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Re: Assistants at surgeryFrom: dahmd@gate.netSat Aug 3 08:37:38 1996
In article Arthurfree@aol.com writes:
>Many institutions who have in the past had physicians always assist at major
>As an aside, my (admittedly biased) opinion is that a well trained family I agree with both of the above statements. Having another experienced surgeon available when there is a good chance the surgery will be complicated seems like good, proactive medical care. Yet, third-parties have the benefit of the "retrospectoscope" and can look at an operative report and claim that an assistant was not necessary based on the difficulty of the actual surgery. What's worse is that even when there is a complicated surgery (i.e. a difficult laparoscopic case involving ureterolysis, enterolysis and excision of multiple endometriosis implants) the companies often will categorically deny coverage, requiring us to jump through hoops in order to get paid. In these cases, an experienced assistant surgeon may help prevent complications and speed up surgery time. While most cases go well without another physician as an assistant, I think it is arrogant for us to assume that we can *safely* handle every case without one. The trick seems to be "guessing" which cases need this level of care. I have gone so far as to dictate a short note at the end of my operative report on difficult cases which briefly explains why an assistant surgeon was necessary. The billing people find it very helpful. Thanks, Ashley D. Ashley Hill, M.D. Assistant Director Department of Ob/Gyn Florida Hospital Family Practice Residency Orlando, FL dahmd@gate.net
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