Tschirhart John Howard

John Howard Tschirhart, MD, FACS


Specialties
  • General Surgery
Accepting New Patients
3400 California Ave. SW
Suite 300
Seattle, WA 98116
206-215-3500
206-386-6706
1801 NW Market St.
Ballard Professional Building, Suite 207
Seattle, WA 98107
206-215-3500
206-386-6706
1221 Madison St.
Arnold Pavilion, Suite 1401 and 1411
Seattle, WA 98104
206-386-6700
206-386-6706
1518956762

General Information


Biography
I feel that patients deserve to have a true understanding of their medical problems so that they can play the primary role in their recovery.
Specialties
  • General Surgery
Education Background
Medical School: University of Michigan Medical School
Residency: Swedish Medical Center, WA
Languages
  • English
Personal Interests
In my spare time, I enjoy climbing and skiing.

Publications

Blog

Gallstone disease and gallbladder removal

June 19, 2013

Gallstone disease is one of the most common reasons for patients needing surgery and the source of a great deal of misery.  Fortunately, for the vast majority of patients, gallstone disease can be dealt with safely and fairly easily.

What is Gallstone Disease?

One of the many things your liver does is produce bile. This bile is secreted into your intestine through the bile ducts. In the intestine, it acts to dissolve the fat that we eat that the fat can be absorbed by the intestine.

In between meals, a small muscular valve closes where the bile duct enters the intestine.  The bile that is produced then gets backed up into the gallbladder, which acts as a reservoir, both holding and concentrating the bile.  After a person eats, the presence of food in the stomach and duodenum sets off a signal to the gallbladder which then contracts, adding bile to mix in with the food.

Approximately 20% of people (1 out of 5) form gallstones in their...

