Attending Laziness

[soorg]

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Thought it would be fun to post stories of unbelievable attending laziness from residency...

My worst was on a thoracotomy patient, EF 15% w/AICD, 100% LAD stenosis, starting HgB of 8.8. After the DLT was in, my attending, Her Royal Majesty, spent the entire case outside the room on her cell phone. I had to friggin' chase her down just to get her to sign the chart...

 

[periopdoc]

Or you might just be a strong resident!

We had an attending that hated OB, but had to cover OB when he was on call in the main OR. He would ask us to just stack the anesthesia records for the night outside the call room and he would come up the next morning and sign them. If you were a strong resident, he usually didn't show up for c-sections either.

- pod

 

[bullard]

Or you might just be a strong resident!

He would ask us to just stack the anesthesia records for the night outside the call room and he would come up the next morning and sign them. If you were a strong resident, he usually didn't show up for c-sections either.

- pod

There must one of these in every residency program. Although not showing up for c-sections is especially lazy and a potential medicolegal nightmare to boot.

 

[soorg]

We had a few of those. Def made you nervous the first few times, but after that it put the proverbial hair on your chest.

The worst is a room with a fast surgeon, multiple cases. It was always a nightmare being in the ENT room with 5 T&A's with some jerk who wouldn't help you with paperwork at all.

 

[MTGas2B]

Or you might just be a strong resident!

We had an attending that hated OB, but had to cover OB when he was on call in the main OR. He would ask us to just stack the anesthesia records for the night outside the call room and he would come up the next morning and sign them. If you were a strong resident, he usually didn't show up for c-sections either.

- pod

As a ca-1
"Anesthesia is like prison, you do it my way."

As a ca-2
"Put in a line, cordis, and 14 gauge. You call me if you have problem. I sign chart in morning"


On the iPhone

 

[Med0123]

anesthesiologist attending laziness?
sounds like a pleonasm

 

[olaf]

I actually preferred to be left alone to figure it out. Of course if I was uncomfortable with something I'd call but luckily that was not too common. Actually got to do a lot more big cases and felt super comfortable when I got out.

 

[okayplayer]

As a ca-1
"Anesthesia is like prison, you do it my way."

As a ca-2
"Put in a line, cordis, and 14 gauge. You call me if you have problem. I sign chart in morning"


On the iPhone

I definitely know who this is!

One of my favorite attendings incidentally.

 

[periopdoc]

One of my favorite too. I learned a ton from him and his unusual style of leadership.

- pod

 

[Idiopathic]

Thought it would be fun to post stories of unbelievable attending laziness from residency...

My worst was on a thoracotomy patient, EF 15% w/AICD, 100% LAD stenosis, starting HgB of 8.8. After the DLT was in, my attending, Her Royal Majesty, spent the entire case outside the room on her cell phone. I had to friggin' chase her down just to get her to sign the chart...

im curious what case you are doing on this patient

 

[soorg]

A thoracotomy.

 

[TrustMe]

I was on OB call on a Saturday as a CA-1. We had a pre-eclamtic pt. that started seizing as soon as my shift began. Emergent c-section with GA that went less than smoothly. Pt. significantly post-ictal afterwards and OB wants pt. monitored in the ICU overnight. Me and the CA-2 I'm on with head over to the ICU to chat with the team about the pt. When we get there the OR calls and says they need a bed for a pt. that just coded in the OR. We head to OR, since there was nothing pressing in OB now, to see if they need a hand. Walk in to find a beached whale on the table. The vascular surgery fellow is up to his elbows in adipose trying to get an a-line in the groin and the two anesthesia residents are equally as submerged trying to get a neck line in. The anesthesia attending is standing in the corner chatting up the scrub-tech about his latest stock purchase and how it's doing. He was notorious for this stuff.

 

[dhb]

The anesthesia attending is standing in the corner chatting up the scrub-tech about his latest stock purchase and how it's doing. He was notorious for this stuff.

Hey i'll take stock purchase over beached whale everyday of the week.


I saw a patient bouncing of the table with an LMA while the attending chatted up the nurses, of course his blocks always worked 🙄

 

[MTGas2B]

One of my favorite too. I learned a ton from him and his unusual style of leadership.

- pod

Agreed. What many considered laziness really had a lot of thought behind it.

 

[Bertelman]

A thoracotomy.

That's a surgical approach. What was the indication? Was there a resection?