Dr. Dawn Jaroszewski

 
9.9 (53)
53298 5 1 0 12

User reviews

53 reviews
 
96%
 
4%
5-7 stars
 
0%
3-5 stars
 
0%
1-3 stars
 
0%
Overall rating
 
9.9
Ease of Correspondence with Doctor
 
9.7(53)
Doctor's Friendliness and Courtesy
 
10.0(53)
Clarity of Doctor's Explanations
 
10.0(53)
Accuracy of Doctor's Predictions
 
9.8(53)
Doctor's Apparent Knowledge of Procedure
 
10.0(53)
Doctor's Availability During Recovery
 
9.7(53)
Rate Your Cosmetic Outcome
 
9.8(52)
Would Recommend to Others
 
10.0(53)
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Ordering
Overall rating
 
7.9
Ease of Correspondence with Doctor
 
8.5
Doctor's Friendliness and Courtesy
 
9.5
Clarity of Doctor's Explanations
 
8.5
Accuracy of Doctor's Predictions
 
5.5
Doctor's Apparent Knowledge of Procedure
 
9.5
Doctor's Availability During Recovery
 
5.5
Rate Your Cosmetic Outcome
 
7.5
Would Recommend to Others
 
9.0
I found Dr J. to be excellent in most aspects, especially while I was in the hospital. I feel my post-op, home recovery was not nearly as quick as I was led to believe (getting back to work, etc) and it was often difficult to converse with Dr. J. herself after I returned home. Unfortunately most primary care physicians don't have experience with this surgery, so they are only guessing when it comes to post-op situations like flared ribs, pain, swelling, etc. That leaves the patient with a lot of questions of "is this normal?", "do I need to worry about this?", or "should I be experiencing this?"

Your Pectus Information

Condition
Pectus Excavatum
Pre-Surgery Haller Index
4.0
Procedure
Nuss Procedure
Current Bar status
Bars still in
Require 2nd surgery/procedure?
No
Age at time of surgery/procedure
45
Days in Hospital
6
Covered by Insurance?
Yes, 100%
G
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Overall rating
 
