Question:
Teaching hospitals?

I have just found out that the hospital where I will be having surgery is a teaching hospital. Does anyone have any thoughts to share on this? It kinda makes me nervous but the hospital has been recognized as a hospital of excellence for WLS, and I have heard good things about it.    — Kristi K. (posted on June 22, 2008)


June 22, 2008
Hi Kristi, I don't think you have a thing to worry about! If it is a hospital of excellence then you are good to go. They have so much testing and red tape to go through to become a hospital of excellence in the first place. I would feel perfectly comfortable using that hospital even if it is a teaching hospital. That may even make it better for you. You'll be in good hands I'm sure! Best to you and your upcoming surgery!
   — Jean N.

June 22, 2008
I am having my surgery at Stanford Hospital in CA and I'd rather have my surgery there than by some doctor who had guest privileges at a string of hospitals all over the state. Marti P.
   — Marti P.

June 22, 2008
Hi Kristi, I had my surgery done at Brigham and Womens Hospital in Boston, MA and its a teaching hospital associated with Harvard Medical School. The "student doctors" are there to watch and learn and may ask you questions, but they don't touch you (liability issues). I answer their questions and they come and go with the doctor. One of the student doctors I got friendly with when I was in the hospital and he even asked if he could sit in to watch my surgery since he was at 85% of the pre op appts and saw me "shrink" from 336 to 304. He has since graduated but we still keep in touch through email. He is also great for a quick question I need answered as his major is Bariatric surgery. Its nothing to worry about! --Karen
   — Karen M.

June 22, 2008
I had my surgery at Shands Hospital in Gainesville, Florida. It is a teaching hospital and I would not change a thing. I had both of my children there too. You get so much more personal care because of the students and them wanting to have something to do. They do ask a lot of questions and the doctors tend to be around a lot more so that they can explain or "teach" the procedures to them...anyway, I would not worry about a thing..I think it is better to use a teaching hospital...Good luck to you!
   — gonnaB1hotmama

June 22, 2008
I had surgery at a teaching hospital also. I was very happy with the care I received. My surgeon teaches at Johns Hopkins. I will say that it was odd to wake up one morning and find 7 medical students at the end of my bed. But, my results have been great. The hospital I was at is a Center of Excellence for WLS too.
   — itsjust4me

June 22, 2008
Hi, Kristi. Like the others have written, no worries about a teaching hospital. They are the best hospitals you can go to since the medical faculty, who are on the cutting edge of progress, are teaching the students about the best and latest techniques and such. If I had a choice, I would pick a teaching hospital every single time for every single procedure. dana
   — jujuprof

June 22, 2008
Well just think of Grey's Anatomy that is a teaching hospital. But seriously, I was at Baylor University's Teaching Hospital in Texas when I was 17. I did have a group of doctors come in with my main doctor, it annoyed me but I was at the bratty stage, 17 yrs old. I received excellent medical care, they determined I did not have leukemia, and iron and C and a "D and C" were all I needed for hemorrhagging and an unusually low platelet count, which is what they were honing in on and kept me there for 10 days. My husband was kicked out of his first valve completion on the 4th day when he was still wobbly and couldn't make it to the aftercare meeting on his floor. They said they were an "aggressive care" hospital. I thought they just needed the bed. Thank God he made it. Now at 51, I never had anything but a regular platelet count, and it is slightly more toward the high end of norm than low. It is an advantage that you will be at a teaching hospital. Don't worry, there will be Teachers there!! These teachers will be fine doctors and have access to all kind of specialists. It is the ones who are 60 or 70 and a big yawn to their 5000th surgery that I worry about. Are their minds on what they are doing or are they on autopilot? Best to you and you'll be fine, I'm sure.
   — butterfliesarefree

June 22, 2008
When I had my knee replacements and back surgery, my doctor was the Professor at Southwestern Medical School and his students watched and learned how to do the procedures and you couldn't be in better hands to watch how everyone treats you. So much attention. When I had my children, I was in a teaching hospital. Everyone there was just great. This hospital was St. Paul University in Dallas, Tx. and when my daughter was 18 months old she liked to had lost her life and leg and was sent to another teaching hospital because they had the staff and facilities that she needed and it is recognize also and it was Parkland Hospital in Dallas Texas. You will be fine.
   — dyates2948

June 22, 2008
Hi Kristi, I work at a teaching hospital and some people feel nervous. You have the right to tell the staff that no one but the surgeon can do the surgery. Read the consents carefully and bring a perm. marker to mark out the anything you do not feel comfortable with. It is okay for students to watch.
   — jen-mom

