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. Your email address will not be published. His name is Andrew Freiberg, M.D. Subscribe now for unlimited access to BostonGlobe.com. collected, please refer to our Privacy Policy. Seventy-year-old Monique Pereira had Parkinsons disease, but she lived independently in the south of France and had recently flown to visit her son, Stephane, and his partner who ran a French bistro nearby on Newbury Street. Previously, Dr. Harris served as the chief of the Orthopaedic Trauma Service at Brigham and Women's Hospital (BWH). This event will be livestreamed. Orthopaedic Trauma Service55 Fruit StreetYawkey Building for Outpatient CareSuite 3C He repaired a hip replacement gone bad for me in 2010 and Ive loved knowing him all these years. And Burke said he never started a surgical procedure on one of his patients - that is, made an incision - until he was finished with the other patients procedure. He is also the Chief of Orthopedics at Morton Hospital. Please complete our confidential survey. Best of luck to you, Dr. F. Zimmer is so lucky to have you! Orthopedics Spine Surgeon or Neurosurgeon, Is There a Difference? General employees complained about at least 44 alleged problems involving concurrent surgeries, and raised concerns to their superiors and colleagues, sometimes through official channels, other times in court testimony or ordinary e-mails about what they considered substandard patient care or medical practice between 2005 and 2015, the Spotlight Team found. Learn about career opportunities, search for positions and apply for a job. Yet the hospital did impose new limits on double-booking surgery after Burke spoke out, reining in what MGHs chief of surgery described in an e-mail echoing a phrase of Burkes, he says as the wild wild west era of concurrent surgery. General orthopedics but did not study whether concurrent surgery played a role in the departments success. Burkes account is not an accurate reflection of what actually took place that morning, the spokesman said. Our multi-disciplinary spine team uses non-operative therapies and advanced surgical techniques to treat all spine conditions and disorders like spinal deformities & injuries, scoliosis and spinal stenosis. Zinner explained the philosophy that drives the limits on concurrent surgery at his hospital. Upon returning after World War II in 1947, Dr. Barr succeeded Dr. Marius N. Smith-Peterson as the chief of orthopedic surgery at the Massachusetts General Hospital, having become a member of the staff in 1930. General Physicians Organization, Former US Attorney hired by Partners to investigate double-booking, Chairman of the chiefs council, a founder of Partners HealthCare, visit our home for Globe coverage of the issue. Generals busy orthopedic trauma service, and on this day, he was very busy indeed. Burke then began trading e-mails with Torchiana, the tough, confident leader known simply as Torch. Burke bemoaned the reckless behavior by some of my colleagues and worried that his warnings were being downplayed. At Lahey Hospital & Medical Center, you can trust our orthopedic surgeons to provide expert, personalized and compassionate care. Our orthopedic surgery team includes renowned surgeons who are highly skilled and experienced in their specialty area. Dr. Harris chaired a Department of Defense peer-reviewed Orthopaedic research program, and has authored or co-authored more than 150 peer-reviewed academic publications. Had he known Dr. Wood might schedule a second surgery overlapping his, he said, I would have gone somewhere else.. As an assistant stitched up the patient, DeBakey would scrub into the next operating room, where another open chest awaited him. Copyright 2023 RRY Publications, LLC. Dr. Are perioperative allogeneic blood transfusions associated with 90-days infection after operative treatment for bone metastases? Rubash, according to a hospital spokeswoman, says the meeting with Burke never took place. Thats exactly why Meng had brought his troubles to MGH: He wanted a star surgeon, someone who could help him put aside his pain medications and comfortably play soccer again with his two young children. Contact us to learn more about our services or to make an appointment with one of our orthopaedic specialists. and he is the renown orthopedic surgeon who has led the hip and knee service at Massachusetts General Hospital (MGH) in Boston for over 20 years. Burke is a zealot on the issue and makes no apology for it. MGH concluded that none of the injuries was the result of double-booking, but the hospital declined to provide details to the Globe. Both men, wearing scrubs, sat at a formica-covered table in the middle of the room, according to Burkes recollection of the encounter. Dr. Kirkham Wood stopped double-booking surgeries some time after the Meng case in 2012, when a revised hospital policy sharply limited concurrent complex spine cases, according to Dr. Harry Rubash, MGHs chief of orthopedic surgery. 