Kitima has done it again: DEAD BOWEL. Probably shouldn't have been eating my eggs and bean breakfast....ugh!
Yep, I have the most charming topics of conversation given my job is sewing tubes of poo together and cutting open pockets of pus. I'll keep it all to a minimum at ToC--at least during meals.
@Steve: I've only heard about that stench from my DH. It can't be good.
@Jayhawk: I've not had to do the peppermint oil to the mask yet. I've always thought bringing in dozens of those pine tree car air fresheners would be a good idea.
@Olivia: During residency, I bought into the whole surgeon attitude of not scrubbing out to pee, eat, or hydrate. We'd say,"Show no weakness." It's kind of a meathead attitude that kept me in a state of constant dehydration as I didn't want to drink a big glass of water before a long case for fear of having to ask for a potty break. I once stayed scrubbed in and standing for 27 hours during a liver transplant during residency. The nurses would give us candy or juice (cup with a straw) through our masks. I learned to appreciate my compression socks that day!
Posted By Kitima Boonvisudhi on 07 Apr 2010 09:28 AM
Posted By Patrick McCrann on 07 Apr 2010 06:03 AM
Kitima has done it again: DEAD BOWEL. Probably shouldn't have been eating my eggs and bean breakfast....ugh!
Yep, I have the most charming topics of conversation given my job is sewing tubes of poo together and cutting open pockets of pus. I'll keep it all to a minimum at ToC--at least during meals.
As your roomie for TOC, I would really appreciate that!!!
Posted By Kitima Boonvisudhi on 07 Apr 2010 09:28 AM
Posted By Patrick McCrann on 07 Apr 2010 06:03 AM
Kitima has done it again: DEAD BOWEL. Probably shouldn't have been eating my eggs and bean breakfast....ugh!
Yep, I have the most charming topics of conversation given my job is sewing tubes of poo together and cutting open pockets of pus. I'll keep it all to a minimum at ToC--at least during meals.
@Steve: I've only heard about that stench from my DH. It can't be good.
@Jayhawk: I've not had to do the peppermint oil to the mask yet. I've always thought bringing in dozens of those pine tree car air fresheners would be a good idea.
@Olivia: During residency, I bought into the whole surgeon attitude of not scrubbing out to pee, eat, or hydrate. We'd say,"Show no weakness." It's kind of a meathead attitude that kept me in a state of constant dehydration as I didn't want to drink a big glass of water before a long case for fear of having to ask for a potty break. I once stayed scrubbed in and standing for 27 hours during a liver transplant during residency. The nurses would give us candy or juice (cup with a straw) through our masks. I learned to appreciate my compression socks that day!
Posted By Kitima Boonvisudhi on 07 Apr 2010 09:28 AM
Posted By Patrick McCrann on 07 Apr 2010 06:03 AM
Kitima has done it again: DEAD BOWEL. Probably shouldn't have been eating my eggs and bean breakfast....ugh!
Yep, I have the most charming topics of conversation given my job is sewing tubes of poo together and cutting open pockets of pus. I'll keep it all to a minimum at ToC--at least during meals.
@Steve: I've only heard about that stench from my DH. It can't be good.
@Jayhawk: I've not had to do the peppermint oil to the mask yet. I've always thought bringing in dozens of those pine tree car air fresheners would be a good idea.
@Olivia: During residency, I bought into the whole surgeon attitude of not scrubbing out to pee, eat, or hydrate. We'd say,"Show no weakness." It's kind of a meathead attitude that kept me in a state of constant dehydration as I didn't want to drink a big glass of water before a long case for fear of having to ask for a potty break. I once stayed scrubbed in and standing for 27 hours during a liver transplant during residency. The nurses would give us candy or juice (cup with a straw) through our masks. I learned to appreciate my compression socks that day!
Interesting thread, there does seem like a lot of Surgeons around here. I know nothing about what happens in operating rooms but conincidentally was sitting in a court room a few weeks ago [waiting to speak to a judge on another case] and watched part of the cross examination of a surgeon in a med mal case by a scumbag plaintiff's lawyer [I say that not because I think all plaintiff's lawyers are scum bags but know this particular one and he is a scum bag for sure]. He was taking the Dr. apart for the casual behavior/atmosphere in the OR during the surgery, music, chat about who one of the nurses was sleeping with, weekend plans etc. While it was the entre intention of the lawyer it all came off pretty bad and it was clear that the jury was not impressed. The most powerful part of it went something like this [parphrased and condensed]:
Q:In your opinion is it harder to be a commercial pilot or a surgeon?
A: long winded arrogant answer about hard hard it is to be a surgeon
Q: Are you aware of the 10,000 foot rule in which the FAA has banned all non essential communication in the cockpit below 10k feet?