10.0
Ease of Correspondence with Doctor
 
10.0
Doctor's Friendliness and Courtesy
 
10.0
Clarity of Doctor's Explanations
 
10.0
Accuracy of Doctor's Predictions
 
10.0
Doctor's Apparent Knowledge of Procedure
 
10.0
Doctor's Availability During Recovery
 
10.0
Rate Your Cosmetic Outcome
 
10.0
Would Recommend to Others
 
10.0
I had the Nuss at age 56 (the oldest in the world at the time) after all other surgeons told me I was too old, too complicated or they had no understanding of the condition at all. My heart was compressed and not functioning at its optimum. It was slowly wearing out. My chest had a long deep dent and always been the source of image issues. Dr. J was my last option and the only one that had the real facts. Everything she told me has proven to be 100% correct. I now have a beautiful chest and excellent heart function. I was able to put on 20 pounds of muscle and have a new life. For me the experience was so life changing for the better, I would do it again tomorrow if I had to. Dr. J is really the only really good option for adults. She has done around 700 Nuss procedures. She is also a highly skilled heart surgeon and has done many heart transplants. She is who you want to be at the table especially if there should be any complications. The Nuss has a long learning curve, takes a lot of skill to master (more so than a heart transplant) and like golf, it must be done regularly to maintain proficiency. The Mayo Clinic was like no other hospital I have ever been to. The level of care was excellent and there is a whole team all very experienced with Nuss patients to help. They were able to get my insurance approval much easier than I thought. I feel incredibly fortunate to have found her and often feel badly when I see my fellow pectus suffers opting for a bad or inexperienced surgeon. You only want to do this once. After its done you can't un-ring the bell. The surgeon will move on but the patient can be left with nerve damage, constant pain, a poor result and worse. I've counseled many people considering the Nuss either for themselves or a family member. IMO, here are some important "Dos" and "Don'ts" to consider:
Dos:
-Do; Your homework. There is a lot of misinformation out there. Don't just accept what your doctor or surgeon may tell you. They often don’t have the facts, don’t want to learn the latest or are just plain wrong. Most however, would be glad to practice on you.
-Do; Ask the tough questions. Find out exactly how many Nuss procedures a surgeon has done (they may try to confuse you with non-Nuss stats) If they haven't done 150+ actual Nuss procedures move on.
- Do; If you've seen a surgeon, take the short flight to Phoenix for a second opinion. Not much to lose and a lot to gain.
- Do; Ask to talk to their patients. If they are unwilling to ask a patient or patients to talk to you, that should tell you something.
-Do; Take responsibility for your own recovery. The surgeon can only do so much, the rest is up to you. Follow the post-surgery protocol to the letter. Do your breathing exercises, take walks.
-Do; Be prepared ahead of time. Do plenty of yoga and get yourself as flexible as possible and in the best shape you can.
Don'ts:
-Don’t; Pick a surgeon because they are close or seem like a nice guy/gal.
- Don’t; Let anyone tell you you are too old for the Nuss and the Ravith is the only option.
- Don’t; Get stabilizers with the Nuss. They can cause a lot of pain and there are better options.
-Don’t; Get the Ravitch procedure if you are a typical pectus sufferer. It is a brutal outdated procedure with higher regression rates, problems and a huge scar. Go with the percentages, take the best option. Many surgeons have switched from Ravitch to Nuss because they have found it to be better in most cases. I know of none that have switched from Nuss to Ravitch. That should tell you something.
- Don’t, Go ahead with an inexperienced surgeon just because insurance covers it. Your health and the risk of permanent complications is worth more. Consider waiting or changing plans if at all possible.

I hope this helps. Best to all my fellow pectus sufferers and their families!

Your Pectus Information

Condition
Pectus Excavatum
Pre-Surgery Haller Index
5.8
O
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An Insuperable Pectus Surgeon
(Updated: July 30, 2020)
Overall rating
 
10.0
Ease of Correspondence with Doctor
 
10.0
Doctor's Friendliness and Courtesy
 
10.0
Clarity of Doctor's Explanations
 
10.0
Accuracy of Doctor's Predictions
 
10.0
Doctor's Apparent Knowledge of Procedure
 
10.0
Doctor's Availability During Recovery
 
10.0
Rate Your Cosmetic Outcome
 
10.0
Would Recommend to Others
 
10.0
My son (13 years old) had a surgery for pectus excavatum with Dr. Dawn Jaroszewski at the Phoenix Children Hospital (PCH) the 12th of July 2017.
We are Italians and we came in Phoenix just to have Dr. Jaroszewski for our son's surgery. For us it was not an easy decision from a logistics and an economic point of view (in Italy we do not have any insurance coverage for the US), but I believe it was the best decision I ever made for my son.
When I realized that my son was suffering from pectus excavatum I started to do extensive research in patient forums and in scientific literature. The data I found led me to Dr. Jaroszewski at Phoenix's Mayo Clinic. In my opinion, Dr. Jaroszewski and her team are the world's principal exponents for Nuss technique. They have introduced many improvements to the technique originally proposed by Nuss and they continue to improve it. These improvements are able to guarantee better results, improved safety and lesser complications. I have studied several Dr. Jaroszewski webinars and video, and I have read many of her scientific publications. On this basis, I realized that there were some important details of the Dr Jaroszewski’s technique that are very important which I cannot do without: i) shorter bars; ii) multiple bars; iii) sternal elevation (very important to avoid cardiac injury!); iv) fiberwire ligation and v) polypharmacy pain control.
Moreover, I realized that Dr. Jaroszewski has an enormous experience (she performs a huge Nuss procedures per year), and her percentage of post-operative complications is really very low. In addition, about 30% of her pectus surgery are redo from patients that underwent the procedure by other surgeons included European one. With this knowledge in mind, it was very difficult for me to find a valid alternative close to home. I tried to hear from other surgeons but no one practiced a complete and efficient approach to Nuss surgery like Dr Jaroszewski or had valid alternatives. For these reasons we decided to came in Phoenix and I was absolutely sure that my son with Dr. Jaroszewski would be in the best hands possible.

