Our multi-disciplinary spine team uses non-operative therapies and advanced surgical techniques to treat all spine conditions and disorders like spinal deformities & injuries, scoliosis and spinal stenosis. The effect of short (2-weeks) versus long (6-weeks) post-operative restrictions following lumbar discectomy: a prospective randomized control trial. Department Histories - MGH History - MGH Guides at Massachusetts CHIEF OF ORTHOPAEDIC SURGERY, MASSACHUSETTS GENERAL HOSPITAL EDITH M. ASHLEY PROFESSOR OF ORTHOPAEDIC SURGERY, HARVARD MEDICAL SCHOOL Introduction As I write my 11th annual Chief's Report to the Orthopaedic Journal at the Harvard Medical School, the financial world seems to be crumbling around us. The question: Is it right or safe for surgeons to run two operations at once? They hired the regions former top federal prosecutor to examine Burkes claims, interviewing 60 staffers across the hospital. He and his wife even loaned Shervin $375,000 to help her pay off debts and launch her own practice. About Jon J.P. Warner - Mass General Brigham 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. My eighth annual Chief's Report for the Orthopaedic Journal at Harvard Medical School will highlight a tremendous year of growth and productivity in the Department. Subscribe today for full access to in-depth investigative reporting. For the doctor to get informed consent, you have to tell the patient anything thats material about their surgery, and material is defined as what might cause a patient to change his or her mind, to say, I dont want surgery, said Annas, director of the Center for Health Law, Ethics & Human Rights at BUs School of Public Health. This is a realm where patient privacy and business information is, by law and habit, guarded zealously. Seventy-year-old Monique Pereira had Parkinsons disease, but she lived independently in the south of France and had recently flown to visit her son, Stephane, and his partner who ran a French bistro nearby on Newbury Street. We are committed to providing expert caresafely and effectively. Learn about the many ways you can get involved and support Mass General. Massachusetts General Hospital & New England Baptist Hospital Meng felt betrayed. Learn how your comment data is processed. Sitemap Privacy Policy, Winner of the MORE Award in Journalistic Excellence in Orthopedics. Patients would have to authorize such comment by the hospital, and only one of those who spoke to the Globe agreed to do so. What we learned from Donald Stern is that what were hearing from our OR leadership was reflective of reality.. Don wanted to get back to a pain-free life. Dr. Bridwell is an internationally renowned, board-certified orthopedic surgeon and serves as the J. Albert Key Distinguished Professor of Orthopedic Surgery at Washington University School of Medicine. Dublin, N.H. : William L. Bauhan, 1996. Paulino Pereira NR, Langerhuizen DW, Janssen SJ, Hornicek FJ, Ferrone ML, Harris MB, Schwab JH. He can rattle off relatives who have been treated at MGH and says he wouldnt dream of going anywhere else. Then, moving to the other OR, Wood cut into Mengs neck to expose the spine for the procedure, known as a cervical corpectomy. Meet our team Conditions & Treatments 617-724-8636 Contact Information Phone: 617-724-8636 Request an appointment 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. Mass General Waltham Now Offering Outpatient Joint Surgery. . I was concerned at that time that there was a major disconnect between the views of a very prominent and capable orthopedic surgeon here and what we were hearing from our OR leadership, said Slavin, the hospital president. As chief, he was instrumental in the creation of the Orthopedic Research Laboratories. Leonard DA, Schoenfeld AJ, Harris MB, Bono CM. Dr. Kirkham WoodKirkham Wood, M.D.Spine surgeon, chief of spine 2004-2013, in a deposition last year, described the scheduling of Tony Mengs surgery to run concurrently with another complex case as a way to make efficient use of his time and expertise; it is the most commonly cited goal of hospitals that have adopted the practice. This is an example of one of his concurrent surgeries, according to finalized operating room schedules. Learn about career opportunities, search for positions and apply for a job. Hospital officials have declined to share the document, even with state regulators, citing attorney-client privilege and promises of confidentiality to staffers interviewed. Previously, Dr. Harris served as the chief of the Orthopaedic Trauma Service at Brigham and Women's Hospital (BWH). Surgeons at Mass General are allowed to run two operating rooms at the same time, as long as they are present for the critical parts of each surgery and are immediately available if a problem arises in either procedure, or have a backup immediately available. Each and every one of these allegations of a potential incident was investigated, a hospital spokeswoman said in a statement to the Globe, adding that federal privacy law and hospital personnel policies prevent the hospital from saying what investigators found or what action, if any, was taken. The General Hospital Corporation. Rubash announced the