Guest guest Posted November 6, 2010 Report Share Posted November 6, 2010 Almost universally the anesthesiologist is met just prior to the operation in my experience. I don't see how it could be otherwise since typically they are employed by the hospital - I don't know anyone who has ever had an appointment to see one. I'm not sure what would be gained anyway - I've never seen anything with information on selecting one nor heard of anyone who ever hired one for a specific operation. One just has to rely on the reputation of the hospital and your surgeon since they are selecting them just as many medical personnel aren't really selected by a person - i.e. you don't select a pathologist who reads your biopsy even though he/she provides critical information. There really isn't much to discuss -- spinal, epidural or general. In my experience, these options are discussed with your surgeon. In my specific case, I met with the anesthesiologist who wanted to do a general but I insisted on local and wound up with a spinal - which was fine for me. On Nov 6, 2010, at 8:11 AM, BARB wrote: > re: meeting anesthesiologist at the very last minute > > Jackie, yesterday I had pre-op meetings with my OS and the > hospital staff except for the anesthesiologist. She said I would > meet him just before the surgery Thursday morning. I would > have liked to have some kind of a relationship with him so I > would feel more comfortable about a stranger holding my life > in his hands. I want to be someone to him not just a patient > number. But that did not happen. Have you others found this > to be true also or should I have insisted on meeting him? > BARB in Florida > > Re: [bulk] need help with > questions re > hip > > Hi , > > It sounds like there are at least 2 areas you want to focus on. > > One is the anesthesiology. It will be important for the surgical > team to > know about your previous experiences and develop a plan to avoid the > problems you had. Normally we meet with the anesthesiologist at the > very > last minute; in your case I think you should try for a consultation > earlier > on. > > Second is the problem of your hip displacing. The surgeon needs to > know > about that and he should be able to give you an assessment of the > causes, > give you a prognosis for this happening in the future, and let you > know what > will be different with this surgery that can help avoid this. What > you want > to know I guess is whether there is something about your structure > that will > make this likely and if so what measures can be taken to avoid it. > > You also have had some negative experiences with you former surgeon. > Perhaps listing what these are could generate some questions for your > current surgeon. For example, if you didn¹t get good aftercare you > would > want to know what the aftercare will be and how you can best obtain > it. > > I so admire you, , for getting through all you have and keeping on > keeping on. Yes, you do have a lot of support here! > > Peace, > jackie > > On 11/4/10 2:52 PM, " marywaspe2000 " <mary.waspe@...> wrote: > > > > > > > > > > > > > Can some-one please advise me of the questions I need to ask this > new > > orthopaedic surgeon. > > I saw him last year when I had what I call a partial dislocation > as it was > > nothing like I experienced on Monday night.But we only chatted > briefly > > about > > what to do next so no in depth chat. > > > > Its nearly 9 years since I have had a hip surgery, so I haven't > got a > > clue.. > > I am fairly sure the only way to cure this propblem is to get it > re-done,I > > can't keep having a hip keep trying to pop out and actually come > out.its > > so > > frighteneing not to mention excrutiating... > > > > I know I need to ask how many revisions he has done, were they > successful, > > infection rates etc, but what else do I need to ask him.? > > my number one concern is the anaesthetist, I am paranoid about > someone > > knocking me out. > > > > I am not going back to the surgeon I have had a 17 year relationship > > with. I > > worked with him prior to all the joints. But he is so busy a few > things > > have > > sent warning bells ringing in my head so I can't go there.2 of my > friends > > who > > have recently had surgery with him won't go back to him,. > > > > thanks every-one, I really appreciate the support.it helps > mentally also > > as no > > one knows what this is like unless they have been there. !!! > > > > xx > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 2010 Report Share Posted November 6, 2010 I have had three other types of surgeries and met with the anesthesiologist each time during the pre-op at the hospital. Here in my area they are not hospital employees but a separate entity like the surgeon. BARB in Florida Re: [bulk] need help with > questions re > hip > > Hi , > > It sounds like there are at least 2 areas you want to