I contacted Dr. Jaroszewski's office and the Mayo Clinic and took an appointment for July 2017. We met Dr. Jaroszewski on 10th July at Mayo Clinic for the first visit and it was a very intense experience. Dr. Jaroszewski is an exceptional person also on the human side, she is compassionate and sensible to understand our needs. At that time, we were obviously worried about the whole situation (surgery, complications, foreign country, language problems, etc.) but she immediately transfer us good vibrations in terms of competence, safety and experience. We immediately felt an emotional bond of empathy with her. She explained in detail how the surgery would take place, the expectations based on my child's initial condition and all possible complications, including her personal case histories of complications that are very low (i.e. zero cardiac injury during surgery).
Fortunately, my son had a symmetrical PE in the lower part of chest so she predicted that the operation would be relatively easy. The medical assistant of Dr Jaroszewski (Dr Primus) gave us precise directions on what to do before the surgery and finally on July 12th my son had the operation. The surgery went very well, my son had two bars, the operation lasted approximately 1.5 hours and everything went as expected. Dr Jaroszewski in the post-surgery meeting told us that she was very satisfied about the surgery and that she had not encountered any difficulties. She gave us some photos taken before and after the surgery in which it was well visible as sternum compression on pericardium was eliminated and how much new space was produced. Then all the postoperative period has gone fine. Pain was always under control. Dr. Jaroszewski after the surgery came 2 times (!) to visit my son at the PCH. During these visits she carefully checked my son, his therapy and his vital signs and told us that everything is going well. In fact, my son walked and ate regularly and after 2 days was discharged.
Another amazing thing of Dr. Jaroszewski is her incredible availability during the recovery. My son was discharged from the PCH on Saturday, July 15th. The same night we had the need to contact Dr. Jaroszewski for a fever rise. We called her office at Mayo and in less than 20 minutes, we had her precious indications by telephone (the problem was then easily solved in a few hours). Believe me this have no price.
At the postoperative visit (7 days after surgery) Dr Jaroszewski, after knowing that we would have been in Phoenix for other 3 weeks, invited us to came back in her office a couple of days before leaving to Italy for a further control. We appreciated so much this fact since it gave us greater serenity to face the long journey to home (6-7 hours by car to Los Angeles and the day after 12+1.5 hours of plane to Italy). At the last visit Dr Jaroszewski and her assistant (Dr. Parrett), gave us all the instructions we could need for the next 3 years (up to the removal of the bars). We were instructed on the X-rays to do and send to Dr J's office, about the therapy, cure of incisions, and how to communicate with them when needed.
We are now at home, my son feels better every day, he moves smoothly and is returning to normal life. He is currently at the 5th week post op and has stopped all meds except occasional Ibuprofen. The operation went well not only from a functionally point of view but also from aesthetically standpoint. We are very satisfied and my son is so happy that now he is always without T-shirt.

I highly recommend Dr. Dawn Jaroszewski to everyone that has pectus excavatum. If you have the possibility please do not hesitate and come in Phoenix this is a magic place for pectus. Here you can find the best knowledge and surgeons for this condition.
I am grateful to Dr Jaroszewski for everything she has done for us and for the patience she has had in answering to my boring questions. Everything about my personal experience exceeded all expectations! We will return to her for the extraction of the bar (this time at Mayo Clinic!). I would not trust to put my son’s life in any other hands.