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; With more than 25 years of experience in academic orthopaedic surgery, Mitchel B. Harris, MD, has been named chief of the Department of Orthopaedics at Massachusetts General Hospital, effective October 1, 2017. Copyright 2007-2023. Step-by-step guidance: our spine team, spine anatomy, preparing for surgery and more. He was happy to put himself in the care of Wood, a doctor who was recruited by MGH as chief of its orthopedic spine service in 2004 and who would draw many plaudits from patients. After Skates left, Torchiana pulled Burke aside and said it was wrong to involve a trustee in this matter. His ties to MGH go back to childhood. As an anesthesiologist, Dr. Akshay Dalal, watched, Vrahas explained the procedure that would be done on the patients lower leg, and gave him the consent form, which both the patient and Vrahas signed. Tony Meng didnt dwell much on the risks as he prepared for surgery on that August morning in 2012. James P. Rathmell, M.D., Susan A. Vassallo, M.D. What will you tell this quadriplegic man and his family when they ask if his paralysis could have been prevented by having his surgeon be attentive only to him during his surgery? Burke wrote in an e-mail copied to senior leaders at MGH and Partners. We offer diagnostic and treatment options for common and complex medical conditions. General. But change came to his door. Rubash announced the departure with mixed emotions, saying Wood built an outstanding spine service. Our orthopaedic specialists see patients at many locations, including Boston, Waltham, Danvers, Newton-Wellesley and Foxborough. And he is an exceptionally busy practitioner, having performed more than 10,000 knee and hip operations since completing his orthopedics residency in 1984. Mark Vrahas is a nationally respected trauma surgeon and under his leadership, MGH created an orthopedic trauma team system that has been emulated across the country.. Each and every one of these allegations of a potential incident was investigated, a hospital spokeswoman said in a statement to the Globe, adding that federal privacy law and hospital personnel policies prevent the hospital from saying what investigators found or what action, if any, was taken. From that moment, battling concurrent surgery became Burkes cause and the gap between him and the hospital he loved now poisoned ground would only grow. We allow cases to have a staggered start, he said in an interview. There are those in our profession who have been co-opted by the balance sheet, Burke wrote in September 2012 to Dr. Lillemoe, the hospitals surgery chief. Meng felt betrayed. Trustee of Mass. is new director of Scoliosis and Spinal Deformities at Rady Childrens Hospital-San Diego. We offer diagnostic and treatment options for common and complex medical conditions. We use cookies and other tools to enhance your experience on our website and To me that is what we were hoping to accomplish. It is unfortunate, the hospital said in a written statement, that a well-respected surgeon would cause a massive violation of patient confidentiality policies by copying hundreds of patient records and sharing them with the Boston Globe.. Today, Mass. and Andrew Pao, M.D. After completing his work on Meng around 7:30 p.m., Dr. Wood went off to his third surgery of the day, a three-hour procedure, leaving the resident, MelikianRojeh MelikianOrthopedic surgery resident, to check on Tony Mengs neurological function. Leonard DA, Schoenfeld AJ, Harris MB, Bono CM. Wood announced plans to leave for Stanford University this fall. Is it right, some MGH medical staff asked, for surgeons to divide their attention between two operating rooms especially when the patients dont know? Generals chief surgeon, Dr. Keith Lillemoe, had to admit to Burke that even he had not seen it. When people in medicine trace the origin of overlapping surgery, one name invariably comes up: Dr. Michael DeBakey. [ Contact MGH Archives for use] Partners HealthCare Pathology The