Clinical Experience

Specialties
  • General Surgery
Clinical Interests
  • abdominal abscess
  • abdominal adhesions
  • abdominal cancer
  • abdominal mass
  • adrenalectomy
  • alcoholic cirrhosis
  • altemeier procedure
  • anal dilation
  • anal dysplasia
  • anal fistula repair
  • anastomosis of pancreatic duct
  • appendectomy
  • appendiceal abscess
  • appendiceal carcinoid
  • appendicitis
  • appendix cancer
  • axillary abscess
  • axillary cyst
  • back mass
  • barrx
  • benign carcinoid of colon
  • benign carcinoid tumor of rectum
  • benign carcinoid tumor of small bowel
  • benign neoplasm of colon
  • benign neoplasm of skin
  • bile duct cancer
  • bile duct occlusion
  • bile duct repair
  • bile duct stone
  • biliary colic
  • biliary duct fistula
  • biliary dyskinesia
  • biliary tract cancer
  • biliary tract disease
  • biliary tract surgery
  • bladder fistula
  • bleeding hemorrhoids
  • blood in stool
  • bowel resection
  • budd chiari syndrome
  • cancer of ge junction
  • cancer of pancreas
  • cancer of skin
  • cancer surgery
  • carcinoid of stomach
  • carcinoid tumor of pancreas
  • cholangitis
  • cholecystectomy
  • cholecystenterostomy
  • cholecystitis
  • cholecystogastrostomy
  • cholecystostomy
  • choledochoenterostomy
  • choledochoplasty
  • cholelithiasis
  • cholestasis
  • chronic pancreatitis
  • closure of biliary fistula
  • colectomy
  • colitis
  • colon stenting
  • colonic polyps
  • colorectal malignancy
  • colorectal screening
  • colostomy
  • colovaginal fistula
  • common duct exploration
  • condylomata acuminata
  • congenital anomaly of pancreas
  • congenital cystic of liver
  • contusion abdominal wall
  • cryoablation
  • cystadenoma of pancreas
  • cytoreduction surgery
  • delorme procedure
  • desmoid tumors
  • destruction of lesion of liver
  • diastasis
  • dilation of sphincter of oddi
  • diverticular disease
  • diverticulitis
  • diverticulosis
  • duodenal fistula
  • duodenal ulcer surgery
  • echinococcus
  • ectopic calcification xyphoid
  • encysted hydrocele
  • endocrine surgery
  • endoscopic division of adhesions of peritoneum
  • endoscopic mucosal resection
  • enterovaginal fistula
  • enterovesical fistula
  • epidermoid cysts
  • excision mole
  • excision of ampulla of vater
  • excision of choledochal cyst
  • excision of lesion
  • excision of lesion of pancreas
  • excision single external papilla or tag anus
  • exploratory laparotomy
  • face stitch removal
  • familial polyposis
  • fasciitis
  • feeding tube placement
  • femoral hernia
  • fibrocystic liver
  • fine needle aspiration thyroid
  • fistula enterocutaneous
  • foreign body foot
  • foreign body in anus and rectum
  • foreign body in intestine and colon
  • foreign body trunk
  • frostbite
  • frostbite of ear
  • frostbite of face
  • frostbite of finger
  • frostbite of nose
  • fundoplication
  • gallbladder disease
  • gallbladder fistula
  • gallbladder obstruction
  • gallbladder polyp
  • ganglion cyst
  • gangrene
  • gastrectomy
  • gastric anomaly
  • gastric ulcer surgery
  • gastric volvulus
  • gastrin secreting tumor of pancreas
  • gastroduodenal fistula
  • gastrointestinal cancer
  • gastrointestinal stromal tumor
  • gastrojejunostomy
  • glucagonoma
  • groin mass
  • groin pain
  • hamartoma
  • head abscess
  • head cyst
  • head lump
  • head papilloma
  • hematochezia
  • hemicolectomy
  • hepatic cyst
  • hepatic infarction
  • hepatobiliary surgery
  • hepatoblastoma
  • hepatorenal syndrome
  • hereditary nonpolyposis colorectal cancer
  • hernia
  • hernia epigastric
  • hernia repair
  • heterotopic liver transplant
  • hiatal hernia repair
  • hickman catheter
  • hidradenitis
  • hydrops of gallbladder
  • hyperhidrosis surgery
  • idiopathic megacolon
  • ileitis
  • ileo-anal anastomosis
  • ileo-colonic fistula
  • ileoscopy
  • ileostomy
  • incarcerated hernia
  • incision and drainage of deep pelvirectal abscess
  • incision drainage abscess
  • incision of anal septum
  • incisional hernia
  • inclusion cyst
  • inguinal hernia
  • injury to spleen
  • insulinoma
  • internal drainage of pancreatic cyst
  • internal hernia
  • interstitial emphysema
  • intestinal artery disease
  • intestinal infarction
  • intestinal obstruction
  • intra-abdominal cancer
  • intraabdominal cyst
  • intraductal papillary mucinous neoplasm
  • intussusception
  • islet cell transplant
  • islet cell tumor
  • keratin cyst
  • laceration
  • laparoscopic abdominoperineal resection of the rectum
  • laparoscopic ablation of liver lesion or tissue
  • laparoscopic adhesiolysis
  • laparoscopic anterior resection
  • laparoscopic appendectomy
  • laparoscopic bile duct exploration
  • laparoscopic biopsy of liver
  • laparoscopic cecectomy
  • laparoscopic cholecystectomy
  • laparoscopic colectomy
  • laparoscopic fundoplication
  • laparoscopic hernia repair
  • laparoscopic jejunostomy
  • laparoscopic lysis of peritoneal adhesions
  • laparoscopic rectal prolapse repair
  • laparoscopic resection head of pancreas
  • laparoscopic sigmoidectomy
  • laparoscopic small bowel resection
  • laparoscopic umbilical herniorrhaphy
  • laparoscopic whipple procedure
  • laparoscopy
  • leiomyosarcoma
  • linx
  • lipoma
  • liposarcoma
  • liver abscess
  • liver biopsy
  • liver hemangioma
  • liver laceration
  • liver mass
  • liver surgery
  • liver trauma
  • localized perfusion of liver
  • low anterior resection
  • lymph node biopsy
  • lymphadenopathy
  • lymphangiomas
  • lysis of adhesions
  • malignant carcinoid tumor of colon
