Lessons Learned Part II

One thing I’ve missed since finishing up my formal fellowship training has been the ready opportunity to bounce ideas off people in the lab and fellow’s room.  At Cleveland Clinic in the mid-1990s I had the good fortune to work with a lot of smart EP attendings and fellows.  During cases and in the fellows’ room we’d learn a lot from each other about things that aren’t in journal articles and books:

  • What’s the best way to fashion a pacemaker pocket?
  • How do you do pre-op procedural counseling?
  • What’s the best way to manage lead recalls?
  • How do you access the coronary sinus for LV lead placement?
  • What’s your take on single coil ICD leads?
  • What works for you for getting vascular access?
  • How do decide which device vendors to work with?
  • How do you save money in the EP lab without compromising care?
  • What is the most important attribute in an ICD lead?

Online and social media has been a great new sounding board for these types of interactions.  Last winter when @EPLab Digest invited me to submit an article, I brainstormed a list of tips that I titled Lessons Learned in 18 Years of Device Implant and Followup.  The list probably serves better as a starting point for conversation than as a list of answers.  This month Lessons Learned Part II goes up in the October EP Lab  Digest.  Take a look and let me know what you think.


October 1, 2013


One thought on “Lessons Learned Part II

  1. Hello Dr. Schloss; I am a coding consultant and billing company operator that works exclusively with cardiologists and EPs. I do not have medical training but I am fairly well versed on the clinical issues pertaining to pacemakers and defibrillators. In the immediate future Medicare will stop covering pacemakers for patients with Long QT Syndrome or Chronotropic Incompetence. I believe that this will be generally bad for patients and implanting physicians. I am executing an advocacy effort to close this gap in coverage. (see the “Advocacy” page at http://www.CardiologyCoder.com).
    I would love to hear your thoughts about the impact of the policy change and about my advocacy effort. Your recent blog posts have been so informative; It would be interesting to see where a dialogue about Long QT Syndrome or Chronotropic Incompetence goes. Thanks for considering it, Jim Collins, CPC, CCC – President, CardiologyCoder.Com, Inc.

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