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I don't see a point to it. The only real, outcome changing, benefit to preops done before hand that I see is to order tests that take some time. Basically echo, stress test, cath and/or radiology films. Maybe perhaps a consult for weird hematology stuff.
The night before surgery is too late to get anything of importance done. No point to even bother. Sure there is all that mumbo jumbo about the patient being less anxious and what not, but does that really change the outcome? Does the patient not end up 6 feet under because my CA2 resident saw him at 8pm versus me seeing him at 7am? I have yet to be convinced of this. It's always me telling the resident how they missed critical stuff that I managed to assess in less than 10 min when it took half an hour for my resident just to find the patient.
Night preops are just a waste of residents time in my opinion.
I still remember being yelled at by a nervous attending one time when I did a preop (forced by the program) before the assignments were done (not my room). It was a morbidly obese patient going for some ENT stuff. The attending was cursing because I didn't let her know the night before that she had a morbidly obese patient. Like as if it was going to make the patient skinny the next day! What difference did it make knowing that at 8pm vs 7am?
The night before surgery is too late to get anything of importance done. No point to even bother. Sure there is all that mumbo jumbo about the patient being less anxious and what not, but does that really change the outcome? Does the patient not end up 6 feet under because my CA2 resident saw him at 8pm versus me seeing him at 7am? I have yet to be convinced of this. It's always me telling the resident how they missed critical stuff that I managed to assess in less than 10 min when it took half an hour for my resident just to find the patient.
Night preops are just a waste of residents time in my opinion.
I still remember being yelled at by a nervous attending one time when I did a preop (forced by the program) before the assignments were done (not my room). It was a morbidly obese patient going for some ENT stuff. The attending was cursing because I didn't let her know the night before that she had a morbidly obese patient. Like as if it was going to make the patient skinny the next day! What difference did it make knowing that at 8pm vs 7am?
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