focus on. > > One is the anesthesiology. It will be important for the surgical > team to > know about your previous experiences and develop a plan to avoid the > problems you had. Normally we meet with the anesthesiologist at the > very > last minute; in your case I think you should try for a consultation > earlier > on. > > Second is the problem of your hip displacing. The surgeon needs to > know > about that and he should be able to give you an assessment of the > causes, > give you a prognosis for this happening in the future, and let you > know what > will be different with this surgery that can help avoid this. What > you want > to know I guess is whether there is something about your structure > that will > make this likely and if so what measures can be taken to avoid it. > > You also have had some negative experiences with you former surgeon. > Perhaps listing what these are could generate some questions for your > current surgeon. For example, if you didn¹t get good aftercare you > would > want to know what the aftercare will be and how you can best obtain > it. > > I so admire you, , for getting through all you have and keeping on > keeping on. Yes, you do have a lot of support here! > > Peace, > jackie > > On 11/4/10 2:52 PM, " marywaspe2000 " <mary.waspe@...> wrote: > > > > > > > > > > > > > Can some-one please advise me of the questions I need to ask this > new > > orthopaedic surgeon. > > I saw him last year when I had what I call a partial dislocation > as it was > > nothing like I experienced on Monday night.But we only chatted > briefly > > about > > what to do next so no in depth chat. > > > > Its nearly 9 years since I have had a hip surgery, so I haven't > got a > > clue.. > > I am fairly sure the only way to cure this propblem is to get it > re-done,I > > can't keep having a hip keep trying to pop out and actually come > out.its > > so > > frighteneing not to mention excrutiating... > > > > I know I need to ask how many revisions he has done, were they > successful, > > infection rates etc, but what else do I need to ask him.? > > my number one concern is the anaesthetist, I am paranoid about > someone > > knocking me out. > > > > I am not going back to the surgeon I have had a 17 year relationship > > with. I > > worked with him prior to all the joints. But he is so busy a few > things > > have > > sent warning bells ringing in my head so I can't go there.2 of my > friends > > who > > have recently had surgery with him won't go back to him,. > > > > thanks every-one, I really appreciate the support.it helps > mentally also > > as no > > one knows what this is like unless they have been there. !!! > > > > xx > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 2010 Report Share Posted November 6, 2010 I can¹t remember if I ever met the guy I think I didn¹t. F on 11/6/10 8:11 AM, BARB at barbmch@... wrote: > > > > > > re: meeting anesthesiologist at the very last minute > > Jackie, yesterday I had pre-op meetings with my OS and the > hospital staff except for the anesthesiologist. She said I would > meet him just before the surgery Thursday morning. I would > have liked to have some kind of a relationship with him so I > would feel more comfortable about a stranger holding my life > in his hands. I want to be someone to him not just a patient > number. But that did not happen. Have you others found this > to be true also or should I have insisted on meeting him? > BARB in Florida > > Re: [bulk] need help with questions re > hip > > Hi , > > It sounds like there are at least 2 areas you want to focus on. > > One is the anesthesiology. It will be important for the surgical team to > know about your previous experiences and develop a plan to avoid the > problems you had. Normally we meet with the anesthesiologist at the very > last minute; in your case I think you should try for a consultation earlier > on. > > Second is the problem of your hip displacing. The surgeon needs to know > about that and he should be able to give you an assessment of the causes, > give you a prognosis for this happening in the future, and let you know what > will be different with this surgery that can help avoid this. What you want > to know I guess is whether there is something about your structure that will > make this likely and if so what measures can be taken to avoid it. > > You also have had some negative experiences with you former surgeon. > Perhaps listing what these are could generate some questions for your > current surgeon. For example, if you didn¹t get good aftercare you would > want to know what the aftercare will be and how you can best obtain it. > > I so admire you, , for getting through all you have and keeping on > keeping on. Yes, you do have a lot of support here! > > Peace, > jackie > > On 11/4/10 2:52 PM, " marywaspe2000 " <mary.waspe@... > <mailto:mary.waspe%40bigpond.com> > wrote: > >> > >> > >> > >> > >> > >> > Can some-one please advise me of the questions I need to ask this new >> > orthopaedic surgeon. >> > I saw him last year when I had what I call a partial dislocation as it was >> > nothing like I experienced on Monday night.But we only chatted briefly >> > about >> > what to do next so no in depth chat. >> > >> > Its nearly 9 years since I have had a hip surgery, so I haven't got a >> > clue.. >> > I am fairly sure the only way to cure this propblem is to get it re-done,I >> > can't keep having a hip keep trying to pop out and actually come out.its >> > so >> > frighteneing not to mention excrutiating... >> > >> > I know I need to ask how many revisions he has done, were they successful, >> > infection rates etc, but what else do I need to ask him.? >> > my number one concern is the anaesthetist, I am paranoid about someone >> > knocking me out. >> > >> > I am not going back to the surgeon I have had a 17 year relationship >> > with. I >> > worked with him prior to all the joints. But he is so busy a few things >> > have >> > sent warning bells ringing in my head so I can't go there.2 of my friends >> > who >> > have recently had surgery with him won't go back to him,. >> > >> > thanks every-one, I really appreciate the support.it helps mentally also >> > as no >> > one knows what this is like unless they have been there. !!! >> > >> > xx >> > >> > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 7, 2010 Report Share Posted November 7, 2010 That's essentially what I said - you meet them in Pre-Op. You don't meet them prior to surgery because you don't have any choice in the matter. They are paid for separately like the OS (at least on my bills) but I don't know of any who have private practices like other doctors do. They seem to work exclusively at a hospital and are scheduled through the OS or the hospital. On Nov 6, 2010, at 8:24 AM, BARB wrote: > I have had three other types of surgeries and met with the > anesthesiologist each time during the pre-op at the hospital. > Here in my area they are not hospital employees but a > separate entity like the surgeon. BARB in Florida > > Re: [bulk] need help with > > questions re > > hip > > > > Hi , > > > > It sounds like there are at least 2 areas you want to focus on. > > > > One is the anesthesiology. It will be important for the surgical > > team to > > know about your previous experiences and develop a plan to avoid the > > problems you had. Normally we meet with the anesthesiologist at the > > very > > last minute; in your case I think you should try for a consultation > > earlier > > on. > > > > Second is the problem of your hip displacing. The surgeon needs to > > know > > about that and he should be able to give you an assessment of the > > causes, > > give you a prognosis for this happening in the future, and let you > > know what > > will be different with this surgery that can help avoid this. What > > you want > > to know I guess is whether there is something about your structure > > that will > > make this likely and if so what measures can be taken to avoid it. > > > > You also have had some negative experiences with you former surgeon. > > Perhaps listing what these are could generate some questions for > your > > current surgeon. For example, if you didn¹t get good aftercare you > > would > > want to know what the aftercare will be and how you can best obtain > > it. > > > > I so admire you, , for getting through all you have and > keeping on > > keeping on. Yes, you do have a lot of support here! > > > > Peace, > > jackie > > > > On 11/4/10 2:52 PM, " marywaspe2000 " <mary.waspe@...> wrote: > > > > > > > > > > > > > > > > > > > > Can some-one please advise me of the questions I need to ask this > > new > > > orthopaedic surgeon. > > > I saw him last year when I had what I call a partial dislocation > > as it was > > > nothing like I experienced on Monday night.But we only chatted > > briefly > > > about > > > what to do next so no in depth chat. > > > > > > Its nearly 9 years since I have had a hip surgery, so I haven't > > got a > > > clue.. > > > I am fairly sure the only way to cure this propblem is to get it > > re-done,I > > > can't keep having a hip keep trying to pop out and actually come > > out.its > > > so > > > frighteneing not to mention excrutiating... > > > > > > I know I need to ask how many revisions he has done, were they > > successful, > > > infection rates etc, but what else do I need to ask him.? > > > my number one concern is the anaesthetist, I am paranoid about > > someone > > > knocking me out. > > > > > > I am not going back to the surgeon I have had a 17 year > relationship > > > with. I > > > worked with him prior to all the joints. But he is so busy a few > > things > > > have > > > sent warning bells ringing in my head so I can't go there.2 of my > > friends > > > who > > > have recently