The Mayo Clinic Board of Trustees allows that the Surgical Service swiftboat neurectomies on inflamed normal abdominal nerves, while the General Internal Medicine Service publishes how to treat with a 2% lidocaine injection (John Bundrick MD). If you have abdominal pain - go to the Medical Service first. This 'neurectomy machine' has been going on now for 15 years, and some patients have requested that Mayo Clinic 'undo, ' and others are still ignorant of the pseudoneuroma scam. They are called 'neuromas' on the operative reports.
The Mayo Clinic has not decided to undo these unnecessary procedures and repair the unnecessarily cut tissues, fascia and skin - but the Legal office & Sarr's office has the contact information - all should be contacted and offered repair as for faulty valves, etc. This was unnecessary surgery.
This was a faulty procedure done for all the wrong reasons ($), without adequate differential, workup, or discussion - Sarr doesn't discuss, doesn't see you the morning of surgery and lies to you post-op. He orders your anesthesia for you like a bad date. Patients should run.
No neurectomy had a Carnett's test on the chart - and the Nursing Staff doesn't know what the test is. But that the Board of Trustees would let this continue past 1998, when one case was complained about - is baffling. You can't google Carnett's test without about 4,750 results in 0.26 seconds. Surgeons would have to be computer illiterate to not notice - totally dissociated from MSN reality.
The interns, residents, and students 'in' on the cases do not bother to object, or Google, nor do the Anesthesiology or Nursing Supervisors - at least one of the cases had absolutely no consent to this procedure on the chart or anywhere else - the patient had objected to any muscles or nerves being cut or removed at the time - and Dr. Sarr admits that he did not get consent or discuss - in this ONE case - which has still not been repaired.
The question is everyone that stupid, or that vampirish that they would destroy patient tissues for surgical experience - cut for the sake of cutting with their intense emotions - cut muscles even below the nerves that Dr. Sarr removes? It's completely pathologic. And the common mass closures - the surgical literature is still out - it's useful in patients that might dehisce but not thin women with no risk of that and wanting to wear a bathing suit. Aesthetic concerns.
Dr. Michael Sarr, a Chief of General Surgery at Mayo Rochester, has a whole 'menu' of neurectomies, when in fact there should be very few of these procedures, at Mayo Clinic or anywhere, and only for real 'neuromas' after workup, injection, Carnett's test/maneuver, and scan have ruled out benign nerve inflammation post surgery or sports = ACNES = abdominal cutaneous nerve entrapment syndrome.
Most of these cases respond over time to conservative therapy - if surgeons get in and find a swollen nerve in the nerve foramen area, they are required to ultrasound and leave alone for the trial of conservative medical therapy. But Dr. Sarr doesn't in his race to please students & interns with stuff to cut. But the first lesson that medical students should learn on any surgical service is what, and when, not to cut.
Mayo Clinic has intraoperative ultrasounds probably in every surgical area or room - but they don't use them and you can charge the patient for this service ($). As at least one woman patient requested this of Dr. Sarr - for an HOUR - that she be allowed complete workup, and discussion, before any nerves were cut.
Dr. Sarr can't say ACNES, Carnett's, or 2% lidocaine - which is scary as most patients will agree to surgery after prolonged pain from this entity - and surgeons won't inject or correctly diagnose by implanting - they are missing the Carnett's chip. The first provider on the scene was a Surgeon, who didn't reassure, and for the 'glory of Mayo Clinic' didn't make the right diagnosis.
Whether Sarr intentionally does this for the last 15 years, or just is so stupid that he hasn't heard of Carnett's test - which has been in the Surgical Literature since 1926 - is the question. If he doesn't believe in it, he still has to offer patients the option. But there's a list of patients that he has neurectomized for normal nerves, where the closure needs undoing of Dr. Sarr's bizarre fascial closures - the Legal Office has it and Dr. Sarr's Office has it.
Dr. Sarr does this the most brutal way surgically possible - with piles of scopes & Plastic Surgeons littering the halls of Mayo Cliinc. He cuts all the anterior abdominal nerve fascias and sews them all together in a common mass closure. This requires only one suture pack and only rudimentary surgical closure technique - it's the hack closure for a quickie emergency case - and in the past this closure had to be redone as a layered closure as a matter of good surgical technique and abdominal wall muscle strength and function. Dr. Sarr does not see his cases post-op, he's on another plane out of Rochester.
So Michael Sarr for the last 15 years - with the blessing of the Legal Counsel as to doing this without patient consents or discussions - has been neurectomizing mostly women patients who present with benign abdominal nerve inflammations and are told there is nothing else to do. The ultimater swiftboating, short sell, take.
That abdominal cutaneous nerve inflammation occurs commonly after sports exertions, or injuries, is a crucial concern - that the Tebows & Brady's would end up having an incidental neurectomy - but most would have just sucker punched Sarr with the suggestion. Currently mostly women - as the Surgery Service likes women naked, on a gurney, and anesthetized so that all the abdominal nerves can be cut in this procedure - for sadistic reasons, sexual release, whatever - it's not 'normal' to do this to someone without a workup. Otherwise women would walk, but you can't walk with a medical student & intern holding you down while the anesthesia guy injects the anesthesia that you didn't consent to - doesn't even check if a family member ever reacted to that drug adversely (medical history 101).
The sad part is that the Mayo Plastics, and Surgery, services, do not do a diagnostic workup - they schedule for Sarr's suddenly 'open' ORs the next day. There is no scan, no anesthesiology consult, no real Medical consultation. There's no checklist 'brake, ' to the nonsense. Dr. Sarr has a 'quickie' woman FMG who will clear anything for him in 20 minutes. No questions asked, no maneuvers, no differential or concerns. The Medical Service at Mayo should have canceled that shortcircuit long ago, the classic bypass surgical clearance track.
If the patients didn't consent, and had normal nerves on pathology, the Mayo Clinic needs to undo, repair, and layer closure these cases - at their expense. And possibly pay for the loss of the nerve unnecessarily cut without trial of the medical therapy advertised by the General Medical Service in the Mayo Clinic Proceedings (January). Carnett's test has been in the Surgical Literature - there's no excuse for Dr. Sarr not considering this in the differential, and doing the 1-2-3 Mayo 'take' on women - who want to trust male health care providers but in this case got taken to the neurectomy cleaners.
All that most patients want is an end to the discussion, and repair of their abdominal wall common mass closure = which are more painful than the nerve inflammations. No patient at Mayo Clinic should agree to an abdominal procedure without a real Medical Consult - the bypass track needs to be closed - it's costing Mayo money in that the real Internal Medicine Service doesn't get to see the patient.
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