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to analyze our web traffic. Massachusetts General Hospital & New England Baptist Hospital As minutes passed, Mengs neurological responses fluctuated, briefly improving, but overall growing progressively weaker, and, by 1:30 p.m., all muscle responses were lost. Don wanted to get back to a pain-free life. Pereira did not respond to requests to allow the hospital to comment on her case. He then completed a General Surgery Internship and the Orthopedic Training Program at the University of Michigan Hospitals. Copyright 2007-2023. Bono CM, Leonard DA, Cha TD, Schwab JH, Wood KB, Harris MB, Schoenfeld AJ. Im busy, Bhattacharyya told Vassallo, according to her court testimony. I was called a whistle-blower and crusader by some not true, Burke said he told Stern. to analyze our web traffic. Any senior resident who could hold a knife could have done it, Phan said. Other luminaries in orthopaedic surgery have headed the Department over the years, including Drs. 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. 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. Founder and Chair, Foot & Ankle Research and Innovation Lab, Vice-chair Academic Affairs, Professor of Orthopedic Surgery, Massachusetts General Hospital, Newton-Wellesley Hospital, Harvard Medical School, Director, Foot & Ankle Research and Innovation Lab, Assistant Professor of Orthopaedic Surgery, Clinical Executive Director of MGB Orthopaedic Registry, Massachusetts General Hospital, Harvard Medical School, Chief, Foot & Ankle Service, Associate Professor of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Foot & Ankle Fellowship Program Director, Assistant Professor of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Foot & Ankle Surgeon, Minimally Invasive Surgery Lead, Member of the Faculty, Massachusetts General Hospital, Harvard Medical School, Foot & Ankle Sports Medicine Director, Instructor of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical Schoo, Podiatry Surgeon, Assistant Professor of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Founder & Director of SORG and CPAI, Director of MGB Registries, Associate Professor of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Chief, Department of Orthopaedic Surgery, Massachusetts General Hospital, Professor of Orthopedic Surgery, Harvard Medical School, Executive Vice Chair, Department of Orthopaedic Surgery, Program Director, Harvard Orthopaedic Residency Program (HCORP), Professor of Orthopaedic Surgery, Harvard Medical School, Director, Womens Sports Medicine Program, Sports Medicine Orthopaedic Surgeon, Massachusetts General Hospital, Associate Professor, Harvard Medical School, Hand & Upper Extremity Surgeon, Department of Orthopaedics, Massachusetts General Hospital, Assistant Professor, Harvard Medical School, Chief of the Hand & Arm Center, Department of Orthopaedics, Massachusetts General HospitalProgram Director, Hand Surgery Fellowship ProgramAssociate Professor, Harvard Medical School, Biomedical Engineering graduate from Worcester Polytechnic Institute, specializing in Biomechanics and Medical Robotics, Senior Clinical Research Program Manager at the Department of Orthopaedic Surgery, Massachusetts General Hospital, Massachusetts General Hospital, Harvard Medical School, , Massachusetts General Hospital, Harvard Medical School. Explore fellowships, residencies, internships and other educational opportunities. Anesthesia, Critical Care & Pain Medicine, Billing, Insurance & Financial Assistance. Is this how we are planning the future?. Dr. Francis Hornicek Named Chair of Orthopaedics and a Leader at Wood was known among his peers for taking on some of the most challenging cases, sometimes as the surgeon of last resort for suffering patients who had been turned down by other doctors. 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. 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. Burke and his allies remain unpersuaded, and believe MGH is in a state of denial or something worse particularly when it comes to the critical matter of patient consent. General stemmed from alleged incidents directly witnessed by the anesthesiologists, whose critical role in surgery is often not fully understood by patients. Sunder. For more information about these cookies and the data Other authorities see real utility in the practice. Subscribe now for unlimited access to BostonGlobe.com. 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. Watch the full documentary and learn more about concurrent surgeries at the homepage for Globe coverage of the issue. , -----, This event will be livestreamed. Burke wasnt alone in his doubts about double-booking. General. 