Dr. Mani Menon
๐ค PersonAppearances Over Time
Podcast Appearances
I would start the robotic case in one room, and in the next room, Bhatand would do a laparoscopic case with Jim Peabody and the residents. So it would be Tiwari and I doing the robotic case, and Bhatand and Jim and someone else doing the laparoscopic case. I could operate for about 20 minutes, and then the tension was too high.
I would start the robotic case in one room, and in the next room, Bhatand would do a laparoscopic case with Jim Peabody and the residents. So it would be Tiwari and I doing the robotic case, and Bhatand and Jim and someone else doing the laparoscopic case. I could operate for about 20 minutes, and then the tension was too high.
You could see the band around my forehead from pushing my head into the console visor. Within about 40 minutes, Bhattacharya would have finished the laparoscopic case, and then he would come. We would remove the ports. He would put the laparoscopic port, same ports. So he would just change instruments and complete the laparoscopic prosthetic. This went on for about three cases.
You could see the band around my forehead from pushing my head into the console visor. Within about 40 minutes, Bhattacharya would have finished the laparoscopic case, and then he would come. We would remove the ports. He would put the laparoscopic port, same ports. So he would just change instruments and complete the laparoscopic prosthetic. This went on for about three cases.
You could see the band around my forehead from pushing my head into the console visor. Within about 40 minutes, Bhattacharya would have finished the laparoscopic case, and then he would come. We would remove the ports. He would put the laparoscopic port, same ports. So he would just change instruments and complete the laparoscopic prosthetic. This went on for about three cases.
On the fourth case, I finished my case before he had done his 1,000 laparoscopic prostate. That was just a fluke. I mean, I think this patient had good anatomy, and Bhartan's patient did not have good anatomy. We didn't know what it was on the outside. They both looked the same, but on the inside, they were very different.
On the fourth case, I finished my case before he had done his 1,000 laparoscopic prostate. That was just a fluke. I mean, I think this patient had good anatomy, and Bhartan's patient did not have good anatomy. We didn't know what it was on the outside. They both looked the same, but on the inside, they were very different.
On the fourth case, I finished my case before he had done his 1,000 laparoscopic prostate. That was just a fluke. I mean, I think this patient had good anatomy, and Bhartan's patient did not have good anatomy. We didn't know what it was on the outside. They both looked the same, but on the inside, they were very different.
So like your governor from California said, I felt that there must be a pony in there somewhere. If I could, at four cases, be quicker than Bhartan was at 1,000 cases, Maybe I could learn from that. That's what happened. I mean, the fifth and sixth case, I was no longer as quick. But by the 18th case, I was reproducibly quicker than the laparoscopic surgeons.
So like your governor from California said, I felt that there must be a pony in there somewhere. If I could, at four cases, be quicker than Bhartan was at 1,000 cases, Maybe I could learn from that. That's what happened. I mean, the fifth and sixth case, I was no longer as quick. But by the 18th case, I was reproducibly quicker than the laparoscopic surgeons.
So like your governor from California said, I felt that there must be a pony in there somewhere. If I could, at four cases, be quicker than Bhartan was at 1,000 cases, Maybe I could learn from that. That's what happened. I mean, the fifth and sixth case, I was no longer as quick. But by the 18th case, I was reproducibly quicker than the laparoscopic surgeons.
The blood loss was the same, and the outcomes, as we could see it, were the same. The margin rates and the biochemical recurrences were the same. So once again, because we had to do our cases when the French surgeons were there, we batched them. So we would do five robotic cases in a week while they do five laparoscopic cases. And at the end of it, we would collect the data and see how things did.
The blood loss was the same, and the outcomes, as we could see it, were the same. The margin rates and the biochemical recurrences were the same. So once again, because we had to do our cases when the French surgeons were there, we batched them. So we would do five robotic cases in a week while they do five laparoscopic cases. And at the end of it, we would collect the data and see how things did.
The blood loss was the same, and the outcomes, as we could see it, were the same. The margin rates and the biochemical recurrences were the same. So once again, because we had to do our cases when the French surgeons were there, we batched them. So we would do five robotic cases in a week while they do five laparoscopic cases. And at the end of it, we would collect the data and see how things did.
We videotaped every case and we would go over the case at the end of the day, even though we would dog-tired and tried to figure out what bad moves I had made and what good moves I had made. And everything was fair game. I mean, the nurses, the anesthetists, they were all part of this team. I insisted on the same anesthetists and the same nurses. And the residents were the same. It was all Tiwari.
We videotaped every case and we would go over the case at the end of the day, even though we would dog-tired and tried to figure out what bad moves I had made and what good moves I had made. And everything was fair game. I mean, the nurses, the anesthetists, they were all part of this team. I insisted on the same anesthetists and the same nurses. And the residents were the same. It was all Tiwari.
We videotaped every case and we would go over the case at the end of the day, even though we would dog-tired and tried to figure out what bad moves I had made and what good moves I had made. And everything was fair game. I mean, the nurses, the anesthetists, they were all part of this team. I insisted on the same anesthetists and the same nurses. And the residents were the same. It was all Tiwari.
And we would, you know, try to find out what, how we could improve. But then when we went to the OR, I didn't want 10 people giving me 10 different approaches of doing this. Why don't you cut here? Why don't you cut there? And all that. The time for that discussion was over. I was going to do it my way, unless they saw something really that I was doing that was really terrible.
And we would, you know, try to find out what, how we could improve. But then when we went to the OR, I didn't want 10 people giving me 10 different approaches of doing this. Why don't you cut here? Why don't you cut there? And all that. The time for that discussion was over. I was going to do it my way, unless they saw something really that I was doing that was really terrible.
And we would, you know, try to find out what, how we could improve. But then when we went to the OR, I didn't want 10 people giving me 10 different approaches of doing this. Why don't you cut here? Why don't you cut there? And all that. The time for that discussion was over. I was going to do it my way, unless they saw something really that I was doing that was really terrible.