departure with mixed emotions, saying Wood built an outstanding spine service. He is an internationally-recognized expert on the treatment of foot and ankle fractures and other traumatic injuries to the lower extremity. No one knows why it happened to Tony Meng, or how, or even exactly when. It is unfortunate, the hospital said in a written statement, that a well-respected surgeon would cause a massive violation of patient confidentiality policies by copying hundreds of patient records and sharing them with the Boston Globe.. Or more directly: Does a patient have a right to know that he could be sharing his surgeons focus and skills with the patient down the hall? It examined Mass. At MGH, the acrimony has threatened careers and relationships and potentially much more, a drama that escalated with two steps almost unimaginable in the rigorously professional world of medicine, not to mention the life of a great hospital. Dr. Harris chaired a Department of Defense peer-reviewed Orthopaedic research program, and has authored or co-authored more than 150 peer-reviewed academic publications. Muscle transfer technique brings pain relief to patients. He told the Globe that the second part of the operation, which lasted five hours and involved removing hardware from her spine, was not difficult. See video animations for common spine conditions and treatments. We offer the full spectrum of orthopaedic care and are the best and most comprehensive orthopaedic surgery department in New England. Zinner explained the philosophy that drives the limits on concurrent surgery at his hospital. collected, please refer to our Privacy Policy. Hi, I am looking at Mondays schedule and I see Dr. Wood booked in two rooms. The form now emphasizes that medical care will be provided by a team and says my doctor or an attending designee will be present for the critical parts of the procedure. MGH officials dispute the validity and importance of almost every complaint, saying many are based on inaccurate information, turf fights, or misunderstandings in a busy hospital. [ Contact MGH Archives for use] Partners HealthCare Pathology We are committed to providing expert caresafely and effectively. Dr. Freiberg earned his undergraduate degree from Northwestern University, and he graduated from the University of Cincinnati College of Medicine. From that moment, battling concurrent surgery became Burkes cause and the gap between him and the hospital he loved now poisoned ground would only grow. The family called for an ambulance and headed to the emergency room at Mass. Is it right that their patients may have no idea? to analyze our web traffic. To relieve the symptoms, the surgeon would have to slice through the front of Mengs neck, navigate around arteries that supply blood to the brain, and remove parts of his vertebrae. Dr. Theodore Miclau is an orthopedic surgeon who specializes in the treatment of injuries caused by trauma, such as complex fractures and bone loss. It was a battle pitting a star surgeon against a great hospital, MGH. At 1:49 p.m. the next day, Pereira was wheeled into operating room 21. RubashHarry E. Rubash, M.D.Chief of orthopedic surgery said in a recent interview that he never pressured his staff to do concurrent procedures. However due to violation of the policy that you feel is not going to make any difference, the spine surgeon involved in the case, has lost this privilege. They describe the practice as an extension of the teaching hospitals team approach, pairing senior doctors with residents surgical trainees and fellows, who have finished their general orthopedic surgery residency and are training in a subspecialty. MGH officials declined to comment directly on the Meng case, saying federal patient privacy laws forbid their doing so. But the Globe, through dozens of interviews and a review of hospital records, court filings, and hundreds of e-mails shared by current and former medical staffers, pieced together a portrait of this remarkable and revealing episode, one which changed surgical practice and procedure at the hospital and resulted in double-booking being raised as an issue in malpractice lawsuits. Dr. Christopher M. Bono is a board-certified, fellowship-trained adult spine surgeon in the Orthopaedic Spine Center at Massachusetts General Hospital. Double-booked surgery patients often didnt at the time, and sometimes still do not. Secure online access to your health information whenever you need it. After a hard-fought political Burke said Bhattacharyya had lost the right to take care of the patient by being inattentive during the initial operation. Burke, in a later deposition, called Rubashs account a total fabrication.. In September 2022, Mass Generals Orthopaedic Trauma Service was chosen to host the inaugural class of the Orthopaedic Trauma Associations Roy Sanders Traveling Fellows. Both men, wearing scrubs, sat at a formica-covered table in the middle of the room, according to Burkes recollection of the encounter. Concurrent surgery is also relatively common in trauma, cardiac, brain, and vascular operations. Sometimes patients find out just moments before the surgery, or even after the fact, that their doctor had a second concurrent procedure. After a resident positioned her for the surgery, the attending surgeon, Dr. Timothy Bhattacharyya, made an incision to expose the hip, according to medical and court records reviewed by the Globe. Slavin would not share it with the Globe or government regulators. Skates, in a subsequent e-mail, told Burke: the situation must be corrected.. The Spotlight Team wants to hear about your experience with double-booked surgeries, as a patient, family member or medical staffer. OR 21 and OR 30. He routinely does not account for sometimes two hours of a patient anesthetized waiting for him when he is operating in two rooms and the frequent need for PM incentives to cover his rooms because of surgical delays covering two ORs. 