Chief, Department of Orthopaedic Surgery, Massachusetts General Hospital, Professor of Orthopedic Surgery, Harvard Medical School Christopher M. Bono, MD Executive Vice Chair, Department of Orthopaedic Surgery, Program Director, Harvard Orthopaedic Residency Program (HCORP), Professor of Orthopaedic Surgery, Harvard Medical School Im busy, Bhattacharyya told Vassallo, according to her court testimony. [ Contact MGH Archives for use] Partners HealthCare Pathology For more information about these cookies and the data
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. Among his many accolades, Dr. Harris received the BWH Hippocrates Society Humanitarian Award and both held the chair position and served as a mentor for the AAOSs Leadership Fellows Committee. Access to sports medicine experts when you need them most. Dr. Bridwell is the Co-Director and Founder of the Pediatric/Adult Spinal Deformity Service. Was that really too much to expect?, Lillemoe bristled that Burke had alerted state agencies and disagreed that internal efforts had been ineffective. Any senior resident who could hold a knife could have done it, Phan said. Learn about career opportunities, search for positions and apply for a job. With new Gene and Cell Therapy institute, MGB is staking its claim in Im very proud of my department and our surgeons and our care.. Dr. Theodore Miclau is an orthopedic surgeon who specializes in the treatment of injuries caused by trauma, such as complex fractures and bone loss. We don't rush your visits. Mass General Waltham Now Offering Outpatient Joint Surgery. Boston, MA02114
AustenW. Dr. Wood was listed as the attending surgeon for a second procedure at the same time he operated on former Red Sox pitcher Bobby Jenks. 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. After earning his medical degree from the University of Illinois College of Medicine in 1984, Dr. Harris completed his residency in Orthopaedic Surgery at Dartmouth-Hitchcock Medical Center in 1989. 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. CHIEF OF ORTHOPAEDIC SURGERY, MASSACHUSETTS GENERAL HOSPITAL EDITH M. ASHLEY PROFESSOR OF ORTHOPAEDIC SURGERY, HARVARD MEDICAL SCHOOL Introduction As I write my 11th annual Chief's Report to the Orthopaedic Journal at the Harvard Medical School, the financial world seems to be crumbling around us. Our multi-disciplinary Spine team uses non-operative therapies and advanced surgical techniques to treat all spine conditions and disorders. In August, MGH revoked Burkes operating privileges, ending his 35-year career at the hospital that in 2009 gave him a coveted award as one of its best clinicians. Learn more about our surgical optimization program, which will help you plan and prepare for your upcoming procedure. I cant say enough great things about Dr. F. The level of confidence he gave me was so invaluable after a bad experience. Learn about career opportunities, search for positions and apply for a job. We bring together the clinical professionals with the most appropriate skills to deliver your care. Then, moving to the other OR, Wood cut into Mengs neck to expose the spine for the procedure, known as a cervical corpectomy. Wood, in later testimony, described the hole in the dura as large and that he couldnt pinpoint when it had torn open or what was the cause. Such indirect supervision, where the attending is not present, is allowed under certain circumstances at teaching hospitals. Dr. Christopher M. Bono is a board-certified, fellowship-trained adult spine surgeon in the Orthopaedic Spine Center at Massachusetts General Hospital. Vassallo and Shervin did not respond to repeated requests for comment. Orthopaedic Surgery - Brigham and Women's Hospital 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. Copyright 2007-2023. Dr. Kirkham Wood performed an 11-hour operation on Meng in August 2012, a procedure that carried known risks, including possible paralysis, but also the potential for relief from pain and other symptoms. When the patient requested that Dr. R. Malcolm Smith stay with her for the whole surgery, Wollman wrote that she saw Smith became irritated, accusing the patient of manipulating the system and causing delays. Double-booking also fit well with the business-like approach that Dr. Harry Rubash brought to Mass. collected, please refer to our Privacy Policy. Slavin would not share it with the Globe or government regulators. The surgical team, led by Wood, worked intensely to figure out why. A new research institute at Mass General Brigham seeking to rethink the traditional biotech research model and create a new role for the state's largest healthcare system in the industry. Goolsby and Shubin Stein, M.D. And the attending surgeon, once the work is underway, is committed to managing two cases. Barr, Joseph S., MD - Massachusetts General Hospital, Boston, MA Get the latest news, explore events and connect with Mass General. To me that is what we were hoping to accomplish. He began the meeting by reminding the men of the obvious, that Mass. See video animations for common spine conditions and treatments. So when things went awry in some operating rooms with double-booked doctors, it was often anesthesiologists writing e-mails to hospital administrators and sharing information with Burke, whom they knew was willing to take their concerns to the top. After getting a call at his Beacon Hill home, WoodKirkham Wood, M.D.Spine surgeon, chief of spine 2004-2013 said in his deposition that he returned to the hospital to review the images and a few hours later operated again on Meng with two neurosurgeons assisting. When the 70-year-old woman returned a week later for another operation by Dr. Wood, she was again one of two simultaneous spine cases that overlapped for more than eight hours, despite the concerns of a senior anesthesiologist, according to e-mails and finalized operating schedules obtained by the Globe. Concurrent surgery is also relatively common in trauma, cardiac, brain, and vascular operations. Tony Meng didnt dwell much on the risks as he prepared for surgery on that August morning in 2012. 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. Indeed, he said in an interview that he asked Wood before the surgery whether he would be the one to perform the procedure, and the doctor said he would. He is the inaugural recipient of the Stepping Strong Distinguished Chair in Orthopaedic Surgery while serving as the founding director of the Gillian Reny Stepping Strong Center for Trauma Innovation. and Andrew Pao, M.D. Rubash succeeded in boosting the volume of orthopedic surgeries by more than 20 percent and revenue by more than 48 percent between 1999 and 2003, according to the Harvard Business School case study. Orthopedic surgeons are also among the leaders when it comes to the less common but more controversial cases involving at least one patient with an open incision while the second case is underway. Our Orthopedics Team Jessica P. Aidlen, MD Chief of Spine Surgery Specialty:Spine Surgery Location: Ambulatory Care Center 159 Wells Ave, Newton, MA Phone: (617) 831-7082 Kyle Alpaugh, MD Specialty:Joint Replacement Location: Kaplan Joint Center, 2014 Washington St, After a hard-fought political The fact that surgeons are allowed to run two rooms simultaneously is known by physicians, administrators, compliance officers, booking clerks, nurses, residents, and others, Burke wrote in March 2012 to Dr. Keith Lillemoe, head of surgery at MGH, in an e-mail obtained by the Globe. In court papers, a medical expert hired by Jenks disputed the hospital account, noting that Wood was listed as the surgeon in charge of a second case that completely overlapped Jenkss. Andrew Rogers, MD, FRCSC is the Director of Hip Preservation at Newton-Wellesley Hospital and is a Team Physician for Boston College Athletics. More broadly, MGH officials say their analysis of hundreds of orthopedic cases from 2013 and 2014 found no significant difference in complication rates between overlapping and non-overlapping cases. Clash in the name of care - A Boston Globe Spotlight Team Report When people in medicine trace the origin of overlapping surgery, one name invariably comes up: Dr. Michael DeBakey. (Lillemoe later said he had misspoken.). Boston Medical Center spine surgeon Dr. Tony Tannoury occasionally runs two operating rooms, overlapping his cases by several hours in what the hospital describes as a tightly monitored program that enables him to do his operations more safely and during daytime hours. Chief, MGH Department of Orthopaedic Surgery;Edith M. Ashley Professor of Orthopaedic Surgery,Harvard Medical School Joseph McCarthy, MD; Visiting Associate Professor of Orthopaedic Surgery Harvard Medical School John M. Siliski, MD; Clinical Instructor in Orthopaedic Surgery,Harvard Medical School William Tomford, MD; We want to get you back to doing the things you love. Wood, chief of MGHs orthopedic spine service at the time and a nationally renowned practitioner in his specialty, is a confident, veteran surgeon. Mass General Waltham's Outpatient Surgery Center offers joint replacement as day surgery in our new and convenient facilities at the crossroads of Bostons MetroWest. Nothing in the medical record indicates that Mengs sudden paralysis a known risk of the surgery had anything to do with Woods decision to juggle his care with another patients for about seven hours. He was briefly assisted by a general surgeon. The Chief will . Mitchel Harris, MD - Department of Orthopaedics BurkeDennis William Burke, M.D.Orthopedic surgeon, however, believes the incentive system did motivate