The "UT Southwestern and Parkland Hospital Stories" blogger is relentless and apparently angry:
18 Q. Have you monitored the charts to see if there's
19 an attending note in the majority of the cases
20 preoperatively?
21 A. I can't say I've looked at that. I was talking
22 about the operating room. (Texas Medicaid considers it to be billing fraud if a hospital bills them for an operation if the attending did not see the patient pre-operatively to determine medical necessity, and did not document an adequate history and physical in the chart. Neither he, nor Bob Rege, nor Dieter Lehnorrt, or Alfred Gilman, Kern Wildenthal, now Daniel Podolsy, or anyone else had checked to see if that was happening.
23 Q. Okay. Well --
24 A. Presence in the operating room.
25 Q. I'm talking about preoperative evaluation here.
0441
1 My question to you is: Would you agree with me in
2 general that it is best for the patient for the attending
3 to evaluate the patient preoperatively or be involved in
4 their care?
5 A. Certainly to be involved in their care is
6 optimum.

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