The patient was reduced to tears, started to have a full blown panic attack, wrote WollmanLisa T Wollman-Kliman, M.D.Anesthesiologist. A multidisciplinary team of clinicians, including surgeons, physiatrists, pain specialists and advanced practitioners, to ensure your treatment is tailored for your needs, Non-operative treatment options and the latest surgical techniques, including minimally invasive procedures, to get you back to your active lifestyle, Director, Spine Oncology & Co-Director, Stephan L. Harris Chordoma Center, Associate Professor of Orthopedic Surgery, Harvard Medical School, Executive Vice Chair, Department of Orthopaedic Surgery, Program Director, Harvard Combined Orthopaedic Residency Program, Professor of Orthopaedic Surgery, Harvard Medical School, Assistant Chief, Orthopaedic Spine Service, Director, MGH/BWH Orthopaedic Spine Surgery Fellowship Program, Assistant Professor of Orthopaedic Surgery, Harvard Medical School, Instructor in Orthopaedic Surgery, Harvard Medical School, Director, Adult Spinal Deformity & Spinal Reconstruction, MGH Orthopaedic Spine Surgery Fellowship Site Director, Adult Spinal Reconstruction Orthopaedic Surgeon, Pediatric Spine & Scoliosis Surgeon, Mass General for Children, Director of Spine Training for the Harvard/Spaulding Sports Medicine Fellowship Program, Instructor in Physical Medicine and Rehabilitation, Harvard Medical School, Nurse Practitioner with Dr. Christopher Bono, Dr. Stuart Hershman & Dr. Joseph Schwab, Physician Assistant with Dr. Frank Pedlow, Inpatient Physician Assistant - Shoulder; Spine, Inpatient Nurse Practitioner - Shoulder; Spine. Mass. Is it right that their patients may have no idea? We want to get you back to doing the things you love. Step-by-step guidance: our spine team, spine anatomy, preparing for surgery and more. General stemmed from alleged incidents directly witnessed by the anesthesiologists, whose critical role in surgery is often not fully understood by patients. Providing journalistic work product, particularly during an ongoing project Learn more about our surgical optimization program, which will help you plan and prepare for your upcoming procedure. He also gave Burke a tour of MGHs cardiac care unit. He uses them to make things and fix people. What can patients rightly expect of their doctors? The fellow, Dr. Philippe Phan, had worked for a year as a general orthopedic surgeon and had begun specialty training at MGH days before. Are perioperative allogeneic blood transfusions associated with 90-days infection after operative treatment for bone metastases? In June, he sat down with members of US Attorney Carmen Ortizs health care fraud unit at their request and outlined his concerns about double-booking, according to several individuals briefed on the meeting. Wood made roughly six trips between the rooms over a span of three hours that morning, moving so seamlessly that one of the anesthesiologists later said in a sworn deposition he didnt even know Wood had a second patient. Had he known Dr. Wood might schedule a second surgery overlapping his, he said, I would have gone somewhere else.. After getting a call at his Beacon Hill home, WoodKirkham Wood, M.D.Spine surgeon, chief of spine 2004-2013 said in his deposition that he returned to the hospital to review the images and a few hours later operated again on Meng with two neurosurgeons assisting. He is the inaugural recipient of the Stepping Strong Distinguished Chair in Orthopaedic Surgery while serving as the founding director of the Gillian Reny Stepping Strong Center for Trauma Innovation. She is an attending on the Hand & Upper Extremity and the Orthopedic Trauma Services. Explore fellowships, residencies, internships and other educational opportunities. He would need all of his talent and confidence this day, and then some, as he planned to tackle two complicated spinal surgeries over the next many hours two patients, two operating rooms, moving back and forth from one to the other, focusing on the challenging tasks that demanded his special skills, leaving the other work to a general surgeon, who assisted briefly, and two surgeons in training. Get the latest news, explore events and connect with Mass General. MGH officials declined to comment directly on the Meng case, saying federal patient privacy laws forbid their doing so. When Dr. Neelakantan Sunder, team leader for orthopedic anesthesia, raised questions about Wood booking two rooms for major spine surgery in 2010 two years before the Meng case Dr. Peter Dunn, medical director of the hospitals OR, reassured him in an e-mail obtained by the Globe that Wood has the fellow manpower to do this., Sunder, who could be prickly about what he considered matters of patient safety, replied: Do you really think it reasonable to do these two cases by the same primary surgeon? It examined Mass. We offer the full spectrum of orthopaedic care and are the best and most comprehensive orthopaedic surgery department in New England. He is an internationally-recognized expert on the treatment of foot and ankle fractures and other traumatic injuries to the lower extremity. Speaking generally, Warner wrote, The suggestion that I am not managing all my patients care while they are in the operating room is both untrue and malicious.. Such indirect supervision, where the attending is not present, is allowed under certain circumstances at teaching hospitals. Search for condition information or for a specific treatment program. Hospital leaders would define the critical parts for many surgeries, and identify operations and types of patients whose surgeries should not overlap. He had a daunting task ahead of him and perhaps an even more formidable opponent. (Lillemoe later said he had misspoken.). Dr. Kirkham Wood stopped double-booking surgeries some time after the Meng case in 2012, when a revised hospital policy sharply limited concurrent complex spine cases, according to Dr. Harry Rubash, MGHs chief of orthopedic surgery. His stature and roster of well-known patients would prove no