Those OR days when nothing goes right. Had one recently. Knew my first case was going to be a bitch, because I'd scoped her in the past. As an aside, I really hate endometriosis. So you set yourself up for success - extensive counseling about possibly needing to convert from a scope to an open procedure. Book extra OR time. Have the most experienced partner as an assist instead of using a nurse first assist. Have in the room anything you may possibly need (not opened, but in the room). And the case went well, although it took the extra time allotted. Next case had difficulty. Final case of the day I was hoping would be a slam-dunk scope. Put in the camera.
"No. Not today. I don't want to deal with that."
"I think I'm going to start swearing now."
Yeah, not how we want to start the case - with big ugly adhesions everywhere.