Which Surgeon To Choose?

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Do you know any anesthesiologists? Ask their opinion.

That's damn good advice.

Personally, these both look like great picks. The guy that specializes in Mitral valve repairs is probably the one I'd go with, barring a lack of apparent aptitude or mental acuity during consultation.

hhardt3 said:
Pick the surgeon with the lowest golf handicap. That means a steady hand. Mine had a single digit handicap, and that was over seven years ago. No problems since
Hugo

I'm totally LOLing right now.
 
Hi everyone--thanks you SO much for all the advice, good wishes, prayers, warm welcomes and insightful commentary. It's so nice to be able to talk to others about this stuff.

I don't have many friends in medicine so I reached out to everyone I could to find other surgeons/physicians that could give me comments about the two doctors that I am contemplating. Based on those responses, as well as the posts above, I have taken Banbury out of the running. I also ended up making two more appointments with two more NY surgeons though, so looks like my final decision is going to be delayed another week. = )

Today I saw Dr. Oz and one thing I especially liked was that he told me I needed a back up plan in case the repair didn't work. He was the first and so far only doctor that mentioned that---Poster Westie advises above about doctors with the honesty to implement a plan b. Other docs did mention the percentage they felt my mitral valve could be repaired but never discussed what happens if I fell into the small percentage of people for which a repair doesn't work. I have to say that even though thinking about a plan b sucks, it did feel refreshing and honest to have someone tell me to think about it and to explain the pros and cons of the various options.

I don't have kids and am 31 so he said I might consider a tissue valve as my back up so that even though I will need surgery again later this will allow me to have kids which is not as likely with a mechanical valve.

And he also explained the great debate about going through the chest versus the side which has been plaguing me a bit. Before seeing Dr. Oz, I felt resolved that I would do it through the chest b/c other docs had told me that going through the side offers less visibility and if the repair is complicated (everyone has told me mine is a bit complicated--I have a bileaflet prolapse) then the side approach may limit how successfully they can repair it versus replace it. But according to Dr. Oz, the visibility is fine through the side and many times even better since the mitral valve actually sits towards the back and that both methods require different surgical training so people can become good at both or one or the other and develop preferences---and this is why people are big advocates for one approach over the other. And so now I am contemplating a minimally invasive approach, which leaves my chest free to be operated on later in life if necessary, for example if I end up getting a replacement instead of a repair.

I also have an appointment next week with Dr. Girardi/Krieger at Weill-Cornell/NY Presbyterian (which a poster above mentions) so I will see how that goes. I am getting the sense that I now have multiple wonderful choices for surgeons and that I am likely to have a good outcome regardless of who I choose.

I will let you guys know what happens after next week's appointment. I wish all of you continued good health and thank you again for all the responses. I really do appreciate it. Talking to my family and friends is not easy since they really don't know what to say to me.
 
I adore watching Dr. Oz on TV. However, I rememered having seen a post here a while back that was negative regarding Dr. Oz. I did a search and this is the whole post below:

hi diamondfairy,
my parents live on long island and so do several of the members here.
there is a fantastic heart hospital right in glen cove called st. francis hospital.
my dad (73) had his aortic valve replaced there 8 yrs ago. great hospital!!!
you might want to ask your father's cardiologist as well.

new york hospital in nyc.... my father had his mitral valve repaired by dr. stephen colvin there last year in a minimally invasive method where they don't cut open the sternum. great surgeon!!! some young friends of mine just used him and had a wonderful experience.

there are many more, but i would seriously look into these.

another good surgeon is craig smith at columbia presbyterian.
(i would not recommend dr. mehmet oz at columbia although he is known as the surgeon who will operate when no other surgeon will.
i have heard stories of surgeries under him that would make me recommend you not use him. he is a wonderful public relations man (on oprah), but i've heard that it is not the same in he OR.)


i hope i've helped. any questions, please email me or just ask. i'm sure many others will come forward soon enough.
please let us know what you decide to do.
be well,
sylvia
__________________
sylvia
my husband, Joey, had Ross Procedure 9/20/01
Beth Israel Med. Ctr., N.Y.- Dr. Paul Stelzer


I really don't want to be a "downer", but it is your heart, and I just thought you should see this post.
 
Thanks Adrienne--your post isn't a downer at all. And thank you for writing in to me. I still have one more consult to go and plan to ask around in the medical community about Dr. Oz as well before making a final decision. I enjoyed speaking with him because he explained things in a way that I was able to immediately grasp and was very patient with all the questions I peppered him with. I also liked his honesty about the different surgical approaches and outcomes. I am going to look up the other doctor mentioned in your post this evening. Thanks again!!!
 
Sparklette -

It sounds like you are getting the hang of Surgeon Shopping and have compiled a good 'short list'. Keep up the Good Work.