protection against what was coming. As Burke recalls it, Shervin sobbed into the phone, asking what she should do. and he is the renown orthopedic surgeon who has led the hip and knee service at Massachusetts General Hospital (MGH) in Boston for over 20 years. More broadly, MGH officials say their analysis of hundreds of orthopedic cases from 2013 and 2014 found no significant difference in complication rates between overlapping and non-overlapping cases. But he did say that Sterns findings affirm his confidence in the soundness of MGH practices. He said he had never, in his long career, encountered that particular complication. They are the eyes and ears for patients in their most vulnerable state, carefully watching vital signs for any disturbance. Trustee of Mass. See some of our current research publications. I wish you would have given us a chance as once people see we mean business, things will change for the better. Then we will develop an individualized treatment plan to address your unique set of conditions and lifestyle goals. Wood, chief of MGHs orthopedic spine service at the time and a nationally renowned practitioner in his specialty, is a confident, veteran surgeon. Explore fellowships, residencies, internships and other educational opportunities. Harvard Combined Orthopaedic Residency Program Waiting for Wood in operating room 72 that day in 2012 was Tony Meng, a 41-year-old father of two from Westwood who had been diagnosed that summer with a serious degenerative condition that constricted his spinal cord, causing pain, tingling, and numbness. Dr. Christopher M. Bono is a board-certified, fellowship-trained adult spine surgeon in the Orthopaedic Spine Center at Massachusetts General Hospital. In court papers, a medical expert hired by Jenks disputed the hospital account, noting that Wood was listed as the surgeon in charge of a second case that completely overlapped Jenkss. Hospital officials, in an interview, say Wood never left Jenkss room during the surgery. Let me know. They also privately question the motives of some who made them. Watch the full documentary and learn more about concurrent surgeries at the homepage for Globe coverage of the issue. MGH, in a statement, said the vascular surgeon did not plan to do two procedures at once, but responded appropriately to an unexpected emergency.. Burke wanted to study mechanical engineering, as Austen had. The Brighams chief of surgery, Dr. Michael Zinner, recently said he scolded a new surgeon at his hospital who violated the rule. The group has successfully integrated with the numerous services that are needed to treat complex oncologic patients. Watch the video to hear Dr. Schwab discuss the importance of the multidisciplinary care that orthopaedic oncology patients receive . General described the hospitals philosophy in a 2011 newsletter, and Burke says he takes that creed literally. At Mass General, the brightest minds in medicine collaborate on behalf of our patients to bridge innovation science with state-of-the-art clinical medicine. PDF Service Chief, Arthroplasty Service Massachusetts General Hospital Mortality Following Surgical Management of Vancouver B Periprosthetic Fractures. Upon returning after World War II in 1947, Dr. Barr succeeded Dr. Marius N. Smith-Peterson as the chief of orthopedic surgery at the Massachusetts General Hospital, having become a member of the staff in 1930. Long afterward he learned that Wood had a second spinal surgery going at the same time as his. Thats exactly why Meng had brought his troubles to MGH: He wanted a star surgeon, someone who could help him put aside his pain medications and comfortably play soccer again with his two young children. He knew it was probably a breach of protocol, but he divulged his worries to Ronald Skates, a friend and former computer company executive. Theres been huge success in doing [concurrent surgeries] in the cardiovascular field, said Dr. Brian Parsley, a Houston orthopedic surgeon and the former president of the American Association of Hip and Knee Surgeons. There is no known connection between the complications and deaths and the double-booking, but none of the patients and family members interviewed had any idea that the surgeons were involved in a second operation at the same time. As a student at the University of Massachusetts Amherst, Burke said he had met with Austen one Saturday to discuss possibly transferring to the Massachusetts Institute of Technology, Austens alma mater. And physicians could be anywhere on the hospitals expansive campus more than a quarter mile wide and be considered immediately available to their patients. The Globe declined the hospitals request to return the documents for a review of Burkes redactions. Warner, chief of MGHs shoulder service, earned just over $2.1 million between October 2005 and September 2006, making him the hospitals highest compensated employee at the time, according to financial documents filed by the hospital with the attorney general. mleelman@partners.org. Burke only made it through point 12 before the meeting ended. Boston Medical Center spine surgeon Dr. Tony Tannoury occasionally runs two operating rooms, overlapping his cases by several hours in what the hospital describes as a tightly monitored program that enables him to do his operations more safely and during daytime hours. Meng felt betrayed. Earlier this year, an anesthesia resident filed a safety report after a patient in March lay anesthetized on the operating table for more than an hour while the surgical team waited for the vascular surgeon to arrive from a concurrent operation. Dr. Theodore Miclau is an orthopedic surgeon who specializes in the treatment of injuries caused by trauma, such as complex fractures and bone loss. The rules also required that, in order to bill Medicare, a surgeon managing simultaneous surgeries must be immediately available if a problem arises in either case or, if he cannot, to designate a backup attending to assist.
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