Hi Dr. Khan. I think this is very subjective. I’ve had 2 spine surgeries in the two year span with 2 different surgeons and both times it was same day discharge. Both were minimally invasive and I personally thought it was better for me because I’m young, I hate hospitals in general so coming home to my own bed and being able to use my own bathroom alongside my loved ones taking care of me with good homemade meals was a better option for me. Staying a day in hospital would’ve caused more tiredness and stress for my loved ones as knowing them they would argue with me and stayed the whole night. Now on the other hand my mom had a traditional spine surgery on multiple levels and her being older and and much larger incision and having more nausea should’ve absolutely stayed a day in the hospital but her surgeon also discharged her the same day and it was a tough night on all of us. So I absolutely agree 100% with you on that one. Hence why I personally feel it should be subjective and upto surgeon to make this decision based on patient’s age factors, family dynamics etc. Great video btw, very interesting to hear a different perspective than what I’ve experience thus far.
Than you for your thoughtful comment. You are correct. I am by nature quite (?) paranoid when it comes to patient safety; as such, in general, my natural tendency is to be over-careful in such situations when (realistically speaking) I don't have to be. Just like you described, the vast majority of patients who undergo same-day spine surgery do extremely well. But, unfortunately, there are also a not-insignificant number of unexpected horror stories (which are thankfully very rare); the consequences of such disasters can be devastating to the patient and their family. As a general rule, there are fewer down-sides to being overly-cautious when it comes to surgery. That is just my approach; I recognize that other surgeons might have different opinions for valid reasons. Thank you for watching, appreciate your comment. 👍
Doc these are such great points! I can’t imagine having gone home after any of my surgeries! Between the managing of pain and just having a nurse available at anytime is SO IMPORTANT! I needed to stay multiple days and it really lessened the stress for my family, and when I did go home, I had visiting care which really helped my caregivers, in my case my parents.. great video
Thank you for your kind words. I agree with you 100%. Patients are often given the impression that same-day surgery is somehow superior to staying in the hospital for one night. This is truly the triumph of marketing over reality. Unfortunately same-day surgery is being promoted more and more, for a variety of reasons.
@@SpineSurgeonSpeaks Doctor I really love your videos, you are the most informative spine Doctor compared to some of the other “experts “ on RUclips…what’s coming up next? Have you done any videos on “TLIF”?. You know it’s very interesting to talk about these topics because people think spine surgery is one and done, it’s hardly! Gosh it affects EVERY aspect of life. Given my long and complicated history I can speak to ALL of it, quite frankly.. I would really love to stay really engaged with your channel and video topics. You don’t have any problems with that I assume? Thanks Doctor- Chris
Thank you Chris. My goal with this channel is to give patients information about aspects of healthcare (including spine surgery) which are not commonly discussed in the media/ online. As you had suggested, TLIF is on my list of topics to discuss, so stay tuned. I appreciate your kind words, and I hope my channel continues to provide you with interesting and useful information in the future 🙏
I AGREE with you doctor. I do not like the way these centers have popped up everywhere. It happened to me with a lumbar surgery.. I really didnt *wake up* at home until late evening, I could not remember the discharge & the trip back home.. Its frightening, I even got dressed on my own, so I i was told... Anesthesia does take many hours afterwards for the body & mind to come back to reality & mental capabilities .. I believe in a minimum of 1 night stay in the hospital.. Thank You for speaking out on this issue.. ❤
Thank you for your excellent observations. I agree with you completely. Unfortunately the medical system is pushing for same-day surgery to decrease cost, but I am afraid that this is going to come at the expense of patient safety. This is a disturbing trend: I hope patients recognize that this is not benefiting them, and they insist on staying overnight. Wishing you the best of health and the best of luck ❤️🙏
Thank you for your excellent observations. I agree with you completely. Unfortunately the medical system is pushing for same-day surgery to decrease cost, but I am afraid that this is going to come at the expense of patient safety. This is a disturbing trend: I hope patients recognize that this is not benefiting them, and they insist on staying overnight. Wishing you the best of health and the best of luck ❤️🙏
Dr I have the up most respect for you. I have been waiting for L 4/5 S1 fusion. 50 years ago I had Leminectomy I was young in law enforcement had motor bike accident then I have been hit in vehicle accidents through no fault of mine 1 year ago Esclators going down then movement which put me of balance . Fracked ribs went hard on butt, then back hit neck . Public list waited then numbness in butt, wee can’t feel much now went to Hospital in Ambulance only to when I got there the my Nuro had motor vehicle accidents
Thank you for sharing, sorry to hear about your difficulties. It is never easy as a patient to live with the consequences of such injuries. Wishing you all the best and the best of health with your surgery 👍
It's certainly best for the patient and surgeon to mitigate risks, and that first night clearly is crucial. No patient wants to be left with bladder and bowel continence issues and a drop foot because a cauda equina situation arose out of a clot that wasn't treated urgently. Always err on the side of caution.
