I had an awesome attending for my final year gyn-onc rotation. The man was an excellent doctor, surgeon, and all-around good guy.
So we were consulted at small hospital in suburban area of town affliated with big medical center for a pelvic mass. He took the phone call in the morning and we pulled up the films in the office. Yep, a big honkin' pelvic mass. Appropriate consult from admitting service.
I get sent over to SHISAOTAWBMC to do the H&P and get the paperwork done. Shit, she's had multiple laparatomies (double digits!) for Crohn's Disease. Her abdomen looks like a Munchhausen's patient. Our collective hearts sink.
Surgery get scheduled for the next day at 5 pm (Whisky Tango Foxtrot! I'm not on call that day...which means that on my rare non-call days, I'm going to be at the freaking hospital until god knows when doing the case!!!).
Make the midline incision. Concrete sub-cut tissue. Bowel, omentum, and fascia are all fused into one big fucking mess. After an hour of dissecting, I hear "I have no fucking idea what I'm looking at."
"That's NOT what I want to hear from you because I have NO FUCKING idea what I'm looking at, Sir!" I answer back. I'm one of his pets, so I can mouth off to him and not have my ass handed to me.
He smiled at me, and said "Well, the buck stops with me. Let's just go slow."
I got home after 11 that night. It ended up being a benign cystadenoma, but it was 15-20 cm in size IIRC.
Subscribe to:
Post Comments (Atom)
1 comment:
Dear Dr. ER Mom,
It’s a great pleasure to read your blog. I find your post very interesting. Your post just gave us a glimpse of your daily life routine and it sure is not easy. Just thought that behind all these exhausting experiences come controversial healthcare issues, sight!
As a reader, I consider your writing to be a great example of a quality and globally competitive output. It would be a great thrill and honor if you could share your genuine ideas and knowledge to our community, Physician Nexus. With this you can gain 1000 physician readers from over 62 countries on Nexus.
We would love for you to visit our community. It's free, takes seconds, and is designed for physicians only - completely free of industry bias and commercial interests.
Best,
Ruby Jean Abarcas
On behalf of the Physician Nexus Team
www.PhysicianNexus.com
Post a Comment