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

From: verner nellsch (vnellsch@eastex.net)
Tue Jul 29 17:15:49 2008


eberhard,

i have met my share of department heads who are nincompoops, and experienced at the politics of department management, and staying on what they consider the right side of any fashion in medicine. as for what he writes being true, time will tell. i would place my money on the practitioner who openly looks at all the different techniques, and uses the best, not just what he believes is advocated elsewhere. as for what he writes being gospel, do you really want to get into comparing what he writes and the veracity of scripture?

as for nonsense, do you know the difference between a dehiscence and evisceration? one means a disrupted suture line, the other removal of the intestines. before lecturing someone as being informed or not, eberhard, get your terms straight. you appear to have delusions of adequacy. people let you get by with a lot because you are somewhat amusing, but a fair amount of what you spout off is nothing but narrow minded drivel. you at times are insulting, and the internet informs me, accused of slander as well. i appreciate your directness in confronting possible poseurs on the site, and i am sure there is much that you could teach all of us, minus the attitude.

am i experienced? i delivered my first baby in 1975. i have been in medicine constantly ever since. i wear nikes. and i have telinde 9th edition. 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: Tuesday, July 29, 2008 12:43 AM Subject: Re: OB didelphyic/bicornuate and breech --> type of incision?

> 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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