If you can avoid it, don't use a teaching hospital for colon surgery
Comments
-
I think that would depend on
I think that would depend on the hospital and surgeon.
I go to a teaching hospital and my surgeon is one of the best in the country,
I know people come from around the country to have him do their surgery.
I really lucked out that my gastrointerologist was a friend of his
and was able to get me in to see him.
All the doctors who take care of me are attendings
and fellows.the intern and residents just watch ,listen and learn.
My oncologist was head of internal medicine for nine years
before taking this oncology fellowship,and I am always "tag teamed"
by her and the head of the oncology dept on every visit.
Plus good teaching hospitals compete for the best doctors to "teach"0 -
My HospitalKATE58 said:I think that would depend on
I think that would depend on the hospital and surgeon.
I go to a teaching hospital and my surgeon is one of the best in the country,
I know people come from around the country to have him do their surgery.
I really lucked out that my gastrointerologist was a friend of his
and was able to get me in to see him.
All the doctors who take care of me are attendings
and fellows.the intern and residents just watch ,listen and learn.
My oncologist was head of internal medicine for nine years
before taking this oncology fellowship,and I am always "tag teamed"
by her and the head of the oncology dept on every visit.
Plus good teaching hospitals compete for the best doctors to "teach"
Is a wonderful teaching hospital, It's at OSU, Ohio State University, and I've had a chief surgeon even do my colostomy, you want the teaching hospitals, then you know that hospital is good enough to teach, it's good enough to show them their skills, and whats advanced and the the newest technologies out there. They don't let the students do their work, they may observe, but they don't touch me, I won't mind it if they do, they have to learn somewhere.
But a newbie is not to do any procedure on me, that's where I draw the line, I don't think they can really do much except study, they may ask me questions, talk to me, maybe even take my blood pressure, but my oncs are good enough to teach those soon to be doctors, and they're on my team, I trust that.
You should see the campus around that hospital, it's absolutely huge and amazing, alot of students at that medical center. I really like The James, and have no qualms about being some sort of study for someone, but not to really be their model to poke and prod.
Hugsss!
~Donna0 -
Just reporting it...I got researchers at my chemo center as wellShayenne said:My Hospital
Is a wonderful teaching hospital, It's at OSU, Ohio State University, and I've had a chief surgeon even do my colostomy, you want the teaching hospitals, then you know that hospital is good enough to teach, it's good enough to show them their skills, and whats advanced and the the newest technologies out there. They don't let the students do their work, they may observe, but they don't touch me, I won't mind it if they do, they have to learn somewhere.
But a newbie is not to do any procedure on me, that's where I draw the line, I don't think they can really do much except study, they may ask me questions, talk to me, maybe even take my blood pressure, but my oncs are good enough to teach those soon to be doctors, and they're on my team, I trust that.
You should see the campus around that hospital, it's absolutely huge and amazing, alot of students at that medical center. I really like The James, and have no qualms about being some sort of study for someone, but not to really be their model to poke and prod.
Hugsss!
~Donna
one of whom, since I met her, has gone out of her way to see that I didn't lack for anything when at center for treatment or exam. Article aLSo said it depended on procedure involved and diagnosis......Just a"FYI" posting; not a judgement on anyone's facility/staFF thats keeping or trying to keep,us alive (I generally cry after I visit radiologist, surgeon or onc, never did this bedfore, but since OP in Sept and all else,get real emotional at times)....steve0 -
Interesting statistics.
I
Interesting statistics.
I also had my surgery at a teaching hospital and made sure that my doc was the one doing the procedure and not a student.
It was a bit strange though, as the students would come to see me a few times a day during my stay and it felt like I was a superstar, 4 doctors each time. Not sure if it was the drugs, but I found it really funny as they were all differnet nationalities and every time they showed up it felt like the United Nations were coming to check on me.
Kathy0 -
they got to learn somewhere
When we are in la la land, we don’t know what the hell they are doing to us. Would be great if we could require them to make us a video while doing all that to us. The major point is they got to learn somewhere. I let a student nurse put in an IV. She did it better then the most.0 -
Memorial Sloan Kettering is a teaching hospital
I was happy there. My surgeon is very controlling, and would not let a resident or fellow do anything they were not fully qualified to do.