hospital only allows certain types of procedures to run concurrently and not the kind that Tony Meng had. Is it right that their patients may have no idea? His chosen path would lead him back to MGH for his residency and the heart of his 35-year career. General, where X-rays revealed she had fractured her left hip. No one knew it at the time, but it was, for Burke and MGH, the triggering moment in a seven-year conflict. Dr. Hornicek completed his clinical fellowship in orthopaedic oncology at the MGH in 1997 and is a leader in the fields of tissue banking, allograft transplantation, and cell membrane biology. He died in 2008 at the age of 99. But the Meng case also highlights what critics of double-booking find alarming: Surgeries dont always unfold as they are expected to. By the time Bhattacharyya scrubbed back into Pereiras operation, Shervin was concerned the cement was too hard. Indeed, the issues go far beyond Mass. Meng, can you move your arms or legs, or squeeze my fingers or wiggle your toes?, All Meng could do, when the resident asked, was wince.. We offer the full spectrum of orthopaedic care and are the best and most comprehensive orthopaedic surgery department in New England. Providing journalistic work product, particularly during an ongoing project The first is the education of surgeons, residents, fellows, and even the sales force. SlavinPeter L. Slavin, M.D.MGH president, in a hand-delivered Aug. 12 letter, accused Burke of improperly providing hundreds of the surgeons own medical records to the Globe, violating hospital rules and, potentially, federal privacy law, even though the records Burke shared had names and other identifying details blacked out. Later that Sunday, after meeting with the family, he performed the surgery. He had taken comfort, he said, knowing that her surgeon wasnt occupied with anyones care but hers. Thats when he bumped into Dr. W. Gerald Austen, the 85-year-old retired chief of surgery and a founder of Partners HealthCare, the parent company of MGH. No, this should be fine, Bhattacharyya said, according to Shervins account. Hospital attorneys say Wood acted appropriately and within the acceptable standard of care. Chief of Partners Orthopedic Trauma Service, he was recruited in 1999 to develop a trauma program across the states largest health care network. named new co-directors of the HSS Women's Sports Medicine Center. The Brighams chief of surgery, Dr. Michael Zinner, recently said he scolded a new surgeon at his hospital who violated the rule. He is an internationally-recognized expert on the treatment of foot and ankle fractures and other traumatic injuries to the lower extremity. 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. I spoke with Harry and the Kirk about this some time ago. If this results in my career at the MGH ending, so be it, he told the Globe months before his firing. Hospital officials have declined to share the document, even with state regulators, citing attorney-client privilege and promises of confidentiality to staffers interviewed. BostonMA, 02114, Wyndham Hotel - Beacon Hill We want to get you back to doing the things you love. Bono CM, Leonard DA, Cha TD, Schwab JH, Wood KB, Harris MB, Schoenfeld AJ. General: One quarter of all surgical procedures have some overlap, compared to 15 percent hospitalwide, MGH figures show. And what must patients be told about their care, and when? Please join us in congratulating the 13 Mass General orthopaedic surgeons named Top Doctors by Boston magazine for 2022. One recurring complaint was that patients lingered under anesthesia for long periods, as the operating room staff waited for the attending surgeon to arrive from work on another concurrent case. Michael Daubs, M.D. Other authorities see real utility in the practice. Hospital policy specifies that the patient be told generally of the involvement of the attending surgeon in the operation, but there is no written requirement to disclose whether the doctor will be responsible for a second overlapping operation. Dr. Bridwell is the Co-Director and Founder of the Pediatric/Adult Spinal Deformity Service. The fellow, Dr. Philippe Phan, had worked for a year as a general orthopedic surgeon and had begun specialty training at MGH days before. Orthopedic surgeons in Suffolk County typically make nearly $500,000 a year, according to Doximity, an online service for physicians. Refer a Patient We are dedicated to working with our referring physicians. Founder and Chair, Foot & Ankle Research