Were you smart enough to ask:
a. What is your biochemical reoccurrence rate
b. What is you positive surgical margin rate
c. What is your post operative infection rate
d. What is your percentage of compliance to CMS core measures initiative
e. What is your percentage of patients that require blood transfusion
f. What is your percentage of patients that require hospitalization greater than normal
Which is defined as the average length of stay by diagnosis (LOS), All hospitals can provide that.
g. What percentage of your patients require intensive care post-op
h. What is your age adjusted mortality rate
i. What is your average operative time
j. What percentage of the operation do you actually execute
k. What percentage of your biopsy patients get septic
l. What percentage of your patients suffer an iatrogenic injury during surgery
m. What percentage of your patients suffer thrombosis as a complication of surgery
n. What percentage of you patients have normal continence (how do you define that)
o. What percentage of your patients have a colostomy as a result of the surgery
p. What percentage of your patients have post operative pneumonia
q. What percentage of your patients have normal sexual function (how to define that)
r. What percentage of your patients required an unexpected return to surgery
s. Have you ever had a “never event” (google it)
In a few days you should be able to go from no knowledge to knowledgeable with a modest amount of effort. With a little more effort and time you can become an expert. If you don’t participate in your health care “you get what you get”. After all, it is a physician / patient relationship…Both have a responsibility. As I said earlier some individuals will know enough about the various flat screen TV’s to be considered an expert, and yet...some of the same, just assume that it’s all the Dr’s responsibility when it comes to a health care.
No disrespect intended...Just my Perspective.
Age 51, PSA 08/31/2009= 6.8, DRE Neg.
Biopsy 9/24/09 =10 of 12 positive. Gleason 6. involving up to 75%
da Vinci at Wash U, Barnes on 11/02/09 Non-Nerve Sparing on Rt.
Modified Pathology, Gleason 4 + 3 = 7. Gleason 7 present throughout Prostate involving 20% of the Gland. Surgical Margins Free of Tumor,
4 of 4 periprostatic Lymph Nodes Negative, 10 of 10 pelvic Lymph Nodes Negative. Seminal Vesicles tumor free. Extracapsular extension is absent Perineural Invasion is Identified, Vascular Invasion is not identified.