June 22, 2008
I had heart surgery in 2000 at Sanford Hospital in Palto Alto,and received great service. My RNY was do at a traing hospital for doctors. I opted not to b e becrossed or recorded, but the service was great and I found the advantage was you had two people to do the same task, one that trained andone the was learing. Whe the learner had an isseu, you had a supervisor there to help. I was find and I loved the extra attention., I think you will be happy if you have confidence in your and your choice of sergeons. You want him to be the teacher not the student, Best of success to you.
   — William (Bill) wmil

June 22, 2008
I think you should be sure it is a hospital that knows how to handle gastric bypass patients. The dr I am sure is a good dr correct? You checked him out first right? <ostof the problems that arise are by the people who are taking care of you and knowing or not knowing how to deal with gastric by[ass patients. I was in a hosptial that was exactly that and everything was fine
   — Joanc

June 22, 2008
I had my surgery at a teaching hospital and everything was fine. I actually feel I received a little bit better care becasue they were very attentive and asking questions because they want to learn and also they are up to date on the latest and newest technology. I wish you the best. Lynn
   — Lynnmon

June 23, 2008
Who wouldn't want to have cutting edge care? No seriously...The lead surgeons/teachers are best in their field. They are showing others what to do. I had my surgery done at a teaching hospital four years ago by the head of the department. Now I wasn't crazy about being an open book to everyone else, but I know and appreciate that I, myself would never had the opportunity to become a teacher if someone hadn't opened their classroom to me when I was learning about teaching school. These young surgeons are learning from the best and they don't get to help until they've shown the ability to observe and explain very carefully about what is going on. Only then do they get to assist and work their way up.
   — AlleeM

June 23, 2008
Hi Kristi I had my surgery done at at a teaching hospital and I got great care. I also had mine done at a hospital of excellence and the regulations to maintain that rating are phenomenal. The care I got was great and I would recommend my surgeon and this hospital. Good luck with your future plans.
   — sunsetyellow

June 23, 2008
I have been to several teaching hospitals with my husband that was terminally ill and he received better care there than in a non teaching hospital, so think possitive about a teaching hospital they have the best drs. and staff
   — humper

June 23, 2008
It depends on the hospital but generally I'd say that it's a good idea. My surgery (laproscopic RNY) was not done in a teaching hospital per se but was done by a practicing surgeon learning the new (for him) procedure under the watchful eye and guidance in the O.R. of an experienced RNY surgeon associated with a local medical school (Stanford). I had an excellent outcome.
   — [Deactivated Member]

June 24, 2008
Ok, I am going to preface my response with the fact that I am known to be an optimistic and positive person. Having said that, I say this: I am a nurse who was told by a surgeon that the only reason facilities want to be deemed a "Center for Excellence" is so that Medicare will pay for their patients to have surgery there. Sure the title sounds nice but...... Also, my surgeon wanted me to have my WLS and hernia repair at the actual teaching hospital I worked for at the time as he prefers to do his patients with larger BMI's and those who are having multiple procedures done there.... also, it would have been much cheaper for me there as it was all out of pocket for me. I NEVER, EVER would have allowed that to happen for 2 reasons: (1) I saw the staffing shortage and the inadequate quality of care being an actual employee there. One of the reasons I quit. (2) I was having surgery in August, new Interns always come out in July every year and it is always a nightmare. Nurses actually schedule time off purposely during this time. I didn't want anyone other than my actual surgeon touching me. No matter what you hear, these new medical staffers are there to learn and they do a lot more than they are supposed to or that they should a lot of the times. I know they have to learn, and you should be able to insist on who works on you, unfortunately, that isn't always the way it goes. To all of you that have had great experiences in teaching hospitals, I am so thankful and grateful for you. It is a personal decision and not the way to go for me. I hope this didn't come off as negative as much as me "being real". Good luck, Dawn Vickers, RN, BLC, CLC
   — DawnVic

July 1, 2008
I'm late on your question as I have been on vacation. :<) I had my RNY done at George Washington University Hospital be cause that is the only hospital approved by Kaiser of the MidAtlantic for their patients. You will note the "University" in the name. My husbands first question to the surgeon was who would be performing the surgery. She assured us that she did all the actual work, her interns asked questions, answered questions, performed the blue dye leak test and removed tubes under her supervision. She is very professional but has a calm and kind bedside manner, so she is training them well in all areas. I really felt that I got extra attention because they were there, an besides all that, they were pretty attractive, if you get my drift ;<}. I would attend some support group meetings and ask about other peoples experiences with the surgeon and and the teaching hospital.
   — canim150




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