Thứ Tư, 30 tháng 1, 2019

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What you want in your doctor who does your afib ablation is somebody who's smart,

who's capable, and who has a good track record, in afib ablations.

Not, like they do VT all week long and do an occasional afib.

The people who do multiple afibs a week.

So, you have to sort of take their word on it.

I mean, if you ask your doctor how many afib ablations do you do a year, and they say hundreds,

I mean, I don't know. Maybe they don't do hundreds,

and maybe they had a lapse of memory, or maybe they think they're doing hundreds.

I think you have to either believe them or not.

I don't know how to verify that without getting into billing records,

which you're not going to be privy to. Right?

And, you have to accept their results.

If they say, "I have a 60 percent result success," I guess if you say, "No, you don't,"

you have to prove that.

I mean, they know what their results are.

Be careful of the outliers.

If somebody quotes you less than one percent complications and a greater than 90 percent success,

I'm going to tell you to look elsewhere.

I mean, would that be the one person that you lucked into

that beats the entire world's literature? Maybe.

Maybe you have that one jewel at the bottom of the ocean that no one knew about,

but I kinda doubt it.

So, there is a lot of data out there you can look at that tells you the average success rates.

If you're not sure, get a second opinion.

Patients will come to me.

And, get it from someone who has a national profile, who has no iron in the fire that

they're trying to steal anyone's patients.

It's not uncommon I get second opinions.

And, I know what a second opinion is.

A second opinion is not me to take over your care.

Second opinion is to give you guidance.

You know, sometimes patients may want to go to you.

That's not a second opinion though.

It's to give you guidance, and I kind of know who does what, you know.

So, sometimes, I'll hear them out, and if somebody has quoted a ridiculous number,

I'll be gentle about it, but I'll just say, "You know, he must be, or she must be,

the only one in the world getting those numbers.

Don't you think that's a little strange?

While I'm not going to call them a liar, that would be wrong.

I just want to tell you; nobody else is getting those numbers.

So, you should think about that."

So, if you're not sure, ask around.

There's just no registry I know of that says Bob down the street does this many,

and Billy does that many. I don't know of any such registry.

So, I guess you sort of have to take them on their word.

For more infomation >> What Should Patients Look for in a Doctor To Do a Catheter Ablation? - Duration: 2:52.

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What should you know about equity-based compensation plans? - Duration: 2:01.

One of the most confusing and complicated aspects of an executive's compensation is

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Personal Financial Planning for Executives and Entrepreneurs.

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How much of your net worth is tied to the company stock?

Is the amount of risk you are taking appropriate for you and what is the most tax efficient

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For more infomation >> What should you know about equity-based compensation plans? - Duration: 2:01.

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What Should I do to Prepare for a Mommy Makeover? - Duration: 1:02.

- What I'd say is, you should be about within 10%

of the weight you wanna be.

I don't have a hard and fast rule that says

you have to be at the number that you say

you have to be at in order to have surgery.

'Cause inevitably after surgery people will lose weight.

Inevitably, people, because they look in the mirror

and say my stomach is really flat;

they have dietary and exercise changes

that I see them install and that we discuss

at the time of our perioperative period and recovery.

Perioperative means before and after surgery

we're gonna have a conversation about lifestyle,

a conversation about what you're gonna do in your life.

So I would say to you, the preparation is,

I wanna get you walking, if you're not walking a mile a day,

I want you to walk a mile a day.

And the reason I do that is by a week or so

after my surgery, I want you to start thinking

about walking a mile a day in week one,

two miles in week two, three miles in week three,

because I'm not only gonna intervene surgically,

I'm also gonna intervene with some lifestyle

that's gonna help you maintain your smaller body habits.

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