Yves Homsy

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Dr Yves Homsy.jpg
Associates with:
American Academy of Pediatrics

Dr. Yves Homsy MD - Tampa, FL

Dr. Yves Homsy specializes in urology and pediatric urology in Tampa, Florida. Dr. Homsy attended medical school at Cairo University Beni-Suef Beni-Suef Faculty of Medicine and graduated in 1966 having 46 years experience.[1]

AAP Presentation

At the 2012 AAP National Conference & Exhibition in New Orleans, Dr. Yves Homsy presented conducted a workshop called "X4065 Pros & Cons of Doing Circumcisions". The session was described as follows: "This session aims to explain what one needs to do in order to set up a program to do neonatal circumcisions and how one can become an expert circumciser."[2] Screenshot[3]

Misleading Abstract

While the abstract for the workshop described it as aiming "to explain what one needs to do in order to set up a program to do neonatal circumcisions and how one can become an expert circumciser," an attending physician by name of Daniel Flanders sent live Tweets from the workshop, relaying that the presentation was not going as described in the abstract. According to Flanders, "The lecture was not as described in the program. Focus was on medically necessary circ."[4]

Homsy Lends Support to Circumcision Opponents

According to Daniel Flanders, an attendee at the workshop described above, Yves Homsy told the audience that "Those who oppose circumcision are conveying an important message and their voices should be heard."[5] In a different tweet, Flanders posted: "My personal view: I thought he showed compassion for and acceptance of the intactivist message."[6]

Hamlet, Prince of Prepuce

According to participants, Homsy presented this slide during his session:

Prince of Prepuce.jpg

Act III: Hamlet, Prince of Prepuce

“To circ., or not to circ., that is the question:
Whether ‘tis nobler in the penis to suffer
The slings and arrows of outrageous UTIs,

Or to take arms against a sea of smegma
And by opposing end them. To circ. --to cut,
No more; and by a circ. To say we end
The heart-ache and the thousand natural shocks
That foreskin is heir to: ‘tis a circumcision
Devoutly to be wish’d. To circ., to cut;
To circ., perchance to have a complication, Ay, there’s the rub:”

Under The Knife
"Yes, you can stretch skin on the penile shaft -- but only as

an adult, not as a child, but it's really time-consuming and you must really

want it (a restored foreskin) to do it." (Toronto Star)[7]

A complaint

On June 2005, a male child less than a month old was admitted to St. Joseph's Hospital in Tampa to undergo surgery to correct a severe left ureteroplevic junction obstruction. Dr. Homsy performed a left pyeloplasty (surgical reconstruction of the kidney pelvis). During the surgery, the Respondent attempted to place a left double-J internal ureteral stent into the ureter for post-operative drainage, but he was unable to place it due to the child's size and had to place an external draining system (Kidney Internal Stenting System). Days later the catheter was removed.

2 months later the parents believing that Dr. Homsy had been able to place the ureteral stent asked when he was going to remove it. Typical removal time is 6 weeks. Dr. Homsy mistakenly believing that he had been successful in placing the ureteral stent during the first operation, scheduled patient for removal of the stent. During surgery he found that he had not left a ureteral stent during the previous operation. As a result, this second surgery was unnecessary. Dr. Homsy admitted he had not remembered that he had been unsuccesful in placing the ureteral stent in the previous operation until he had been in the process of performing the cystoscopy.

Section 456.072(1)(aa) Florida Statutes (2005) provides that performing or attempting to perform health care services on the wrong patient, a wrong-site procedure, a wrong procedure or an authorized procedure or a procedure that is medically unnecessary or otherwise unrelated to the patient's diagnosis or medical condition constitutes grounds for discipline by the Board of Medicine.

A $5,000 fine was imposed, 50 hours community service, 5 hours CME in risk management, 1 hour lecture on wrong-site surgery and a letter of concern. Dr. Homsy did not admit nor denied the allegations of the fact.[8] Archive:[9]

References

  1. REFweb Dr. Yves Homsy, ucomparehealthcare.com. Retrieved 3 October 2012.
  2. REFweb AAP Experience. Retrieved 3 October 2012.
  3. Archive (2012-10-03): http://www.circleaks.org/index.php?title=File:AAP_Homsy.pdf
  4. REFnews Young, Hugh (24 October 2012)."NEW ORLEANS: AAP session told "Listen to Intactivists": Message unchanged after 42 years", Circumstitions News. Retrieved 25 October 2012.
    Quote: The lecture was not as described in the program. Focus was on medically necessary circ.
  5. REFnews Young, Hugh (24 October 2012)."NEW ORLEANS: AAP session told "Listen to Intactivists": Message unchanged after 42 years", Circumstitions News. Retrieved 25 October 2012.
    Quote: Those who oppose circumcision are conveying an important message and their voices should be heard.
  6. REFweb Daniel Flanders Twitter Account. Retrieved 25 October 2012.
  7. Toronto Star, Under the Knife by David Johnston, September 11th 1995
  8. REFweb (2005). Department of Health Final Order, Florida Department of Health. Retrieved 3 October 2012.
  9. Archive (2012-10-03): http://www.circleaks.org/index.php?title=File:Complain.pdf