Re: OB didelphyic/bicornuate and breech --> type of incision?

From: Dr Eberhard W Lisse (el@lisse.na)
Tue Jul 29 00:42:14 2008


Verner,

he was the head of a huge department in South Africa and now is the head of a teaching institution in Australia. He's one of two contributors to the list I have actually met. He has the actual experience and what he writes is true, aka gospel.

And what you are writing below is nonsense. A Senior Registrar, aka Chief Resident (but with a Specialist qualification) gets to do things like fixing eviscerated bowel. He did didn't write his Consultant (Attending) did the vertical against Steve's advice. I have fixed my fair share of evisceration (usually a combination of vertical incision and Cuban Quack) as well. Being a sub-specialist (Onc) doesn't meant your choice of incision is right, by default.

You on the other hand come over as someone less than informed and/or experienced. Do you run around in boots?

greetings, el

On 28 Jul 2008, at 23:25 , verner nellsch wrote:

> eberhard,
>
> steve comes across as a humorless, tedious pedant. he uses
> statistics like a drunk uses lamp posts, for support, not
> illumination. he insinuates that he was smarter and more capable
> than his attendings as a "senior registrar", and more discerning
> than his consultant gyn oncologist. i have not once seen him allow
> for any other way than his preferred way as being acceptable. i have
> never once seen him offer comfort for someone on the list when they
> present with problems, only criticism, and barbed at that. he is
> dull, and makes others dull for fear of getting one of his responses.
>
> so, to use your phrase, i could give a toss as to the person with
> whom i am dealing. it does not matter who the bag of hot air is,
> they need deflating.
>
> but, perhaps i have misjudged the individual. please enlighten me as
> to why i should hold him in greater esteem, greater than he seems to
> hold anyone else. vnellsch

>> ----- Original Message ----- From: "Dr Eberhard W Lisse" <el@lisse.na>
> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@mail.obgyn.net>
> Sent: Monday, July 28, 2008 1:02 PM
> Subject: Re: OB didelphyic/bicornuate and breech --> type of incision?
>
>> Verner,
>>
>> It's fairly obvious that you haven't got a clue who you are dealing
>> with...
>>
>> el
>>
>> On 28 Jul 2008, at 12:10 , verner nellsch wrote:
>>
>>> you spent" much of your time" fixing burst abdomens. i've told you
>>> a million times to never exaggerate.
>>>
>>> i use a mix of transverse and midline incisions, with good
>>> success. i think that a flexible approach to the abdomen is the
>>> best.
>>>
>>> you do not. oh,well. vnellsch
>





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