Re: Gyrus/Ligasure
From: Dr Eberhard W Lisse (el@lisse.na)
Wed Dec 31 02:58:31 2008
Agreed, neither me or you have any evidence to support your
statements :-)-O
el
On 30 Dec 2008, at 17:38 , Bernard Cristalli wrote:
> What are your evidences?
> :-)=0
>
> Dr Eberhard W Lisse a écrit :
>> Bernard,
>>
>> What you are saying, is total nonsense. Never mind unencumbered
>> by evidence.
>>
>> el
>>
>> On 30 Dec 2008, at 13:13 , R. Daniel Braun wrote:
>>
>>> Or perhaps change the time frames if 80% of his cases are on 20
>>> week size or
>>> greater uteri.
>>>
>>> Dan
>>>
>>> On Tue, Dec 30, 2008 at 3:30 AM, Bernard Cristalli
>>> <bcrist@club-internet.fr>wrote:
>>>
>>>> This is quality of care (with a touch of pissing contest)
>>>> Would you say a surgeon who performs all of his TVH in more than
>>>> one hour
>>>> is a professionnal?
>>>> He's a MD, sure, but not a surgeon.
>>>> This is a simple and "designed" procedure which has to be done in
>>>> less than
>>>> one hour in 95% and less than half an hour in 50% of the cases.
>>>> If it's not
>>>> so, the surgeon must quit or reappraise its indications.
>>>> Bernard
>>>>
>>>> Andrew Folley a écrit :
>>>>
>>>>> Does anyone else feel that all this talk about how fast we can
>>>>> do a
>>>>> surgery is totally unprofessional and inappropriate? agf
>>>>>
>>>>> ------------------------------------------------------------------------
>>>>> Date: Mon, 29 Dec 2008 12:03:44 -0600
>>>>> ------------------------------------------------------------------------
>>>>> From: rmodugno@aol.com
>>>>> ------------------------------------------------------------------------
>>>>> To: ob-gyn-l@mail.obgyn.net
>>>>> Subject: Re: Gyrus/Ligasure
>>>>>
>>>>> -----Original Message-----
>>>>> From: Dr Eberhard W Lisse <el@lisse.na>
>>>>> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net>
>>>>> Sent: Mon, 29 Dec 2008 1:09 am
>>>>> Subject: Re: Gyrus/Ligasure
>>>>>
>>>>> I generally ask my anesthetist to write down incision time and
>>>>> last
>>>>> staple/suture in at C/S and TAH. And I agree, I often find that my
>>>>> impression about how long it took is usually way off. 12
>>>>> minutes for a
>>>>> vaginal hysterectomy, who is he kidding?
>>>>> *****************************************************************
>>>>> One of my first attendings in residency in South Africa was S.
>>>>> Joel-Cohen. His book is based on the time and motion studies he
>>>>> did on many
>>>>> normal uteri - He took about 20 minutes per hysterectomy.
>>>>> Is speed always the quality indicator?I'm reminded of the story
>>>>> of the
>>>>> young bull and the old bull standing on a hill overlooking a
>>>>> herd of
>>>>> heifers. The young bull said:"Let's run down and have us a
>>>>> few!" The old
>>>>> bull said: " Let's walk down and do the lot!"
>>>>> Robert Modugno MD MBA FACOG
>>>>> Sylva, NC
>>>>>
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>>>>> http://windowslive.com/oneline/hotmail?ocid=TXT_TAGLM_WL_hotmail_acq_anywhere_122008
>>>>>>
>>>>>
>>>>
>>>
>>> --
>>> R. Daniel Braun, MD FACOG(L) ABMP CMTh
>>> Professor Emeritus
>>> Dept. of Obstetrics and Gynecology
>>> Indiana U. School of Medicine
>>>
>>> R. Daniel Braun
>>>
>>> "Science without Religion is LAME; Religion without Science is
>>> BLIND"
>>> Einstein 1941
>>
>> --
>> Dr. Eberhard W. Lisse \ / Obstetrician & Gynaecologist (Saar)
>> el@lisse.NA el108-ARIN / * | Telephone: +264 81 124 6733 (cell)
>> PO Box 8421 \ / Please send DNS/NA-NiC related e-mail
>> Bachbrecht, Namibia ;____/ to dns-admin@na-nic.com.na
>>
>
--
Dr. Eberhard W. Lisse \ / Obstetrician & Gynaecologist (Saar)
el@lisse.NA el108-ARIN / * | Telephone: +264 81 124 6733 (cell)
PO Box 8421 \ / Please send DNS/NA-NiC related e-mail
Bachbrecht, Namibia ;____/ to dns-admin@na-nic.com.na