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. Learn about the many ways you can get involved and support Mass General. Rather, such cases are handled in successive stages, with the surgeon devoting himself to a section of one patients case, then moving on to the other. Are we allowing 2 rooms for major spine surgery? Torchiana, through a spokesman, said he also kept detailed notes about that meeting, but declined to share them with the Spotlight Team saying it was a private meeting. Meet the IGOT Team | UCSF Department of Orthopaedic Surgery Mengs scar from surgery. Step away from the bed, VassalloSusan A. Vassallo, M.D.Anesthesiologist said she insisted. Leader of orthopedics research program at the National Institutes of Health. Now, attorneys for three of Woods patients say that double-booking will play a prominent role in their malpractice lawsuits against the surgeon, including one filed by Meng and another by former Red Sox pitcher Bobby Jenks, who blames Wood for what he alleges was a botched back surgery in 2011 that ended his career. Learn about the many ways you can get involved and support Mass General. 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. 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. And that, for MGH, was Burkes undoing. To learn more about concurrent surgeries, visit our home for Globe coverage of the issue. Anesthesia, Critical Care & Pain Medicine, Billing, Insurance & Financial Assistance, Mass General/North Shore Center for Outpatient Care. When I have access to the dynamic schedule upon arrival to MVH, I will check the times for accuracy. And physicians could be anywhere on the hospitals expansive campus more than a quarter mile wide and be considered immediately available to their patients. Im busy, Bhattacharyya told Vassallo, according to her court testimony. I was brought here to build a fabulous academic department, which we are, Rubash said. 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. By the time Bhattacharyya scrubbed back into Pereiras operation, Shervin was concerned the cement was too hard. A 43-year-old former Anheuser-Busch sales manager from Peabody, Gregory has suffered from incontinence and sexual dysfunction since Dr. Wood performed spine surgery on him in October 2006. This story was reported by Globe Spotlight Team reporters Jenn Abelson, Jonathan Saltzman, Liz Kowalczyk and editor Scott Allen. General officials acknowledged Burkes surgical skill, but in March they suggested he was a hypocrite for condemning doctors who run two rooms when he does it himself. Yet the hospital did impose new limits on double-booking surgery after Burke spoke out, reining in what MGHs chief of surgery described in an e-mail echoing a phrase of Burkes, he says as the wild wild west era of concurrent surgery. ShervinNina ShervinOrthopedic surgery resident later testified that while he was gone, she helped mix the cement for the hip implant, but felt uncomfortable going further on her own. It is allowed in some form at many prestigious hospitals, limited or banned at many others. Mortality Following Surgical Management of Vancouver B Periprosthetic Fractures. Chief, MGH Department of Orthopaedic Surgery;Edith M. Ashley Professor of Orthopaedic Surgery,Harvard Medical School Joseph McCarthy, MD; Visiting Associate Professor of Orthopaedic Surgery Harvard Medical School John M. Siliski, MD; Clinical Instructor in Orthopaedic Surgery,Harvard Medical School William Tomford, MD; And since I know a lot of surgeon-colleagues they are honest with their opinions and dont hold back., Orthopedic surgeons as a group tend to think of their careers in a linear fashion, i.e., I am going to do this for X number of years and then retire or do something different. I am 55 and some people would say, What are you doing? Gerald Austen, M.D.Chairman of the chiefs council, a founder of Partners HealthCare, a heart specialist, wrote a letter of recommendation to MIT. They discovered his spinal cord had somehow bent at an acute angle and was protruding through a hole in the dura, the tough membrane that encases the spinal cord where Wood had first operated the morning before. 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. MGH officials say their revised policy on concurrency stacks up well against their national peers. 