tag:blogger.com,1999:blog-18943510.post5155345503682624080..comments2023-08-21T02:57:37.362-05:00Comments on Dr. Wes: Nay Fellow Way?DrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comBlogger15125tag:blogger.com,1999:blog-18943510.post-50579892986051000212010-08-22T09:25:17.715-05:002010-08-22T09:25:17.715-05:00I'm glad I train in a charity system. The pat...I'm glad I train in a charity system. The patients get residents/fellows regardless of preference, or else they can fork out the money to go to the private hospital. It's scary to imagine how unprepared I'd be if I'd trained at a place where patients were able to opt out of fellow participation.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-67793076953797074912010-08-21T07:09:49.658-05:002010-08-21T07:09:49.658-05:00As I first year medical student, I was diagnosed w...As I first year medical student, I was diagnosed with thyroid cancer. I was too early in my training to understand how it might work, so when I was referred for thyroidectomy, I assumed that the surgeon that I met was doing the surgery (the head of ENT). I realized at the post-op visit that he had not been at the closing (my external closing was steri-strips only and he was angry). Later, I Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-50143331518700820222010-08-20T14:14:14.116-05:002010-08-20T14:14:14.116-05:00Or it could really suck. I had a fellow look at m...Or it could really suck. I had a fellow look at my QTc of 540 and my inverted T waves and tell me that I didn't have LQTS and that beta blockers weren't the proper treatment for it. Then he went on to give me Ondansetron for my nausea because I told him that Zofran and Kytrel were on the list of medicines that I couldn't take. The doctor and the hospital apologised after my EP Lisa https://www.blogger.com/profile/09324961653370110887noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-8575131648776589742010-08-20T11:02:40.318-05:002010-08-20T11:02:40.318-05:00As a parent of a heart transplant recipient, I wil...As a parent of a heart transplant recipient, I will say that the fellows were some of the most attentive and responsive docs we dealt with. And as a college professor, I always thought that the attendings would not be letting fellows do surgeries they were not ready for - they do work with them on a daily basis after all. I am not sure whether a fellow doing a surgery for their first time would2ndheartmomhttps://www.blogger.com/profile/00919890652824633782noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-28793427137700529332010-08-20T10:59:29.410-05:002010-08-20T10:59:29.410-05:00Q: How do doctors become experienced when no one w...Q: How do doctors become experienced when no one wants doctors in training anywhere near them?<br /><br />A: Magic.Pluripotenthttps://www.blogger.com/profile/16185555436961257160noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-60103600161646860702010-08-20T10:02:53.186-05:002010-08-20T10:02:53.186-05:00Again, we're talking about those functioning i...Again, we're talking about those functioning in a fellowship. They are no longer "just out of school". All have completed residencies, been drilled by critical care physicians, chiefs of surgery and cardiology, presented 1000s of patients during rounds, given numerous seminars, served as mentors for younger residents/interns, etc.<br /><br />They are not knew to the neighborhood. Stop smoking helphttp://www.stopsmokinghelper.orgnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-89851888651844606492010-08-20T09:26:19.675-05:002010-08-20T09:26:19.675-05:00I know of a child who had a very complex congenita...I know of a child who had a very complex congenital heart defect. When their child was born the family had sought out the best facility and surgeon for her particular defect. She had several heart surgeries and needed another when she was 9. The surgeon who had operated on her from the time she was a baby was to preform this surgery also. He scheduled this little girls surgery for all day. Chris Anoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-9120651782180723892010-08-20T00:15:24.612-05:002010-08-20T00:15:24.612-05:00Look yes, touch, no. The success of cardiac ablat...Look yes, touch, no. The success of cardiac ablation is proportional to experience. Why on earth would I want someone fresh out of school doing that?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-68566438526728329522010-08-19T17:59:31.811-05:002010-08-19T17:59:31.811-05:00When I went into the hospital to have my son, with...When I went into the hospital to have my son, with husband an OB/GYN too, I had no issue with residents and fellow poking and prodding, asking questions, and all that - after three days and the decision made to section, it was when I had to sign the release that I refused to have residents or fellows assist - I wanted only the attending from open to close. <br /><br />I was, quite frankly, Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-31603618137183305362010-08-19T14:16:16.797-05:002010-08-19T14:16:16.797-05:00Interesting. I've taught English, Math and Phy...Interesting. I've taught English, Math and Physics and in all case have felt that I first truly learned the subject in teaching it.jimbinohttps://www.blogger.com/profile/03416364723697446318noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-24812474035293082102010-08-19T08:28:49.449-05:002010-08-19T08:28:49.449-05:00Sorry Doc. I have a "no rookie" rule, wi...Sorry Doc. I have a "no rookie" rule, with good reason. Practice on somebody else, I've already sacrificed for the cause.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-86935566144619377752010-08-18T10:03:25.838-05:002010-08-18T10:03:25.838-05:00Either physicians in training learn with the guida...Either physicians in training learn with the guidance of more experienced physicians, as Dr. Polaneczky says, or, if we deny them this opportunity, they learn it on their own, on the fly, without the benefit of a more experienced physician present, once they become attendings themselves. Take your pick.Pluripotenthttps://www.blogger.com/profile/16185555436961257160noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-90088046677041641172010-08-18T05:50:55.666-05:002010-08-18T05:50:55.666-05:00My Congenital Heart Defect (Tricuspid Atresia) is ...My Congenital Heart Defect (Tricuspid Atresia) is pretty complex, and my Cardiologist always asks if he can bring a Fellow or student to participate in my examination. I always say yes. Listening to me may enable that young doctor to help someone else in the future.<br /><br />Steve<br />Adventures of a Funky Heart! <br />http://tricuspid.wordpress.com/SteveChttps://www.blogger.com/profile/03302771359864536384noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-84545640489387411712010-08-18T00:14:19.465-05:002010-08-18T00:14:19.465-05:00Good points. Still, the system you describe here i...Good points. Still, the system you describe here in somewhat rarified and benevolent terms has worked, historically, on a considerably less appealing principle much closer to bait and switch. Surgeon A represented the procedure to the patient; Trainee Y performed it. Genuinely informed consent is considerably more complicated for both sides. Ideally, patients take responsibility for educating Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-11605885610887820702010-08-17T18:30:01.870-05:002010-08-17T18:30:01.870-05:00It has often been said that the sharpest docs are ...It has often been said that the sharpest docs are fellows just out of training. <br /><br />They can only get that way if we let them work with us. <br /><br />I find reminding patients that fellows are already done residency and are just in for additional training helps a lot in getting them comfortable. <br /><br />Thanks for another great post<br /><br />PeggyMargaret Polaneczky, MD (aka TBTAM)https://www.blogger.com/profile/16555722791007332247noreply@blogger.com