5 Blossom St to analyze our web traffic. He is a member of the Department of Orthopedic Surgery at the Massachusetts General Hospital and New England Baptist Hospital, and an Associate Professor of Orthopaedic Surgery at . Wood had honed his specialty essentially just about anything that can go wrong with the spine through hundreds of procedures, and, by overseeing two operating rooms at the same time, he could focus on the tasks that most required his skills. He also said that publication of allegations based, he believes, on innuendo, incomplete and inaccurate data and mischaracterizations could clearly harm a group of surgeons who every day provide a world class service to our community.. Burke could not get concerns about double-booking off his mind. is new director of Scoliosis and Spinal Deformities at Rady Childrens Hospital-San Diego. Wood, Rubash said, chose to step down from his hospital leadership position the following year amid concerns about his communications skills. Those changes came only after MGH officials took a remarkable step. Wood announced plans to leave for Stanford University this fall. 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. Chiefs Reports: Massachusetts General Hospital 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. Burke sided with Shervin, testifying against the hospital. To schedule an appointment with one of our 40 expert orthopaedic surgeons at any of our six locations in the greater Boston area, please call 617-732-5322, or fill out an online appointment request form. 1 This program included Massachusetts General Hospital, Brigham and Women's Hospital, and Boston Children's Hospital. Zinner explained the philosophy that drives the limits on concurrent surgery at his hospital. 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. Do you really think it reasonable to do these two cases by the same primary surgeon? The only person seemingly unaware of this practice is the patient.. While a senior resident at the University of Michigan, Dr. Freiberg did a rotation at MGH and he went on to complete the Hip and Implant Fellowship there. At MGH, that raised eyebrows and hackles. I wish you would have given us a chance as once people see we mean business, things will change for the better. . Get the latest news, explore events and connect with Mass General. triathlete and orthopaedic surgery patient, If you have any questions, contact Megan Leelman at, Anesthesia, Critical Care & Pain Medicine, Billing, Insurance & Financial Assistance, Mass General Sports Medicine Physicians Head to Red Sox Spring Training, Family Nurse Practitioner Colleen McGauley, FNP-BC, Delivers Orthopedics Presentation at Statewide Conference, Orhun Muratoglu, PhD, Inducted into the National Academy of Inventors' Fellows Program, Sports Medicine Physician Kelly McInnis, DO, Receives 2023 Moyer Award, 31st Annual Smith Day & 8th Annual Jupiter International Forum. Federal lawyers, meanwhile, have subpoenaed all of Burkes records on concurrent surgeries. He told the doctors that the revised policy would ensure the highest quality of care and patient safety. This impressive achievement is a testament to the commitment of our clinical team to providing safe, high-quality care while ensuring an exceptional patient experience. mleelman@partners.org. Meet the IGOT Team | UCSF Department of Orthopaedic Surgery Learn more about our surgical optimization program, which will help you plan and prepare for your upcoming procedure. 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. Some surgeons complained about pressure to perform more operations, but others were delighted at the chance to increase their pay through extra work. The morning after their conversation, Skates reached out to Dr. David Torchiana, head of the physicians organization and now chief executive of Partners, who promised to look into the matter, according to e-mails obtained by the Globe. When people in medicine trace the origin of overlapping surgery, one name invariably comes up: Dr. Michael DeBakey. State Attorney General Maura Healeys office is also looking into the matter, and prosecutors have contacted Burkes former colleagues. Peter Dunn, M.D.,Richard M. Pino, M.D., Wilton Levine, M.D. Joseph H. Schwab, MD, MS - Mass General Advances in Motion Gregory was startled at the news, as was the judge in his malpractice suit against Wood. After Skates left, Torchiana pulled Burke aside and said it was wrong to involve a trustee in this matter. We use cookies and other tools to enhance your experience on our website and Soon state regulators were investigating concurrent surgeries done by several orthopedic surgeons, eventually focusing on 31 double-booked surgeries, according to a letter sent in November 2014 by the medical board to the Department of Public Health. The Meng case reverberated deeply for BurkeDennis William Burke, M.D.Orthopedic surgeon. Burke had prepared 17 bullet points, including one addressing his own motives in raising the issue of double-booking. The trial is tentatively scheduled to start next September. It examined Mass. It would be almost nine years before he