> After several years of fooling around with what is most likely gallbladder
> dyskinesia, I've decided to finally get it out.  The diliemna---choice
> between a big city teaching hospital vs. private not for profit smaller
> hospital.  I'm leaning towards the latter--it's in a smaller city, but
> seems to be quite competent in doing these surgeries--they are the only
> one doing several types of lap operations in the city.  The facility was
> immaculate;  no smells;  90% RN coverage, and plenty of nursing staff; and
> has an experienced team for lap surgeries.  They have house staff for
> coverage after hours, and medical director was quite forthcoming in
> information. ie:  I can have the chief of anesthesiology present
> throughout;  surgeon has done between l50 to 200 of surgeries, and is a
> general/vascular surgeon with many years experience;  nosocomial infection
> rate well below national average;  and they are sending complication rate
> to surgeon to release to me.  They use electrocauterization, and I'd be
> having introperative cholangiogram.  Anything else I should check out?  I
> feel comfortable that they can handle this procedure quite adequately.
> The teaching hospital on the other hand, is ok----but has many of the
> problems inherent in big city hospitals. If I had a rare disease, and
> needed that approach, I'd go there hands down----however, this is a common
> operation--and I don't want to be a training subject.  I found the
> attitudes in the private hospital much more to my liking, and think they
> pay a bit more attention.  Any opinions on the options? Location isn't a
> factor.