialty cases that hadn’t been done here before just to check in and make sure everything was ok, offering a hand if needed.
 
operaman said:
Reading this gives me a newfound respect for my own hospital that has fired 2 subspecialty surgeons since i got here 3 years ago despite them being the highest RVU generating docs in the whole institution not to mention god only knows how much downstream revenue.

Makes me wonder where the surgery dept chief was in all of the lead up to this. Where’s the chat over a cup of coffee to talk about things? Maybe they did that and it just didn’t make the report.

I just feel like if I tried to book a case that was way beyond my skills that someone would call one of my senior partners and they would have a chat with me about it. Shoot, I got a lot of similar calls early on when I was doing sub specialty cases that hadn’t been done here before just to check in and make sure everything was ok, offering a hand if needed.
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At a place like that, it wouldn’t surprise me if he actually was the chief of surgery
 
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