http://www.docschein.com/index.html

«Surgery is not all glamor and drama. Most of my work as a surgeon is tedious and painstaking. But I wouldn't trade places with anyone else. The rewards of helping to bring healing are beyond measure. I invite you to get acquainted with me and my surgical journey which covered Israel, South Africa, Italy, England, Brooklyn, Bronx, Iowa, and ended now in northern Wisconsin. In these pages you can get acquainted with my scientific and non-scientific publications, take a glimpse at my books, and savor a few free samples». Moshe Schein, M.D., FACS Send me email mschein1.@mindspring.com

«Surgery is not all glamor and drama. Most of my work as a surgeon is tedious and painstaking. But I wouldn't trade places with anyone else. The rewards of helping to bring healing are beyond measure.

I invite you to get acquainted with me and my surgical journey which covered Israel, South Africa, Italy, England, Brooklyn, Bronx, Iowa, and ended now in northern Wisconsin.

In these pages you can get acquainted with my scientific and non-scientific publications, take a glimpse at my books, and savor a few free samples».

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Плюнуть в душу пророка – дурацкое дело, а уж для неглупого человека и вообще – два пальца помочить под краном…

Вот пример:

On 25-Dec-08, at 10:41 PM, Moshe Schein wrote: Dear members, This morning I found time to read your comments – accumulated over the last week. A few I find insightful, some very entertaining, and others are extremely confused – almost psychotic. This is what I have to say – not in order of its importance… 1. I applaud all of you who can judge what happen and criticise it based on an isolated static image taken perhaps 5 minutes before the complication occurred. 2. Unlike others, in the image I provided I see very clearly the GB, cystic duct and CBD – the distance between the former and later not more than 1 cm. 3. I do not think that removing a few more «fibres of tissue» from the CD would made it longer or easier to clip. In fact, overzealous skeletonization of the CD can tear it – as we all experienced. 4. I agree with Ramana that laparoscopic surgeons should learn laparoscopic suture techniques. However some of you do not understand limitations of practice. Some surgeons, like me, have missed on the laparoscopic revolution – which developed after they had concluded their training. Thereafter they continued practising in centers not exposed to advance lap surgery – and not doing cases which require lap suturing. Take the average US rural surgeon: his laparoscopic practice is limited to LC and some gynecological procedures – no opportunity to get confident in lap suturing. And now – when an opportunity arrives – is this the time to experiment on the patient? 5. Ramana. I have never seen a patient dying BECAUSE he was converted. I have seen many (not mine) who died because they were NOT converted to open. Thus, while I enjoyed reading your aphorism I would not use it as a plague on my OR room. In fact, I would consider such a plaque dangerous and remove it. 6. I found the post by the Russian Émigré colorectal surgeon from Florida (I forgot his name) really hilarious (he calls me a "broken man"). However I am honored that I may be the reason (my poor performance after 2006…) for his potential resignation from this list. As if this List depends on what one members writes or thinks… 7. That Russian Émigré accuses me for not admitting mistakes. This is not true. Those who know me here over the years know that I was among the very few who had the «courage» to report my surgical disasters. But not all complications are caused by a clear error – there is lots of gray zone and many way to skin the cat. And in the case under discussion of course that there was a technical error which could have been avoided. But once the complication has occurred there were many ways to deal with it – as manifested by all your replies. 8. The most entertaining mail was by our young friend Serg. I have to admit not having the patience to read through the whole length of his rumbling text but I got the message. I understand Serg's psyche: this is how I would have written when I was a first year resident. 9. Tovarish Serg is horrified by what he's read on the GB chapter in my book. I assume that he refers to the Russian version which is the first edition – written, I assume, when he was still a junior member of the Komsomol. The approach to the acute GB has been updated in the 2nd edition and has been yet again revised-updated in the third edition which is in press. As you know – young tovarish – books have to play it safely and advocate safe and well proven approach. Not every and each short lasting gimmick has to be included. Anyway, my advice to people who do not agree is: write your own book! 10. A member (forgot who it was) asked: what is the purpose of presenting this case? It is like he would ask: what is the purpose of SURGINET? I presented this case – like the numerous personal cases – of success and failure – I presented over last 15 years for three main reasons: generate discussion, learn, teach. Dear Tovarish Serg and the emigre from Florida: when was the last time you have presented to us a problem case? Or your own complication? Enough rumbling on Xmas day. The year 2009 is approaching and my mental faculties are declining since 2006 and hence I cannot concentrate. So let me stop here and go into the sunny but frosty day to chop some wood, hunt for some rabbits and drink a glass of vodka mixed with snow. Perhaps it would alleviate my growing bitterness and stimulate my neurons. However, this broken man will continue communicating with you, on and off (if you like what he says or not), until he shades his gloves off. [About 10 years ago I wrote to Professor Hugh Dudley – do you remember him? – asking for a chapter on abdominal wall closure. He wrote back that he has just retired and made a pledge not to speak or write or advice about practical surgical issues. Isn't this the right way to follow?] As anyone who puts pen on paper I appreciate ALL your input… be it caustic or favorable. Take care, Moshe