Considering the type of pts being operated on, with multiple medical problems other than morbid obesity, it's surprising there aren't more complications/casualties.
Nonsense. The "Center of Excellence" label is marketing, pure and simple. It is designed to justify the "prestige" of big shot hospitals at the expense of community based medicine. I strongly discourage my patients from leaving their community for medical care unless they have to. There is no substitute for good local care.
I rue the day my big shot hospital gained "center of excellence" for bariatric patients. The bariatric surgeons make these patients jump through many hoops before they accept them as surgical candidates, but we hospitalists get to deal with more of these morbidly obese patients in transfer. 600 LB.s makes for limited assessments. Keep them in your community hospital, please.
'Center of excellence'=marketing hype.
ReplyDeleteConsidering the type of pts being operated on, with multiple medical problems other than morbid obesity, it's surprising there aren't more complications/casualties.
the bigger centers treat patients that are more obese and more complicated, and have more deaths
ReplyDeleteNonsense.
ReplyDeleteThe "Center of Excellence" label is marketing, pure and simple. It is designed to justify the "prestige" of big shot hospitals at the expense of community based medicine. I strongly discourage my patients from leaving their community for medical care unless they have to. There is no substitute for good local care.
I rue the day my big shot hospital gained "center of excellence" for bariatric patients. The bariatric surgeons make these patients jump through many hoops before they accept them as surgical candidates, but we hospitalists get to deal with more of these morbidly obese patients in transfer. 600 LB.s makes for limited assessments. Keep them in your community hospital, please.
ReplyDelete