Yes, I agree with your nurses 100%. Knowing what I know, I would definitely stay in the hospital for one night after a spine surgery. That is exactly what I recommend to my patients. I hope you made an excellent recovery from your surgery. Wishing you the best of health and the best of luck. Thank you for reaching out 👍
@@SpineSurgeonSpeaks Thanks for your reply and best wishes. Unfortunately my two neck surgeries in 11 months have been a disaster. Two adr, then one revised at 5 months due to subsidence to fusion. Now terrible pain, multiple ER visits. Have had 3 different opinions, more surgery in my future. Should have had 3 level fusion in the first place. Looks like you don’t do zoom calls, I live in GA. Did zoom with surgeons in VA,NY, and FL. Locals docs reluctant to touch another surgeons patient.
Hi Dr. Khan you seem to be a good doctor. A year ago, after consultation, it was recommended by a spine surgeon for me to undergo 3 level ACDF. I am still in the process of checking around and was wondering if you accept Medicare Insurance for ACDF? Thanks.
Do you ever suggest rehab facilities to patients? I’ve worked at a rehab unit for 5 years and we often have fusion patients along with many other spine surgeries. I can’t even imagine some of them going home! Not to mention they will stay weeks if not a month or two. I’ve seen some very successful spine surgeries bc of the care they get but mostly the rehab they get😊
Yes, I think that some patients benefit from postop stay a rehab facility. This is something which should be offered to patients more frequently, in my opinion. Recovering from a spine surgery is not easy, I agree with you.
@ thank you for being a surgeon that speaks preop education and post op care education and expectations. From a nurse that works with these patients post op for typically 4-8 weeks I can promise you that you are a rarity. We do have some very good surgeons in my area but unfortunately it’s the poor outcomes I usually see so they speak louder. Nothing is like word of mouth😊
So, the same-day discharge surgeons do not know these risks that you just presented ? or are they simply irreponsible ? I also don't understand how can you say that other surgeons do it and it is safe, and at the same time you present all these risks. If there are risks, and it's better not to, than it is not safe.
It sounds like he's saying he chooses to mitigate as much risk as possible even though you can technically go home that day and other surgeons choose to go by those standards. His measure of risk is different and he errs on the side of caution.
@@disneydarlingexactly what I just said. Some people are irresponsible, some people are not. When there is a risk to human life or wellbeing, I don't think there should be a debate. In fact we are supposed to have standard 'procedures' in these cases. This is not painting, or music singing, so that everybody is doing what he feels like doing.
Safety is the first priority.
Absolutely correct 👍
@@SpineSurgeonSpeaksspine surgery is so serious. That patient relies on that spine! Pretty important bit of kit your spine! Andre
Hi Dr. Khan. I think this is very subjective. I’ve had 2 spine surgeries in the two year span with 2 different surgeons and both times it was same day discharge. Both were minimally invasive and I personally thought it was better for me because I’m young, I hate hospitals in general so coming home to my own bed and being able to use my own bathroom alongside my loved ones taking care of me with good homemade meals was a better option for me.
Staying a day in hospital would’ve caused more tiredness and stress for my loved ones as knowing them they would argue with me and stayed the whole night.