and Innovation Lab, Vice-chair Academic Affairs, Professor of Orthopedic Surgery, Massachusetts General Hospital, Newton-Wellesley Hospital, Harvard Medical School, Director, Foot & Ankle Research and Innovation Lab, Assistant Professor of Orthopaedic Surgery, Clinical Executive Director of MGB Orthopaedic Registry, Massachusetts General Hospital, Harvard Medical School, Chief, Foot & Ankle Service, Associate Professor of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Foot & Ankle Fellowship Program Director, Assistant Professor of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Foot & Ankle Surgeon, Minimally Invasive Surgery Lead, Member of the Faculty, Massachusetts General Hospital, Harvard Medical School, Foot & Ankle Sports Medicine Director, Instructor of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical Schoo, Podiatry Surgeon, Assistant Professor of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Founder & Director of SORG and CPAI, Director of MGB Registries, Associate Professor of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Chief, Department of Orthopaedic Surgery, Massachusetts General Hospital, Professor of Orthopedic Surgery, Harvard Medical School, Executive Vice Chair, Department of Orthopaedic Surgery, Program Director, Harvard Orthopaedic Residency Program (HCORP), Professor of Orthopaedic Surgery, Harvard Medical School, Director, Womens Sports Medicine Program, Sports Medicine Orthopaedic Surgeon, Massachusetts General Hospital, Associate Professor, Harvard Medical School, Hand & Upper Extremity Surgeon, Department of Orthopaedics, Massachusetts General Hospital, Assistant Professor, Harvard Medical School, Chief of the Hand & Arm Center, Department of Orthopaedics, Massachusetts General HospitalProgram Director, Hand Surgery Fellowship ProgramAssociate Professor, Harvard Medical School, Biomedical Engineering graduate from Worcester Polytechnic Institute, specializing in Biomechanics and Medical Robotics, Senior Clinical Research Program Manager at the Department of Orthopaedic Surgery, Massachusetts General Hospital, Massachusetts General Hospital, Harvard Medical School, , Massachusetts General Hospital, Harvard Medical School. Dr. Hornicek is an excellent teacher and surgeon and plans to continue his basic science efforts in a new laboratory. Bobby wanted relief from spinal stenosis. At 1:49 p.m. the next day, Pereira was wheeled into operating room 21. Sitemap Privacy Policy, Winner of the MORE Award in Journalistic Excellence in Orthopedics. Jeanine Wiener-Kronish, M.D., Jean Kwo, M.D. Sunder and Hardiman said they scrambled to put in arterial and intravenous lines and transfused the patient with several pints of blood. A multidisciplinary team of clinicians, including surgeons, physiatrists, pain specialists and advanced practitioners, to ensure your treatment is tailored for your needs, Non-operative treatment options and the latest surgical techniques, including minimally invasive procedures, to get you back to your active lifestyle, 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. Wood, chief of MGH's orthopedic spine service at the time and a nationally renowned practitioner in his specialty, is a confident, veteran surgeon. Wood then went to the other operating room to make sure the surgical fellow had, according to Woods testimony, done the appropriate operation on the 70-year-old patient. Wood first went in through the front of Mengs neck and removed parts of vertebrae. Days after Burke performed the follow-up operation on Pereira, he said, he approached RubashHarry E. Rubash, M.D.Chief of orthopedic surgery in the surgeons lounge on the fourth floor of the Gray Building to discuss what had happened. 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. Warner had a second procedure running simultaneously and was scrubbed into room 20. 