By: Surg M.
Patricia Figert, MD
I've read with interest these patient reviews of the general surgeon Dr. Patricia Figert. It seems that Dr. Figert has a personal preference to order bladder catheters on virtually all of her patients. Years ago bladder catheters were considered a normal and routine pre-operative practice. Much has changed but Dr. Figert has not. Research and disturbing statistics now reveal that Foley indwelling cathetization (Dr. Figerts choice) is responsible for urethra damage, bladder and kidney infections and worse. They are supposedly inserted a 'sterile' fashion. BUT, bacteria already residing in the urethra gets pushed back into the bladder initiating infections in many patients. The catheter is a large tube (nearly 1/4" diameter) and is so long (14 to 16") that it curls up inside the bladder because the nurses are told to keep pushing it till it will go no farther.But here's the thing. Patients who simply empty on their own need no catheter. The only reason bladder catheters are ever needed before surgery is if the patient can not self-void beforehand or it the surgery will be extended (several hours or more). This should not be just the patients opinion against the surgeons opinion or personal prefernce. This should be about the best and safest course of action for the patient! Here are the federal (National Institute of Helath) guidelines for laparoscopic hernia repair (TEP/TAPP). But the cautions given about limiting bladder catheterization apply to most surgerys.See Chapters 2 & 11 - see 'Statements and Recommendation' boxes, copy and paste into your browser-www.ncbi.nlm.nih.gov/pmc/articles/PMC3160575/#Sec6titleand also more of the same from the very respected site, emedicinehttp://emedicine.medscape.com/article/1534321-periprocedure#aw2aab6b3b2Congrats to you on researching your surgeon before just blindly choosing one. You deserve a general surgeon who will provide you with the best care. And NOT subject you the many risks of bladder catheteriztion simply because she (or he) has developed bad habits which exposes patients to those complications unnecessarily.S.M. June, 2015
By: Jim L.
Patricia Figert, MD
Dr. Figert is a very talented surgeon who repaired my hernia. BUT she ordered a bladder catheter while I was under anesthesia that was NOT medically required. I had some complications from the unnecessary catheter (it is pencil-sized and the RN simply pushes it in - sleeping patients never complain of pain). So you may want to find another surgeon - many DON'T order cath's.
Tips & Advices
Academic medical centers provide the widest range of specialty care treatments, including the latest technological advances, clinical trials, and surgical techniques. In general, an academic medical center is a better choice than a community hospital for complicated treatments or rare diseases. Pediatric intensive care, especially, is usually performed at academic medical centers.
Academic medical centers offer a broad range of specialized services, from allergists to urologists. Some of the larger medical centers have entire hospitals or clinics focused on a particular medical service, such as cancer treatment, though specialties vary among the centers. Patients whose community hospital or local doctors do not have the facilities or expertise to address complex medical conditions can be referred by their primary care physician or local specialist to a major medical center (there are more than a dozen in the United States).
Yes. In addition to their inpatient hospital services, medical centers can offer a wide variety of outpatient services, such as pain clinics, rehabilitation centers, surgery, imaging and laboratory, mental health treatment, and outpatient cancer treatment. Medical groups – doctors in private practice but affiliated with the medical center--will also have offices within the medical center.
Physicians, nurses, physician’s assistants, residents, and attending physicians makeup the clinical staff of an academic medical center.
Medical center accreditation is not required, but most centers work voluntarily toward accreditation because it represents higher standards of healthcare quality and patient safety.

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