Now on the other hand my mom had a traditional spine surgery on multiple levels and her being older and and much larger incision and having more nausea should’ve absolutely stayed a day in the hospital but her surgeon also discharged her the same day and it was a tough night on all of us. So I absolutely agree 100% with you on that one.
Hence why I personally feel it should be subjective and upto surgeon to make this decision based on patient’s age factors, family dynamics etc.
Great video btw, very interesting to hear a different perspective than what I’ve experience thus far.
Than you for your thoughtful comment. You are correct.
I am by nature quite (?) paranoid when it comes to patient safety; as such, in general, my natural tendency is to be over-careful in such situations when (realistically speaking) I don't have to be.
Just like you described, the vast majority of patients who undergo same-day spine surgery do extremely well. But, unfortunately, there are also a not-insignificant number of unexpected horror stories (which are thankfully very rare); the consequences of such disasters can be devastating to the patient and their family.
As a general rule, there are fewer down-sides to being overly-cautious when it comes to surgery. That is just my approach; I recognize that other surgeons might have different opinions for valid reasons.
Thank you for watching, appreciate your comment. 👍
Doc these are such great points! I can’t imagine having gone home after any of my surgeries! Between the managing of pain and just having a nurse available at anytime is SO IMPORTANT! I needed to stay multiple days and it really lessened the stress for my family, and when I did go home, I had visiting care which really helped my caregivers, in my case my parents.. great video
Thank you for your kind words. I agree with you 100%.
Patients are often given the impression that same-day surgery is somehow superior to staying in the hospital for one night. This is truly the triumph of marketing over reality. Unfortunately same-day surgery is being promoted more and more, for a variety of reasons.
@@SpineSurgeonSpeaks Doctor I really love your videos, you are the most informative spine Doctor compared to some of the other “experts “ on RUclips…what’s coming up next? Have you done any videos on “TLIF”?. You know it’s very interesting to talk about these topics because people think spine surgery is one and done, it’s hardly! Gosh it affects EVERY aspect of life. Given my long and complicated history I can speak to ALL of it, quite frankly.. I would really love to stay really engaged with your channel and video topics. You don’t have any problems with that I assume? Thanks Doctor- Chris
Thank you Chris.
My goal with this channel is to give patients information about aspects of healthcare (including spine surgery) which are not commonly discussed in the media/ online. As you had suggested, TLIF is on my list of topics to discuss, so stay tuned. I appreciate your kind words, and I hope my channel continues to provide you with interesting and useful information in the future 🙏
Thank you Doctor for doing what is best and the most safe for the paitent.
Thank you for your kind words, appreciate it 🙏
Agree with all ur opinions
Thank you, appreciate it.
I AGREE with you doctor. I do not like the way these centers have popped up everywhere.
It happened to me with a lumbar surgery.. I really didnt *wake up* at home until late evening, I could not remember the discharge & the trip back home.. Its frightening, I even got dressed on my own, so I i was told...
Anesthesia does take many hours afterwards for the body & mind to come back to reality & mental capabilities ..
I believe in a minimum of 1 night stay in the hospital..
Thank You for speaking out on this issue.. ❤
Thank you for your excellent observations.
I agree with you completely.
Unfortunately the medical system is pushing for same-day surgery to decrease cost, but I am afraid that this is going to come at the expense of patient safety. This is a disturbing trend: I hope patients recognize that this is not benefiting them, and they insist on staying overnight.
Wishing you the best of health and the best of luck ❤️🙏
Thank you for your excellent observations.
I agree with you completely.
Unfortunately the medical system is pushing for same-day surgery to decrease cost, but I am afraid that this is going to come at the expense of patient safety. This is a disturbing trend: I hope patients recognize that this is not benefiting them, and they insist on staying overnight.
Wishing you the best of health and the best of luck ❤️🙏
Very caring, thoughtful and responsible of you to take such great care of your patients.❤
Thank you for your kind words, much appreciated ❤️🙏
Agree.Appriciated ...
