[From nobody Fri Feb 9 04:21:22 2007 Return-Path: <trauma-l-return-9322-KMATTOX=aol.com@lists.aast.org> Received: from rly-yd05.mx.aol.com (rly-yd05.mail.aol.com [172.18.141.69]) by air-yd03.mail.aol.com (v114_r3.2) with ESMTP id MAILINYD32-21c45cbf615272; Thu, 08 Feb 2007 23:18:50 -0500 Received: from mollynet.com (mollynet.com [66.93.153.62]) by rly-yd05.mx.aol.com (v114_r3.2) with ESMTP id MAILRELAYINYD510-21c45cbf615272; Thu, 08 Feb 2007 23:18:32 -0500 Received: (qmail 25719 invoked by alias); 9 Feb 2007 02:26:53 -0000 Mailing-List: contact trauma-l-help@lists.aast.org; run by ezmlm X-No-Archive: yes Reply-To: trauma-l@lists.aast.org List-Post: <mailto:trauma-l@lists.aast.org> List-Help: <mailto:trauma-l-help@lists.aast.org> List-Unsubscribe: <mailto:trauma-l-unsubscribe-KMATTOX=aol.com@lists.aast.org> List-Subscribe: <mailto:trauma-l-subscribe@lists.aast.org> Delivered-To: mailing list trauma-l@lists.aast.org Received: (qmail 25710 invoked from network); 9 Feb 2007 02:26:51 -0000 X-Server-Uuid: F9B9D68B-CC0F-4FE2-AD8B-4C0B05613D77 X-MimeOLE: Produced By Microsoft Exchange V6.5 Content-class: urn:content-classes:message MIME-Version: 1.0 Subject: Thoracic and Vascular Procedures done by Trauma Surgeons - a dose of reality Date: Thu, 8 Feb 2007 18:24:53 -0800 Message-ID: <FEECA018557C774EB876F0D3BCB54E1B84ADC3@MSG02.corp.scripps.org> X-MS-Has-Attach: X-MS-TNEF-Correlator: Thread-Topic: Thoracic and Vascular Procedures done by Trauma Surgeons - a dose of reality Thread-Index: AcdL8XwaNftFBZbyTOe7LyXtgDMEGA== From: "Sise, Mike MD" <Sise.Mike@scrippshealth.org> To: trauma-l@lists.aast.org X-OriginalArrivalTime: 09 Feb 2007 02:24:54.0410 (UTC) FILETIME=[7C11EEA0:01C74BF1] X-TMWD-Spam-Summary: TS=20070209022456; SEV=2.2.0; DFV=B2007020811; IFV=2.0.4,4.0-9; AIF=B2007020811; RPD=5.02.0004; ENG=IBF; RPDID=NA; CAT=NONE; CON=NONE X-MMS-Spam-Filter-ID: B2007020811_5.02.0004_4.0-9 X-WSS-ID: 69D504FD4R0305571-01-01 Content-Type: multipart/alternative; boundary="----_=_NextPart_001_01C74BF1.7B7CB5B9" X-AOL-IP: 66.93.153.62 X-Mailer: Unknown (No Version) ------_=_NextPart_001_01C74BF1.7B7CB5B9 Content-Type: text/plain; charset=us-ascii Content-Transfer-Encoding: quoted-printable I would remind all of us that one of the strengths of the Trauma Surgeon is brutal honesty - toward others and especially directed toward ourselves. It is true that we are frequently more competent to treat injuries in areas where specialty trained surgeons who do elective surgery are not as skilled. But to have delusions of adequacy because we occasionally staple a lung or put a stitch in the vena cava but don't really have the training or expertise to do complex thoracic or vascular repairs is a dangerous tendency. If you honsetly would not have someone with your level of expertise operate on your injured son or daughter then you should arrange for a competent specialty trained colleague to be ready to assist you when these injuries present. We have distinguished ourselves by our abitily to focus on results, learn, and improve. We need to be rigorous in this regard also. The challenge will grow more intense as trauma operative volume continues to fall. Who will be the "big case" operating surgeons of the future? We need to address this and make certain that we provide our patients with well trained and experienced surgeons. We can team up with our colleagues to make this a reality.