Talk:Mohs surgery
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[edit] Non-neutral descriptions
"Few individuals argue about the cure rate for Mohs, especially pathologists familiar with the procedure.[1] However, in recent years, a few surgeons attempted to throw the baby out with the bath water by claiming that Mohs surgery is no better than standard excision based on one study" and "tremendous cure rates" and "we really have to question if methodology practiced by Mohs surgeons around the world is of the same standard. We also will have to question if the standard 2 sections performed by some Mohs surgeons is adequate to control for false negative Mohs reports."
This section was written to promote the technique using quite unprofessional language. Please read WP:PEACOCK and rewrite this text. Tim Vickers (talk) 06:06, 7 December 2009 (UTC)
[edit] Inappropiate Tone
This does not sound like an encyclopedia entry:
Comparison to other modalities of treatment
It often occurs in medicine as in real life, "When you go to Midas, you get a muffler".
--Becalmed (talk) 08:55, 10 December 2009 (UTC)
[edit] Administrator wants to delete all images
This is his comment: Fastilysock (talk | contribs) (43,497 bytes) (rm UE images which do not significantly enhance a reader's understanding of article) (undo).
I believe that the images are essential for the understanding of Mohs surgery, ccpdma, and bread loafing. To delete it without discussion is a little bit harsh. Please share your opinion.--Northerncedar (talk) 02:58, 5 January 2010 (UTC)
A picture is worth a thousand words. If one can find a better non-copyrighted picture to replace these, feel free to do so.--Northerncedar (talk) 02:59, 5 January 2010 (UTC)
[edit] Mohs surgery team recent edits
Mohs surgery should be presented in a generic term in a way that reflects the nature of the surgery. By simply noting the way how it is done in the USA by the standards of certain organization is not a reflection of how it can be performed outside of the "american standard", or certain countries' standard. It can be multidisciplinary. It can be performed by non-dermatologist (look at Dr. Mohs). It can and has been performed by a joint effort between a surgeon and a pathologist. It can, and has been performed by a Mohs surgeon and a reconstructive surgeon. By simply noting that it is done by a Mohs surgeon and a histotechnician reflects the nature of how it is done in one's office - and not the reality of life. The team can be one person - the doctor who wears all 4 hats. By 2 - the mohs surgeon and a tech. By 2, a plastic surgeon and a pathologist. Or by any combination of the 4. To restrict it to the narrow definition as it is practiced in the USA or Israel is wrong. As commented by Dr. Alcalay, ("8:51, 30 January 2010 Alcalay →The Mohs Surgery Team: True Mohs surgery is performed by a single physician that acts in 2 different disciplines: surgeon and pathologist. the information that was written wad incorrect for the...") is suggesting that any other combination using Dr. Mohs method is not Mohs surgery might sound overly arrogant. Wikipedia should not encourage the monopoly by any professional group a skill that is beneficial for all patients. By restricting the Mohs surgery definition, one is embracing the stand of certain trade organization (American College of Mohs...). By restricting Mohs surgery training to dermatologists, one is going against the spirit of Dr. Mohs teachings. An acceptable edit would be: "...by limiting the number of team members to one or two highly trained people, less errors are introduced and quality is maintained." But simply to state that one has a Mohs surgeon (a man by all means), and a technician - means that any other ways is wrong?? --Northerncedar (talk) 00:42, 1 February 2010 (UTC)
Claims that Medicare CPT codes requires that Mohs surgery be done by one surgeon does not define MOHS surgery. (03:09, 13 February 2010 Hungryman12 →The Mohs Surgery Team: corrects Medicare CPT definition that Mohs pathology interpretation must be done by the same physician who performs the cancer surgery.) It is an attempt by medicare insurance of the USA to prevent fraudulent billings by multiple practicioner's in a multi-doctor practice to minimize the 50% fee adjustment schedule of closures and Mohs reimbursement. By using fraudulent billing (3 physicians performing the Mohs procedure), a practice can double his reimbursement for Mohs surgery. This CPT definition is simply trying to prevent billing fraud, and by it self does not define Mohs surgery. Dr. Mohs never required that the process must be done by one physician nor by only dermatologists. Another attempt by a member of a trade organization in the USA to limit Mohs surgery to their own members.--Northerncedar (talk) 11:27, 13 February 2010 (UTC)
Edit war continues with : 20:33, 27 February 2010 98.231.69.242 (talk) (51,927 bytes) (this previously stated that the team included a mohs surgeon, a pathologist, and a reconstructive surgeon. It is NOT considered Mohs surgery if the same individual does not perform the tissue removal). This author should have participated in discussion first.--Northerncedar (talk) 03:56, 28 February 2010 (UTC)