Dr I have the up most respect for you. I have been waiting for L 4/5 S1 fusion. 50 years ago I had Leminectomy I was young in law enforcement had motor bike accident then I have been hit in vehicle accidents through no fault of mine 1 year ago Esclators going down then movement which put me of balance . Fracked ribs went hard on butt, then back hit neck . Public list waited then numbness in butt, wee can’t feel much now went to Hospital in Ambulance only to when I got there the my Nuro had motor vehicle accidents
Thank you for sharing, sorry to hear about your difficulties. It is never easy as a patient to live with the consequences of such injuries. Wishing you all the best and the best of health with your surgery 👍
It's certainly best for the patient and surgeon to mitigate risks, and that first night clearly is crucial. No patient wants to be left with bladder and bowel continence issues and a drop foot because a cauda equina situation arose out of a clot that wasn't treated urgently. Always err on the side of caution.
You are correct, better to take extra precautions when it comes to surgery. Thank you.
My surgeon kept me overnight because of my age,64. The nurses thought it was nuts to send a spine surgery patient home the same day.
Yes, I agree with your nurses 100%.
Knowing what I know, I would definitely stay in the hospital for one night after a spine surgery. That is exactly what I recommend to my patients.
I hope you made an excellent recovery from your surgery.
Wishing you the best of health and the best of luck.
Thank you for reaching out 👍
@@SpineSurgeonSpeaks Thanks for
@@SpineSurgeonSpeaks Thanks for your reply and best wishes. Unfortunately my two neck surgeries in 11 months have been a disaster. Two adr, then one revised at 5 months due to subsidence to fusion. Now terrible pain, multiple ER visits. Have had 3 different opinions, more surgery in my future. Should have had 3 level fusion in the first place. Looks like you don’t do zoom calls, I live in GA. Did zoom with surgeons in VA,NY, and FL. Locals docs reluctant to touch another surgeons patient.
Thanks for doing this video. Very informative.
Glad it was helpful!
Dr. Khan, can you do a video on radio-frequency ablation? I'm supposed to have it done in a week.
Thank you for reaching out; I think that will be a good topic to discuss, I will put it on the list. Good luck with the RFA procedure 👍
Saw something about artirities ...please
Hi Dr. Khan you seem to be a good doctor. A year ago, after consultation, it was recommended by a spine surgeon for me to undergo 3 level ACDF. I am still in the process of checking around and was wondering if you accept Medicare Insurance for ACDF? Thanks.
Thank you for your kind words.
I do perform this procedure, please contact my office at 414-276-6000 if you have any questions.
Do you ever suggest rehab facilities to patients? I’ve worked at a rehab unit for 5 years and we often have fusion patients along with many other spine surgeries. I can’t even imagine some of them going home! Not to mention they will stay weeks if not a month or two. I’ve seen some very successful spine surgeries bc of the care they get but mostly the rehab they get😊
Yes, I think that some patients benefit from postop stay a rehab facility. This is something which should be offered to patients more frequently, in my opinion.
Recovering from a spine surgery is not easy, I agree with you.
@ thank you for being a surgeon that speaks preop education and post op care education and expectations. From a nurse that works with these patients post op for typically 4-8 weeks I can promise you that you are a rarity. We do have some very good surgeons in my area but unfortunately it’s the poor outcomes I usually see so they speak louder. Nothing is like word of mouth😊
So, the same-day discharge surgeons do not know these risks that you just presented ? or are they simply irreponsible ? I also don't understand how can you say that other surgeons do it and it is safe, and at the same time you present all these risks. If there are risks, and it's better not to, than it is not safe.
Your question is on-the-point.
People define risk differently.
It sounds like he's saying he chooses to mitigate as much risk as possible even though you can technically go home that day and other surgeons choose to go by those standards. His measure of risk is different and he errs on the side of caution.
@@disneydarlingexactly what I just said. Some people are irresponsible, some people are not. When there is a risk to human life or wellbeing, I don't think there should be a debate. In fact we are supposed to have standard 'procedures' in these cases. This is not painting, or music singing, so that everybody is doing what he feels like doing.