-----------------

I remember that post about Dr. Oz.

It would be good if someone had some *concrete* example(s), more than just the "I heard something negative about so and so". I would hate to see a Good Surgeon's reputation smeared on mere rumor.

Didn't Dr. Oz do Bill Clinton's ByPass surgery?

Anyone else have any personal experience with or first hand info on Dr. Oz, either positive or negative?

I, too, enjoy his presentations on Oprah.
(but I do wonder why a successful Heart Surgeon would be doing multiple general medicine presentations on Oprah)... He obviously enjoys educating the public which is a good thing.
 
When I get more reliable feedback I will post it that way anyone else with similar questions can search the doctors names and find it. I got the sense from Dr. Oz (because we talked about other medical stuff as well as the valve issues) that he has a more holistic philosophy to food/medicine and the body and that he is very interested in what people can do for their health that is more preventative/maintenance as opposed to just popping pills for a bandaid effect. If my impressions are correct then perhaps that is why he is interested in branching out? I did ask him whether he does the surgeries himself and he said yes and also that he does mvp repair surgeries every week. He trained with the same person that Dr. Adams at Mount Sinai trained with! I've never seen his show and it was only after I made the appt that i googled him and saw that he has this partnership with Oprah---which I realizes sounds a bit ignorant but I'm not home during the day to watch Oprah.

I spoke to a friend of a friend who is a cardiothoracic surgeon fellow and he had very opinionated comments about some of the doctors I have seen. For example they said they thought Dr. Adams cares more about his prominence than the patient himself and that this other doctor I saw early on was a total idiot and that I shoudn't waste his time with him. That was one opinion compared to all the other positive opinions about Adams I received, including a positive opinion from Banbury who I was comparing him against! So it seems like you have to learn to separate the wheat from the chaff a bit by giving a critical eye to the evidence and use your gut as well. Kind of like what I do at work (I'm an attorney)!

Until the feedback I received from this post it didn't occur to me to ask other doctors, ie their colleages, but i'm really glad i did because it has given me a lot of useful comments.
 
I had 2 surgeons in mind and had made basically made my decision. This forum reinforced my decison because I was able to find other people on here who had positive outcomes with the surgeon. Adrienne from VR.COM was kind enough to put in touch with a woman who had a valve repair with my selected surgeon. I can't tell you how reasuring it was to talk to someone who had not only been through what you were about to go through but had such a positive experience.

Good luck with your decision. It looks like you have some good feedback to help you.
 
I cannot help you on your surgeon selection but I have some comments regarding the thoracotomy approach. I had a complicated bileaflet repair last October at Mayo. Dr. Schaff performed the surgery between my ribs. I have a 7 inch incision below my right breast that starts almost at my sternum. I've heard a thoracotomy can be more painful but I had very little. My recovery was not bad at all. Some surgeons are comfortable with the side approach while others are not. I can tell you that I am very happy with choosing not to have a sternectomy. Having a successful surgery is most important but I'm glad I don't have a visible scar and I can wear a bathing suit without worries :rolleyes:. Best of luck with your decision and upcoming surgery.
 
thanks for that message. I'm stuggling now with the sternectomy approach versus minimally invasive approach and am leaning towards the minimally invasive. Maybe I will start a new post and see what others who faced this decision thought. Glad to hear your surgery went well and that you are doing well!

Even though there is lots of info to wade through and some potential bad outcomes, overall I am kind of excited to have surgery. It sounds like it means the end of all my mvp symptoms, no more shortness of breath issues and that I will be like a brand new person. In a weird way, I think I will miss my heart murmur when it is gone though--it is VERY loud (many docs have called it "impressive" which I thought was a funny description) but it has been with me my whole life so I feel some weird sentimental attachment to it.
 
Regarding the Thoracotomy approach, Dr. Petracek at Vanderbilt University in Nashville, TN is perhaps the most prolific user of that method. He told me he does 200 per year. He is a proponent of the St. Jude Valves so that may influence your decision if you prefer other options, even as backup.

Google "Dr. Petracek" and you will find a link to his website which includes a link to a video of one of his operations.

Thanks for the information on Dr. Oz. A "holistic philosophy" would help explain his interest in educating the public through the Oprah Show. I always look forward to his informative presentations.
 
Hi, I am the one who recommended Dr. Krieger, from what I have heard from some nurses Dr. Giradi did not have a great bedside manner, but I really don't care about that. I am more concerned about his skills. Dr. Krieger didn't have the best either, but as I have mentioned I had not ONE problem. I know someone who had surgery by Dr. Oz and loved him and the surgery went well. Although that was not a valve replacement or repair.

Good luck and let us know how your search comes out.

xoxo
Just
KathyM
 

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