Re: You've done enough surgery when...

From: DoctorJoe@aol.com
Fri Feb 23 06:48:40 2007


In a message dated 2/23/07 4:34:26 AM, Darryl.elrod@LAKENHEATH.AF.MIL writes:

>
> You can fill in the blanks, but for me this week it is
>  
> …when you nick the peritoneum overlying the aorta with your umbilical
> trocar insertion, causing a hematoma that looks concerning, having to call the
> general surgery brigade in to evaluate.  Now THAT is a sinking feeling.
>  
> Thankfully the patient did well and was sent home a few days later after I
> finally got the nerve to let her go.
>

You know, you feel all helpless and small when something like this happens. But surgeons, as they say, put on their pants one leg at a time, just like the rest of us.

I remember doing a ruptured ectopic on a Sunday at the VA Hospital in New Orleans. I got called in as the staff GYN doc. The surgery resident and I did the case. Simple minilap incision, suck out a few hundred cc of blood, whip a tie around the ectopic and excise it and drop it in a specimen container, and close'er up. No biggie.

Well, when we opened the peritoneal cavity and we got the flush of dark blood, the surgery resident, who had already been on vascular and had blood on the floor from aortic aneurysm cases and fem-pops and all of that, gasped in horror and amazement and started wondering about the massive blood loss and "what are we going to do now?!?!?"

I was amused that this simple, 20 minute GYN case was so scary to HIM, while WE shudder when we "nick" some body part or organ we don't have "claim" to. I guess it's all in the perception and experience.

Joe P.

"Chuck Norris puts his pants on one leg at a time, just like the rest of us. The only difference is, then he kills people."





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