I also had the opportunity to help teach the young drs:
The Fellow and the Resident were discussing me over me in my room. I stopped them, reminded them that I was there, and that I needed to be in on the discussion, and just a 3rd person "she". Things improved greatly in working with them over the next 3 weeks of my hospitalization.
Thus, while I don't want beginners learning on my for delicate stuff, I like helping to educate drs in training on the patient's perspective. My GYN also often has med students with him tho they never do the exams. He has asked permission, however, to have one feel my abdominal hernia, which I granted. He also always asks beforehand if I'm comfortable having a med student observe. I only said no once (when I needed to feel free to be emotional during a procedure.)0 -
I am laughing sooooo hard!!!khl8 said:Interesting statistics.
I
Interesting statistics.
I also had my surgery at a teaching hospital and made sure that my doc was the one doing the procedure and not a student.
It was a bit strange though, as the students would come to see me a few times a day during my stay and it felt like I was a superstar, 4 doctors each time. Not sure if it was the drugs, but I found it really funny as they were all differnet nationalities and every time they showed up it felt like the United Nations were coming to check on me.
Kathy
I, too, was at a teaching facility...and fought to get there...my surgeon was world known for his low bowel resection technique!
But, Kathy, you are right...I ended up with quite the entourage!...especially since they did a total hyster at the same time...I had 2 registries (bowel and GYN) involved.
I, too, made sure that my surgeon was doing the procedure...
But afterward...yup...all sorts of different languages were represented in the students during rounds...and the nursing staff, also. I loved them all...they were so interested!
A short story, Excerpt from my book:
One hospital story that comes to mind is 3 days after my first surgery to remove the stuff in my abdomen (usually called a bowel resection). When I had this surgery, there was a cut made from my belly button down the center of my belly. About 8 inches, I would guess, straight up and down. This caused many medical people to have the desire to check it everyday, to ensure good healing. After a few days, I developed a few actions to speed the whole thing up. I was in the bed by the window. So,
#1-the person or persons would have to pass my roommate.
#2-they would need to be dressed in either scrubs or a white ‘Doctor’s coat’.
#3-they had to make eye contact with me.
If all of these tests were passed, I would pull down my bedclothes and pull up my gown to shorten the exam time. After all, they didn’t want to see me, just my incision, I’m sure.
This worked like clockwork until one afternoon. A young man in scrubs passed my roommate, was in scrubs, and made eye contact. All three tests passed with flying colors! So, down went the bedclothes, and up started the gown. His eyes got big as saucers, and he said, in broken English “No, no, no!, I here clean bathroom”. I laughed until my belly hurt.
Hugs, Kathi0 -
I recently had an extensiveabrub said:Memorial Sloan Kettering is a teaching hospital
I was happy there. My surgeon is very controlling, and would not let a resident or fellow do anything they were not fully qualified to do.
I also had the opportunity to help teach the young drs:
The Fellow and the Resident were discussing me over me in my room. I stopped them, reminded them that I was there, and that I needed to be in on the discussion, and just a 3rd person "she". Things improved greatly in working with them over the next 3 weeks of my hospitalization.
Thus, while I don't want beginners learning on my for delicate stuff, I like helping to educate drs in training on the patient's perspective. My GYN also often has med students with him tho they never do the exams. He has asked permission, however, to have one feel my abdominal hernia, which I granted. He also always asks beforehand if I'm comfortable having a med student observe. I only said no once (when I needed to feel free to be emotional during a procedure.)
I recently had an extensive conversation with a staff doctor at Mayo Clinic (a teaching hospital) regarding my rights in my procedure. While I can voice my preference for the staff doctor to do anything himself with the actual surgery in all honestly it may not be honored. As he explained if everyone did that these residents would gain no experience at all...very true...the staff doctor is right in the room overseeing every move. On another board someone had indicated forms you can sign etc. to insure no residents doing the surgery...this extremely experienced staff doctor had no knowledge of such forms...I doubt if too many teaching hospitals operate much differently. You can sure request what you want but who really knows? As for initial topic statement not to go to a teaching hospital there are many many reasons why they can be the best place to go and I will continue to go to Mayo despite the fact that residents might be working on me.0 -
Kathi M,KathiM said:I am laughing sooooo hard!!!
