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Re: SignOnSanDiego.com News State -- Orange County surgeons cut into wrong side of child's head From: Joanne Bulley, MD (islesannie@yahoo.com) Tue Mar 28 14:09:06 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley, MD: "Resection and Rollerball" Previous message: rmodugno@aol.com: "SignOnSanDiego.com News State -- Orange County surgeons cut into wrong side of child's head" In reply to: rmodugno@aol.com: "SignOnSanDiego.com News State -- Orange County surgeons cut into wrong side of child's head" This is the type of thing that understandably makes big news - but it is also somthing I really don't understand. As a surgeon - we can't be only 99.9% here - it is like plane landings - anything less than 99.9999% is really unacceptable. If 1/1000 plane landings are messed up - or 1/1000 suregeries are on the wrong side - it is just unacceptable. We ALWAYS do the time out in our OR and on anything where there is a laterality - the patient (or if a child - the parent) has to use the indelible OR marking pen to show what side he or she understands is being operated on. In Gyn of course - we have to look inside to be sure which side is the problem. I have certainly had cases where the radiologist was certain it was ovary - when it was an appendiceal tumor - or that it was the right ovary - but infact it was the left ovary that was malpositioned into the right side because the size displaced it over there. I firmly agree with the time outs and the patient marking. But nothing substitutes for the surgeon's responsibility to have the films there - the records there and personally making sure that the correct side is operated upon - be it the left or right ankle - or the left or right temple! Joanne At Tue, 28 Mar 2006, rmodugno@aol.com wrote: > >*Please note, the sender's email address has not been verified. > >Don't forget the "time-out'! > >-- -- Joanne Bulley, MD Keene, NH, USA "Love is indescribable and unconditional. I could tell you a thousand things that it is not, but not one that it is." — Duke Ellington, American jazz artist (1899-1974). Next message: Joanne Bulley, MD: "Resection and Rollerball" Previous message: rmodugno@aol.com: "SignOnSanDiego.com News State -- Orange County surgeons cut into wrong side of child's head" In reply to: rmodugno@aol.com: "SignOnSanDiego.com News State -- Orange County surgeons cut into wrong side of child's head"

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