[HSF] Ahh, the Holiday Transfer. Would anyone do anything different?

[Michael Firstenberg]

Roger is a very smart and insightful guy - what did he have to say?  Too bad
he retired (and that is another story).....

In response to Ani - I often wonder what happens to these children in 3rd
world countries who acutely get the best that modern medicine and surgery
has to offer - and then return home.  I guess (assume?) from a "tea"leologic
standpoint that they must be better off than not having their anatomy fixed
at all?  Is that any different than many of the things that we do here in
U.S. when post discharge the patients do not have the resources to pay for
follow-up/medications/etc.  It is not uncommon for us to ring up huge bills
(and I mean HUGE) in patients who have absolutely no way of paying (which
often the hospital writes off) but then they cant pay for the tons of
medications/test/etc that they need down the road.  Prasanna keeps talking
about sending people home with tissue valves who can not afford
Coumadin...... this is a common problem around the world....I guess we just
do what we can to try and fix the problems in a reasonable fashion.

-michael


On 12/1/07, Ben Bidstrup <benjamin.bidstrup at bigpond.com> wrote:
>
> Roger Mee gave a talk on this very subject at the Asian Association
> Meeting in Bali (immediately preceding the World Climate Conference).
> It is far more than just a few surgeons, but a state of mind starting
> at the top.
>
> Applicable to adults surgery as well.
>
> >that leads to an important question : what are the variables and
> parameters
> >that determine the success of a certain surgical program ... let it be a
> >paediatric and neonatal cardiac Surgical program at a certain area -
> >Country-  ........... is it just the Surgical Competency to perform a
> >certain set of procedures ?? .... I suppose it is enough then to have
> some
> >surgeons trained at the best centres in the world and return them back
> >"home" to perform such "Procedures" in any case anatomically diagnosed as
> a
> >certain Syndrome .... !!!! ......... is raising the surgical standards in
> a
> >certain milieu just limited to the ability to perform a certain technique
> >???? ... ani ? .. your input ? ..
> >
> >On Nov 30, 2007 6:02 AM, <Hgrmd at aol.com> wrote:
> >
> >>  Bill,
> >>   Not to sound corny, but what you are doing really represents
> America  at
> >>  its best.  I'm proud that guys like you can go out to these developing
> >>   areas
> >>  and help raise the surgical standards.  Keep on keeping on.
> >>
> >>  Hal
> >>
> >>
> >>
> >>  **************************************Check out AOL's list of 2007's
> >>  hottest
> >>  products.
> >>  (
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> --
> Ben Bidstrup FRACS FRCSEd FEBCTS
> Consultant Cardiothoracic Surgeon
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