Dr. Richard Bosshardt

I've seen this in my own community where nurses who know the good surgeons from the bad surgeons say, Dr. So-and-so, he's so slow. He just takes forever to do this operation. And complications are directly tied to length of surgery. I mean, absolutely, positively correlated. The longer the surgery, the more potential complications. Exactly.

I've seen this in my own community where nurses who know the good surgeons from the bad surgeons say, Dr. So-and-so, he's so slow. He just takes forever to do this operation. And complications are directly tied to length of surgery. I mean, absolutely, positively correlated. The longer the surgery, the more potential complications. Exactly.

I've seen this in my own community where nurses who know the good surgeons from the bad surgeons say, Dr. So-and-so, he's so slow. He just takes forever to do this operation. And complications are directly tied to length of surgery. I mean, absolutely, positively correlated. The longer the surgery, the more potential complications. Exactly.

And this is recognized, and it's recognized in a very interesting way. The CMS, the Centers for Medicine, Medicare and Medicaid, they've come out and they said, we are not going to pay for anesthesia beyond a certain time. So if we have, for example, a breast reduction, which for me is about a three and a half to four hour operation, we'll pay for four hours of anesthesia for breast reduction.

And this is recognized, and it's recognized in a very interesting way. The CMS, the Centers for Medicine, Medicare and Medicaid, they've come out and they said, we are not going to pay for anesthesia beyond a certain time. So if we have, for example, a breast reduction, which for me is about a three and a half to four hour operation, we'll pay for four hours of anesthesia for breast reduction.

And this is recognized, and it's recognized in a very interesting way. The CMS, the Centers for Medicine, Medicare and Medicaid, they've come out and they said, we are not going to pay for anesthesia beyond a certain time. So if we have, for example, a breast reduction, which for me is about a three and a half to four hour operation, we'll pay for four hours of anesthesia for breast reduction.

If it goes beyond that, we're not paying for that additional time. And the idea is they recognize that people are taking too long to do these things. Point is, anesthesia has nothing to do with the length of surgery. They're just there to keep the patient asleep and stable and alive for you while you're doing an operation. But

If it goes beyond that, we're not paying for that additional time. And the idea is they recognize that people are taking too long to do these things. Point is, anesthesia has nothing to do with the length of surgery. They're just there to keep the patient asleep and stable and alive for you while you're doing an operation. But

If it goes beyond that, we're not paying for that additional time. And the idea is they recognize that people are taking too long to do these things. Point is, anesthesia has nothing to do with the length of surgery. They're just there to keep the patient asleep and stable and alive for you while you're doing an operation. But

That's the only way they can think to penalize the surgeon because the surgical time does not come into play unless you look at hospital charges or anesthesia charges. And so they recognize this. And this goes back to what I said. A lot of surgeons are not getting enough surgical experience to be able to operate, one, independently, and two, I would say efficiently, competently to do.

That's the only way they can think to penalize the surgeon because the surgical time does not come into play unless you look at hospital charges or anesthesia charges. And so they recognize this. And this goes back to what I said. A lot of surgeons are not getting enough surgical experience to be able to operate, one, independently, and two, I would say efficiently, competently to do.

That's the only way they can think to penalize the surgeon because the surgical time does not come into play unless you look at hospital charges or anesthesia charges. And so they recognize this. And this goes back to what I said. A lot of surgeons are not getting enough surgical experience to be able to operate, one, independently, and two, I would say efficiently, competently to do.

I'm not a speedster, but I can certainly hold my own with my peers in terms of how long it takes me to finish an operation and do a good job on it. I've never tried to be the fastest guy on the block. So all those things go to the fact that you're not going to really... recognize this decline because it's so subtle in so many respects. And patients don't know that.

I'm not a speedster, but I can certainly hold my own with my peers in terms of how long it takes me to finish an operation and do a good job on it. I've never tried to be the fastest guy on the block. So all those things go to the fact that you're not going to really... recognize this decline because it's so subtle in so many respects. And patients don't know that.

I'm not a speedster, but I can certainly hold my own with my peers in terms of how long it takes me to finish an operation and do a good job on it. I've never tried to be the fastest guy on the block. So all those things go to the fact that you're not going to really... recognize this decline because it's so subtle in so many respects. And patients don't know that.

And that's the other reason why I'm here, Tucker. I want this to be a wake-up call to my fellow surgeons. This is what can happen to you if you speak up and you try to promote excellence in surgery and you try to object or push back against a liberal ideology, politics ideology, call it what you will, in surgery. And I would love for there to be a groundswell.

And that's the other reason why I'm here, Tucker. I want this to be a wake-up call to my fellow surgeons. This is what can happen to you if you speak up and you try to promote excellence in surgery and you try to object or push back against a liberal ideology, politics ideology, call it what you will, in surgery. And I would love for there to be a groundswell.

And that's the other reason why I'm here, Tucker. I want this to be a wake-up call to my fellow surgeons. This is what can happen to you if you speak up and you try to promote excellence in surgery and you try to object or push back against a liberal ideology, politics ideology, call it what you will, in surgery. And I would love for there to be a groundswell.

of surgeons come in and say, hey, wait a minute, what's going on in my profession?

of surgeons come in and say, hey, wait a minute, what's going on in my profession?