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. The Orthopaedic Oncology Service is led by Dr. Henry Mankin, a leader in the field of connective tissue oncology. Orthopaedics Advances in Motion provides health care professionals with information about the latest innovations from Mass General. Learn about career opportunities, search for positions and apply for a job. It had to be done, Burke told the Globe. A legendary heart surgeon who pioneered bypass surgery for blocked arteries, DeBakey operated on more than 60,000 patients over 60 years and earned the nickname of The Texas Tornado at Houstons Baylor College of Medicine. General has revised its patient consent form over the years, doubling its length to roughly 500 words in the version printed last October. We have remained at the forefront of medicine by fostering a culture of collaboration, pushing the boundaries of medical research, educating the brightest medical minds and maintaining an unwavering commitment to the diverse communities we serve. When the Globe informed MGH officials that Burke had rebutted their charge by providing the records, the hospital began an investigation into whether Burke had violated federal law requiring that patient information be kept confidential. What can patients rightly expect of their doctors? The General Hospital Corporation. Michael Daubs, M.D., selected as the 50th president of The Cervical Spine Research Society (CSRS). After earning his medical degree from the University of Illinois College of Medicine in 1984, Dr. Harris completed his residency in Orthopaedic Surgery at Dartmouth-Hitchcock Medical Center in 1989. Brigham and Women's Hospital . Boston, MA02114 They are the eyes and ears for patients in their most vulnerable state, carefully watching vital signs for any disturbance. Generals president, said during an interview in the hospitals historic Bulfinch Building. 617-724-8636 Request an appointment. Wood said he believed the cause of the worrisome neurological responses could be compression on the spinal cord from the back side. from the University of Pittsburgh in 1991. Everyone in America has done it at some time.. In August, MGH revoked Burkes operating privileges, ending his 35-year career at the hospital that in 2009 gave him a coveted award as one of its best clinicians. Dr. Lillemoe, a genial native of a small town in South Dakota, came to Mass. Chief, Orthopedic Surgery Brigham and Women's Faulkner Hospital . Rubash blamed the resident for what happened and for calling Burke, who had had nothing to do with Pereiras treatment. Thats when he bumped into Dr. W. Gerald Austen, the 85-year-old retired chief of surgery and a founder of Partners HealthCare, the parent company of MGH. I will spotlight the many significant contributions by the orthopaedic staff at the Massachusetts General Hospital (MGH). Long afterward he learned that Wood had a second spinal surgery going at the same time as his. 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. 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.. Certainly, at a hospital where 37,000 surgeries are performed each year, concurrent operations make up a small minority. He says he is at peace with that. Dont lose hope, because we may have a solution, says Bassem Elhassan, MD, co-chief of the Shoulder Service. When something goes wrong as statistically it will in a small percentage of cases the surgeons failure to disclose double-booking can seem to patients inexplicable and intolerable. Not the man, in other words, one would expect to become the hospitals bitter antagonist. He said he had never, in his long career, encountered that particular complication. Wollman, Burke, and Sunder, in separate interviews, all also said Lillemoe cautioned that it would be draconian to ban surgeons from double-booking altogether. General orthopedics ranks fourth in reputation among all US hospitals, according to US News and World Report. He knew it was probably a breach of protocol, but he divulged his worries to Ronald Skates, a friend and former computer company executive. (Lillemoe later said he had misspoken.). 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. There are those in our profession who have been co-opted by the balance sheet, Burke wrote in September 2012 to Dr. Lillemoe, the hospitals surgery chief. Second, I will be involved in quality and safety evaluations and health hazard evaluation of medical devices, something I have done for many years outside of industry. It didnt take long for the conversation to become tense. Schedule a same day virtual visit when you experience a sports injury. Is this how we are planning the future? This summer, Wood said he would leave Boston to become a professor of orthopedic surgery at Stanford University in his native California, starting in November. So far, the controversy has spawned state and federal inquiries and led to the summary dismissal in August of a star surgeon, Dr. Dennis Burke, who fought a multi-year battle against double-booking. Clash in the name of care - A Boston Globe Spotlight Team Report PDF Harry E. Rubash, Md E M. a P O S , H M S We have remained at the forefront of medicine by fostering a culture of collaboration, pushing the boundaries of medical research, educating the brightest medical minds and maintaining an unwavering commitment