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Re: How to do a hysterectomy From: Dr Eberhard W Lisse (el@lisse.na) Wed Dec 19 12:07:25 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: R. Daniel Braun: "Re: active tracing with decell" Previous message: Richard Chudacoff: "Re: How to do a hysterectomy" In reply to: Joe: "Re: How to do a hysterectomy" Next in thread: R. Daniel Braun: "Re: How to do a hysterectomy" Reply: R. Daniel Braun: "Re: How to do a hysterectomy" $300 US.? good goobely woobely. I get maybe 50 for both. And, costs for cystoscopy in the OR are immense, at 20 $USD per minute for OR time, cost of use of equipment, supplies and so on. el On Dec 19, 2007, at 14:18, Joe wrote: > TWO sonograms at $300 each! Versus 10 minute no cost look in > bladder! PULEEZE! Joe C > > Dr Eberhard W Lisse wrote: > >> Routine cystoscopy? PULEEZE! >> The MPS (the predominant Malpractice Carrier in the Commonwealth) >> suggests having >> a routine post op checkup in place, ie Ultrasound, perhaps on day >> 5. Preferably with one >> before the operation to compare. That'll show hydronephrosis, and >> you have sufficient time >> for the Urologist to do her thing. >> Served me well, when one of my patients developed a haematoma on >> the right side. We saw it >> waited another day when the hydronephrosis had increased, and we >> took her to the Operating >> Theatre where my colleague stented her easily. >> The results were dramatic, the patient is very happy. The >> priceless moment was when she said: >> "Is this what you explained to me at the consent?" >> On expected difficult pelvic anatomy, previous bladder surgery and >> such like, and/or if I ask the >> Urologist to come to the table, I have both urethers stented, >> after during one case the Urologist >> casually opened the bladder, put in a small feeding tube and only >> then could palpate the ureter. >> I do not think there is a place for chromic any more, in >> particular since there is rapidly dissolving >> vicryl. >> On Dec 19, 2007, at 04:03, Joe wrote: >>> Steve, I humbly suggest that your legal system is a bit different >>> than ours. Joe C >> el > Next message: R. Daniel Braun: "Re: active tracing with decell" Previous message: Richard Chudacoff: "Re: How to do a hysterectomy" In reply to: Joe: "Re: How to do a hysterectomy" Next in thread: R. Daniel Braun: "Re: How to do a hysterectomy" Reply: R. Daniel Braun: "Re: How to do a hysterectomy"

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