  • malignant carcinoid tumor of rectum
  • malignant melanoma
  • malignant neoplasm of colon
  • malignant neoplasm of gallbladder
  • malignant neoplasm of liver
  • malignant neoplasm of pancreatic duct
  • malignant rectal neoplasm
  • malignant tumor of extrahepatic bile duct
  • malrotation of bowel
  • mass on trunk
  • mechanical complication of gastrostomy
  • meckel's diverticulum
  • mediports
  • megacolon
  • megarectum
  • melanoma
  • melanoma on ear
  • melanoma on face
  • merkel cell carcinoma
  • mesenteric cyst
  • mesenteric mass
  • mesh removal
  • metastatic colon cancer
  • metastatic melanoma
  • minimally invasive surgery
  • mole removal
  • muscle biopsy
  • myxofibrosarcoma
  • natural orifice transluminal endoscopic surgery
  • neck papilloma
  • necrotizing fasciitis
  • necrotizing soft tissue infections
  • needle biopsy of pancreas
  • neuroendocrine tumors
  • non-healing wound
  • nontraumatic hematoma of soft tissue
  • open biopsy of liver
  • open biopsy of pancreas
  • open wound leg
  • open wound of finger
  • open wound of forearm
  • open wound of neck
  • open wound of scalp
  • open wound of shoulder
  • pancreas head cancer
  • pancreas tail cancer
  • pancreas transplantation
  • pancreatectomy
  • pancreatic cyst
  • pancreatic fistula
  • pancreatic mass
  • pancreatic pseudocyst
  • pancreatic pseudocyst drainage
  • pancreatic steatorrhoea
  • pancreatic surgery
  • pancreatitis
  • pancreatoscopy
  • paracolostomy hernia
  • parastomal hernia
  • parathyroid adenoma
  • parathyroid disease
  • parathyroid mass
  • parathyroidectomy
  • paronychia
  • partial colectomy
  • partial splenectomy
  • pelvic abscess
  • pelvic adhesions
  • pelvic mass
  • peptic ulcer surgery
  • percutaneous aspiration of gallbladder
  • perforation of bile duct
  • perforation of gallbladder
  • perianal haematoma
  • peridiverticular abscess
  • peritoneal catheter
  • peritonitis
  • personal history of colonic polyps
  • personal history of malignant neoplasm of liver
  • pilar cyst
  • polypectomy
  • porcelain gallbladder
  • portal hypertension
  • portal hypertensive gastropathy
  • portal pyemia
  • portal vein thrombosis
  • postcholecystectomy syndrome
  • pressure ulcer
  • primary biliary cirrhosis
  • proctectomy
  • proctitis
  • proctoplasty for stenosis
  • proctosigmoidoscopy
  • prolapse colostomy
  • pseudocyst
  • pseudomyxoma peritonei
  • pseudopolyposis of colon
  • pyloroplasty
  • pyogenic granuloma
  • quadrantectomy
  • radiation proctitis
  • rectal abscess
  • rectal bleeding
  • rectal fistula
  • rectal pain
  • rectal polyp
  • rectocele
  • rectovaginal fistula
  • rectus sheath hernia
  • recurrent colorectal cancer
  • recurrent femoral hernia
  • recurrent hernia
  • reducible hernia
  • refashioning of colostomy
  • regional enteritis
  • removal anal seton marker
  • removal of pancreatic tube or drain
  • repair anal fistula
  • repair laceration
  • repair of anal fistula with fibrin glue
  • repair of laceration of gallbladder
  • repair of liver laceration
  • repair of pancreas
  • repair of paracolostomy hernia
  • repair of rectal prolapse
  • repair of rectocele
  • repair of rectourethral fistula
  • repair of rectovaginal fistula
  • repair of vaginoenteric fistula
  • retroperitoneal fibrosis
  • retroperitoneal sarcoma
  • revision of colostomy
  • right lower quadrant pain
  • second degree burn
  • secondary malignant neoplasm of liver
  • severe dysplasia of rectum
  • sigmoid volvulus
  • sigmoidectomy
  • sigmoidoscopy
  • skin abscess
  • small bowel biopsy
  • small bowel cancer
  • small bowel obstruction
  • solesta
  • sphincteroplasty
  • sphincterotomy
  • spigelian hernia
  • spleen cancer
  • spleen pain
  • splenectomy
  • splenic anomalies
  • splenic cyst
  • splenic disease
  • splenic infection
  • splenic injury
  • splenomegaly
  • staging laparotomy
  • stomach cancer
  • stomach cramps
  • stomach fistula
  • stomach pain
  • stomal hernia
  • stromal tumor of intestine
  • subcutaneous lipomas
  • subphrenic abscess
  • subtotal colectomy
  • surgery of the pancreas
  • surgical staging
  • surgical treatment crohns disease
  • surgical treatment of regional enteritis
  • surgical treatment of ulcerative colitis
  • third degree burn
  • thyroid
  • thyroid cancer
  • thyroid nodule
  • thyroid surgery
  • transrectal drainage of pelvic abscess
  • ulcerative colitis
  • umbilical hernia
  • urachal cyst
  • ventral hernia
  • volvulus of colon
  • wound therapy

Reviews

Patient Ratings and Comments
 

The Patient Rating score is based on responses given during the CAHPS Patient Experience Survey. Responses are measured on a 10-point scale, with 10 being the best score. These scores are then translated to a 5-point scale in order to display results in a 5-star rating. Comments are also gathered from the same survey and displayed in their entirety with the exception of any language that may be considered slander, libel or contain private health information, which will be removed prior to publishing the comments.

4.7 out of 5 (35 Ratings, 2 Comments)

100

04/21/2016
Very little pain after surgery. Am very happy with the results.
100

02/18/2016
Very to the point medically and very relaxing and calming (comfortable) as we visited about fishing.
3400 California Ave. SW
Suite 300
Seattle, WA 98116
206-386-6706
1801 NW Market St.
Ballard Professional Building, Suite 207
Seattle, WA 98107
206-386-6706
1221 Madison St.
Arnold Pavilion, Suite 1401 and 1411
Seattle, WA 98104
206-386-6706
Affiliated Facilities