some surgeons to double-book. Kirk said that double-booked operations can increase efficiency if done correctly, with brief overlaps at the start and end of cases. PCPs often are your first point of contact for your general health concerns. At MGH, the acrimony has threatened careers and relationships and potentially much more, a drama that escalated with two steps almost unimaginable in the rigorously professional world of medicine, not to mention the life of a great hospital. Ron is so worked up that he doesnt know whether to go to the Boston Globe or the FBI about this stuff, Torchiana told Burke, according to Burkes notes, which he gave to the Globe. A knowledge portal for all patient guides, rehab protocols, exercises & stretches and more. The department, after a one-day inspection this past February during which investigators examined records and interviewed four ranking staff members, but not Burke, issued a report saying it had found nothing wrong. In the spring of 2012, two anesthesiologists and Burke met with Lillemoe to discuss their ongoing concerns about patients waiting under anesthesia for their surgeon and not knowing that their cases are double-booked. Seeking to complete the procedure and possibly relieve the nerve symptoms, Wood then operated for several more hours on the back of Mengs neck. In addition to his leadership role in trauma, he spent 14 years serving as an active member of the Orthopaedic Spine Service at BWH and initiated a weekly multidisciplinary spinal oncology meeting. In September 2022, Mass Generals Orthopaedic Trauma Service was chosen to host the inaugural class of the Orthopaedic Trauma Associations Roy Sanders Traveling Fellows. Gitajn IL, Heng M, Weaver MJ, Casemyr N, May C, Vrahas MS, Harris MB. But the Globe, through dozens of interviews and a review of hospital records, court filings, and hundreds of e-mails shared by current and former medical staffers, pieced together a portrait of this remarkable and revealing episode, one which changed surgical practice and procedure at the hospital and resulted in double-booking being raised as an issue in malpractice lawsuits. Joseph H. Schwab, MD, MS. Chief, Orthopaedic Spine Surgery. He told Burke that Wood had faced an appropriate punishment for violating the new concurrent surgery policy losing the right to do simultaneous procedures. Mass. 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. General has revised its patient consent form over the years, doubling its length to roughly 500 words in the version printed last October. We are committed to providing expert caresafely and effectively. Wood made roughly six trips between the rooms over a span of three hours that morning, moving so seamlessly that one of the anesthesiologists later said in a sworn deposition he didnt even know Wood had a second patient. According to Kirk and Harry, Kirk has the fellow manpower to do this. 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.. I saw these hypocrites, sanctimonious hypocrites, who were going to string this woman up, he said in an interview. But the investigation continues. Copyright 2007-2023. Peter Dunn, M.D.,Richard M. Pino, M.D., Wilton Levine, M.D. 617-724-8636 Request an appointment. Federal lawyers, meanwhile, have subpoenaed all of Burkes records on concurrent surgeries. Third, and possibly most exciting, is that I get to participate in product innovation, licensing, and acquisition as they relate to new technology., I think it is very helpful that Zimmer Biomet now has an orthopedic surgeon in a leadership role who can communicate across all of the different business units. By the time Bhattacharyya scrubbed back into Pereiras operation, Shervin was concerned the cement was too hard. Let us help you navigate your in-person or virtual visit to Mass General. Then, on Aug. 12, MGHs president, Peter Slavin, made it official. Our multi-disciplinary spine team uses non-operative therapies and advanced surgical techniques to treat all spine conditions and disorders. Tony Meng also had no idea that Wood had a second case going during his operation. About Mitchel B Harris - Mass General Brigham Anne wanted relief from her severe arthritis. Is it right that their patients may have no idea? He completed his undergraduate studies from the College of the Holy Cross, and earned his medical degree from Boston University School of Medicine. 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. Mengs nerve signals began to fade at this point. Double-booked surgery patients often didnt at the time, and sometimes still do not. But as the surgical team began taking out parts of two vertebrae compressing Mengs spinal cord, electrodes attached to his body indicated that nerve signals between his limbs and brain were fading a warning of potential spinal cord damage.
