This is a great argument. Doctors should do whatever surgery a (foster) parent demands, regardless of any medical indications or their professional judgement?
barfo
D'oh!
http://www.oregonlive.com/health/index.ssf/2014/05/us_senate_candidate_monica_weh.html
Patrick O’Hollaren, a urologist who works with Wehby, said pediatric specialists are particularly vulnerable to parents who want to dupe doctors. That’s because doctors can’t rely on young children to describe their symptoms.
“What the parents tell us is paramount, it’s huge,” he said. “If somebody really wanted to pull the wool over a doc’s eyes over what is going on with the child, it’s doable with any specialty.”
http://www.oregonlive.com/health/index.ssf/2014/04/us_senate_candidate_has_drawn.html
Wehby calls her tethered-cord advocacy her proudest professional achievement. It defines her practice, and reflects her personality as well. She says if you don't do it early, say by age 5, the symptoms risk becoming permanent, more serious harm.
Wehby's role in pushing the treatment nationally, even in the face of criticism and controversy, gains importance now that she is running for the Republican nomination to challenge Sen. Rep. Jeff Merkley, D-Ore.
In Wehby's estimation, it illustrates how she presses on when she knows she's right.
Early on, when she says she was being "crucified" by her professional colleagues at meetings, she considered giving up the surgery. But her patients' success stories renewed her conviction.
"It was worth all the hassles and the slings and arrows," Wehby said in a recent interview. "I know that I've changed the lives of so many kids that otherwise would not have been helped."
She said that because she is on salary at Legacy Health, she has no incentive to do more surgeries. Legacy bills carriers about $23,000 per tethered-cord surgery.
Over time, more surgeons have adopted her approach toward using the surgery. But some of her colleagues still think the surgery should be done sparingly, whereas Wehby conducts several dozen each year.
Wehby defends her number of surgeries, saying it's because she has become well-known among parents and urologists around the country. First, because she was more willing to do the surgery than others. And later, because she does it so well, using a tiny incision to lessen the risk and in just 20-30 minutes on an operating table, she says.
And, she says, it works 90 percent of the time or more, with very low risk. "I haven't had any problems," she said.
Indeed, a posting on the popular Portland blog, urbanMamas.com, is filled by parents and patients describing symptoms and surgeries, many of them recommending Wehby when other surgeons refuse to do the surgery.
...
Steinbok, the Vancouver doctor who is leading a study on the topic funded by the National Institutes of Health, says he has changed his position. From being skeptical of Wehby, he has moved toward sometimes doing the surgery himself, though he still wants more scientific backing for it.
He says the tethered-cord controversy is typical of how the practice of medicine changes, by trial and error. If you do something and hurt the patient, you stop. If the patient improves dramatically, you do it again, he said.