(OT)Re: [HSF] Redo Radical Mitral Valvuloplasty

[prasannasimha]

My, then I should just hop into a plush private practice and start 
raking the moola !!
Prasanna

Michael Firstenberg wrote:
> Referring all patients to high volume centers does not solve the problems
> nor is it always a good option.  Many patients have limited resources, 
> dont
> want to leave home (or even their cozy towns), feel comfortable with the
> care that they get.  Not to mention that the crab-grass can be just as 
> green
> on the otherside of the Ivory tower.  Hey, for that matter, lets send 
> all of
> our patients to Prasanna in India - he can do a great job and for a 
> fraction
> of the price (cost?) of care here in the US.
>
> -michael
>
>
>
>
>
> On 6/4/07, Tea Acuff <tacuff at swbell.net> wrote:
>>
>> One reason we have only one "class" of care is that ultimately or at 
>> least
>> frequently what one class gets is what everyone gets. The system is
>> critical. So are the pressures and incentives behind it.
>> tea
>>
>>
>> ----- Original Message ----
>> From: "Hgrmd at aol.com" <Hgrmd at aol.com>
>> To: OpenHeart-L at lists.hsforum.com
>> Sent: Monday, June 4, 2007 5:48:24 AM
>> Subject: Re: [HSF] Redo Radical Mitral Valvuloplasty
>>
>>
>> Tea,
>> From what I've gotten to know about you the past few years, I would  say
>> you have a particular expertise at OPCAB and probably SVR.
>> Referring  patients
>> to a surgeon with a high volume in a particular procedure is
>> practical  only if
>> the patient is nonemergent and the financial conditions are met.   Look,
>> I'm
>> not going to be able to transfer an indigent patient to
>> Tom  Martin.  Those
>> patients have to be treated locally by us, and we do the  best we
>> can.  I'm sure
>> the same applies in other areas, particularly  countries without a 
>> lot of
>> money.  I'm just saying we should treat our  patients as we would treat
>> our
>> family.  I can guarantee you that you  wouldn't send a family member for
>> an
>> elective valve repair to a surgeon who  only did 10 or 20 a year.
>> Hal
>>
>>
>>
>> ************************************** See what's free at
>> http://www.aol.com.
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