chief of orthopedic surgery mgh

5 Blossom St Concurrent surgery is also relatively common in trauma, cardiac, brain, and vascular operations. Although on a different track, Dr. Glickel managed to spend some time with Dick and even operated with him as a resident. Former US attorney Donald Sterns 2012 report remains private, its conclusions known only at the institutions highest levels. We offer diagnostic and treatment options for common and complex medical conditions. The risks are real; the benefits can be huge. Burke could not get concerns about double-booking off his mind. No one knew it at the time, but it was, for Burke and MGH, the triggering moment in a seven-year conflict. I cant say enough great things about Dr. F. The level of confidence he gave me was so invaluable after a bad experience. Bobby wanted relief from spinal stenosis. Vicky wanted to get back to her active life. Generals busy orthopedic trauma service, and on this day, he was very busy indeed. American Academy of Orthopaedic Surgeons: Spinal Cord Blood Supply and Its Surgical Implications, The use of Autologous Free Vascularized Fibula Grafts in Reconstruction of the Mobile Spine Following Tumor Resection: Surgical Technique and Outcomes. Dr. Theodore Miclau is an orthopedic surgeon who specializes in the treatment of injuries caused by trauma, such as complex fractures and bone loss. In addition to his leadership role in trauma, he spent 14 years serving as an active member of the Orthopaedic Spine Service at BWH and initiated a weekly multidisciplinary spinal oncology meeting. Our multi-disciplinary spine team uses non-operative therapies and advanced surgical techniques to treat all spine conditions and disorders. Dr. Mark Vrahas, chief of Partners orthopedic trauma service, met with a patient in a holding room just before a surgery one morning about five years ago. Dunn quickly learned how little scientific research there was about concurrent surgery to guide him. Burke said Bhattacharyya had lost the right to take care of the patient by being inattentive during the initial operation. Nine percent of all orthopedic surgeries fall into this category triple the overall hospital average, according to data provided by MGH. 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. If you have any questions, contact Megan Leelman at Wood then went to the other operating room to make sure the surgical fellow had, according to Woods testimony, done the appropriate operation on the 70-year-old patient. Copyright 2007-2023. Explore fellowships, residencies, internships and other educational opportunities. Read more about some of the patients who have seen our Spine team and gotten back to the things they love. He then went to the University of Toronto, Sunnybrook Health Science Center, for his fellowship in Orthopaedic Spine and Trauma in 1990, followed by a fellowship in Orthopaedic Spine and Trauma Surgery at Queen's Medical Centre in the United Kingdom in 1994. It was a battle pitting a star surgeon against a great hospital, MGH. Former chief of MGH Spine Service from 2004-2013, current director of Spine Surgery Fellowship Program. Gregory was startled at the news, as was the judge in his malpractice suit against Wood. Dr. Freiberg, an expert in adult reconstructive surgery with an emphasis on hip and knee arthroplasty, says he wasn't looking for a change. She asked Bhattacharyya if he wanted to remix it, according to court documents. Previously, Dr. Harris served as the chief of the Orthopaedic Trauma Service at Brigham and Womens Hospital (BWH). Burke sided with Shervin, testifying against the hospital. Madelyn "Maddy" Pearson, DNP, RN, NEA-BC, is chief nursing officer and senior vice president of patient care services at Brigham and Women's Hospital. We took those concerns very seriously, Slavin said. MGH also accused Burke of improperly sharing information with the Globe about a confidential doctors meeting, called a morbidity and mortality conference, where physicians can talk with the assurance of absolute confidentiality about patient complications. So he pressed ahead quickly with that phase of the surgery, completing, he said, all the major work before handing Meng over to a surgical resident, Dr. Rojeh Melikian, to close the skin on Mengs neck. Suffolk Superior Court Judge Bonnie MacLeod likened the newly discovered evidence to putting a cannon in the jury box and having it explode and put off jury selection until the two sides could fully explore how Woods work in the second case might have affected Gregorys care. Thats the most appropriate utilization of this concurrent surgery not having two cases going exactly at the same time and the surgeon bouncing back and forth between the two, said Kirk. Gitajn IL, Heng M, Weaver MJ, Casemyr N, May C, Vrahas MS, Harris MB. In medicine it is called concurrent surgery, and the practice is hardly unique to Wood or MGH. 50th President of the CSRS, Dr. Babaria Joins DISC Sports & Spine Center, Michael Kelly, M.D. But then, one Saturday night in June 2008, the phone rang in his home. A hole in the front side of the protective membrane allowed Mengs spine to bend and protrude, potentially causing his paralysis. In other words, not following the policy has lead to an appropriate punishment. Rubash announced the departure with mixed emotions, saying Wood built an outstanding spine service. Among his many accolades, Dr. Harris received the BWH Hippocrates Society Humanitarian Award and both held the chair position and served as a mentor for the AAOSs Leadership Fellows Committee. Our spine team sees patients at these locations: Mass General - Boston55 Fruit StreetYawkey Center for Outpatient Care, Suite 3ABoston, MA 02114, Orthopaedics at Mass General Waltham52 Second AvenueBuilding 52, 1st Floor, Suite 1150Waltham, MA 02451, Newton-Wellesley Spine Center159 Wells AvenueNewton, MA 02459, Mass General/North Shore Center for Outpatient Care102-104 Endicott StreetDanvers, MA 01923, BW / Mass General Health Care Center20 Patriot PlaceFoxborough, MA 01923. MGH has no such mandate listed in its policy, but hospital officials say they have taken some steps that the Brigham has not, like specifically barring some procedures from being double-booked at all. Copyright 2023 RRY Publications, LLC. Learn about the many ways you can get involved and support