to the diverse communities we serve. John Henry, the principal owner of the Red Sox and the owner of The Boston Globe, was a trustee of the hospital from 2005 to 2014. Generals chief surgeon, Dr. Keith Lillemoe, had to admit to Burke that even he had not seen it. Then, he would turn Meng over onto his abdomen and operate some more. Still, the Spotlight Team found that the 2012 Meng case reignited an extraordinary, long-running controversy at one of the nations top-rated hospitals over the propriety and safety of a fairly common but little studied practice that goes to the heart of a doctors obligation to his unconscious patient. named new co-directors of the HSS Women's Sports Medicine Center. Had he known Dr. Wood might schedule a second surgery overlapping his, he said, I would have gone somewhere else.. Rubash, in a July 2011 deposition, described Burke as engaging in extreme advocacy, taking his cause to many people in positions of authority and not considering the views of others. When word of Mengs paralysis reached him in August 2012, he couldnt sleep, Burke says. I am surprised to find this out from the schedule. So much so that he also did both of my brothers hips. After Skates left, Torchiana pulled Burke aside and said it was wrong to involve a trustee in this matter. Meet Dr. Joseph Schwab - SORG Orthopaedic Research Group Mass. Chief, Department of Orthopaedic Surgery, Massachusetts General Hospital, Professor of Orthopedic Surgery, Harvard Medical School Christopher M. Bono, MD Executive Vice Chair, Department of Orthopaedic Surgery, Program Director, Harvard Orthopaedic Residency Program (HCORP), Professor of Orthopaedic Surgery, Harvard Medical School Do you really think it reasonable to do these two cases by the same primary surgeon? Introduction. He then completed a General Surgery Internship and the Orthopedic Training Program at the University of Michigan Hospitals. The hospital only allows certain types of procedures to run concurrently and not the kind that Tony Meng had. 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.. Phone: 617-726-9111 Let us help you navigate your in-person or virtual visit to Mass General. The Harvard Orthopaedic Journal is an annual publication of the Harvard Combined Orthopaedic Residency Program which includes Massachusetts General Hospital, The Children's Hospital, Beth Israel Deaconess Medical Center, and Brigham and Women's Hospital. If Burke had any doubts about the price he would pay for openly challenging Mass. He took his complaints outside the chain of command, and then outside the hospital, putting his career at risk. General Physicians Organization interrupted Torchiana and asked if Burke could share his views. We offer diagnostic and treatment options for common and complex medical conditions. Our education portal was built to answer our patient's most common questions. She is an attending on the Hand & Upper Extremity and the Orthopedic Trauma Services. Dr. Elhassan spoke with WCVB about his innovative approach to restoring function and range-of-motion in a patient long-suffering from chronic shoulder pain . Anesthesia, Critical Care & Pain Medicine, Billing, Insurance & Financial Assistance. ShervinNina ShervinOrthopedic surgery resident was the one at fault, Rubash shot back, according to Burke. At MGH, that raised eyebrows and hackles. The three surgeries overlapped for a total of 13 minutes, records show. In other words, not following the policy has lead to an appropriate punishment. It had been a concurrent procedure performed weeks earlier by another MGH surgeon. At 7:42 a.m., Dr. Kirkham Wood began a complex spine procedure on a 70-year-old woman in OR 64, according to medical records and legal documents. Dr. Pedlow is a board-certified, fellowship-trained spine surgeon, specializing in the surgical treatment of disorders of the adult spine. to analyze our web traffic. development of orthopaedic biomaterials and joint registry data. Dr. Hospital officials, in an interview, say Wood never left Jenkss room during the surgery. He was happy to put himself in the care of Wood, a doctor who was recruited by MGH as chief of its orthopedic spine service in 2004 and who would draw many plaudits from patients. No one is assuming that somebody whos present for the entire case is necessarily in the four walls of the operating room the entire time, Wood later explained in the deposition. Drs. Thats when, Vassallo said, she did something for the first time in 25 years of medicine: She went looking for the surgeon. We have remained at the forefront of medicine by fostering a culture of collaboration, pushing the boundaries of medical research, educating the brightest medical minds and maintaining an unwavering commitment to the diverse communities we serve. Consider Nicholas Gregory. We have remained at the forefront of medicine by fostering a culture of collaboration, pushing the boundaries of medical research, educating the brightest medical minds and maintaining an unwavering commitment to the diverse communities we serve. I see things that are not right and thats not the way we practiced medicine for a long time..
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