Complaint Review: Mayo Clinic Department of General Surgery

The Mayo Clinic is performing unnecessary neurectomies, for fictional 'neuromas,' when women present with symptoms of classic chronic abdominal wall pain - which was recently (2011) written up in The Mayo Clinic Proceedings by Dr. John Bundrick as a non-surgical problem requiring some medical judgment - not a scalpel.  Dr. Bundrick's article - Concise Review for Clinicians: Clinical Pearls in General Internal Medicine - comes complete with all the workup & tests that are supposed to be classic Mayo Clinic & ordered for this condition.  But that's not what happens on the Surgery Service. 

If you show up at Mayo Clinic with chronic abdominal wall pain in a quarter-size area with a trigger point (classic presentation) - you will get quite another treatment - especially if the insurance card looks 'good to go.'  You won't even get weighed before the OR schedule is brought up - for the glory of Mayo Clinic and all that furniture.  BMI isn't relevant.  

The Rochester Plastics Service can't recognize ACNES = abdominal cutaneous nerve entrapment syndrome.  They turf to Sarr - without the guy that you had the appointment with even entering the room.  And no MAYO CLINIC staff member seems ready to really listen, try an injection, and try not to cut.  

This ACNES is a Kaiser diagnosis - where they have a code - but not a Mayo Clinic diagnosis apparently - just a write-up - no code is given by Dr. Bundrick - who doesn't even discuss the surgery or the wrong surgery for this clinical pearl diagnosis.  Dr. Sarr doesn't get 'clinical pearls,' they don't translate as surgical fees.  

Chronic abdominal wall pain due to nerve entrapment is a common problem in old incisions - occurring after the first post-op visit, sometimes after the first year - and it occurs after sports over-exertion or injuries to the abdominal wall.  It's a NFL problem - but Mayo Clinic sees it only as a get the girl naked problem - trash Dr. Oldenburg's competition; she can do better on a test, we can show her who's boss and deform her for life.  Not enough pin-ups in the guy's locker areas?  Not enough gropes for the male black medical students, or the visiting students who have to get a 'cut' in?  No brains?

Instead of getting a Carnett's test, when you have insurance, you get the Sarr assault treatment - scheduled for the OR slot that he just found open - because he flies in and out of Rochester too much for any real patient care or diagnosis.  

Despite the MAYO CLINIC PROCEEDINGS, you don't get an injection, a thoughtful differential, a complete blood count (CBC), a good exam, OR ANYTHING ELSE IN THE ARTICLE - just a command to 'pick a resident' - and you say 'NO' and 'NO MUSCLES, NO NERVES,' 'NO RESIDENT' - but Dr. Sarr does not hear.   You don't get to pick a-e; that was just for the publication, for the PR to get 'suckers' to Mayo Clinic.

Jill Beed-Smith, the Chief Legal Counsel, does not read the Mayo Clinic Proceedings - she can justify deforming a woman's abdomen - no problem - this case is now resolved, and not resolved.  The 'neuroma' surgeries have not stopped - which is the real problem - that the residents, interns, and students are supposed to read on the computers what Dr. Sarr really does for chronic abdominal wall pain - the f. option.   

Even if you have friends at Mayo Clinic from Medical School, they do not help with proper triage, workup, or care - they are self-serving.  It's all for the money - all to cut - all to see a girl naked and drugged out - that's the only thing that produces an endorphin 'high' in Rochester.  

Dr. Sarr will then pick the worst resident, the worst medical student, and the worst anesthesia guy that he never sent the patient to get a consult with.  You couldn't meet this guy with a coffee cup in hand, but are supposed to meet him naked with a sheet.  

The anesthesia people at Mayo Clinic are so desperate that they don't mind the omission of a consult - they just write what Dr. Sarr tells them to - without really talking to the patient - or they come when you have no clothing and no contacts on to say something unintelligible - so you can't see how ugly they are, how jerky, how nerdy, and won't understand the plan to walk out.  It's a horrible ruse, a horrible 'take,' and a horrible con - no one checks that there is no consent - no discussion - and no plan except to CUT.  

