Brain surgery patient left in OR after doc no-show

May 10, 2009 By FRANK ELTMAN , Associated Press Writer

(AP) -- One of the highest-paid doctors in New York refused to perform brain surgery on an already-anesthetized patient whose scheduled surgeon had failed to show up, and the state health department is investigating.

The surgeon who refused, Dr. Thomas Milhorat, is retiring as chairman of neurosurgery at North Shore University Hospital-Long Island Jewish Medical Center, the hospital said Friday in a statement.

The hospital suspended his and Dr. Paolo Bolognese's clinical practice privileges for two weeks after the cancellation of the April 10 surgery. The hospital said the 73-year-old Milhorat had already been considering retirement and will continue academic and research activities.

The suspensions expired this week, but neither Milhorat nor Bolognese have commented because they are attending a medical conference in Italy. Neither physician has responded to an e-mail request for comment.

Claire Pospisil, a spokeswoman for the state Health Department, confirmed the situation was being investigated.

The unidentified patient was under anesthesia, head shaved, but the 48-year-old Bolognese could not be found, the Daily News of New York reported on Wednesday, citing sources it did not identify.

Staffers contacted Milhorat, who refused to do the surgery because the woman was not his patient. A North Shore spokesman said the woman later had successful surgery.

Crain's New York, a leading business publication, identified Milhorat and Bolognese as among the New York City area's top medical earners in 2007, with Milhorat taking in $7.2 million and Bolognese earning $2.4 million.

They help run North Shore's Chiari Institute, which draws patients worldwide who have a rare congenital brain defect that can cause headaches, dizziness and other pain. It wasn't clear whether the woman whose was canceled had the condition.

Dr. Lawrence Smith, chief medical officer for the North Shore-LIJ Health System, said in a statement that Milhorat "is widely regarded as one of the world's foremost experts on Chiari malformation, and his surgical expertise has benefitted thousands of patients around the world."

Milhorat joined the North Shore-LIJ Health System in 2002 and has been practicing medicine since 1961.


Join PhysOrg.com on Facebook!
Follow PhysOrg.com on Twitter!
©2009 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


print this article email this article download pdf blog this article bookmark this article     Stumble it Digg this share on Facebook retweet share on Reddit add to delicious
Rate this story - 2.5 /5 (2 votes)

Rank Filter

Move the slider to adjust rank threshold, so that you can hide some of the comments.


Display comments: newest first

  • Israel - May 10, 2009
    • Rank: not rated yet
    Maybe because I come from Mars, I don't understand.

    How do you force a doctor, who is not ready to operate, to operate? Wouldn't that be malpractice?

    Now,I understand how a New York Post writer can do three articles without addressing this issue, but I would have thought there'd be some discussion here.
  • helvetica979 - May 10, 2009
    • Rank: not rated yet
    So they're on paid vacation (that's basically what some conferences are) in Italy, and you didn't scream at them to get their asses home after this screwup?

    I'd revoke all such perks and put them on probation for that behavior. At this point, they should reimburse their employer for their Italian conference costs.

    And the 73-year-old is too old to be working at all. Send him home, so someone else can have a job.
  • VOR - May 11, 2009
    • Rank: not rated yet
    IMO, patient should be able to sue hosp for unnecessary sedation (as sedation is certainly not without risks and side affects), hosp could maybe sue doctor that didnt show up. other doctor seems justified in his action as procedure was apparently non-emergency.

May 10, 2009 all stories

Comments: 3

2.5 /5 (2 votes)
  • Stumble this up

  • Digg this

  • share this

  • hide
  • Related Stories

  • Same-day pregnancy test provides valuable guidance to pre-surgery patients
    created Jun 16, 2008 | popularity not rated yet | comments 0
  • Physician characteristics are associated with quality of cancer care
    created Jan 29, 2008 | popularity not rated yet | comments 0
  • Just hours apart, 2 brothers undergo robotic prostate cancer surgery
    created Jan 17, 2008 | popularity not rated yet | comments 0
  • 'Talk and die' syndrome not common, doctor says
    created Mar 19, 2009 | popularity not rated yet | comments 0
  • China reports successful face transplant
    created Apr 14, 2006 | popularity not rated yet | comments 0



  • hide
  • Relevant PhysicsForums posts

Other News

New cancer target for non-Hodgkin's lymphoma

Medicine & Health / Cancer

created 11 hours ago | popularity 5 / 5 (1) | comments 0

Physician-scientists from Weill Cornell Medical College have discovered a molecular mechanism that may prove to be a powerful target for the treatment of non-Hodgkin's lymphoma, a type of cancer that affects lymphocytes, ...


Surface bacteria maintain skin's healthy balance

Medicine & Health / Research

created 12 hours ago | popularity 5 / 5 (4) | comments 0

On the skin's surface, bacteria are abundant, diverse and constant, but inflammation is undesirable. Research at the University of California, San Diego School of Medicine now shows that the normal bacteria living on the ...


Gene mismatch influences success of bone marrow transplants

Medicine & Health / Genetics

created 12 hours ago | popularity 4 / 5 (1) | comments 0

A commonly inherited gene deletion can increase the likelihood of immune complications following bone marrow transplantation, an international team of researchers reports in the November 22 advance online issue of Nature Ge ...


New understanding about mechanism for cell death after stroke leads to possible therapy

Medicine & Health / Research

created 12 hours ago | popularity not rated yet | comments 0

Scientists at the Brain Research Centre, a partnership of the University of British Columbia Faculty of Medicine and Vancouver Coastal Health Research Institute, have uncovered new information about the mechanism by which ...


Cancer metabolism discovery uncovers new role of IDH1 gene mutation in brain cancer

Medicine & Health / Cancer

created 12 hours ago | popularity not rated yet | comments 0

Agios Pharmaceuticals today announced that its scientists have established, for the first time, that the mutated IDH1 gene has a novel enzyme activity consistent with a cancer-causing gene, or oncogene. This breakthrough ...