I, too, was at a teaching facility...and fought to get there...my surgeon was world known for his low bowel resection technique!
But, Kathy, you are right...I ended up with quite the entourage!...especially since they did a total hyster at the same time...I had 2 registries (bowel and GYN) involved.
I, too, made sure that my surgeon was doing the procedure...
But afterward...yup...all sorts of different languages were represented in the students during rounds...and the nursing staff, also. I loved them all...they were so interested!
A short story, Excerpt from my book:
One hospital story that comes to mind is 3 days after my first surgery to remove the stuff in my abdomen (usually called a bowel resection). When I had this surgery, there was a cut made from my belly button down the center of my belly. About 8 inches, I would guess, straight up and down. This caused many medical people to have the desire to check it everyday, to ensure good healing. After a few days, I developed a few actions to speed the whole thing up. I was in the bed by the window. So,
#1-the person or persons would have to pass my roommate.
#2-they would need to be dressed in either scrubs or a white ‘Doctor’s coat’.
#3-they had to make eye contact with me.
If all of these tests were passed, I would pull down my bedclothes and pull up my gown to shorten the exam time. After all, they didn’t want to see me, just my incision, I’m sure.
This worked like clockwork until one afternoon. A young man in scrubs passed my roommate, was in scrubs, and made eye contact. All three tests passed with flying colors! So, down went the bedclothes, and up started the gown. His eyes got big as saucers, and he said, in broken English “No, no, no!, I here clean bathroom”. I laughed until my belly hurt.
Hugs, Kathi
I too had a
Kathi M,
I too had a hysterectomy the same time. When my GYN doctor's student came to see me, she was absolutly georgoues! When she left I took one look at my husband's face and just new he wished she was going to go into a male dominated practice instead! LOL0 -
At Vandy ..........turaj said:I recently had an extensive
I recently had an extensive conversation with a staff doctor at Mayo Clinic (a teaching hospital) regarding my rights in my procedure. While I can voice my preference for the staff doctor to do anything himself with the actual surgery in all honestly it may not be honored. As he explained if everyone did that these residents would gain no experience at all...very true...the staff doctor is right in the room overseeing every move. On another board someone had indicated forms you can sign etc. to insure no residents doing the surgery...this extremely experienced staff doctor had no knowledge of such forms...I doubt if too many teaching hospitals operate much differently. You can sure request what you want but who really knows? As for initial topic statement not to go to a teaching hospital there are many many reasons why they can be the best place to go and I will continue to go to Mayo despite the fact that residents might be working on me.
there were approx 4-8 interns with my primary surgeon and all were very caring and very interested in learning. I trusted my primary enough to allow the interns to do whatever he said they were capable of. They have to learn on human subjects, I simply thought that they were going to help save lives one day and that I was as willing a guinea pig as they would get so I let all my pride go and let em at it.....they did an excellent job, everyone of them.....Buzz0 -
I don't think those statsAnneCan said:Hi,
My cancer centre is at a
Hi,
My cancer centre is at a teaching hospital. I think it is fantastic. If it is true that the death stats are higher at a teaching hospital, it might be because they tend to have the most difficult cases sent to them.
I don't think those stats are true...one can manipulate statistics anyway you want for desired results...these teaching institutions have world renowned doctors, are savy on the latest techniques and have excellent results.0 -
Mayo
is a teaching hospital and one of the best. My colorectal surgeon is tops in her field- I trusted her completely.
My only complaint was she was the only MD I knew with 3 different surgeries- all of her fellows rotate so frequently, everybody was new all the time. She did hire a PA- who is with her all the time, returns her calls and so forth. I thought for the flow of communication that was a GREAT thing to do.
Interesting- the last time I was in, almost a year ago for hernia repair- it was mid-July which meant I got the newbies. I struggled with 2 of the residents- one came in and yelled at me because I was sleeping to much- the other was openly flirting with a nurse while tending to me (at one point winked at her and said, hi I am Steph, what's your name?)- I told the PA on both incidents- he was LIVID- said not to worry a bit, that my surgeon would absolutely take care of both issues. Knowing my surgeon, I am sure she did.0 -
Sorry for creating such an uproar,Patteee said:Mayo
is a teaching hospital and one of the best. My colorectal surgeon is tops in her field- I trusted her completely.
