I had modified lefort iii

[Bobbit]

jesus christ. Whole thing just gets stranger and stranger. 17k usd for a lf3 performed in an OFFICE . . .   Earl you deserve a medal for having the balls to do that. 

And then, today:

Double Jaw ....cardiac arrest
« on: Today at 01:08:30 AM »
Quote
I had my double jaw surgery after a year of braces. I went into cardiac arrest during surgery and a code blue was called. I Woke up in the ICU (REALLY RARE). I I have to go back to basically do what I did the first time around. Has anyone gone through this?!

[Rico]

crazy people

[carlos30]

Earl looks great.  The best midface result I've ever seen.

didn't he complain that his midface looks "too compact" after?

[thinkingme]

he mean he get lefort 3 in a office and someone went into cardiac arrest  while takingjaw surgery. he mean earl or who get lf3 in office has great big balls.

[Lazlo]

lol

[Bobbit]

Ilovethemoon,

You are making assumptions that are not accurate.   I do not work for any medical professional.   

I am pretty sure that I have consistently pointed out that Dr. Sinn is an excellent dental trained surgeon,  with an excellent reputation, who has done some innovative jaw surgery work and is well published and very well regarded by his peers.
 
Leaving that aside,  the reality is that some surgeries are inherently low or lower risk and are perfectly appropriate for an office based surgical suite.   Other types of surgeries should be done in a fully staffed hospital environment,  with all of the supporting services,  including blood supply for emergency transfusions, cardiologists available, anesthesiologists on staff, rather than a CRNA, and an available ICU. 

I think the patient who coded - -  is evidence of the merits of the observations in the previous paragraph. 

Thinkingme - -  identified the issue.

[Bobbit]

I cheerfully plead guilty  to having an acquaintance with a number of  surgeons, including plastic surgeons, living in at least four states and two different countries !   I also know a couple of max-facs and oral surgeons.   One of them teaches that stuff to dentists at a University.

But you are casting aspersions at the messenger - -   not the message . 

The recent portion of the message string was focused on the risks of surgery in an office surgery center verses in a hospital - -  depending on the scope of the surgery.

I think it would be more appropriate and productive if we could focus on that subject, since one of the recent posts reported a cardiac arrest during a routine jaw surgery.     

[Optimistic]

I cheerfully plead guilty  to having an acquaintance with a number of  surgeons, including plastic surgeons, living in at least four states and two different countries !   I also know a couple of max-facs and oral surgeons.   One of them teaches that stuff to dentists at a University.

But you are casting aspersions at the messenger - -   not the message . 

The recent portion of the message string was focused on the risks of surgery in an office surgery center verses in a hospital - -  depending on the scope of the surgery.

I think it would be more appropriate and productive if we could focus on that subject, since one of the recent posts reported a cardiac arrest during a routine jaw surgery.     

You're such a weasel and oh so full of s**t. First you go around saying "17k usd for a lf3 performed in an OFFICE by a man with no legit medical qualifications."

Then when called out on it you start singing his praises for how you've always said he's great and it's just about "office" vs local hospital in your mind. Yeah, f**k off shill.

Why do you insist on calling it an office? It's a fully featured operating theatre at his own private clinic which is nearby to a hospital. Dr Sinn takes into account the severity of the operation as to whether or not it's necessary to do locally or at the hospital. For example, if I want a coronal incision I can't do that at the clinic. It's performed in a room full of medical professionals including Dr Sinn, an anaesthetist, and nurses who are looking after you. Given we're talking about cutting bone and not open heart surgery I'm pretty confident in their ability to spot if something wrong happens and send me to the hospital.

And no legit medical qualifications? wtf are you even on about? First of all, HE'S A f**kING DOCTOR. Secondly, he's one of the most highly regarded surgeons there is. He's a pioneer in his field. Your statement is as dumb as trying to use a lack of a business degree against the many billionaires out there - only Dr Sinn has actually studied, is fully qualified, has published numerous papers, and contributed several innovations to the field. So I'm not sure if you expect someone of his calibre to go back to uni to study a worthless degree (what degree would you want anyway?) just to satisfy whatever strange desire it is.

Most max fac surgeons are dentists who have specialised in the field with additional work in plastic surgery.

