Academic versus Hicksville medicine

So I went to that conference recently. And a big name (a BIG name) in the field was talking about surgical safety. He mentioned that every time, one should introduce yourself to the others in the OR, because you probably wouldn't know everyone in the room.

I started laughing out loud. I pointed out that I knew the names of every single OR tech and nurse at our hospital (there's only 20 or so). Not only do we in smaller towns know that, we frequently know the kids' names and other small talk stuff.

Tertiary docs. HA!

Happy Birthday

To the guy I love.

Immaturity is to cherished

So I went to a gyn surgery conference this week. And at one of the lectures on prolapse surgery, the lecturer stated "You want to leave the OR with a good vagina."

I can't help it, I started giggling. Yes, I know, it's childish. But it was pretty damn funny.

You can thank Fizzy for this

So her post today brought back memories from med school:

Rectal gangrene. A patient had been discharged from the hospital about 2 weeks early after having an AP resection. He had gone home and sat in chair, pretty much without moving. Why would he need to - he had a foley and colostomy. Came back in with gangrene of the buttocks.

I was good and was able to assist my resident in the debridings. I also was able to (barely) help with the frequent dressing changes in his room. I honestly think I honored that rotation because of this.


*shudder*

For those who think all we care about is our golf game.

First, I don't play golf.

Second, was talking to one of my partners. We've both had awful cases recently, involving death or serious morbidity. And she said "You were trying to do everything to ensure a vaginal delivery instead of cutting her before 5 pm. Don't you wish that sometimes we just did what we're always being accused of doing by the lunatics? But we don't, we try to do what is best for the patient."

FUCK YOU NCB crowd.

A new one

Pregnant gal was working out in the fields when her protruding belly touched the electrical fence.

Are you fucking kidding me?

Things of beauty

There's a scene in the movie Aladdin (so shoot me, I've got young kids), where the hero and Jasmine are in trouble on a roof ledge. He turns to her and asks "Do you trust me?" She slips her hand into his and they escape.

That is what we ask our patients every single day. Do you trust me? Then take a leap of faith and ________. Allow me to cut you open. Allow me to schedule an induction. Let me order this test.

We do this daily. Hopefully, we are worthy of this trust.