Re: Laparoscopic chicken

From: Richard Chudacoff (rchudacoff@mylinuxisp.com)
Wed Jan 30 19:26:58 2008


So that why the call me cowboy! :-) I thought is was because I lived in Texas

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Richard Chudacoff, MD, FACOG

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From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of AllanHo@aol.com Sent: Wednesday, January 30, 2008 6:23 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Laparoscopic chicken

In a message dated 1/30/2008 3:25:07 PM Eastern Standard Time, rchudacoff@mylinuxisp.com writes:

While you might spend an extra 30-60 minutes doing the case, you save that time in rounding and post-op visits. My theory is I'd rather be in the OR than rounding.

Richard Chudacoff, MD, FACOG

Robert,

Trust your first instinct. Don't try to be hero. It won't be her first time having an abdominal scar. The time spent on rounding would be preferred over time spent in front of a QA committee or in a lawyer's office. It is true that an abdominal approach may not prevent any complications, but I think there are still a lot of old timers out there who would crucify you if anything goes wrong during a laparoscopic approach. Why set yourself up for an open season?

I wouldn't call you a laparoscopic chicken in this case. On the other hand, some may call you a surgical cowboy! Why not exhaust all your medical options before even considering surgery? I envy the folks who are in the position to push the surgical envelope. Good luck.

Allan

Pennsylvania

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Start the year off right. Easy ways to stay in shape in the new year.





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