Dr. Richard Bosshardt

And I've worked with other surgeons that were, you know, there's a couple that I refuse to work with that were so bad that, you know, you often have to ask yourself, is this something that I report? I don't report. I've spoken to, you know, colleagues and so forth. And I've only actually reported one or two doctors in my career because the circumstances are so egregious.

And I've worked with other surgeons that were, you know, there's a couple that I refuse to work with that were so bad that, you know, you often have to ask yourself, is this something that I report? I don't report. I've spoken to, you know, colleagues and so forth. And I've only actually reported one or two doctors in my career because the circumstances are so egregious.

And these didn't happen to be surgeons, by the way. But kind of getting off track a little bit. I work with a young surgeon, arguably a good surgeon, And I was doing, again, a breast reconstruction, and he made a comment to me that I found astounding.

And these didn't happen to be surgeons, by the way. But kind of getting off track a little bit. I work with a young surgeon, arguably a good surgeon, And I was doing, again, a breast reconstruction, and he made a comment to me that I found astounding.

And these didn't happen to be surgeons, by the way. But kind of getting off track a little bit. I work with a young surgeon, arguably a good surgeon, And I was doing, again, a breast reconstruction, and he made a comment to me that I found astounding.

One of the common accompanying things you do in breast cancer treatment is a lot of times you go after lymph nodes in the armpit because you want to see if there's cancer there, or if there's cancer there, you want to remove the cancer. And that's called an axillary node dissection.

One of the common accompanying things you do in breast cancer treatment is a lot of times you go after lymph nodes in the armpit because you want to see if there's cancer there, or if there's cancer there, you want to remove the cancer. And that's called an axillary node dissection.

One of the common accompanying things you do in breast cancer treatment is a lot of times you go after lymph nodes in the armpit because you want to see if there's cancer there, or if there's cancer there, you want to remove the cancer. And that's called an axillary node dissection.

Basic operation.

Basic operation.

Basic operation.

Every general surgeon learns that.

Every general surgeon learns that.

Every general surgeon learns that.

And we were doing a case, and he was doing a biopsy in the armpit, removing a single lymph node. And he commented, he says, you know, I'm really glad I don't have to do an axillary node dissection because I've never done one before. And this is a fully trained, board-certified general surgeon. Had never done an axillary node dissection in the course of his five years of general surgery training.

And we were doing a case, and he was doing a biopsy in the armpit, removing a single lymph node. And he commented, he says, you know, I'm really glad I don't have to do an axillary node dissection because I've never done one before. And this is a fully trained, board-certified general surgeon. Had never done an axillary node dissection in the course of his five years of general surgery training.

And we were doing a case, and he was doing a biopsy in the armpit, removing a single lymph node. And he commented, he says, you know, I'm really glad I don't have to do an axillary node dissection because I've never done one before. And this is a fully trained, board-certified general surgeon. Had never done an axillary node dissection in the course of his five years of general surgery training.

Let me stick back a second to when you ask about quality and how it's gone down. It's not a conscious thing. It's not been deliberate. I don't think that we have gone out deliberately to create a decline in the quality of surgery. I think a lot of circumstances have come together to do that. One was in 2003, the American Graduate Medical Education.

Let me stick back a second to when you ask about quality and how it's gone down. It's not a conscious thing. It's not been deliberate. I don't think that we have gone out deliberately to create a decline in the quality of surgery. I think a lot of circumstances have come together to do that. One was in 2003, the American Graduate Medical Education.

Let me stick back a second to when you ask about quality and how it's gone down. It's not a conscious thing. It's not been deliberate. I don't think that we have gone out deliberately to create a decline in the quality of surgery. I think a lot of circumstances have come together to do that. One was in 2003, the American Graduate Medical Education.