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http://health.usnews.com/best-...ology-and-gi-surgery

I am happy that Mayo Clinic and Cleveland Clinic rank 1 and 2. I will also disclose that I am an employee of Mayo Clinic (25 years). My j pouch surgeries were performed at Mayo (2006-7) and I have been seen by local GI Docs here. Apologies if I'm proud that "We're Number 1 ! ".

Mark
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I posted that same US News & World Report list a few years ago and one change I noticed is that Mount Sinai, which was ranked the best of the New York City hospitals, was #5 a few years ago and is now #9, while NY Presbyterian has now slipped past Mount Sinai and is #8 to claim the title of Top Dog in the Big Apple. The change in the NYC top dog hospital is certainly of interest to the many posters who live in the NYC area.
It's not too surprising. Cornell received a big donation to build a really, REALLY nice ward just for GI patients and quite a few Mt Sinai GIs have moved to Cornell.

Columbia is lucky they're lumped together with Cornell as the "New York-Presbyterian" hospital system because they would probably be ranked pretty low. In order for the GI fellows at Columbia Pres (which operates a separate residency from Cornell) to learn about IBD care they have to come down to Cornell because it's such a weak program at Columbia.

(pretty obvious from this post where I had my surgery Smiler)
quote:
I have always read that Mayo is 1 and Cleveland is 2. I find that a little surprising only because most people on this website talk about Cleveland.


The reason for that is Cleveland Clinic is more specialized in J Pouches than Mayo Clinic is. My Doctor who had a Fellowship there told me that Cleveland Clinic has something like 5,000 J Pouch patients, or some ridiculous number. Many of the major studies being done on J Pouches such as the rectal cuff cancer studies in J Pouchers are coming out of Cleveland. They have more meaningful studies because they have more J Pouch patients to draw from. Mayo is ranked number 1 based on the entire spectrum of IBD treatment, which is far broader than J Pouches. If it was just a ranking based on treatment and care of J Pouches, I have no doubt Cleveland would be number 1 and Mayo would not be the top dog.
Perhaps I'm wrong, but I suspect Cleveland would be #1 not only for j-pouches but also for k-pouches if the rankings were more specific. Full disclosure: I had a k-pouch made at the Cleveland Clinic back in 2003 and, even though I'm an OLD lady of 72, it is still serving me well. I think of Dr. Fazio often and hope he is happy, wherever he is now (Australia? Cleveland? heaven?).
I had an amazing experience at Mayo Clinic. What an incredible medical facility!

However, I chose to have my surgery back at Johns Hopkins in Baltimore. So pleased! My surgeon came from Mayo, trained at the Cleveland Clinic and is definitely on par with the surgeons of CC. I would highly recommend Dr. Efron at JHH if you're on the east coast.

Laura
quote:
The reason for that is Cleveland Clinic is more specialized in J Pouches than Mayo Clinic is. My Doctor who had a Fellowship there told me that Cleveland Clinic has something like 5,000 J Pouch patients, or some ridiculous number. Many of the major studies being done on J Pouches such as the rectal cuff cancer studies in J Pouchers are coming out of Cleveland. They have more meaningful studies because they have more J Pouch patients to draw from. Mayo is ranked number 1 based on the entire spectrum of IBD treatment, which is far broader than J Pouches. If it was just a ranking based on treatment and care of J Pouches, I have no doubt Cleveland would be number 1 and Mayo would not be the top dog.


From my experience, Mayo has excellent care for those of us with J Pouches and also with K/BCIR's.........no doubt CC has a fantastic group as well.........so I don't agree with what your saying, but, will say this.....no doubt in my mind that CC/Mayo are #1 and #2 regardless of "who" is at the top. They are the best of the best, period.
yeh i think ct is right cleveland would be ranked number 1 for pouches and pouches..for reasons ct said..i know for a fact that dr. shen has 2000 patients at any given time lol..but thats not to say there are not other places with knowledgeable drs..i will be going to cedar s in l.a to try to get me a more local or closer g.i to work with besides my yearly visit to shen and him advising me otherwise..i have always known i need someone closer for the stuff that may or does come up..dr. shen recommended a dr. melmed at cedars says he is a great dr. so we will see..
The Cleveland Clinic's website states that "Cleveland Clinic has not only completed the greatest number of pouch surgeries of any hospital in the world, it also has the lowest pouch failure rate reported by any institution":

http://my.clevelandclinic.org/...Pouch_Fact_Sheet.pdf

If you are not #1 in J Pouch care due to number of procedures or reported success rate, I don't know what other criteria could possibly establish the number 1 facility on J Pouches, as opposed to IBD treatment generally. But in my mind, the most meaningful research study on J Pouches in recent years was the one on rectal cuff cancers that comes out of the Cleveland Clinic.
Last edited by CTBarrister
AllyKat,

I thought that Cornell has a floor for GI patients (like the 8th or 9th floor) but they are shared rooms, I've never been to Cornell for GI stays only for surgery and I highly recommend NYP Cornell for surgery besides the excellent surgeons there you get your own private room on the 14th floor. I always referred to my stays on the 14th floor as a vacation since the rooms are about the size of a hotel room and the view from the windows is excellent of the East River if you are fortunate to be on that side of the floor.

I went through the ER in March and they looked pretty nice to me, the place was crazy like you'd expect for an ER in NYC. I think they told me that they were renovating the ERs there but they had me full of Morphine at the same time they were telling me this...so it could have been a dream. I had my own space/room in the ER but some other people were left out in the hallway on beds.

I'm a former Mt Sinai patient and I moved to NYP Cornell when my GI switched to NYP Cornell. I really liked Cornell a lot more than Mt. Sinai because the facilities are newer, it seems better managed and they have many more resources (I always had to wait a long time for things at Mt Sinai likes tests, transport, etc.) but the thing that was the best for me was that most of the doctors and surgeons accepted insurance at NYP, I found that to be a real issue at Mt.Sinai, it seemed like most of the GIs and surgeons there did not accept any insurance except for MediCare.
As far as I know both the 9th and 14th floors have wards for GI surgical patients. I don't think there is any particular place for medical GI patients... when I was there not for surgery they stuck me in adult oncology (a place where when they ask if you've had a bowel movement today, they are expecting you to say "no," not "yes, 20").
quote:

As far as I know both the 9th and 14th floors have wards for GI surgical patients. I don't think there is any particular place for medical GI patients... when I was there not for surgery they stuck me in adult oncology (a place where when they ask if you've had a bowel movement today, they are expecting you to say "no," not "yes, 20").


The worst part about running to the bathroom 20 times in the hospital was unplugging the electrical cord from the wall and wheeling the IV in the bathroom with you when you are in a rush to get there....I don't miss those days.

I got stuck on the burn ward on the 9th floor for a few days waiting for a bed on the 14th floor to open up. They are downsizing the burn ward and adding more private rooms for the surgery patients; they had all ready began the construction when I was there in March.

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