Nissen Fundoplication Success
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How to Choose the Best Surgeon

11/4/2013

2 Comments

 
I was lucky to have a surgeon who was both technically gifted and who had
outstanding communication skills. This is a rare combination, but I believe it
is crucial to find the BEST Nissen fundoplication surgeon and also one with whom
you can communicate.
 
Both my gastroenterologist and the one I consulted for a second opinion gave me the same advice: You must go to the BEST surgeon for your Nissen fundoplication. Not a really good surgeon, not a great surgeon, but the BEST. The surgeon’s skills
will determine the success of your surgery!

Ten Steps for Choosing the Right Surgeon

1. Ask your gastroenterologist for referrals. 

2. If you got a second opinion from another gastroenterologist, also ask him/her for
referrals.

3. Ask your primary care physician if he/she knows these surgeons, and if not, would he/she be willing to do some research for you?
 
4.  Research the surgeons on the web. Look at Yelp, HealthGrades, Vitals.com, and other physician-review websites. Does the physician average 4 or more stars out of 5? That can be a good sign (although not a guarantee) of a physician’s abilities. Be wary of a physician who averages fewer than 4 out of 5 stars. Also Google your physician’s name plus “sanctions,” “lawsuit,” and “malpractice” to see if he/she has been involved in any lawsuits.
 
5. Make a detailed list of questions to bring to your consultation with the surgeon. Write them down in order or importance. Make sure you ask about possible adverse events, your expected results, the number of NFs he/she has done, the number of complications his/her patients have experienced, and number of deaths. Be sure to ask the doctor how he/she will respond to you if you have a complication or pain that does not respond to medication during recovery. Take notes during the consultation.
 
6. Pay attention to how much time the surgeon spends with you and how seriously he/she takes your concerns.
 
7. If you interview two surgeons, and they give you different recommendations, go back to your gastroenterologist and discuss this with him/her.
 
8. If you get a bad vibe from a surgeon, follow your gut instinct and choose another
surgeon.
 
9. If you feel that the surgeon didn’t listen to you or rushed you out the door without answering your questions, keep looking for another surgeon.
 
10.  If you need to travel out of your area to find the best surgeon, do so.
 
If you do some basic research and go with your gut instinct, you will be able to
choose the best surgeon for your Nissen fundoplication.


 
2 Comments
Jim McMullen
11/4/2013 10:42:29 am

Great Advice! Especially 5 & 6. If they don't want to take the time with you during the consult do you think they will afterwards?

A general rule of thumb I follow is ask when you schedule how on time is the surgeon for his appointments. If they state he tends to run behind by the end of the day that is a good sign he/she spends time with each patient. If they won't tell you or you feel it is "canned" answer schedule for an afternoon appointment and see for your self. (if your schedule allows)

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Erin
11/4/2013 11:08:31 am

You mention that it is worth it to go out of your area for a great surgeon. I live about an hour from a major metropolitan medical center, and I'm assuming there are some top-notch surgeons there. My more immediate community has some good options also, but I'm sure the best of the best are in the "big city". However, I worry about being an hour away from my surgeon in case of an emergency post-op. Is that a trade-off worth making?

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    Debra, former GERD sufferer, lives in the San Francisco Bay Area.

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