Your Pectus Information

Condition
Pectus Excavatum
Pre-Surgery Haller Index
4.2
Report this review Comments (0) | Was this review helpful? 8 0
Yes!
Overall rating
 
10.0
Ease of Correspondence with Doctor
 
10.0
Doctor's Friendliness and Courtesy
 
10.0
Clarity of Doctor's Explanations
 
10.0
Accuracy of Doctor's Predictions
 
10.0
Doctor's Apparent Knowledge of Procedure
 
10.0
Doctor's Availability During Recovery
 
10.0
Rate Your Cosmetic Outcome
 
10.0
Would Recommend to Others
 
10.0
Let me preface this review by giving those who hate reading long reviews by saying - Dr. J is, hands-down, the best and she truly cares. I was nussed on 5/8/18 and my experience with her and her staff was nothing short of amazing. For those who would like further detail - please enjoy the review below. I've put significant thought and time into it and would be glad to answer any questions. - AG

I judge professionals and doctors by 3 main criteria: 1) expertise, 2) professionalism, and 3) dedication. Essentially these criteria answer the questions, "How good is this person at what they do?" and, "How willing are they to give their best effort in my case?" Expertise without effort is ineffective and vice-versa. With these criteria in mind, I would say that Dr. J is head and shoulders above the rest in terms of these criteria and I have seen the folks at CHKD and the two best Nuss specialists in NYC for comparison. None of these compare with Dr. J and her staff in answering these two questions.

1) Expertise

This criteria is admittedly difficult to judge because I myself am not a doctor; however, there are details that you can pay attention to that express the quality of someone's work. For example, as a lawyer, I would never accept work from an associate that has not bothered to check for typos in a legal brief. Expertise surmounts in small details that add up to become a body of knowledge in a given subject or profession that increases the likelihood of positive results. In short, the proof is in the pudding (i.e., the results).

With that in mind, the first question that Nuss surgeons ask is whether this person is a candidate for the procedure. That is the watershed issue that determines your fate with PE. I have had PE for over 14 years and had worsening symptoms. When I was a high school athlete, I was concerned that I was always tired and out of breath. I was laughed out of the cardiologist's office of one of the highest ranked doctors listed on this forum that works in NYC. He did not believe that my symptoms were legitimate, to my frustration. The folks at CHKD kindly, but sternly, shooed me away from their office based on my Haller Index. Neither the folks at CHKD nor the folks at Columbia/NYC thought to use a simple, but effective diagnostic technique that Dr. J used to demonstrate how my PE was affecting my heart. I don't want to let out details on something that might be considered inside baseball for Dr. J's office, but suffice to say that they considered an additional data point within a diagnostic that provided a more complete review of the stress placed on my heart by PE and why my case merited surgery. I was at first hesitant to travel across the country for my surgery (hence seeing the other folks on the east coast earlier) but I am so glad that I did.

I could stop there, but Dr. J went above and beyond. The staff at her office come from across the country to work with the best. Aside from understanding that the Haller Index is a one-dimensional cross-section of a multidimensional issue, my surgery with Dr. J went smoothly and the results were outstanding. I woke up a new person after surgery and my time at Mayo was great. My frame has filled out, my chest is improved and flat. Dr. J's hand in surgery is precise and adept. The cuts made on my chest were well made and the stitching to seal them up was top notch. Even the quality of my IV stick was outstanding (thank you, Nurse Alexander). The surgery scars healed nicely and the varied medication provided indicated that a lot of thought went into mitigating the effects of the surgery. Moreover the resultant pain was as effectively curbed as could be. Whereas I would get lightheaded and have blotchy vision after walking up a flight of stairs, I now feel like I can run a marathon. I can finally breathe deeply and I feel like I'm 16 again in terms of energy. In all, in terms of results, my results were amazing - 10/10. I could end this review there and that would be sufficent for most, but Dr. J reads these reviews and not including the rest would be a disservice to her and her staff.

2) Professionalism

I have done hours and hours of research on PE. I know a lot a out the ins and outs of the condition as well as the research side of things such as indications that a lack of magnesium at the pre-natal and adolescent stage could contribute or perhaps cause the development of PE. In short, I've done my homework and had many questions as well. In spite of being very busy, Dr. J and her staff walked me through the ins and outs of the surgery and answered all of the questions that I had in fine detail. Moreover, they were glad to go into the details and fully describe the pre- and post-surgery experience so that I knew what to expect. They also diligently followed up on my post-surgery condition and demonstrated acute attention to detail in reviewing my post-operative condition. As a corporate lawyer, I have worked with the largest financial institutions/banks in the country and the professionalism of Dr. J and her staff rivaled or exceeded that of my clients at work. I could not ask for more in terms of professionalism and discipline, they are at the top of their game - 10/10.