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. The Chief will . I was brought here to build a fabulous academic department, which we are, Rubash said. The Meng case reverberated deeply for BurkeDennis William Burke, M.D.Orthopedic surgeon. When the Globe informed MGH officials that Burke had rebutted their charge by providing the records, the hospital began an investigation into whether Burke had violated federal law requiring that patient information be kept confidential. to analyze our web traffic. The orthopedic surgery department at Mass. Nine percent of all orthopedic surgeries fall into this category triple the overall hospital average, according to data provided by MGH. Gitajn IL, Heng M, Weaver MJ, Casemyr N, May C, Vrahas MS, Harris MB. There is no known connection between the complications and deaths and the double-booking, but none of the patients and family members interviewed had any idea that the surgeons were involved in a second operation at the same time. I was called a whistle-blower and crusader by some not true, Burke said he told Stern. He then completed a General Surgery Internship and the Orthopedic Training Program at the University of Michigan Hospitals. When Warner presented the case at the monthly orthopedics meeting on complications, Burke said he shook his head and whispered to a colleague: Why doesnt someone ask if he was in the room when the vascular injury occurred?, Both Warner and Price, in written responses, disputed the account, but declined to provide specifics because of patient privacy laws. Are we allowing 2 rooms for major spine surgery? He was also an Associate Professor of Orthopedic Surgery at Harvard Medical School. 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. development of orthopaedic biomaterials and joint registry data. And physicians could be anywhere on the hospitals expansive campus more than a quarter mile wide and be considered immediately available to their patients. He knew it was probably a breach of protocol, but he divulged his worries to Ronald Skates, a friend and former computer company executive. Long afterward he learned that Wood had a second spinal surgery going at the same time as his. Burke met twice with Stern in July 2011. Anesthesiologist Dr. Lisa Wollman e-mailed Dr. Burke about a November 2011 incident in which a nervous orthopedic patient awaiting surgery discovered that her surgeon planned to do a second procedure overlapping with hers. Peter Dunn, M.D.,Richard M. Pino, M.D., Wilton Levine, M.D. 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.. Thats when, Vassallo said, she did something for the first time in 25 years of medicine: She went looking for the surgeon. Is this how we are planning the future? With more than 25 years of experience in academic orthopaedic surgery, Mitchel B. Harris, MD, has been named chief of the Department of Orthopaedics at Massachusetts General Hospital, effective October 1, 2017. John Henry, the principal owner of the Red Sox and the owner of The Boston Globe, was a trustee of the hospital from 2005 to 2014. Your resident needs your help.. At 7:42 a.m., Dr. Kirkham Wood began a complex spine procedure on a 70-year-old woman in OR 64, according to medical records and legal documents. The question: Is it right or safe for surgeons to run two operations at once? This story was reported by Globe Spotlight Team reporters Jenn Abelson, Jonathan Saltzman, Liz Kowalczyk and editor Scott Allen. And thats why we brought in Donald Stern to investigate the situation., Slavin then concluded: He found no basis to support Dr. Burkes concerns.. I doubt that there is a person in this room who would want a family member or themselves to be treated by a surgeon running between two rooms, Burke said he told the group. Now, attorneys for three of Woods patients say that double-booking will play a prominent role in their malpractice lawsuits against the surgeon, including one filed by Meng and another by former Red Sox pitcher Bobby Jenks, who blames Wood for what he alleges was a botched back surgery in 2011 that ended his career. Meet our team Conditions & Treatments 617-724-8636 Contact Information Phone: 617-724-8636 Request an appointment Mass. A knowledge portal for all patient guides, rehab protocols, exercises & stretches and more. 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. I have ccd Sue on this since she was the anesthesiologist. Learn how your comment data is processed. But, this is a separate issue. 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. The Orthopaedic Oncology Service is led by Dr. Henry Mankin, a leader in the field of connective tissue oncology. Don wanted to get back to a pain-free life. In September 2022, Mass Generals Orthopaedic Trauma Service was chosen to host the inaugural class of the Orthopaedic Trauma Associations Roy Sanders Traveling Fellows. Pearson, who joined the Brigham in 2017, led a hospital-wide effort to obtain Magnet designationthe highest national honor for nursing excellencefrom the American Nurses Credentialing Center. 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.
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