Re: Woman Claims Doctor Branded Her Uterus
From: art fougner, md (evsono@pipeline.com)
Mon Feb 3 12:48:50 2003
the fact that marking of the uterus is taught - it therefore can be
considered acceptable procedure. because others choose not to do it
does not render marking any less acceptable.
just my opinion - i could be wrong.
art
At Mon, 3 Feb 2003, Braun, R. Daniel wrote:
>
>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
>>
>************************************************************************
>
>--
>************************************************************************
>******
>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
>************************************************************************
>
>************************************************************************
>*******
>
--
art fougner, md
ich bin ein New Yorker
