Dr. Personality|Heart and Sole

"Dallas Has a Real-Life Dr. Gregory House in Dr. Richard Buch," by Glenna Whitley, April 10

Dr. Personality

I'm 29 years old, working as a chef and bartender, loving life and experiencing all the fabulousness of being a single professional in Dallas. I am able to say this, in large part, due to Dr. Richard Buch. Fifteen years ago I was diagnosed with a rare form of bone cancer. Dr. Buch possessed the expertise to replace the bones in my leg while other doctors would have amputated it. Due to his dedication and brilliance in his field, I was given a second chance at a normal life.

When my leg broke in an accident when I was 22, he offered to perform emergency surgery free of charge. He deals with extremely complicated diagnoses and has to give people bad news every day. Rather than candy-coat things, he told me the truth about what I would face during chemotherapy, surgery and physical therapy. Dr. Buch is what you'd call a "straight shooter." He doesn't tell you what he thinks you want to hear. He tells you the truth. I'm sure this rubs many people the wrong way. But the nature of his work isn't to make warm-fuzzies, it's to save joints, bones and lives, like mine.

Julie Stevenson, Dallas

Glenna Whitley's story on Dr. Richard Buch reminds me too much of suffering my mother went through at the hands of a Dallas doctor in the late 1960s. My mother had broken her wrist in a fall. The doctor who handled the break missed the evidence of small bone fragments that caused continued swelling. She had no prior breaks and did not know what to expect, but was in agonizing pain. Her pleas and concerns were largely brushed off with "elevate it and take pain medicine."

After three weeks, when our family doctor returned from vacation, she sought him out to examine her. He removed the cast to find the swelling and tight pressure caused massive tissue and nerve damage to the palm, thumb and fingers of her right hand. It was attached for six weeks to her stomach to secure a flap of flesh to cover the damage. Emotionally unable to go to trial, and on poor advice, a settlement was received that subsequently did not cover the following operations to repair as much as possible. Today she has very little use in the hand.

It should not be rocket science that it takes more than "genius IQ" to be a good physician or surgeon. You're dealing with people; empathy and people skills should be high on the required list too. There needs to be better peer oversight and less "protectionism" among medical professionals for those who clearly have issues not in the best interest of their patients. Reminds me of the saying "the more things change, the more they stay the same."

Michael, via dallasobserver.com

"Buzz," by Patrick Williams, April 17

Heart and Sole

I too have been to the Holocaust Museum in D.C. I found relatives on the board and was deeply saddened. I was shocked in the section which showed the experiments performed on individuals. I did fine and kept my composure. However, it was the bridge with all the shoes under and around it that got to me...all the children's shoes in particular. I sobbed like a baby.

I do not feel that what the Collin County Crime Victim's Assistance Council did is appropriate. Since I have actually viewed the shoes in the Holocaust Museum, I would have automatically known what the shoes at the Collin County Courts stood for, and, yes, if I had been a juror on those particular days, it would have profoundly affected me. Those who have no awareness or have not experienced the Holocaust Museum would not have been affected.

There are crime victims of all walks of life and all types of crimes, and all must be acknowledged. However, I have a major problem with equating the mass murders which occurred during the Holocaust with the individual crimes of today. I am deeply disappointed with the Collin County Crime Victim's Assistance Council for using the shoes in general.

Cynthia O, via dallasobserver.com
 
  • Lisa Moen 09/23/2008 7:12:00 AM

    I found this article, if that's what you want to call it, when I was searching for "What to expect after a total knee replacement surgery". You see Dr Buch is my Dr (I'm very proud of it and I DON'T mind at all putting my name here) and has been for almost 8 yrs now. He's doing a total knee replacement on me in early October. I think this article is totally biased! If you would have researched more, you would have found that there are so many people like me that own a huge gratitude to Dr Buch. If it weren�t for him I would have surely lost my leg about 71/2 yrs ago. You see I was one of those patients that was sent to Dr Buch after someone else totally screwed up my leg trying to fix a FX. I had an open wound from an infection after another Orthopedic Surgeon that was supposed to very good at what he does, screwed it up royally. My foot got so badly infected after surgery he done to fix a fracture, the infection had gotten into the bone. I had an open wound that practically went all the way through my foot, from one side of my ankle to the other. The original Dr finally told me, "I don't know how to fix this Lisa you need to find another Dr". This is after many months of him telling me when I would ask him questions about how it was doing to �just sit back and ride the bus, and let me do the worrying about your injury and how to fix it to him�. Gee thanks after you let it get so bad that there probably wasn't anyone that could fix it. Thank GOD I found Dr Richard Buch. Sure he's an ASSHOLE, I knew that from about the third visit I had with him, everyone who knows him at all knows that, but he's a brilliant Dr. He gets the worst cases imaginable and works miracles on these patients. It's expected when a DR does the kind of work he does that he's going to have some that doesn't have as good a turn out as I have. But you can't crucify him for that. If he couldn't fix it then it probably couldn't have been fixed by anyone else. Or the person was sent to DR Buch way too late to do anything for them. I've worked in the medical field for yrs before I injured my foot as a Paramedic in an ER. I've seen many DR but none quite like DR Buch. He's definitely one in a million. But like most other good Orthopedic Dr's he's kind of full of himself. But when it comes to the care you get from him it's all good. I don't give a rat�s ass what he does in his private life as long as he doesn't bring it into the operating room with him and he doesn�t as far as I know. If he does it definitely doesn�t affect how wonderfully he is at his job. Apparently he doesn't let it affect the care he gives because I've been with him for 8 yrs and never knew any of this was going on before a few days ago when I found this piece of crap article. I can only imagine the amount of stress he's been under all these yrs, and yet he still gave me the best treatment I could have gotten from anyone. Sure I've had my disagreements with him about his attitude, I even said some pretty nasty things to him after I felt he was being an asshole to me. But we both got what we wanted to say out and it never affected the quality of care I got from him. Like Dr Gregory House his bedside manner and people skills are far less than perfect. But that doesn't mean he's any less brilliant in the operating room that he would be if he were better at people skills. I believe he really does think that he's just talking to us on our level. It just doesn't work for him. Instead people get offended at what he says and feel demeaned by him. At least that's the way I feel sometimes. My whole point here is he is a wonderful Dr and is the absolute best at what he does, and that should really be all that matters. I don't go to a DR to make friend. I go to have them fix something that's wrong with me. He does that wonderfully and I personally owe him a huge debt of gratitude for saving my leg for me. Sure my leg is far from perfect but that's not Dr Buch fault. It's just par for the course. I definitely don't blame him for the fact that I can never do the work I love so much again. Like he's told me many times, for him to get my leg anywhere near what it was before the accident would be like trying to make chicken salad out of chicken poop. I'm very grateful just to have my leg and be able to use it as well as I do. And after my knee replacement I'm very hopeful that I�ll be well on my way to a far better life that I would have had, had I not ever met Dr Richard Buch. Thank You Dr Buch for being the wonderful Dr that you are. And to all his critics, well I feel for your pain and only wish you the very best in your recovery, but please don't feel the need to take it out on the one Dr that had the best chance there is at fixing your problem, just because he couldn't. Nobody is perfect. Not even Dr Buch. A very grateful patient. Lisa Moen

 

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