Brain surgery patient left in OR after doc no-show - page 2

Least the docs were somewhat punished. GARDEN CITY, N.Y. - One of the highest-paid doctors in New York refused to perform brain surgery on an already-anesthetized patient whose scheduled... Read More

  1. by   AtomicWoman
    Wow, do people really expect brain surgeons to be some kind of God who can walk into a case cold and start performing surgery? Even in a trauma situation, the surgeon has a *little* time to prepare while the patient is prepped.
  2. by   rubyrn36
    Quote from Higgs
    '...Milhorat "is widely regarded as one of the world's foremost experts on Chiari malformation, and his surgical expertise has benefitted thousands of patients around the world." '...

    ...presumably he turned up for these procedures...

    Milhorat was the one who refused..not the no show..
  3. by   lpnstudentin2010
    Quote from YellowBoneRN
    How was the patient even consented without the surgeon being there to discuss the procedure, side effects, and outcomes with her prior to her being put down? This is insane. I am glad she did not have any bad things happen for after effects. Glad it was a good outcome after all for this patient.
    At the hospital where I have had my surgeries, the resident or fellow who is working with the main surgeon is the one who gets the consent. The surgeon needs to come see the patient, but they are not the person to get the consent
  4. by   morte
    i believe they both practice at TCI, on long island.....
  5. by   azhiker96
    I had surgery 2 weeks ago. I selected the surgeon and anesthesiologist carefully. (Working in PACU, I know their work.) If they'd switched surgeons on me after I was out, I would have been very unhappy.

    The surgeon who no-showed owes an explanation and apology to the pt. The other surgeon really had no duty to do the operation, even if he was a partner. The article doesn't say how the two surgeons are connected other than practicing at the same hospital. It doesn't sound like the case was urgent so there was no reason not to wake up the pt. and continue to page the no-show doc.
  6. by   Vito Andolini
    Quote from cardiacmadeline
    i am not an or nurse, so maybe someone can explain this to me. if a patient signed a consent for a specific doctor to do surgery on them, and the doctor does not show up as in the article, is it ok for another doctor to do the procedure without the patient knowing? because the consent has another doctor's name on it? can the family consent to that? i am just curious what the proper thing to do in this case. i know if i went in for surgery at my hospital excepting a certain surgeon to perform it and i found out a different certain surgeon (who i wouldn't let touch my dead dog) did the surgery without my knowing, i would be extremely upset.
    the patient should never have been put to sleep without the surgeon present and greeting her briefly then going to scrub. there's enough monkey business that goes on after the patients are under without switching surgeons on them, too.

    also, their earnings are completely irrelevant. i am so sick of what passes for journalism these days. it's more like the enquirer.
  7. by   Vito Andolini
    Quote from JustaPatient
    At the hospital where I have had my surgeries, the resident or fellow who is working with the main surgeon is the one who gets the consent. The surgeon needs to come see the patient, but they are not the person to get the consent
    How long prior to the operation do you obtain consent? Is the patient sedated? If so, such a consent is illegal.
  8. by   YellowBoneRN
    Quote from FireStarterRN
    I don't see why they didn't just remove the anesthesia and reschedule. Things happen, even to almighty brain surgeons. I think it's unreasonable to expect another doctor to drop everything and perform brain surgery on a case he has not reviewed.
    I concur
  9. by   YellowBoneRN
    Quote from JustaPatient
    At the hospital where I have had my surgeries, the resident or fellow who is working with the main surgeon is the one who gets the consent. The surgeon needs to come see the patient, but they are not the person to get the consent
    A physician never signs the consent/witnessing it. A nurse witnesses the consent. With that being said, who was the nurse who witnessed that consent without the patient having FULL knowledge of what was going to go down with this whole deal. What a chatastrophe.
  10. by   April, RN
    Quote from Vito Andolini
    Also, their earnings are completely irrelevant. I am so sick of what passes for journalism these days.
    That was one of my first thoughts as well. What does the surgeons' salaries have to do with anything? If their earnings were in the bottom 10th percentile, that would make not showing up more excusable?
  11. by   azhiker96
    I signed my surgical consent a week prior to surgery. If it were signed in pre-op that would be done before sedation is given. The peri-operative team are pretty aware of this.

    There is a lot left out of the article which means we have to speculate. Typically the surgeon checks in on the patient in pre-op and then meets up with them again in the OR. There could easily be half an hour delay between that pre-op check and the surgeon scrubbing and going into the OR. During that time the patient is sedated, moved to the OR, transferred to the OR table, intubated, draped, and prepped.

    I doubt the team would have taken this patient to surgery without seeing the surgeon. My guess is for some reason, he must have gone MIA after showing up in pre-op. Maybe the surgeon decided to cancel and didn't communicate it to the team. I would bet that after he comes back from his conference he'll claim he cancelled the case and that nursing dropped the ball. I guess we'll see when the investigation is finished and published.
  12. by   lpnstudentin2010
    Quote from Vito Andolini
    How long prior to the operation do you obtain consent? Is the patient sedated? If so, such a consent is illegal.

    They get my concent about 20 or 30 mins prior to me being brought to the or. I am not sedated, they only gas me once i get into the or
  13. by   lpnstudentin2010
    Quote from YellowBoneRN
    A physician never signs the consent/witnessing it. A nurse witnesses the consent. With that being said, who was the nurse who witnessed that consent without the patient having FULL knowledge of what was going to go down with this whole deal. What a chatastrophe.
    now that i think about it yes the nurse is there, but the resident or fellow is always the one who does the explaining of risks/benefits/other options. I never realized the difference thank you for making me aware of that

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