3) Dedication

A quick google/youtube search will show why Dr. J's surgical techniques are the best. Simply put, she could live out the rest of her days teaching others to do this procedure and live well off of the dividends. She doesn't have to be in the trenches, performing the Nuss procedure for two entire days a week, week in and week out - but she chooses to. Speaking with her and seeing the time and effort that goes into a single surgery, I respect and admire that she is still in the front lines and performing surgeries herself even though she doesn't have to. She has probably trained her staff so well that she could have them do the procedure without her, yet I can see it in her eyes that she truly cares about changing the life of her patients for the better. There is a gravitas present in her character and demeanor that is indicative of a sincere interest in your condition. I believe that she knows that she is the best and wants to help as many people as possible, but that, of course, is just my opinion. As a person who is in a profession where folks going through the motions is the norm, her approach is refreshing and most welcome. She listened closely to my concerns and provided detailed answers to my questions while also taking the time to comprehensively review the post-operative results without the rushed approach that I've experienced at the offices of other doctors listed in this forum - 10/10.

Why should you believe me?

I am an Ivy League educated lawyer who has worked with and in some of the best corporate practice groups in the world. I know what it takes to earn excellence and I know what it feels like to grind it out, performing or studying in a high-stress environment while providing expedient, detailed and comprehensive
results. I've been held to a high standard and I hold others to a high standard as well when it comes to a professional context. While this portion is subjective to my experience, I would be glad to provide more detail upon request.

In the final analysis, choosing a doctor is a rational decision. If you want the objective best, go to Dr. J.

I wish that I could make Dr. J's and her staff's dreams come true, so that they may know what it feels like to have my dream come true of finally being able to live a normal life and, for once, wake up refreshed and energized in the morning instead of tired and groggy. Dr. J, thank you for helping me and please keep doing what you're doing.

-AG



Your Pectus Information

Condition
Pectus Excavatum
Pre-Surgery Haller Index
2.5
NP
Top 100 Reviewer 1 reviews
Report this review Comments (0) | Was this review helpful? 6 0
Amazing
Overall rating
 
9.6
Ease of Correspondence with Doctor
 
9.0
Doctor's Friendliness and Courtesy
 
10.0
Clarity of Doctor's Explanations
 
10.0
Accuracy of Doctor's Predictions
 
10.0
Doctor's Apparent Knowledge of Procedure
 
10.0
Doctor's Availability During Recovery
 
9.0
Rate Your Cosmetic Outcome
 
9.5
Would Recommend to Others
 
9.5
Dr J. is phenomenal at what she does. She knows and understands the problem and is well practiced in the solution. Her staff is also top quality, friendly, and as uniquely knowledgeable in PE as Dr J. The only reason I don't give 10s across the board is because Dr J. does have her staff do a lot of the patient correspondence, but that is okay because the staff is great.

I was comfortable at all times, hardly ever felt pain beyond a 2. The only reason my max was an 8 is because there was some tough moments when transitioning from IV pain meds to oral. These were short intervals of pain while we figured out the right combination of oral pain meds. Today I am 2 weeks post op with full movement and a normal lifestyle. I'm also already back to the gym doing light cardio. I could not have dreamed for this procedure to go smoother than it has. I was really scared going into it, coming out of it I could not be more pleased.

Your Pectus Information

Condition
Pectus Excavatum
Pre-Surgery Haller Index
4.63
Procedure
Nuss Procedure
Current Bar status
Bars still in
Date of initial surgery/procedure
January 29, 2013
Length of time since initial surgery/procedure
2 weeks
Require 2nd surgery/procedure?
No
Age at time of surgery/procedure
35
Days in Hospital
5
Covered by Insurance?
Mostly Covered
Highest Pain Level Experienced
8
Would you do it again?
yes
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