[HSF] Standard of care for lawyers {OT}

[hgrmd at aol.com]

Ani,
  I'm satisfied with the results of my caseload.

Hal
Sent from my Verizon Wireless BlackBerry

-----Original Message-----
From: Ani Anyanwu <anianyanwu at hotmail.com>

Date: Fri, 11 Apr 2008 22:19:10 
To:<openheart-l at lists.hsforum.com>
Subject: RE: [HSF] Standard of care for lawyers {OT}


So Hal, the patients do not know then that on the first night after surgery all they have in house is an ER doctor... I was raising this not as a question as regards your practice but as we are discussing standards about another profession (lawyers) whether it is acceptable standard of care and information that we do not inform patients of these deficiencies in ICU coverage that exist in different surgical units. 
 
Should patients have a choice or should they just accept what they are dealt? I certainly know for sure that regardless of who was doing the operation, I would not have my surgery in a hospital manned by nurses and ER doctors on first post-operative night as I do not think that meets a minimum acceptable standard of post-surgical patient care. I suspect some of Hals patients with the information might say same. 
 
Answer to Michael's question about my unit is we have a surgical physicians assistant (PA) most nights (some nights a CT fellow) and five nights a week an inhouse intensivist. We know that is not perfect and are moving towards a model of 24 PA and 24h intensivist inhouse cover (not sure that is perfect either though).
 
Ani



> To: OpenHeart-L at lists.hsforum.com> Subject: Re: [HSF] Standard of care for lawyers {OT}> Date: Fri, 11 Apr 2008 17:07:38 -0400> From: hgrmd at aol.com> CC: > > Ani,>   I guess the upside for the patient is that I'm the one actually doing the surgery, not some resident who was shucking gallbladders 3 months previously.  Look, it's not a perfect system, and I'm working to improve it.  In fact, I was talking with the CEO earlier today about my plan to get intensivists for the hospital.  I will say that the vast majority of the CVICU nurses recognize when one of the docs needs to come in.> > Hal> > > -----Original Message-----> From: Ani Anyanwu <anianyanwu at hotmail.com>> To: openheart-l at lists.hsforum.com> Sent: Fri, 11 Apr 2008 10:36 am> Subject: RE: [HSF] Standard of care for lawyers {OT}> > > > > Frankly, I'm amazed that I'm able to > get my case load through with good > esults considering it's only the nurses > and the ER docs in the house at > ight.> > Hal> > al> > re the patients you operate on in this hospital aware that not of your team are > vailable at night of their surgery and that they will be looked after only by > R doctors and nurses? With this knowledge do some ever (or would you expect > ome to) opt to have surgery in another hospital you operate?> > ni> > > > From: Hgrmd at aol.com> Date: Fri, 11 Apr 2008 06:49:05 -0400> Subject: Re: [HSF] > tandard of care for lawyers {OT}> To: OpenHeart-L at lists.hsforum.com> CC: > > > ichael,> Our current approach of postop management is a delicate balance > etween > the cardiac surgeons, P.A.'s, cardiologists, pulmonologists, as well > s any > other consultants who might be on the case. It generally works, but > t's far > from perfect. In fact, I'm currently pushing for 24/7 intensivists > or one of > my hospitals. You really need a doctor in the house at all times if > ou're > going to provide the best postop care. Frankly, I'm amazed that I'm > ble to > get my case load through with good results considering it's only the > urses > and the ER docs in the house at night.> > Hal> > > > > *************Planning your summer road trip? Check out AOL Travel Guides. > > http://travel.aol.com/travel-guide/united-states?ncid=aoltrv00030000000016)> >______________________________________________> OpenHeart-L mailing list> > > end postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE > mail address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > > isclaimers posted at:> http://www.hsforum.com/listdisclaim> > ---------------------------------------->________________________________________________________________> in 100’s of Virgin Experience days with BigSnapSearch.com> ttp://www.bigsnapsearch.com_______________________________________________> penHeart-L mailing list> Send postings to:> OpenHeart-L at lists.hsforum.com> To UNSUBSCRIBE, to CHANGE email address, or to view archives:> ttp://mmp.cjp.com/mailman/listinfo/openheart-l> All messages transmitted by the OpenHeart-L are subject to the policies and > isclaimers posted at:> ttp://www.hsforum.com/listdisclaim> ----------------------------------------> >_______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------
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