Our orthopedic surgery team includes renowned surgeons who are highly skilled and experienced in their specialty area. Some doctors, Wood among them, consider disclosure of double-booking a case-by-case call. So far, the controversy has spawned state and federal inquiries and led to the summary dismissal in August of a star surgeon, Dr. Dennis Burke, who fought a multi-year battle against double-booking. Zimmer Gets a Chief Medical Officer For the First Time. He then completed a General Surgery Internship and the Orthopedic Training Program at the University of Michigan Hospitals. A 43-year-old former Anheuser-Busch sales manager from Peabody, Gregory has suffered from incontinence and sexual dysfunction since Dr. Wood performed spine surgery on him in October 2006. Read the draft version. Can you imagine, Burke wrote to Ann Prestipino, senior vice president of surgical and anesthesia services, in March 2012, the harm that will occur to this institutions reputation if it were to be discovered that this patients surgery was double booked?, Prestipino, in her response, sought to reassure Burke: The policy for working out of two rooms is in the process of revision under the leadership of Dr. Lillemoe, our new Surgeon-in-Chief.. He repaired a hip replacement gone bad for me in 2010 and Ive loved knowing him all these years. Orthopaedic Journal at Harvard Medical School - annual publication Meet our team Conditions & Treatments 617-724-8636 Contact Information Phone: 617-724-8636 Request an appointment Extensive e-mail correspondence, obtained from Mass. General is a teaching hospital where residents have graduated responsibility for the burdens of surgery and that concurrent surgery is an acceptable practice at other institutions, according to notes Burke took of the meeting. 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. Tony Meng had no idea he was sharing Wood with another patient that morning. But what had come of it? It was too late for a rapprochement. Are we allowing 2 rooms for major spine surgery? Anesthesia, Critical Care & Pain Medicine, Billing, Insurance & Financial Assistance, Mass General/North Shore Center for Outpatient Care, Director, Spine Oncology & Co-Director, Stephan L. Harris Chordoma Center, Associate Professor of Orthopedic Surgery, Harvard Medical School, Executive Vice Chair, Department of Orthopaedic Surgery, Program Director, Harvard Combined Orthopaedic Residency Program, Professor of Orthopaedic Surgery, Harvard Medical School, Assistant Chief, Orthopaedic Spine Service, Director, MGH/BWH Orthopaedic Spine Surgery Fellowship Program, Assistant Professor of Orthopaedic Surgery, Harvard Medical School, Instructor in Orthopaedic Surgery, Harvard Medical School, Director, Adult Spinal Deformity & Spinal Reconstruction, MGH Orthopaedic Spine Surgery Fellowship Site Director, Adult Spinal Reconstruction Orthopaedic Surgeon, Pediatric Spine & Scoliosis Surgeon, Mass General for Children, Director of Spine Training for the Harvard/Spaulding Sports Medicine Fellowship Program, Instructor in Physical Medicine and Rehabilitation, Harvard Medical School, Nurse Practitioner with Dr. Christopher Bono, Dr. Stuart Hershman & Dr. Joseph Schwab, Physician Assistant with Dr. Frank Pedlow, Inpatient Physician Assistant - Shoulder; Spine, Inpatient Nurse Practitioner - Shoulder; Spine.
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