Mass General. We don't rush your visits. Extensive e-mail correspondence, obtained from Mass. Leader of orthopedics research program at the National Institutes of Health. Meng awoke from the surgery unable to move his arms or legs. Congratulations on this new journey in your professional career. General employees complained about at least 44 alleged problems involving concurrent surgeries, and raised concerns to their superiors and colleagues, sometimes through official channels, other times in court testimony or ordinary e-mails about what they considered substandard patient care or medical practice between 2005 and 2015, the Spotlight Team found. He began the meeting by reminding the men of the obvious, that Mass. The General Hospital Corporation. Let us help you navigate your in-person or virtual visit to Mass General. Raj Gala, M.D. So tightly guarded was the report that, at one point, Mass. The patient was then wheeled into the operating room and given anesthesia, while the surgical team, including Dalal, waited for Vrahas. Pereira struck the ground and felt a sharp pain on her left side. Are we allowing 2 rooms for major spine surgery? Rubash succeeded in boosting the volume of orthopedic surgeries by more than 20 percent and revenue by more than 48 percent between 1999 and 2003, according to the Harvard Business School case study. We treat every orthopaedic condition of the young and old: hip and knee arthritis, sports injuries, spinal deformities, hand, shoulder and foot disorders, trauma, and musculoskeletal tumors. The two cases overlapped for about seven hours, but Wood wrote in his operative note in Mengs surgery that he was present for the entire case. Meng woke up paralyzed. Thanks, Sunder. We want to get you back to doing the things you love. The family called for an ambulance and headed to the emergency room at Mass. to analyze our web traffic. At 1:49 p.m. the next day, Pereira was wheeled into operating room 21. If thats the case, I feel deceived, Meng, who has not returned to his job as a financial analyst since the 2012 operation, said in an interview. , but offered little direction on which procedures are appropriate for double-booking, what are the key or critical parts, and how much overlap of cases is safe and ethical. But, this is a separate issue. Today, Mass. 5 Blossom St This site uses Akismet to reduce spam. Long afterward he learned that Wood had a second spinal surgery going at the same time as his. He gathered 15 months of his own records, including 440 surgeries he worked on in 2014, the period the hospital analyzed. 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. He is an internationally-recognized expert on the treatment of foot and ankle fractures and other traumatic injuries to the lower extremity. After other surgeons cut open a patients chest, DeBakey would come in, put the patient on a special blood-circulating machine, and then bypass blocked coronary arteries with blood vessels taken from the patients body. Our Orthopedics Team Jessica P. Aidlen, MD Chief of Spine Surgery Specialty:Spine Surgery Location: Ambulatory Care Center 159 Wells Ave, Newton, MA Phone: (617) 831-7082 Kyle Alpaugh, MD Specialty:Joint Replacement Location: Kaplan Joint Center, 2014 Washington St, We havent found a single case where the concurrency has caused harm, so I dont think patients should be alarmed about it, Dr. Peter Slavin, Mass. After a hard-fought political Learn more about our surgical optimization program, which will help you plan and prepare for your upcoming procedure. Anne wanted relief from her severe arthritis. While Wood was checking on the fellows work in OR 64, the crisis continued with Meng. (Lillemoe later said he had misspoken.). Generals chief surgeon, Dr. Keith Lillemoe, had to admit to Burke that even he had not seen it. Burke and Austen had known each other since the early 1970s. . We use cookies and other tools to enhance your experience on our website and Rubash, in an interview, said concurrent surgery did not become more common during his tenure. In addition to his orthopaedic surgical residency at UM/Jackson, he completed an orthopaedic oncology fellowship at Massachusetts General Hospital and Children's Hospital Boston. Wood said in later testimony that he handled all the critical parts of the operation, but he wrote in his operative report that he was present for the entire case.. The Spotlight Team interviewed four patients who suffered complications and the relatives of two patients who died after double-booked cases between 2006 and 2015. Some surgeons might have awakened Meng to make sure he could still move, but Wood later testified he decided the risk that Meng would thrash and hurt himself was too great. The existing rules, outlined in a 2002 hospital memo, did little more than require surgeons to be present for the key portions of the case, leaving it to the surgeons to decide what that meant. The board last month filed documents in two of Woods malpractice suits, saying that its investigation of the surgeon was open and ongoing. A state spokeswoman told the Globe, We are unable to provide a definitive timeline for completion due to the complexity of the investigation.. He was recently promoted to full professor at Harvard Medical School. Burke had prepared 17 bullet points, including one addressing his own motives in raising the issue of double-booking. Tony Meng came to MGH suffering from neck pain and tingling in his arms and fingers. See some of our current research publications. The fellow, Dr. Philippe Phan, had worked for a year as a general orthopedic surgeon and had begun specialty training at MGH days before. And it isnt over yet. They shared with the Globe a 2015 letter from the executive director of the American College of Surgeons who reviewed the guidelines at MGHs request and deemed them an example of best practice and certainly exceed national standards.. The orthopedics department also has one of the highest rates of concurrent surgery at Mass. We offer diagnostic and treatment options for common and complex medical conditions. That doctor worked in the orthopedic trauma service where, MGH says, overlapping surgeries can be more common, and sometimes necessary, as doctors respond to clusters of urgent and emergent cases.
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