My only complaint was she was the only MD I knew with 3 different surgeries- all of her fellows rotate so frequently, everybody was new all the time. She did hire a PA- who is with her all the time, returns her calls and so forth. I thought for the flow of communication that was a GREAT thing to do.
Interesting- the last time I was in, almost a year ago for hernia repair- it was mid-July which meant I got the newbies. I struggled with 2 of the residents- one came in and yelled at me because I was sleeping to much- the other was openly flirting with a nurse while tending to me (at one point winked at her and said, hi I am Steph, what's your name?)- I told the PA on both incidents- he was LIVID- said not to worry a bit, that my surgeon would absolutely take care of both issues. Knowing my surgeon, I am sure she did.
I tried to read the original report, which was published in Archiives of Surgery but I'm not a member of its website so I can't access full report, only synopsis, which was also posted at medicalnewstoday. One good thing tho, I'm glad, like myself with my own surgeon,that you're all satisfied with your surgeons too. Mine works out of Maimonides Medical Center and something about him when we met assured myself I could trust him with my life, which is what it all came down to....0 -
No uproar at all........coloCan said:Sorry for creating such an uproar,
I tried to read the original report, which was published in Archiives of Surgery but I'm not a member of its website so I can't access full report, only synopsis, which was also posted at medicalnewstoday. One good thing tho, I'm glad, like myself with my own surgeon,that you're all satisfied with your surgeons too. Mine works out of Maimonides Medical Center and something about him when we met assured myself I could trust him with my life, which is what it all came down to....
It shows how many people stay up to date to assure that all topics are answered and as much info is placed in them as can be. Its great therapy for the fingers typing so much....so see, your a rehab person and didn't know it....
Buzz
and really Steve, we gotta watch you, your really starting to get a great sense of humor ....shows the healing process both mentally and physically are working.....:)...have a great week buddy, Clift0 -
It took alot to overcome the aversion to having to live with a bBuzzard said:No uproar at all........
It shows how many people stay up to date to assure that all topics are answered and as much info is placed in them as can be. Its great therapy for the fingers typing so much....so see, your a rehab person and didn't know it.... Buzz
and really Steve, we gotta watch you, your really starting to get a great sense of humor ....shows the healing process both mentally and physically are working.....:)...have a great week buddy, Clift
It took alot to learn to live life attached to a bag that collects the waste that empties from your front instead ofyour rear but damnit.....I could go another thirty years if nothing else goes wrong......Thanks to all of you who helped walk me thru the past six months...steve0 -
Some are really good!
My wife had her kidney transplant done at Emory Univeristy Hosp. It's one of the best in the state. Everything went smooth as silk there. It was kinda crazy with about 8 white jackets in the room during rounds though. But all in all, we are so glad we went to Emory.
-DJ0 -
teaching hospital
I had my surgery at a teaching hospital. They saved my life. Some of the best doctors in the world work at these "teaching hospitals". If they are good enough to teach then they usually are very well renowned doctors. All you have to do is look at who is on staff at some of these teaching hospitals.0
Discussion Boards
- All Discussion Boards
- 6 CSN Information
- 6 Welcome to CSN
- 121.2K Cancer specific
- 2.8K Anal Cancer
- 440 Bladder Cancer
- 306 Bone Cancers
- 1.6K Brain Cancer
- 28.4K Breast Cancer
- 391 Childhood Cancers
- 27.9K Colorectal Cancer
- 4.6K Esophageal Cancer
- 1.2K Gynecological Cancers (other than ovarian and uterine)
- 12.9K Head and Neck Cancer
- 6.3K Kidney Cancer
- 666 Leukemia
- 789 Liver Cancer
- 4.1K Lung Cancer
- 5.1K Lymphoma (Hodgkin and Non-Hodgkin)
- 235 Multiple Myeloma
- 7.1K Ovarian Cancer
- 53 Pancreatic Cancer
- 486 Peritoneal Cancer
- 5.3K Prostate Cancer
- 1.2K Rare and Other Cancers
- 532 Sarcoma
- 717 Skin Cancer
- 647 Stomach Cancer
- 190 Testicular Cancer
- 1.5K Thyroid Cancer
- 5.8K Uterine/Endometrial Cancer
- 6.3K Lifestyle Discussion Boards