had surgery with him won't go back to him,. > > > > > > thanks every-one, I really appreciate the support.it helps > > mentally also > > > as no > > > one knows what this is like unless they have been there. !!! > > > > > > xx > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 7, 2010 Report Share Posted November 7, 2010 My pre-op was last Friday.......a week before the surgery...... I will not meet the anesthesiologist until I am wheeled into surgery... BARB Re: [bulk] need help with > > questions re > > hip > > > > Hi , > > > > It sounds like there are at least 2 areas you want to focus on. > > > > One is the anesthesiology. It will be important for the surgical > > team to > > know about your previous experiences and develop a plan to avoid the > > problems you had. Normally we meet with the anesthesiologist at the > > very > > last minute; in your case I think you should try for a consultation > > earlier > > on. > > > > Second is the problem of your hip displacing. The surgeon needs to > > know > > about that and he should be able to give you an assessment of the > > causes, > > give you a prognosis for this happening in the future, and let you > > know what > > will be different with this surgery that can help avoid this. What > > you want > > to know I guess is whether there is something about your structure > > that will > > make this likely and if so what measures can be taken to avoid it. > > > > You also have had some negative experiences with you former surgeon. > > Perhaps listing what these are could generate some questions for > your > > current surgeon. For example, if you didn¹t get good aftercare you > > would > > want to know what the aftercare will be and how you can best obtain > > it. > > > > I so admire you, , for getting through all you have and > keeping on > > keeping on. Yes, you do have a lot of support here! > > > > Peace, > > jackie > > > > On 11/4/10 2:52 PM, " marywaspe2000 " <mary.waspe@...> wrote: > > > > > > > > > > > > > > > > > > > > Can some-one please advise me of the questions I need to ask this > > new > > > orthopaedic surgeon. > > > I saw him last year when I had what I call a partial dislocation > > as it was > > > nothing like I experienced on Monday night.But we only chatted > > briefly > > > about > > > what to do next so no in depth chat. > > > > > > Its nearly 9 years since I have had a hip surgery, so I haven't > > got a > > > clue.. > > > I am fairly sure the only way to cure this propblem is to get it > > re-done,I > > > can't keep having a hip keep trying to pop out and actually come > > out.its > > > so > > > frighteneing not to mention excrutiating... > > > > > > I know I need to ask how many revisions he has done, were they > > successful, > > > infection rates etc, but what else do I need to ask him.? > > > my number one concern is the anaesthetist, I am paranoid about > > someone > > > knocking me out. > > > > > > I am not going back to the surgeon I have had a 17 year > relationship > > > with. I > > > worked with him prior to all the joints. But he is so busy a few > > things > > > have > > > sent warning bells ringing in my head so I can't go there.2 of my > > friends > > > who > > > have recently had surgery with him won't go back to him,. > > > > > > thanks every-one, I really appreciate the support.it helps > > mentally also > > > as no > > > one knows what this is like unless they have been there. !!! > > > > > > xx > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 7, 2010 Report Share Posted November 7, 2010 The hospital that I went to for my THRs had the anesthesiologist call me at home the night before my surgery so that any questions I had might be answered. I also met them right before the surgeries. Judy McG > > Almost universally the anesthesiologist is met just prior to the > operation in my experience. I don't see how it could be otherwise > since typically they are employed by the hospital - I don't know > anyone who has ever had an appointment to see one. > > I'm not sure what would be gained anyway - I've never seen anything > with information on selecting one nor heard of anyone who ever hired > one for a specific operation. > > One just has to rely on the reputation of the hospital and your > surgeon since they are selecting them just as many medical personnel > aren't really selected by a person - i.e. you don't select a > pathologist who reads your biopsy even though he/she provides critical > information. > > There really isn't much to discuss -- spinal, epidural or general. In > my experience, these options are discussed with your surgeon. In my > specific case, I met with the anesthesiologist who wanted to do a > general but I insisted on local and wound up with a spinal - which was > fine for me. > Quote Link to comment Share on other sites More sharing options...
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