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Re: inguinal hernia questions

Subject: Re: inguinal hernia questions
From: SJ Doc
Date: Sat, 24 Sep 2005 16:37:18 -0400
Newsgroups: sci.med, misc.health.alternative, alt.health, misc.education.medical
On 24 Sep 2005 14:04:03 -0500, "Howard McCollister" wrote:

>This patient will still need to be admitted, his care supervised by 
>an attending physician. It won't be free, or even cheaper. Certainly 
>not in the sense that you can get a cheap haircut at a barber college.

Where the hell have you been for the past dozen years and more? 
An uncomplicated inguinal herniorrhaphy is performed on an out-
patient basis rather more often than not nowadays.  The cutters 
practically slap the patient awake in the recovery room and make 
him jog down the corridor to get dressed.  

You're right that having the surgery performed while on a teaching 
service won't be free, but what makes you think that it will be less 
expensive if it's performed by a surgeon in private practice in the 
same city or surroundings?  

One measure I might recommend is considering outpatient inguinal 
herniorrhaphy at a small community hospital fifty or a hundred miles 
from big-city "centers of excellence" (and foci of high costs).  Sur-
geons on staff at such smaller hospitals are certainly well-practiced 
in the performance of such routine surgical procedures, and can 
undertake them with statistical outcomes not significantly different 
from results gained in metropolitan facilities.  One might find some 
surprising price advantages.  

And about twelve dollars invested in an electric hair clipper kit at
Wal-Mart is even cheaper (and much more convenient) than going 
to the local barber college.  I gave up wearing my hair more than 
about one-quarter of an inch long when I was faced with the choice 
between wearing a surgical cap and one of those bloody ridiculous 
shower cap monstrosities, and now my granddaughters wrangle over 
whose turn it is to give Poppi his haircut every couple of weeks.  

--------------------
"You fool! You fell victim to one of the classic blunders! 
The most famous is 'Never get involved in a land war in Asia,' 
but only slightly less well-known is this: 'Never go in against 
a Sicilian when death is on the line!'"

            -- Vizzini (character) 
               *The Princess Bride* (William Goldman, 1973) 

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