A: yes I heard something about that in the news regarding the crash of the commuter plane near buffalo last winter
[as had everyone else in the room BTW]
Q: why do you think that rule exists/is it a good rule?
A: oh course
Q: why
A: so the pilots are concentrating on taking off and landing the plane and not distracted
Q: So if we can agree that surgery is far harder than merely landing an airplane and you agree that for safety reasons there should be no non essential communication in the cockpit, how can you sit here an justify listening to rock music and gossiping about the promiscuous behavior of your coworkers during surgery when you earlier conceded that there is a risk of death at all times during a surgical procedure involving general anethesia [sp?]?
The answer does not really matter to a question like that, does it?
The exchange went on for a long time and was far more detailed but that was the drift. Food for thought.
* disclaimer - I have never been remotely involved in a mad mal action on any side, know nothing about it, don't care ever to, have no opinion as to what should or should not happen in an OR
Besides the only surgeons I know are ultra runners who have a failrly low opinion of triathlons...
The surgeon walked right into his tricks.....He should of just said "I don't no"........to the pilot question.
True but he was in for a rough ride regardless. It is also not as easy as one would think to do well as a witness. Not sure exactly why but I have seen it time and again, people who smart, well prepared, do great in mock sessions etc crumble when it is for real. The combination of the room, the judge sitting up high, the jury staring at you, the guys with guns, lawyers, spectators etc all comes together to make it a very difficult environment to articulate even simple things.
At least people generally respect and trust Drs. which give you a big advantage. With most of my cleints that is not necessarily the case...
Sorry to hijack...certainly an interesting thread. I was totally opposed to our staff being able to listen to music while working. It annoys me to see people "working" with an ipod going. But then if you folks are cool with cutting into people while listening to tunes then maybe it is ok...
Just to add this in for completion. As an ENT surgeon nothing like a good case of FUNGAL SINUSITIS to open your nasal passages. It just lingers in the OR for quite awhile after removal. Looks a lot like peanut butter though.
A little late to the thread, but in the OR, there is usually music on, but to be honest, I never hear it until the procedure is done. While I'm working, I miss all of the conversation and all of the music unless I'm distracted from what I'm doing. The same thing also happens when I'm watching TV; I only hear the TV and no one else (until my wife screams at me).
On the topic of bad medical smells, I've been around.
1. Melena (I don't want to describe this) from a GI bleed in a patient in hepatic failure
2. Incontinence in any geriatric ward
3. Bowel perforation in an AIDS patient
4. Charred smell in pretty much any CABG
5. Gynecology clinic in Bellevue Hospital (I still have nightmares)
6. The worst, though, is from cervical abscesses of dental origin
Just to add this in for completion. As an ENT surgeon nothing like a good case of FUNGAL SINUSITIS to open your nasal passages. It just lingers in the OR for quite awhile after removal. Looks a lot like peanut butter though.
Really...peanut butter? That's kinda cool. I always thought it (mucormycosis, right?) would look like the fuzzy stuff on old fruit.
A little late to the thread, but in the OR, there is usually music on, but to be honest, I never hear it until the procedure is done. While I'm working, I miss all of the conversation and all of the music unless I'm distracted from what I'm doing. The same thing also happens when I'm watching TV; I only hear the TV and no one else (until my wife screams at me).
On the topic of bad medical smells, I've been around.
1. Melena (I don't want to describe this) from a GI bleed in a patient in hepatic failure
2. Incontinence in any geriatric wardCode Brown!
3. Bowel perforation in an AIDS patient
4. Charred smell in pretty much any CABG
5. Gynecology clinic in Bellevue Hospital (I still have nightmares) EEEUUUWWW!
6. The worst, though, is from cervical abscesses of dental origin I think that takes first prize!
As a Colon and Rectal Surgeon I gotta agree with Kitma about the smells. Dead gut is the worst and I can tell when a GI Bleed is in the ER by the smell from a cross the room. I also never use the oils in the mask. Then it just smells like dead gut in a watermelon patch!
I enjoy music in the Or and have an IPOD that I bring with certain play lists depending on what I am doing and who my nursing staff that day is. I have a play list for doing simple cases at midnight and for doing complicated pelvic cases. I have asked people to keep it down or turned off the music if it gets in the way of communication between the team.
People are often shocked at how we can do a 4-9 hour case without taking a break but a lot of it is concentration. Any Anesthesia provider will tell you that most surgeons have no sense of time and will greatly under appreciate how long certain things take to accomplish.
Comments
Yep, I have the most charming topics of conversation given my job is sewing tubes of poo together and cutting open pockets of pus.
I'll keep it all to a minimum at ToC--at least during meals.
@Steve: I've only heard about that stench from my DH. It can't be good.
@Jayhawk: I've not had to do the peppermint oil to the mask yet. I've always thought bringing in dozens of those pine tree car air fresheners would be a good idea.
