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Re: Woman Claims Doctor Branded Her UterusFrom: Braun, R. Daniel (rbraun@iupui.edu)Mon Feb 3 06:32:49 2003
First let me say that I do not do LDH's. Then let me ask a question or two here. 1. I don't see in the p[ictures or the descriptions on your web site anything about marking the uterus with a "T" or anything else. If it is so important to do, why isn't it shown? 2. Explain to me any advantage to marking the uterus. For the life of me, I can't see why it needs to be done. If a competent Gynecologist can't pull the fundus of the uterus through an anterior colpotomy incision and distinguish the front from the back without a mark on it, we have failed in the training of all Gynecologists. I am willing to admit that I may not know enough about this procedure to understand the need for this, so please educate me if that is the case. Dan -----Original Message----- From: John R. Miklos M.D. [mailto:johnrmiklos@yahoo.com] Sent: Sunday, February 02, 2003 3:37 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Woman Claims Doctor Branded Her Uterus Outstanding Dr. Modugno!!! I think you are the first on this thread to make a valid legal defense statement. To understand the legal defense one needs to understand the operation. The operation is a laparoscopic Doderlein hysterectomy. Please see the following html: http://www.tvtsling.com/lap_proc2.shtml As Robert made reference to Dr Bill Saye 's teaching technique, marking the uterus is indeed an appropriate part of the surgical procedure. I think I can say with little reservation that Dr. Saye has more experience than 99% of gyns in the world in performing the laparoscopic Doderlein surgery. I operated with Bill for 2 years 2-3 days a week and I must tell you I continue to perform the operation the way I was taught. To perform the surgery in what I believe is the safest manner: first you release the adnexa and broad ligamet, then create a bladder flap and then mark the uterus. Now I must tell you that I was trained to mark the uterus with a "T" and not a "U" "K". I never graduated from a college, graduate school or medical school that starts with a letter T. My name nor my wife's name starts with a letter "T". I am not a sports enthusiast therefore I do not route for any teams' whose city or name starts with a "T". I live in Atlanta and therefore Georgia and those do not start with "T". My future childrens name will not start with a "T". Now I do use "Tabasco" once a week on my eggs and that starts with a "T" so perhaps my politically correct collegues and the general public might be able to muster up a reason to sue me for malpractice. Judging from the public outcry as well as many of our colleagues I guess if our surgeon in Kentucky is guilty than many of my mentors as well as friends are guilty. Should one person be punished for making a UK and another not sued for making a "T". Or perhaps some of my collegues and possibly me are getting ready to get "theres". My god is the pathologist getting sued next for slicing, dicing, and chopping up the uterus and the "U K" insignia. Or better yet have the patients been informed using a true informed consent as to the fate of the uterus postoperatively and post pathology evaluation. I suggest then that every surgeon be held responsible for not informing there patient on how there pathology department disposes of there uterus, placenta, appendix, ovary, and panniculus. (incinerator, garbage disposal, waste bag???) "Mark it with a suture"? How many surgeons are trained to suture well enough laparoscopically that it would be time efficient to do so? Professional conduct? We should only hold our Presidents, athletes, entertainers, singers and lawyers to professional standards to which we are held!!!!!!!!! My goodness many of these people make 100 times your salary and they can make mistakes, spit of spectators, sexually harrass, swear on television, expose themselves or put a man in prison for 20 years (as recently described o televsion about an inmate in Texas) and then find out via DNA tests that he was absolutely 100% innocen. The innocent victim was handed $50.00 and the clothes he came to prison with and say adidios, so long, good by without a single repercussion to the judge, lawyers or the prison system. My Kentucky colleague has my support and my medical expert opinion if he wants it. In fact I have already offered it. But in fact a man with far superior surgical skill has already beaten me to the punch. Thank goodness I still can make my own educated, logical and well thought out opinions and decisions and not have the media dictate them for me. Let us not judge this surgeon to harshly for if we do, I promise it will come back to haunt us all. Sincerely
-- John R. Miklos M.D. http://www.UROGYNECOLOGYCHANNEL.COM Director Urogynecology & Reconstructive Pelvic Surgery Atlanta Center for Laparoscopic Urogynecology and Reconstructive Vaginal Surgery Atlanta Georgia
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