This guy is Bonkers!!!

[soonerfrog]

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Members don't see this ad.

http://www.anchoranesthesia.com/201...ogist-performs-back-surgery-without-training/

 

[PsychYouOut]

Wow! That's crazy! Talk about practicing outside the scope of your training & education. Jeez!

 

[deleted126335]

He is not crazy. He just has no regard for his patients. Big difference.

 

[periopdoc]

I bet his outcomes are no better or worse than the professional spine surgeons. He should be the poster boy for Obama/ Sebelliius and the Certified Professional Midwife folks. Training, we don't need no stinking training.

Wow it only took 4 posts to "go there"

- pod

 

[MTGas2B]

Confident incompetence. The killer combination.


On the iPhone

 

[PMPMD]

A “two-week fellowship in Seoul, [South] Korea, in minimally invasive spinal surgery … falls far short” of the three-year residency and two-year fellowship training spine surgeons in the United States receive, according to the complaint filed with the Board of Medical Examiners.

???

Ortho spine = 5 + 1
Neurosurg spine = 6-7 +/- 1

 

[proman]

Kaul was barred from practicing medicine in England after his conviction in the 1999 death of a woman for whom he administered anesthesia during routine dental work. He was talking on his cellphone and not monitoring the patient when she suffered a heart attack after the procedure, a dental assistant testified at a jury trial. Kaul also had reportedly turned off a monitor because the noise annoyed him. Kaul disputed that at his trial, yet admitted the error, according to state records.

That's not so good either.

 

[Noyac]

He may be bonkers but how many docs have you seen admit to there mistakes like this one:
"I made a grave mistake which had fatal consequences," he testified. "A brief period of inattention led to another person's demise. Every day since it's happened, I've thought about my actions and about how if only I had done my job properly that day, [the patient] would still be alive."
After the trial, he admitted "I was grossly negligent" and accepted "full and total responsibility for my actions that day."

I will give him credit for this even if he is way out of his area of expertise now.

 

[Gasworks]

2 of my former residency classmates did this "korean spine surgery fellowship" and are now doing percutanous disc resections. They have had some trouble getting paid by insurance for these procedures but no trouble finding surgery centers to do them in.

As for me I get to stand there and pump gallons of diprivan while a guy I wouldn't let operate on my goldfish hammers trocars into a patients back with no neuro or ortho backup, no spine instruments available and a "monitoring guy" who doesn't know an MEP from a BLT.

FML

 

[lobelsteve]

2 of my former residency classmates did this "korean spine surgery fellowship" and are now doing percutanous disc resections. They have had some trouble getting paid by insurance for these procedures but no trouble finding surgery centers to do them in.

As for me I get to stand there and pump gallons of diprivan while a guy I wouldn't let operate on my goldfish hammers trocars into a patients back with no neuro or ortho backup, no spine instruments available and a "monitoring guy" who doesn't know an MEP from a BLT.

FML

Does that make you an accomplice?

 

[Gern Blansten]

The accomplice talk makes me think of about 12-15 years ago when many chiropractors were trying to do manipulations under anesthesia and had gotten privileges to do so a some places. The anesthesia groups were then faced with the dilemma of whether or not to provide anesthesia services for this. Does anyone else remember this issue from the past? I was not affected by it, so I never heard any outcome. Is anyone doing this? It seems like I recall that the ASA came out against it and it went away, but, like I said, my memory is fuzzy on it.
I would suspect that if privileges were granted to the above anesthesiologists turned "spine proceduralists," that you would probably be exonerated after some huge legal hassles if you had a bad outcome, but it would definitely be of some concern. Sometimes I wonder how a physician that "sees malpractice" and turns the other way would be viewed by the medical licensing boards if it could be proven. For example, if you know a physician treated a patient while chemically impaired and said or did nothing, will you be reprimanded by the licensing boards? Just curious if anybody has seen it occur.

 

[IlDestriero]

The accomplice talk makes me think of about 12-15 years ago when many chiropractors were trying to do manipulations under anesthesia and had gotten privileges to do so a some places. The anesthesia groups were then faced with the dilemma of whether or not to provide anesthesia services for this. Does anyone else remember this issue from the past? I was not affected by it, so I never heard any outcome. Is anyone doing this? It seems like I recall that the ASA came out against it and it went away, but, like I said, my memory is fuzzy on it.
I would suspect that if privileges were granted to the above anesthesiologists turned "spine proceduralists," that you would probably be exonerated after some huge legal hassles if you had a bad outcome, but it would definitely be of some concern. Sometimes I wonder how a physician that "sees malpractice" and turns the other way would be viewed by the medical licensing boards if it could be proven. For example, if you know a physician treated a patient while chemically impaired and said or did nothing, will you be reprimanded by the licensing boards? Just curious if anybody has seen it occur.

