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Re: Does OB have the right to sit in on surgery?(WDMcintosh)From: anonymous (anonymous@obgyn.net)Thu, 30 Mar 2000 16:11:41 -0600 (CST)
At Thu, 30 Mar 2000, anonymous@obgyn.net wrote: > >At Thu, 30 Mar 2000, anonymous wrote: >> >>Hi I have a rather simple question to ask of the Dr.s here.Is it a >>normal procedure or at least not out of the ordinary for an OB/GYN (or >>maybe any physician) to sit in on a patient's surgery even though it has >>nothing to do with his field of study? My OB knows I am getting breast >>augmentation done and he referred me to a good Plastics doc. Well my Ob >>suggested I come to him afterwards and he would check the Dr.'s work. >>Then he told me he would be there for my surgery in the room assisiting. >>He said he found the surgery interesting. Is this proper for an OB to >>sit in on such a surgery w/o any training in that field? Should I ask >>for him not to be there? Is this a normal happening if a doc finds a >>surgery interesting that they can sit in on any type of surgery they >>want? Thanks for any input. >> >>Jill > >I am going to play Devil's Advocate for your OB/GYN. I can think of a >couple of reasons why your OB might want to be there, though it is still >entirely up to you if he actually can be. > >All of us who do surgery have more to learn, no matter how accomplished >we might be. In particular, I have found it to be very useful to scrub, >or observe, surgeons in other areas, particularly general surgeons. I >already know how gynecologists do things, by and large, but surgeons who >come from other types of training backgrounds may (and do) have ways of >doing things that might be very useful to me. While I might not have >call to remove any gallbladders myself, watching the tools and methods a >general surgeon uses might suggest techniques that I can use in those >preoceedures that I do do. > >Plastic surgeons are experts at scarring, and I personally would love to >spend some time watching the way a good one repairs surgical incisions, >in order that I might make incisions that are as cosmetically pleasing >as possible. > >It may be that your Plastic surgeon is planning a type of augmentation >that your OB is unfamiliar with. Many women talk with me about their >interest in plastic surgery for the breast prior to seeking out a >plastic surgeon, so I for one like to keep up in this area in a general >sense. > >It may be that your OB is evaluating your surgeon. If he has never seen >him in action so to speak, then how can he refer patients to him, except >based on the suggestions of other. > >And finally, your OB may just be a surgery buff. I am. I like to >operate myself, but I also like to watch others do surgery, just as a >professional baseball player might like to go to the park when he is not >playing himself. Time will not permit much of that of course, but every >now and again, I get to watch over someone's shoulder. > >If having your OB there makes you uncomfortable, either tell him >directly, or tell your surgeon. If not, then he might have the >opportunity to learn something. > >-- >William D. McIntosh, MD, FACOG >Clarksville, TN > >This is for educational purposes only, and is not intended to be replacement >or substitute for consultation and examination by an appropriate medical >professional. Due to time constraints, private e-mails cannot be answered. Dr. I just have one thing to say. I do totally understand where you are coming from. I do totally believe that Dr's would want to sit in on surgeries to learn something, but what I failed to mention is the reason my doc has for finding this type of surgery interesting. He says because while the patient is asleep they sit you up to check there work after the implants are inserted. He finds that fascinating. I also wonder why me then? If he wants to learn more of what this PS does so he can refer patients that come to him for a referral to a PS why do I have to be the guinea pig? He could watch this Dr. in action during any other surgery that the plastic surgeon performs. You are right to say he may very well want to learn about the surgery and watch the Dr.'s work and if that is truly the reason why he wants to be there I am all for it. Otherwise I think he should stay out of it. And believe me this Dr. has very little free time so he shouldn't have to waste it on watching my surgery. I also failed to mention the fact that he won't even give me the plastic surgeons name until I am ready to make the appointment with the surgeon. I have asked point blank for it, but he just said well you're not ready to have it done now so it doesn't matter. If you ask me I am more uncomfortable with this situation because I feel as if he is making sure he is there by controlling the situation and knowing every move I make before the surgery is done. I wonder if he will hold me hand and come with me to the PS pre-op appt.? I am glad to know though that this does happen from time to time that docs sit in on surgeons procedures to learn more, but in this instance I just don't know for sure what my docs intentions are. Thank you though for your insight you may very well be right!
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