A Russian eye surgeon named Vyatoslav Fyodorov performs radial keratotomy surgery in a highly efficient and routine manner. He has nine clinics where patients lie on moving tables arranged in a wheel formation around six surgeons. Each surgeon performs one part of the procedure before the wheel indexes to the next station. This assembly line approach allows Fyodorov to treat many more patients at a lower cost than conventional surgery. While controversial, he claims it also improves success rates.
A Russian eye surgeon named Vyatoslav Fyodorov performs radial keratotomy surgery in a highly efficient and routine manner. He has nine clinics where patients lie on moving tables arranged in a wheel formation around six surgeons. Each surgeon performs one part of the procedure before the wheel indexes to the next station. This assembly line approach allows Fyodorov to treat many more patients at a lower cost than conventional surgery. While controversial, he claims it also improves success rates.
A Russian eye surgeon named Vyatoslav Fyodorov performs radial keratotomy surgery in a highly efficient and routine manner. He has nine clinics where patients lie on moving tables arranged in a wheel formation around six surgeons. Each surgeon performs one part of the procedure before the wheel indexes to the next station. This assembly line approach allows Fyodorov to treat many more patients at a lower cost than conventional surgery. While controversial, he claims it also improves success rates.
A Russian eye surgeon named Vyatoslav Fyodorov performs radial keratotomy surgery in a highly efficient and routine manner. He has nine clinics where patients lie on moving tables arranged in a wheel formation around six surgeons. Each surgeon performs one part of the procedure before the wheel indexes to the next station. This assembly line approach allows Fyodorov to treat many more patients at a lower cost than conventional surgery. While controversial, he claims it also improves success rates.
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Short Case
The Henry Ford of ophthalmology
High-volume operations can be found in some surprising places even surgery. Not all surgery conforms to our preconceptions of the individual super- craftsperson, aided by his or her back-up team, performing the whole operation from first incision to final stitch. any surgical procedures are, in fact, fairly routine. !here can be few e"amples, however, of surgery being made #uite as routine as in the $ussian clinics of eye surgeon, %vyatoslav &yodorov. He has been called the Henry &ord of ophthalmology, and his methods are indeed closer to the automobile assembly plant than the conventional operating theatre. !he surgical procedure in which he speciali'es is a revolutionary treatment for myopia (short-sightedness) called radial keratotomy. *n the treatment the curvature of the cornea is corrected surgically still a controversial procedure among some in the profession, but very successful for &yodorov. &rom his oscow head#uarters he controls nine clinics throughout $ussia. !he source of his fame is not the treatment as such other eye surgeons around the world perform similar procedures but the way he organi'es the business of the surgery itself. +ight patients lie on moving tables arranged like the spokes of a wheel around its central a"is, with only their eyes uncovered. %i" surgeons, each with his or her station, are positioned around the rim of the wheel so that they can access the patients eyes. ,fter the surgeons have completed their own particular portion of the whole procedure, the wheel inde"es round to take patients to the ne"t stage of their treatment. !he surgeons check to make sure that the previous stage of the operation was performed correctly and then go on to perform their own task. +ach surgeons activity is monitored on !- screens overhead and the surgeons talk to each other through miniature microphones and headsets. !he result of this mass production approach to surgery according to &yodorov is not only far cheaper unit costs (he and his staff are paid for each patient treated, so they are all e"ceptionally wealthy as a result) but also a better success rate than that obtained in conventional surgery. Questions 1 .ompare this approach to eye surgery with a more conventional approach. 2 /hat do you think are the advantages and disadvantages of this approach to eye surgery0 Chapter1/boxes/opthalmology 1