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--- chrissynlou@... wrote:

>

> Shlasko put in the Broviac that fell out so I am

> hesitant. Vanoker is the

> surgeon that left her NPO in the hospital with

> tenuous IV access and never

> came to see her. He did not make a decision as to

> what he would do with her

> until I called and harassed him in the OR from

> Hawaii. Neither Dr. Chen nor Dr.

> Suarez is capable of calling the shots related to

> the glucose-insulin

> management necessary for transitioning her from TPN

> to the OR, the OR back to TPN

> and TPN to J-feeding. Kathy Chen is a good doctor

> and should not be put in the

> medical legal position he would be putting her in.

> Dr. Suarez freely

> admitted that Madison was beyond her ability to

> manage.

> Thinking about it, it makes sense NOT to do all the

> procedures together

> because of the very prolonged anesthesia time and

> the issue of clean vs dirty

> surgery especially with the inject-a-port in place.

> Kathy made her feelings very

> clear when she indicated that the surgery should be

> done in NY. Her last

> statement was ‘She would be on the Surgical

> service’. To me that meant that

> Kathy could not assure us that what was requested

> by any one of us would be

> honored.

> Think about this. Lets say that the first day she

> was in the hospital she

> had been on the surgical service and she had had a

> problem with her BS. You

> will remember that no one could get a surgeon to

> answer pages or questions.

> None of the pediatrics housestaff could have ordered

> anything for her with out

> a surgeon’s ok. Vanoker did not understand the

> uniqueness of her metabolic

> situation from me and I am sure will simply NOT be

> responsive enough to Kathy

> Chen either.

> I agree that it would be easier if you were at home

> and/or if I were at

> Cornell, but the most important thing is that the

> attending of record will listen

> to me. Dr. Spigland and Dr. Greenwald in the ICU

> at Cornell will do that.

> The long surgery will be the second surgery. I

> would rather have her blood

> sugar dynamics stabilized before having her under

> anesthesia for >4 hr.

>

>

>

> [Non-text portions of this message have been

> removed]

>

>

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