Precision of your arguments is fading
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Just to remind you--the negative appendix rate in the study I cited was 3.3%. Only 2.9% of 9,507 appendectomies had no preop imaging. Preop imaging leads to more accurate diagnoses.
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Absolutely. Restricting CT in UK resulted in 25.7% rate of negative appendectomies. For ungodly reason 82% were open surgeries, sure there is British logic to it. Finding 3 carcinoids in 172 otherwise nonthreatening specimens is then used to justify this approach
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Als antwoord op @JaroslawMichal3 @Skepticscalpel en
Gender has no bearing on appendectomy approach. No appendectomy should be started as open. Conversion to open should approach 0. “Trainees” in UK decide how surgery is done? What does that even mean?
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Not all trainees on call can do lap appendix, certainly not in smaller hospitals. In UK plenty are done open, including by consultants. Normal.
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Trainees are on call in UK unsupervised? Guess trainee means something else in US. Standard of care in US is laparoscopic appendectomy. Conversion rate is extremely low. Otherwise it’s not normal
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Supervised unscrubbed is common, approach is determined though by on call consultant
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Wow. That explains a lot. Would never fly here
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Our system is supported by trainees and works within about 8.5% of GDP. In the USA it's about 16%. Extraordinarily expensive. No UK hospital invoices $12000 for an appendicectomy. Swings and roundabouts. I'm no advocate. Just pointing out differences Americans may not appreciate
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Sure it’s cheaper. Half baked trainees doing surgeries. Guess whatever society will be told to tolerate. We’d rather have bills to pay and have the chance for best possible outcome
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All trainees by nature are half baked.
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Trainees in US don’t perform surgeries without attending surgeon scrubbed in and supervising. They perform some steps of surgery according to their training advancement. That’s in academic hospitals. Everywhere else are fully trained surgeons
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