Word: fyodorov
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...highly unusual: the workers are eye surgeons, and the conveyor carries human beings on stretchers. This is the Moscow Research Institute of Eye Microsurgery, where the production methods of Henry Ford are applied to the practice of medicine. The center is the brainchild of renowned Soviet Eye Surgeon Svyatoslav Fyodorov, 57, who calls it a "medical factory for the production of people with good eyesight...
...factory performs a variety of operations, including cataract removal, glaucoma surgery and the implantation of lenses. But the most popular procedure is radial keratotomy, in which a series of fine spokelike incisions are made on the cornea to correct myopia. In a recent two-month period, boasts Fyodorov, 20 institute surgeons handled 1,600 such operations "with only four minor complications." The treatment, which he helped develop, is still controversial...
Gorbachev declared that the time had come to "literally rap inefficient executives on the knuckles." One of the first to feel the pain was Victor Fyodorov, 73, Petrochemical Industry Minister for the past two decades, who was taken to task for a "careless attitude." The General Secretary noted sarcastically that Fyodorov had promised "that he would rectify his shortcomings. But evidently he does not keep his promises." The party Central Committee, Gorbachev declared, "has given instructions that the matter should be thoroughly investigated." Few doubted that the veteran bureaucrat was being invited to consider clearing out his ministerial desk...
...audience of 500 specialists listened closely, Fyodorov, speaking in a thick Russian accent, described how his clinic does 20 to 25 operations a day. Fyodorov has performed more than 3,000. In 96% of his patients with moderate myopia, Fyodorov claimed to have improved vision to somewhere between 20/15 and 20/40, obviating the need for glasses. In patients with more severe myopia, he reported an Fyodorov 84% success rate. The surgeon declared that he had never lost an eye and had encountered complications in only three cases (two patients with excessive scarring and one with infection...
Nonetheless, the A.A.O. has expressed fears about the "safety and efficacy" of R/K, much to the annoyance of Fyodorov, who says, "They are afraid of new technology." Bores attributes the resistance to a bias against new procedures espoused by doctors in private practice, as opposed to those "in the hallowed halls of academe." Among the A.A.O.'s concerns about R/K is the fact that results can vary widely from surgeon to surgeon. In addition, little is known about the long-term impact of R/K: patients may ultimately be high-risk candidates for cataracts or other problems. "R/K decreases...