figuring out surgeon qualifications

[alison77848]

Looking for opinions on how many surgeries would constitute an experienced surgeon in chiari if I am able to ask about the number of chiari surgeries they have done, and the number of surgeries that included posterior fossa decompression?  Anyone have any feelings on this?  

Thanks!

[selmaS]

For me, I wanted a Dr I knew had his whole focus on Chiari and Chiari related conditions....those that do research on them and know how to handle issues if they encounter them.

I agree, with Lisa a reg NS should not do this surgery, but so many offer to cure or fix u as that is how they view this as they have not spent time in research and have not had enuff experience .

The more u educate urself the better u will be at recognizing the right Dr for u. This is one reason we have compiled the list of Drs that other members have been to and liked, it is not a referral nor an endorsement but a means or starting place for u to begin ur research of the Drs that others have been to and liked.

[desertstorm2009]

What I would be most concerned about is the explanation of how they do the procedure. Have him show you WHERE he removes the bone, and how MUCH bone he removes. What materials does he use? Of course how many he does is important, however his technique is what will determine your outcome. Any NS can make a round hole larger, but do they know how to craft the opening at the right point while still leaving the right support for your cerebellum?? I would encourage you to do your research as to how many of these surgeries have to be re-done and why that is. Ask him that! Personally, I don't feel that just any NS should be allowed to do this surgery unless they can demonstrate proper technique. I can tell you after consulting with a top NS at Barrows who does a few of these surgeries every month, and sitting down with Dr Oro, who truly pioneered this field, there was no comparison. While this is not considered a hard surgery it must be done well or there will be problems. Having said that, My daughter asked me "Who do you want to do this, someone who knows how, or someone who knows how to do a great job?" Sadly, this is something not given nearly the focus it deserves in med school so we have to be our own advocates here. Good luck with your case :-) Lisa