=20 Mike Sise Medical Director at a Level I Trauma Center Capable (and boarded) in Vascular Surgery, crack lots of chest but always get help in Thoracic, and always have a trauma general surgeon partner check me on anything complicated GI surgery. "Scripps Information Security"=20 ----------------------------------------------------------------------------= -- This e-mail and any files transmitted with it may contain privileged and con= fidential information and are intended solely for the use of the individual=20= or entity to which they are addressed. If you are not the intended recipient= or the person responsible for delivering the e-mail to the intended recipie= nt, you are hereby notified that any dissemination or copying of this e-mail= or any of its attachment(s) is strictly prohibited. If you have received th= is e-mail in error, please immediately notify the sending individual or enti= ty by e-mail and permanently delete the original e-mail and attachment(s) fr= om your computer system. Thank you for your cooperation. =3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D= =3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D= =3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D= =3D=3D=3D ------_=_NextPart_001_01C74BF1.7B7CB5B9 Content-Type: text/html; charset=us-ascii Content-Transfer-Encoding: quoted-printable <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 3.2//EN"> <HTML> <HEAD> <META HTTP-EQUIV=3D"Content-Type" CONTENT=3D"text/html; charset=3Dus-ascii"> <META NAME=3D"Generator" CONTENT=3D"MS Exchange Server version 6.5.7650.28"> <TITLE>Thoracic and Vascular Procedures done by Trauma Surgeons - a dose of=20= reality</TITLE> </HEAD> <BODY> <!-- Converted from text/rtf format --> <P><FONT SIZE=3D2 FACE=3D"Arial">I would remind all of us that one of the st= rengths of the Trauma Surgeon is brutal honesty - toward others and especial= ly directed toward ourselves. It is true that we are frequently more compete= nt to treat injuries in areas where specialty trained surgeons who do electi= ve surgery are not as skilled. But to have delusions of adequacy because we=20= occasionally staple a lung or put a stitch in the vena cava but don't really= have the training or expertise to do complex thoracic or vascular repairs i= s a dangerous tendency. If you honsetly would not have someone with your lev= el of expertise operate on your injured son or daughter then you should arra= nge for a competent specialty trained colleague to be ready to assist you wh= en these injuries present.</FONT></P> <P><FONT SIZE=3D2 FACE=3D"Arial">We have distinguished ourselves by our abit= ily to focus on results, learn, and improve. We need to be rigorous in this=20= regard also. The challenge will grow more intense as trauma operative volume= continues to fall. Who will be the &quot;big case&quot; operating surgeons=20= of the future? We need to address this and make certain that we provide our=20= patients with well trained and experienced surgeons. We can team up with our= colleagues to make this a reality. </FONT></P> <P><FONT SIZE=3D2 FACE=3D"Arial">Mike Sise</FONT> <BR><FONT SIZE=3D2 FACE=3D"Arial">Medical Director at a Level I Trauma Cente= r</FONT> <BR><FONT SIZE=3D2 FACE=3D"Arial">Capable (and boarded)&nbsp; in Vascular Su= rgery, crack lots of chest but always get help in Thoracic, and always have=20= a trauma general surgeon partner check me on anything complicated GI surgery= .</FONT></P> <P><pre wrap>"Scripps Information Security"=20 ----------------------------------------------------------------------------= -- This e-mail and any files transmitted with it may contain privileged and con= fidential information and are intended solely for the use of the individual=20= or entity to which they are addressed. If you are not the intended recipient= or the person responsible for delivering the e-mail to the intended recipie= nt, you are hereby notified that any dissemination or copying of this e-mail= or any of its attachment(s) is strictly prohibited. If you have received th= is e-mail in error, please immediately notify the sending individual or enti= ty by e-mail and permanently delete the original e-mail and attachment(s) fr= om your computer system. Thank you for your cooperation. =3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D= =3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D= =3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D= =3D=3D=3D </pre></P></BODY> </HTML> ------_=_NextPart_001_01C74BF1.7B7CB5B9-- ]