Re: Woman Claims Doctor Branded Her Uterus
From: Braun, R. Daniel (rbraun@iupui.edu)
Mon Feb 3 11:29:00 2003
OK, I will grant that if you have a large distorted uterus, there MIGHT
be a reason to put a mark on it, but everyone.
Dan
-----Original Message-----
From: Myer Bornstein [mailto:mborn@massmed.org]
Sent: Monday, February 03, 2003 1:04 PM
To: Multiple recipients of list OB-GYN-L
Subject: Re: Woman Claims Doctor Branded Her Uterus
When I learned about the procedure where uterus is pulled through the
anterior colpotomy, it was recomended that a small mark be placed on the
fundus to show the midline. That type of marking is acceptable to me.
The
idea of putting initials over the entire surface of the uterus leaves me
cold and I do not know what purpose that it serves.
--
Myer S. Bornstein, MD, MMM, FACOG, CPE
-----Original Message-----
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
Charlie
Chambers
Sent: Monday, February 03, 2003 12:33 PM
To: Multiple recipients of list OB-GYN-L
Subject: Re: Woman Claims Doctor Branded Her Uterus
Dan
I have taken a course where Dr. Miklos was teaching which I highly
recommend. Discussion did occur to mark the uterus prior to pulling
through the anterior colpotomy, a practice that I subscribe to. Not so
helpful in a small uterus which I don't normally do laparscopic hysts
but very helpful in larger cases. Ensures that as you apply traction,
you stay in the midline in order to ease the inversion of the uterus.
On Monday, February 3, 2003, at 05:38 AM, Braun, R. Daniel wrote:
> 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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--
Charlie Chambers
Hood River, OR USA
cchamber@alumni.rice.edu
"All good things...come by grace,
and grace comes by art,
and art does not come easy."
Norman Maclean
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