Yep. So glad I'm an attending now and don't have to deal with that cray-cray. Seriously, that stressed me out more than receiving a herniating patient. At least with the herniating patient I knew what to do!If it helps we get criticized mercilessly as surgical residents for the same thing and share your pain perhaps even equally. Why did you get a CT scan on this patient does that change operative management? *Show exact injury to another attending, "why didn't you get a CT scan on this, I always get CT scans on x injury."
I got a panic call today on my ICU post-op "I think she's leaking CSF out of both of her ears!" While I'm thinking, "Okay, that's not physiologically possible since we were no where near any mastoid air cells," I had a good inkling what was going on since it's not an uncommon call that we get for this exact scenario while I sauntered over to the room as I was just down the hall. The "CSF" was actually tears...from her eyeballs...and it was tracking down her face and pooling in her ears. Cause...she was crying. The family laughed. Mystery solved. Luckily they were tears of relief since her first surgery had to be aborted and we were able to fix her up this time.