New plotline, HODAD selling his technological device. Crudite used as sign of eminent corruption.
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Back to mom dragged in by son. I'm impressed he knew that mom needed an aneurysm repair. That's usually a pretty silent killer. But yes, 7cm aneurysm? In a woman? That young? Get that fixed. EVAR time.
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Ok, back to DIY anal toy guy, they have left the intern to remove the object from an awake patient! What?!/!11!. No. Anesthesia, twilight at least required. It is also not a simple prospect, risk of perforation is significant. Again, intern torture for drama.
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Now HODAD is forcing a postcall resident to stay for an afternoon case. Granted I trained after the new rules. But I have never, ever, seen that happen. It probably helps that in house residents (1,2,3s) are junior and are pretty ancillary when it comes to complex cases.
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A 7cm aneurysm needs to be repaired, but it isn't an emergency. Also, why is the only discussion seem to revolve around open repair? EVAR would be standard of care in a young person who likely has straightforward anatomy. Also, HODAD does urology, HPB and now vascular?
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I get the feeling they're trying to build up a "concurrent surgery" story around HODAD doing three wildly different, wildly unplanned surgeries at the same time. Overlapping surgery is done by surgeons doing the same operation, assembly line style, super efficient.
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Agree or disagree with the practice (against the data mind you), but this is *not* what it looks like. It's usually very advanced technical surgeons with mature practices, maximizing efficiency in an elective setting. Not this fly by the seat of your pants nonsense.
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But why present a complex medical safety issue with any pretense of reality? Instead, show that the people doing it are HODADs.
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Back to York, the DIY anal toy patient. Now he's apparently left a bad Yelp review for his intern who is very upset about it. No one actually cares about online reviews. They're computer-generated nonsense. Want to see mine? They're terrible! My wait times are awful.
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It's for an office I've never had, in a state I've never had a practice in, and also, I'm trauma, so...I rarely meet my patients in the office. Anyway. My wait times are terrible! And someone from *California* thinks I talk about my blog too much. https://www.healthgrades.com/physician/dr-mark-hoofnagle-ggr4b …
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That's a dead giveaway for a fake review.
I got a similar review claiming I was "arrogant," appeared to be distracted, and talked about my blog. I NEVER talk about my blog, except for the rare—and I do mean rare—times when a patient brings it up first. Even then I try to aver.
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