[Bobbit]

You're such a weasel and oh so full of s**t. First you go around saying "17k usd for a lf3 performed in an OFFICE by a man with no legit medical qualifications."

Ah... Optimistic - -  how about an apology for the name calling ?   Check your facts.  Tumerican is the member of this forum who wrote the quote that you attributed to me.   But that kind of name calling and cursing is not appropriate for this type of forum - - - regardless of who is your intended target.

And no legit medical qualifications?

Again - -  if you are going to vigorously curse people on public forums - -  then common decency would suggest that you have an obligation to get the right target for your anger and outrage.

You might consider taking your message down ? 
   

                  ****************************************

Now...   assuming you can get around to engaging in a non-cursing / non name-calling  civil conversation,  then it would likely be useful to have a discussion about office based surgery centers verses hospital based surgeries.

For example,  having a full-up hospital near-by with a pre-negotiated protocol and standing arrangements for urgent patient transfer would mitigate some of the risks for major surgery in the office based surgery center.

If you would like to have THAT discussion in a civil way,  then I would be happy to continue that discussion.  I would request that the personal attacks and cursing not be repeated.   

[Optimistic]

Ah... Optimistic - -  how about an apology for the name calling ?   Check your facts.  Tumerican is the member of this forum who wrote the quote that you attributed to me.   But that kind of name calling and cursing is not appropriate for this type of forum - - - regardless of who is your intended target.

Again - -  if you are going to vigorously curse people on public forums - -  then common decency would suggest that you have an obligation to get the right target for your anger and outrage.

You might consider taking your message down ? 
   

                  ****************************************

Now...   assuming you can get around to engaging in a non-cursing / non name-calling  civil conversation,  then it would likely be useful to have a discussion about office based surgery centers verses hospital based surgeries.

For example,  having a full-up hospital near-by with a pre-negotiated protocol and standing arrangements for urgent patient transfer would mitigate some of the risks for major surgery in the office based surgery center.

If you would like to have THAT discussion in a civil way,  then I would be happy to continue that discussion.  I would request that the personal attacks and cursing not be repeated.   

Epic fail. I apologise then. That sort of undermines the entire premise of my post.

Regardless, I still stand by my points about it not being an "office", nor unsafe, and that he's a top quality surgeon etc etc.

[Bobbit]

Epic fail. I apologise then. That sort of undermines the entire premise of my post.

Regardless, I still stand by my points about it not being an "office", nor unsafe, and that he's a top quality surgeon etc etc.

No problem !   

It is behind us.

[Lazlo]

Listen, first I trust Earl, he's very very smart and vigilant and had Sinn's entire history checked by  PI. Second, I visited Dr. Sinn and he was incredibly comprehensive. He was amongst the teaching faculty and trained ARNETT who everyone considers a maverick. Arnett has praised Sinn to more than one forum member as a magician who can do anything.

This business about Sinn not having a medical degree is ridiculous. He is an EXPERT in the medical understanding of the jaw and craniofacial deformities. That's all he does and specializes in. He said himself that a PS is while able to do jaw surgery is in no way specialized as much as a maxillofacial surgeon is who specializes in that area of the face. A medical degree is pointless for such a surgeon. Who would you want to get your car fixed by, some dude who graduated with a two year college degree in automotive repair or an old guy who has been fixing cars his entire life and even designed and built some of the cars you might need repaired even though he never had any degree. Who would you trust with your car. This analogy, while imperfect, broadly describes Sinn.

[Rico]

Sinn for surge is experienced. But remember, every surgeon gets experience often on failures too. There is no surgeon without failure. Don't be fool
My surgeon made a lot of publications - above 100 and he didn't predict little thing

now I speak with him like Prof to Prof to resolve my problem. I spent many hours to draw some models to help me and him to resolve my problem
conflict in muscles working... surgeries on midface are the most difficult

Of course he is boss here, i only give him my observations. Perhaps some of them will be helpful
I found about 5 functional relationship and I had to draw about 10 models to describe this

[molestrip]

No surgeon can ever make you good as new.

[Schrödingers Jaw]

Can you still get some cheek augment after a mod L3, like say a small custom implant or fillers?