learned, in January, that during the nine-hour case Wood had left him for a time in the hands of a fellow while he operated on a second patient with what Wood later testified was an infected spine. What will you tell this quadriplegic man and his family when they ask if his paralysis could have been prevented by having his surgeon be attentive only to him during his surgery? Burke wrote in an e-mail copied to senior leaders at MGH and Partners. MGH officials declined to comment directly on the Meng case, saying federal patient privacy laws forbid their doing so. Our orthopaedic specialists see patients at many locations, including Boston, Waltham, Danvers, Newton-Wellesley and Foxborough. His ties to MGH go back to childhood. Burke only made it through point 12 before the meeting ended. Department Histories - MGH History - MGH Guides at Massachusetts collected, please refer to our Privacy Policy. Learn about the many ways you can get involved and support Mass General. 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. 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. Dr. John Y Kwon, MD - Boston, MA - Foot and Ankle Orthopedic Surgery His name is Andrew Freiberg, M.D. He was briefly assisted by a general surgeon. Mark Vrahas is a nationally respected trauma surgeon and under his leadership, MGH created an orthopedic trauma team system that has been emulated across the country.. Burkes looming departure does not, however, mean an end to the controversy. 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? Save my name, email, and website in this browser for the next time I comment. Eighteen minutes later, Dr. Wood started another case down the hall a cervical corpectomy on Tony Meng. 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. He removed a damaged disc from the womans lower back and plugged it with bone; it would be the last surgery he did on her that day, though he checked on her twice and gave instructions to her medical team. collected, please refer to our Privacy Policy. Thanks, Sunder. Im just a concerned doc worried about poor patient care and potential damage to the hospitals reputation.. Dr. Christopher Bono Director, HCORP The Harvard Combined Orthopaedic Residency Program has existed for more than 100 years, and we are proud of the rich tradition of educating outstanding clinicians and leaders. Vassallo and Shervin did not respond to repeated requests for comment. Our Team: Orthopaedic Spine Center - Massachusetts General Hospital Dr. Christopher M. Bono is a board-certified, fellowship-trained adult spine surgeon in the Orthopaedic Spine Center at Massachusetts General Hospital. Are perioperative allogeneic blood transfusions associated with 90-days infection after operative treatment for bone metastases? Double-booking his first two cases enabled Wood to conduct three major operations on the day of Mengs surgery, logging a collective 21 hours as attending surgeon. I doubt that there is a person in this room who would want a family member or themselves to be treated by a surgeon running between two rooms, Burke said he told the group. Double-booked surgery patients often didnt at the time, and sometimes still do not. would threaten the independence of the Globes editorial process, the newspapers attorney Jonathan Albano wrote in an e-mail to a hospital lawyer. Dr. Harris is a widely respected and beloved teacher. 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. Fax: 617-726-8214. PCPs often are your first point of contact for your general health concerns. Sunder and Hardiman said they scrambled to put in arterial and intravenous lines and transfused the patient with several pints of blood. Lillemoe, in written statements to the Globe, challenged their account of the conversation and denied he used the phrase make my skin crawl. However, he acknowledged that he may have said it would be draconian to ban the practice. MGH trauma surgeon from 2004-2009. 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. Sometimes patients find out just moments before the surgery, or even after the fact, that their doctor had a second concurrent procedure. I see things that are not right and thats not the way we practiced medicine for a long time.. Doctors could not be the attending surgeon for three rooms simultaneously, something already prohibited by Medicare rules. Hi, I am looking at Mondays schedule and I see Dr. Wood booked in two rooms. Dr. Hornicek is an excellent teacher and surgeon and plans to continue his basic science efforts in a new laboratory. Clinical and Research Pioneers Molded Massachusetts General Hospital's Orthopedic Surgery History. Warner had a second procedure running simultaneously and was scrubbed into room 20. Orthopaedics Advances in Motion provides health care professionals with information about the latest innovations from Mass General. Dr. Pedlow is a board-certified, fellowship-trained spine surgeon, specializing in the surgical treatment of disorders of the adult spine. Neither knew it at the time, but a seed had been planted. Dont lose hope, because we may have a solution, says Bassem Elhassan, MD, co-chief of the Shoulder Service. The Chief will . He had a daunting task ahead of him and perhaps an even more formidable opponent. Later that Sunday, after meeting with the family, he performed the surgery. 