@Olivia: During residency, I bought into the whole surgeon attitude of not scrubbing out to pee, eat, or hydrate. We'd say,"Show no weakness." It's kind of a meathead attitude that kept me in a state of constant dehydration as I didn't want to drink a big glass of water before a long case for fear of having to ask for a potty break. I once stayed scrubbed in and standing for 27 hours during a liver transplant during residency. The nurses would give us candy or juice (cup with a straw) through our masks. I learned to appreciate my compression socks that day!
As your roomie for TOC, I would really appreciate that!!!
Interesting thread, there does seem like a lot of Surgeons around here. I know nothing about what happens in operating rooms but conincidentally was sitting in a court room a few weeks ago [waiting to speak to a judge on another case] and watched part of the cross examination of a surgeon in a med mal case by a scumbag plaintiff's lawyer [I say that not because I think all plaintiff's lawyers are scum bags but know this particular one and he is a scum bag for sure]. He was taking the Dr. apart for the casual behavior/atmosphere in the OR during the surgery, music, chat about who one of the nurses was sleeping with, weekend plans etc. While it was the entre intention of the lawyer it all came off pretty bad and it was clear that the jury was not impressed. The most powerful part of it went something like this [parphrased and condensed]:
Q:In your opinion is it harder to be a commercial pilot or a surgeon?
A: long winded arrogant answer about hard hard it is to be a surgeon
Q: Are you aware of the 10,000 foot rule in which the FAA has banned all non essential communication in the cockpit below 10k feet?
A: yes I heard something about that in the news regarding the crash of the commuter plane near buffalo last winter
[as had everyone else in the room BTW]
Q: why do you think that rule exists/is it a good rule?
A: oh course
Q: why
A: so the pilots are concentrating on taking off and landing the plane and not distracted
Q: So if we can agree that surgery is far harder than merely landing an airplane and you agree that for safety reasons there should be no non essential communication in the cockpit, how can you sit here an justify listening to rock music and gossiping about the promiscuous behavior of your coworkers during surgery when you earlier conceded that there is a risk of death at all times during a surgical procedure involving general anethesia [sp?]?
The answer does not really matter to a question like that, does it?
The exchange went on for a long time and was far more detailed but that was the drift. Food for thought.
* disclaimer - I have never been remotely involved in a mad mal action on any side, know nothing about it, don't care ever to, have no opinion as to what should or should not happen in an OR
Besides the only surgeons I know are ultra runners who have a failrly low opinion of triathlons...
The surgeon walked right into his tricks.....He should of just said "I don't no"........to the pilot question.
True but he was in for a rough ride regardless. It is also not as easy as one would think to do well as a witness. Not sure exactly why but I have seen it time and again, people who smart, well prepared, do great in mock sessions etc crumble when it is for real. The combination of the room, the judge sitting up high, the jury staring at you, the guys with guns, lawyers, spectators etc all comes together to make it a very difficult environment to articulate even simple things.
At least people generally respect and trust Drs. which give you a big advantage. With most of my cleints that is not necessarily the case...
Sorry to hijack...certainly an interesting thread. I was totally opposed to our staff being able to listen to music while working. It annoys me to see people "working" with an ipod going. But then if you folks are cool with cutting into people while listening to tunes then maybe it is ok...
A little late to the thread, but in the OR, there is usually music on, but to be honest, I never hear it until the procedure is done. While I'm working, I miss all of the conversation and all of the music unless I'm distracted from what I'm doing. The same thing also happens when I'm watching TV; I only hear the TV and no one else (until my wife screams at me
).
On the topic of bad medical smells, I've been around.
1. Melena (I don't want to describe this) from a GI bleed in a patient in hepatic failure
2. Incontinence in any geriatric ward
3. Bowel perforation in an AIDS patient
4. Charred smell in pretty much any CABG
5. Gynecology clinic in Bellevue Hospital (I still have nightmares)
6. The worst, though, is from cervical abscesses of dental origin
Really...peanut butter? That's kinda cool. I always thought it (mucormycosis, right?) would look like the fuzzy stuff on old fruit.
As a Colon and Rectal Surgeon I gotta agree with Kitma about the smells. Dead gut is the worst and I can tell when a GI Bleed is in the ER by the smell from a cross the room. I also never use the oils in the mask. Then it just smells like dead gut in a watermelon patch!
I enjoy music in the Or and have an IPOD that I bring with certain play lists depending on what I am doing and who my nursing staff that day is. I have a play list for doing simple cases at midnight and for doing complicated pelvic cases. I have asked people to keep it down or turned off the music if it gets in the way of communication between the team.
People are often shocked at how we can do a 4-9 hour case without taking a break but a lot of it is concentration. Any Anesthesia provider will tell you that most surgeons have no sense of time and will greatly under appreciate how long certain things take to accomplish.