The Nursing Supervisor should stop these cases, but she won't because it is Dr. Sarr - who has special clearances, special powers, and special surgeries.  You will be in lifelong pain after Dr. Sarr removes your abdominal nerves, and very emotionally & physically scarred up - he hates women - the epitomie of misogynistic.  Dr. Oldenburg thinks this funny - he's getting back for that one test you did better than he did on - after which he decided to marry the girl from college who would never challenge him.  But this is still SICK.  Boys being boys.  And the workup, the diagnosis - it's published - all you have to do is read and follow the d. = Carnett's test option.  

Warner Andrew Oldenburg MD should help when a classmate comes to MAYO CLINIC; at the very least mention of his, and other physician names, should trigger more careful care, differential, and workup - at the very least the workup that is in the Mayo Clinic Proceedings.  But it doesn't - it triggers more aggressive behaviors.  

Warner Oldenburg should be coming to weddings, not trying to help undo unwanted Mayo Clinic procedures and gaffes - a classmate getting endless plastic surgeries to undo cutting all her abdominal muscles for 'fun.'  There's competition, and there's insanity - common mass closure treatment for abdominal wall nerve entrapment is insanity.  It's like shooting up your competition - couldn't do better on a test - then cut out the nerves of your fellow students - surgery is accredited harm at Mayo Clinic.  The nerves are for?  The Pathology resident to practice dictating 'normal?'  But then you 'undo' that procedure the next day, or the next OR schedule - you don't try to cover it up with legal suing of the patient for defamations, or canceling the email of the patient administratively.  

Sarr may sign off, but the common mass closure deformity needs to be undone by that Plastic guy that turfed to Sarr.  Patients come expecting the Bundrick 'clinical pearls' workup, and get the one road to the OR.  Dr. Bundrick needs to write how to undo not doing a Carnett's test - but at the very least option (F) should be removed from the Mayo Clinic real list.  There's one list published, and one on Sarr's desk.    

QUESTION from the Mayo Clinic Proceedings does not even mention the option of surgery: Which one of the following approaches would be most likely to yield a diagnosis?

a. Performing a hepatobiliary iminodiacetic acid scan;

b. Initiating an empiric trial of omeprazole;

c. Checking for Murphy sign;

d. Performing the Carnett maneuver;

e. Performing a mesenteric arterial Doppler study

[f. Undergoing an urgent 'neurectomy' without Carnetts test, lab results, injection or anesthesia consult (Dr. Sarr has an available OR).  This is added by Dr. Sarr.] 

In real-time, the Mayo Clinic skips to option f.  With the same abdominal wall physical exam findings.  Dr. Bundrick, despite the mantra of 'teamwork' is never called to consult - and the secretaries all claim that 'MAYO TEAMWORK' on the phone.  Dr. Sarr will do a procedure and butcher a woman's abdominal muscles, cutting even the transversus muscle to demonstrate an unneeded 'common mass closure.'  And the insensate Legal Counsel will defend this, Dr. Bundrick won't say a word, Andrew Oldenburg MD will not get an invite to any wedding, and the woman will spend years trying to get this unconsented for procedure undone.  Transversus muscles should never be cut - and you don't cut nerve that are inflamed - you will just spread the inflamation.  Sounds like something from the Diary of a Wimpy Kid - just without the humor: The Ugly Truth - Sarr Rules. 

The Mayo Clinic never sees these patients post-op; Dr. Sarr will tell you to write him a note.  And the fraud goes on - the Mayo Clinic has been asked to 'undo' these procedures - even without being able to bring back the 'normal' nerves that went to pay for the pricey furniture and plants in the Mayo Clinic offices.  Everytime they change the pointsettas, you know that you are going to have to pay for that.  

The Mayo Clinic needs to undo and repair all these neurectomies.  Dr. Bundrick needs to evaluate all these women and follow the results - and it's probably all women.   Dr. Bundrick needs to publish what really goes on at Mayo Clinic - what he really 'looks the other way for.'  Dr. Oldenburg needs to stand up for his classmates not being neurectomized for 'the money.'  Then a few more weddings might happen.  

In the meantime, Dr. Bundrick needs to remove from the computer records, the cases that Dr. Sarr did neurectomies on - so that residents won't try this, or medical students claim 'HONORS' for this procedure.  Honors should go to the resident, student, anesthesiologist, or nurse who remembers the Carnett's test before the patient is given IV drugs so as not to object.