I was considering this surgical team as my uroligist is
Dr Mark Swierzewski, this surgeon's partner. Swierzewski
did my biop. I asked him about robotic and he mentioned that
his partner did it but did not elaborate.. he kind of poopooed the
lathroscopic saying several small incisions or one big one .. what is
the difference... I thinkj one must consider the surgeon and his
experience carefully ! Not sure where to go now... Krongrad Miami?
Some insurance questions no doubt now! I have Humana.
Here is the newpaper article:
Tampa hospital sued over robotic surgery that killed teacher
TAMPA, Fla. - A woman whose husband died after a doctor using a surgical robot
accidentally cut two of his main blood vessels is suing the hospital.
Al Greenway's widow is suing St. Joseph's Hospital, saying it's at fault for
her husband's October 2002 death. Brenda Greenway says hospital administrators
allowed doctors inexperienced with the $1 million robot to perform her
husband's surgery, which was to remove a cancerous kidney.
Greenway, a 53-year-old Desert Storm veteran and Plant High School science
teacher, died when the surgeon cut his abdominal aorta, which provides blood
to the abdominal organs and legs, and the inferior vena cava, the neighboring
vein that returns that blood to the heart.
"It was a totally unnecessary and avoidable death," said attorney Steven
Yerrid, who represents Brenda Greenway in the state Circuit Court lawsuit,
which was filed Tuesday. "The conventional surgery was basically jettisoned
and this robotic surgery was not only suggested but really pushed."
St. Joseph's spokeswoman Lisa Patterson said today that hospital officials had
not had time to review the lawsuit, which seeks an unspecified amount of
money. She provided an Oct. 29, 2002, statement from the hospital's president,
Isaac Mallah, which called what happened to Greenway a "tragic, isolated
accident."
Mallah had said all the doctors were required to be certified to perform
advanced laparoscopic surgery to use the robot. Still, he said, surgeons would
get additional training because of Greenway's death.
During Greenway's surgery, Dr. Tod Fusia sat at a console about 10 feet from
the operating table using sophisticated control sticks to manipulate the da
Vinci Surgical Systems robot, a machine with three arms that look like they
belong to a 6-foot-tall insect.
Robots including the da Vinci are considered a major surgical breakthrough
over traditional methods as they can perform very fine movements in tight
spaces without damaging surrounding tissue as much.
The lawsuit alleges that Fusia's experience with the device was limited to a
pig, a cadaver, three kidney removals and a complicated prostate surgery that
left a man incontinent.
Fusia and the assistant surgeon are not being sued. Yerrid said the doctors'
conduct "has been addressed" and would not comment further.
According to Florida Department of Health records, Fusia and the other surgeon
paid $1 million in September to settle a claim for an unspecified incident
that occurred Oct. 11, 2002, the day of Greenway's surgery.
jimhoney - 05 Feb 2004 16:31 GMT
> I was considering this surgical team as my uroligist is
> Dr Mark Swierzewski, this surgeon's partner. Swierzewski
[quoted text clipped - 56 lines]
> paid $1 million in September to settle a claim for an unspecified incident
> that occurred Oct. 11, 2002, the day of Greenway's surgery.
Thanks for posting this. But surely the issue here is not the robot, it is
that same basic issue of how many times the surgeon has performed the
procedure.
jimhoney
standard (not laparascopic) RRP Apr 2002, cured, no significant aftereffects
John - 05 Feb 2004 23:09 GMT
I actually read the same article, but that in an of itself would not
stop me from having surgery performed using the Da Vinci surgical
system. Experience is really the issue. There is a urologist in
Tampa by the name of Frank Mastandrea
http://www.drmastandrea.com/aboutus.html who apparently is experienced
using this device. I considered him, but than decided to go with Dr.
Krongard in Miami. Insurance can be a big issue, at least it was for
me. I could not have afforded Dr. Krongrad if not for him accepting
Aetna.
Best of Luck
John
TampaSailor - 08 Feb 2004 22:51 GMT
John, in checking further i find human error and not the robot.
I have other postings on this now.
I called Mastandrea's office. He has done about 25 LRP's at
St Joseph's Probably using the same machine as Dr Tod Fusia.
I have heard good things about Krongrad and I emailed him with
some insurance questions. He said he doesnt take Humana
and I should check with them about going "Out of Network"
My next appt is with Dr Pow-sang of Moffitt Cancer Center.
He has a good reputation and i think he or his team may
also use daVinci....maybe the same one at St Joseph's
I will share what I learn durning my visit there on the 23rd.
rgds ly
>I actually read the same article, but that in an of itself would not
>stop me from having surgery performed using the Da Vinci surgical
[quoted text clipped - 8 lines]
>Best of Luck
>John
John - 09 Feb 2004 14:05 GMT
> John, in checking further i find human error and not the robot.
> I have other postings on this now.
[quoted text clipped - 13 lines]
>
> rgds ly
ly
I think Mastandrea is probably pretty good. I'm not sure if Moffitt
uses the robot, but I pretty sure they don't do LRP yet. Initially, I
had the same insurance problem with Dr. Krongrad, but during the
process my insurance changed to Aetna which he accepts. It would be
worth checking into the out of pocket cost of going out of network. I
know for a fact that Ruth in his office will do everything she can to
help you with the insurance issues. He is a wonderful surgeon and a
good person.
Good Luck,
John
TampaSailor - 08 Feb 2004 22:44 GMT
>> I was considering this surgical team as my uroligist is
>> Dr Mark Swierzewski, this surgeon's partner. Swierzewski
[quoted text clipped - 79 lines]
>jimhoney
>standard (not laparascopic) RRP Apr 2002, cured, no significant aftereffects
jim i agree with your comments.
it doesnt help the anxiety though!
ly