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. Brandon E. Earp, MD - Brigham and Women's Hospital MGH concluded that none of the injuries was the result of double-booking, but the hospital declined to provide details to the Globe. Our education portal was built to answer our patient's most common questions. Much of the internal debate over double-booking at Mass. Secure online access to your health information whenever you need it. The question: Is it right or safe for surgeons to run two operations at once? Jon has a tendency of counting operating time versus actual case time. Previously, Dr. Harris served as the chief of the Orthopaedic Trauma Service at Brigham and Women's Hospital (BWH). George Dyer, M.D. Step away from the bed, VassalloSusan A. Vassallo, M.D.Anesthesiologist said she insisted. Read the final policy. Such indirect supervision, where the attending is not present, is allowed under certain circumstances at teaching hospitals. This is an example of one of his concurrent surgeries, according to finalized operating room schedules. Dr. Lillemoe, a genial native of a small town in South Dakota, came to Mass. Jenks had publicly accused his surgical team of botching the surgery, failing to smooth a sharp place on his spine that sliced me open after the surgery and, he believes, ended his career. Can they really do two overlapping operations equally well? While he was a medical student at Loyola University outside Chicago, orthopedic surgery appealed to him because it combined medicine and mechanics. 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. Clash in the name of care - A Boston Globe Spotlight Team Report New Director at Rady Childrens San Diego, Goolsby and Shubin Stein New Co-DirectorsHSS Womens Sports Center, Raj Gala, M.D. Meng, can you move your arms or legs, or squeeze my fingers or wiggle your toes?, All Meng could do, when the resident asked, was wince.. Tony Meng had no idea he was sharing Wood with another patient that morning. 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. He completed his undergraduate studies from the College of the Holy Cross, and earned his medical degree from Boston University School of Medicine. 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. Some even wonder at his motives, believing he is driven by outrage at the hospital for placing a Burke protege on academic probation and not hiring her. Let us help you navigate your in-person or virtual visit to Mass General. The Globe declined the hospitals request to return the documents for a review of Burkes redactions. Spine Specialist in Boston at MGH | Dr. Frank Pedlow Jr. He told OTW, The company wanted someone who had an active practice and was a leader in the realm of education. mleelman@partners.org. 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. 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. Brandon E. Earp, MD is Vice Chair of Clinical Operations for the Brigham and Women's Department of Orthopaedic Surgery and Chief of Orthopaedic Surgery at Brigham and Women's Faulkner Hospital. He was also an Associate Professor of Orthopedic Surgery at Harvard Medical School. Hospital leaders would define the critical parts for many surgeries, and identify operations and types of patients whose surgeries should not overlap. If there are issues or concerns, please let me and or Harry know. Paulino Pereira NR, Langerhuizen DW, Janssen SJ, Hornicek FJ, Ferrone ML, Harris MB, Schwab JH. Bassem Elhassan MD, Co-Director - MGH Shoulder Service, Boston Shoulder Institute Fellowship Program Director, Professor of Orthopedic Surgery, Harvard Medical School Jon J.P. Warner MD, Co-Director - MGH Shoulder Service, Director Boston Shoulder Institute, Acting Chief, MGH Sports Medicine Service, Chair for Quality and Safety for Orthopedics, Professor of Orthopedic Surgery, Harvard . Gitajn IL, Heng M, Weaver MJ, Casemyr N, May C, Vrahas MS, Harris MB. Anesthesia, Critical Care & Pain Medicine, Billing, Insurance & Financial Assistance, Mass General/North Shore Center for Outpatient Care. And what must patients be told about their care, and when? Then in April 2011, Skates helped arrange a meeting with Burke and Torchiana and the three of them gathered in Torchianas office on the second floor of the Bulfinch Building at 6:30 a.m. Torchiana was not about to simply bow to Burkes demands. MGH officials say their revised policy on concurrency stacks up well against their national peers. Dr. 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.
