MH in the news

[toughlife]

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Your kung fu is strong, you have done well in blowing my "cover", nice work 👍.

However, I have roughly 15 other usernames I have made over the last 3 years that you have no clue who I am (you would be surprised as to the information that I have collected, and what I have cracked. This is an internet site and anything can be hacked into with the right software 🙂)

You should really hear how you have sounded over the years, I have a nice file on you. Your banter over the years does not present well and will be quite humorous when I post my collection of "key phrases" in my upcoming "Anesthesia Review Blog - Highlighting the "stars" of the Anesthesia Blog and Forum world" at http://anesthesiawebreview.blogspot.com. I have to thank you as you have provided some of the most "animated" material.


You have won this battle grasshoppa........

Thanks for the compliment. Never imagined people cared enough about my rants. I am honored.

 

[Gern Blansten]

It is a nice picture isn't it 🙂

BTW we had moved the patient from the table to the stretcher and the OR nurse re-applied the leads. The patient was fine and I wasn't worried 'bout fixing "the leads".

The picture tells a different story. Clearly he is on the OR table complete with the attachments on the side to attach IV poles. The stretcher is the thing next to it as best I can tell. Oh, and by the way, YOU are the "OR nurse."

 

[amyl]

just on the today show the lawyer says not enough dantrolene was given...seems like there was not enough on hand in the surgery center....
now i know they will sue everyone - anesthesiologist, surgeon, owner of the surgery center, etc. my question is who is ultimately liable in this situation? owner of the surgery center...? anesthesiologist? manager of the surgery center? who's job is it to make sure they have enough of this stuff around?

 

[jwk]

just on the today show the lawyer says not enough dantrolene was given...seems like there was not enough on hand in the surgery center....
now i know they will sue everyone - anesthesiologist, surgeon, owner of the surgery center, etc. my question is who is ultimately liable in this situation? owner of the surgery center...? anesthesiologist? manager of the surgery center? who's job is it to make sure they have enough of this stuff around?

Lots of missing details (although of course the ambulance chaser has ALL the facts, ALL the answers, and knows EXACTLY who is at fault). How much dantrolene was given? When? How much was actually available in the center? (if you guess 60kg x 2.5mg/kg, and 20mg/vial, that's 8 vials to start, just for the first dose, with doses 4-12 times that amount sometimes needed) How long into the procedure before a problem was noted, and then recognized? How much time elapsed before the patient was transferred to an appropriate hospital with more services (stat labs, etc.) available? Interesting that the family themselves claim it was a "state of the art facility". Based on what? (Remember "Dr." George Hamilton in Doc Hollywood ? ) I'm sure it was very pretty - but I'll bet they didn't ask the really pointed questions (nor would anyone else of course) about crash carts, MH carts, ACLS certification and currency, etc.

And I would imagine, as usual, that everyone will get sued. Surgeon, anesthesiologist, ASC, receiving hospital, etc. Did the surgeon own the center? If so did he (or whoever the owner is) have an adequate supply of dantrolene available? If not, why not, and did they have an alternate source readily available (some ASC's "share" a supply of dantrolene to limit the cost) Do they review MH protocols with the staff from time to time? What was the EMS response time? Did the ASC have emergency transfer protocols? Did anyone go with the patient from the center or just the medics?

Lots of questions for sure.

 

[wcostell]

I think the reason that the Plastic Surgeon was interviewed is the same reason that this story is in the news. Granted, MH is super rare and if it happens we get all nerdy about how fascinating it is, but I'm sure the last few cases of MH weren't chronicled on CNN. The issue is that it occured to a High Schooler undergoing breast augmentation!

In that sense, it is appropriate that the surgeon who is offering this procedure to this girl take the heat for it. Granted, the Anesthesiologist could possibly have recognized it earlier, been better prepared to treat it, even objected to sleeping the patient for the procedure in the first place. That being said, the person with the most control over patient selection is the surgeon. And 18 or no, high schoolers shouldn't be exposed to the the risk of surgery for something they're too young to know they probably don't need anyway.

(Steps down from Soapbox)

I'm not saying there is anything wrong with a set of well constructed boobies, just that a girl should really have more ammo to make this decision than four years of adolescent peer pressure.

 

[amyl]

i guess she actually was not having augmentation. it was reported (often) on the local news here that she was born with some sort of nipple abnormality that she always wanted corrected and was self conscious about.

 

[Bertelman]

i guess she actually was not having augmentation. it was reported (often) on the local news here that she was born with some sort of nipple abnormality that she always wanted corrected and was self conscious about.

It's quite sad that even though many of us don't know what she looks like (and I don't care to), we all know she has a "nipple defect".

Sometimes I hate the media and the insatiable demands of society for crap like this. A little personal privacy would be nice. I really don't think the manner of surgery she was undergoing is relevant. At best, it would add interest to know she was having an elective procedure. Beyond that, any other details are extraneous at best.