Cardiosurgery – sounds like a big, important and glamorous rotation.
Not really, though. Well, at least it’s so much better than epidemiology by babi blonde (or fu*k face as described by kochi). We didn’t get any chance to observe or assist in any fancy surgeries tho. Just discussion in class and clerking patients. Better than epidemiology 🙂
Let’s talk about turf-wars.
In late 20th century, cadiosurgeons have a lot of responsibilities. Open heart surgeries, close heart surgeries, vascular surgeries, angiographies and angioplasties etc. Those are the procedures – and these procedures pay big money and made the cardiosurgeons super rich in early 1990s.
The cardiologists (the medical counterpart) complained that their incomes were too low and their responsibilities were very little. Thus they fought over and over, especially on angiographies and angioplasties. This turf war among cardiologists and cardiosurgeons went on for quite a while until the cardiologists got what they want – doing the PTCA or Percutaneus Transluminal Coronary Angiography.
This new subspecialty in cardiology is called interventional cardiology. When you hear some chap working as interventional cardiologist, that usually means that he/she is a medical-cardiologist trained in radiological intervention.
That is a big win for cardiologists. PTCA is really a big market. You already know that coronary heart disease is the 1st killer among all heart diseases. And many patients prefer less invasive interventions to open clogs in their coronaries using stents, rather than open-heart bypass surgeries!
|Cardiosurgeons||$ 1.02 mil||$ 425,000|
|Cardiologists||$ 392,000||$ 550,000|
Brock, 55, said his take-home pay had fallen from $380,000 in the early 1980s to about $80,000. His malpractice insurance cost $70,000 a year, while he was being paid only $1,500 per bypass operation.
But many doctors in Tampa Bay see Brock’s defection in symbolic terms. Brock, after all, was supposed to be at the top of the medical heap. He was performing complex surgeries including heart transplants at a major trauma hospital. He even trained with Dr. Michael E. DeBakey, one of the world’s best-known heart surgeons. If Brock is bested by rising malpractice costs and shrinking payments, what hope is there for the rest of medicine?