In this case, the proceduralist did some kind of training and is credentialed to do that procedure at that center. As someone who isn't a spine surgeon or "fellowship" trained guy, how would you really know malpractice if you saw it. If the neuro monitoring guy doesn't know how to monitor properly, how would you know? Unless something truly unbelievable is going on, I don't see how you would be liable for anesthetizing these patients. You might be part of the litigation shotgun when it all goes wrong. I certainly wouldn't want to work with shady cowboy hacks, I think that really does increase your risk.
That is very different than working with a surgeon that you know is drunk or on drugs on the job. I think that you could hang for that, and it's indefensible. That's something I wouldn't ever knowingly do.

 

[Gern Blansten]

In this case, the proceduralist did some kind of training and is credentialed to do that procedure at that center. As someone who isn't a spine surgeon or "fellowship" trained guy, how would you really know malpractice if you saw it. If the neuro monitoring guy doesn't know how to monitor properly, how would you know? Unless something truly unbelievable is going on, I don't see how you would be liable for anesthetizing these patients. You might be part of the litigation shotgun when it all goes wrong. I certainly wouldn't want to work with shady cowboy hacks, I think that really does increase your risk.
That is very different than working with a surgeon that you know is drunk or on drugs on the job. I think that you could hang for that, and it's indefensible. That's something I wouldn't ever knowingly do.

I agree. At my place it would go to the ethics committee and progress from there. Some states have laws in place where inaction by ethics committees or faculty will cause reprimand to those physicians' licenses. Just curious if anyone has ever seen it enforced.

 

[Gasworks]

The accomplice talk makes me think of about 12-15 years ago when many chiropractors were trying to do manipulations under anesthesia and had gotten privileges to do so a some places. The anesthesia groups were then faced with the dilemma of whether or not to provide anesthesia services for this. Does anyone else remember this issue from the past?

We give sedation for MUA's also.. same surgery center. Sometimes the pain idiot does his thing, we flip the patient, the chiro tags in and yanks limbs for a few minutes. Our group has no dilemnas providing anesthesia for any paying patient. I die a little on the inside with each of these cases.

FML- my new personal motto.

 

[IlDestriero]

We give sedation for MUA's also.. same surgery center. Sometimes the pain idiot does his thing, we flip the patient, the chiro tags in and yanks limbs for a few minutes. Our group has no dilemnas providing anesthesia for any paying patient. I die a little on the inside with each of these cases.

FML- my new personal motto.

Considering the specialty has come out against that practice, I wouldn't provide it. When the badness happens there will be no shortage of lawyers lining up and experts to testify for the plaintiff.

Cheers!

 

[Arch Guillotti]

We give sedation for MUA's also.. same surgery center. Sometimes the pain idiot does his thing, we flip the patient, the chiro tags in and yanks limbs for a few minutes. Our group has no dilemnas providing anesthesia for any paying patient. I die a little on the inside with each of these cases.

This sounds crazy. What would happen if you refused? Bad feelings from other partners?

 

[urge]

I bet his outcomes are no better or worse than the professional spine surgeons.

- pod

I concur.

 

[Gasworks]

This sounds crazy. What would happen if you refused? Bad feelings from other partners?

I'd be sent packing.. maybe not that day or the next but we've had 2 rounds of haircuts this year and the complainers have been the ones to go. This is just an example of the fun and games in private practice.. something for the residents to think about when looking for a job.

Now I'm not saying all private practices are run this way, but in my area there is an obscene amount of competition between groups and the hospitals and surgery centers know this. We are just trying to survive and although it sounds like a total cop-out the reality is that if we don't provide the service that our facilities demand, they'll be happy to replace us with a group that will.

 

[Arch Guillotti]

Ouch. That's what it sounded like.

I'd be sent packing.. maybe not that day or the next but we've had 2 rounds of haircuts this year and the complainers have been the ones to go. This is just an example of the fun and games in private practice.. something for the residents to think about when looking for a job.

Now I'm not saying all private practices are run this way, but in my area there is an obscene amount of competition between groups and the hospitals and surgery centers know this. We are just trying to survive and although it sounds like a total cop-out the reality is that if we don't provide the service that our facilities demand, they'll be happy to replace us with a group that will.

 

[Narcotized]

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