Diapers during Surgery Rotation?

[Transformers]

I wanna nourish well and hydrate like a king in the morning without worrying about bad etiquette in during long surgeries (i.e.- asking to step outside to pee)...anyone enter regression and wear diapers during surgery rotation?

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[slopes23]

I wanna nourish well and hydrate like a king in the morning without worrying about bad etiquette in during long surgeries (i.e.- asking to step outside to pee)...anyone enter regression and wear diapers during surgery rotation?

Cause sitting in your own pee for the rest of the surgery is a viable alternative. Good luck with that.

 

[Catalystik]

If gender appropriate, check out Texas catheters, which are not in-dwelling: http://en.wikipedia.org/wiki/External_urine_collection_devices

 

[Arkangeloid]

Is this thread a joke, or is this actually a real concern during the surgery rotation?

 

[MerickManual]

 

[ACSurgeon]

Is this thread a joke, or is this actually a real concern during the surgery rotation?

It's a joke either way!

 

[Transformers]

It's a joke either way!

its 99% joke but 1 % the fact that i seriously have to pee a ton; i legitmately get dehydrated and somewhat nauseous quickly especially if i haven't eaten/drank..its just unnerving to not have hunger/peeing satisfied during a long day in the OR

 

[SouthernSurgeon]

its 99% joke but 1 % the fact that i seriously have to pee a ton; i legitmately get dehydrated and somewhat nauseous quickly especially if i haven't eaten/drank..its just unnerving to not have hunger/peeing satisfied during a long day in the OR

The average length of a general surgery operation is less than 2 hours.

Sure we do some long cases too, but let's not exaggerate the severity of this. Somehow everyone manages to make it through without throwing a foley in.

Also, every super long case I've been in, we've always explicitly told the student to go pee and get something to drink during a slow point.

 

[J ROD]

Just bring in a bottle and sort of stand in the corner.......nobody will notice.......

 

[alpinism]

Let it flow. Urine is sterile.

 

[PHellmuth]

Let us all hope this is a joke

 

[Mad Jack]

Stay classy SDN. You can also check this related thread about adult diapers on the MCAT:

http://forums.studentdoctor.net/threads/is-it-cheating-to-wear-an-adult-diaper-to-mcat.1001844/

 

[dwills]

On a more serious note what happens if you really do need to use the restroom? How bad does it look if you leave to use the restroom?

I piss A LOT (~2-3x every 2 hours)

 

[Stellar Clouds]

On a more serious note what happens if you really do need to use the restroom? How bad does it look if you leave to use the restroom?

I piss A LOT (~2-3x every 2 hours)

What goes in must come out...

Try drinking less.

 

[happygilmore]

Wow, it appears decades of being teacher pleasing students has left some people without any courage.

If you have hours left, say "I have to go to the bathroom" and go.

On a more serious note what happens if you really do need to use the restroom? How bad does it look if you leave to use the restroom?

I piss A LOT (~2-3x every 2 hours)

I don't get it. I'm an adult and I use the bathroom when I see fit. If a surgeon has a problem with that then we can talk.

Are you guys really that afraid? These people have no power over you unless you give it to them.

 

[SouthernSurgeon]

Wow, it appears decades of being teacher pleasing students has left some people without any courage.

If you have hours left, say "I have to go to the bathroom" and go.



I don't get it. I'm an adult and I use the bathroom when I see fit. If a surgeon has a problem with that then we can talk.

Are you guys really that afraid? These people have no power over you unless you give it to them.

Yup, just use good judgment and pick a reasonable point in the case. No one will think badly of you.

If we are waiting on a frozen section to come back...go ahead and just say politely that you need to go and scrub out.

If the attending just nicked the vena cava...maybe not the best moment.

Now if you excuse yourself to use the bathroom three times during a lap chole, we are gonna wonder what's up.

 

[ruralsurg4now]

Just bring in a bottle and sort of stand in the corner.......nobody will notice.......

They will if you keep whistling like that.

 

[HopefulReapp]

Surprised that no one has mentioned a condom cath. Just strap it to your leg!


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[Winged Scapula]

Surprised that no one has mentioned a condom cath. Just strap it to your leg!


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They did: see post number three above.

 

[Catalystik]

I'm surprised no one has mentioned increasing salt intake.

 

[Kahreek]

this is ridiculous, never put biologic needs behind grades. The only thing bothersome about going to bathroom during surgery is having to re-scrub. I am sure your presence wont be sorely missed those 5 or 7 minutes.

 

[Mad Jack]

Sort of unrelated, but what do practicing surgeons do in this scenario? Is there ever a "good time" for the operating surgeon to step out, or are they going to have to dance while they operate in an attempt to not piss themselves?

 

[SouthernSurgeon]

Sort of unrelated, but what do practicing surgeons do in this scenario? Is there ever a "good time" for the operating surgeon to step out, or are they going to have to dance while they operate in an attempt to not piss themselves?

It sort of Depends (hehe).

Again as I said the reality is that for most surgeons, most cases are actually pretty quick. You don't need a bathroom break in a lap chole or a lap hernia repair.

For longer cases, first off, I've always found that your body has ways to sort of shut that whole thing down (to borrow a phrase from a brilliant senator...). You don't really notice that sore knee or that you're hungry or that you have to pee for long stretches of time.

Second off, if you're in academics, you can just tell your resident you're gonna take a quick break and do so. In private practice, you'd obviously need to pick a moment in the case where stepping out wouldn't affect anything. It's a matter of judgment.

 

[xffan624]

Sort of unrelated, but what do practicing surgeons do in this scenario? Is there ever a "good time" for the operating surgeon to step out, or are they going to have to dance while they operate in an attempt to not piss themselves?

After having to pee on the side of the Iraqi road in my full gear during a 12 hour convoy, while my male colleague stood guard, I learned to plan ahead and limit my fluid intake prior to convoys. I'm sure surgeons learn how to do this as well.

 

[Anastomoses]

This is like...not actually a thing, right?

 

[evilbooyaa]

This is like...not actually a thing, right?

Not in my experience. I've never heard of anyone actually doing this. Plan your urinary schedule out a little better I guess.

 

[startswithb]

You won't have time to drink enough to have to go to the bathroom more than a few times a day. I would drink a decent amount of water in the morning to hydrate and then there is ALWAYS time to pee while changing into scrubs in the locker room. I really never had to go during a case, no matter how long. Then I rehydrated again when I got home at the end of the day. Hmm. Serious answer is TMI. Oh well, it worked.

 

[colbgw02]

I never considered wearing diapers, but it seems like some of you are overestimating the leniency shown to medical students who break scrub for "personal reasons". The inability to take a leak when I needed/wanted was a significant reason I steered cleared of surgery. Then again, it didn't help that I was on a service where we would routinely do 2 Whipples per day.

 

[HopefulReapp]

They did: see post number three above.

Haha whoops, I've never heard of it called a Texas catheter before... They are by far my favorite tool in the hospital! Good catch. I guess it doesn't even have to be male only... http://www.amazon.com/Go-Girl-Female-Urination-Lavender/dp/B003BEDUS6 .


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[Winged Scapula]

Haha whoops, I've never heard of it called a Texas catheter before... They are by far my favorite tool in the hospital! Good catch. I guess it doesn't even have to be male only... http://www.amazon.com/Go-Girl-Female-Urination-Lavender/dp/B003BEDUS6 .


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Well that's Texas for you: they've got to be special and call it something else .

 

[Kaustikos]

Am I the only one that has no problem standing in the OR for 6 hours without having issues of pissing/****ting? I've had 5 cases in the past week at least 5 hours long and I didn't once think "OMG I HAVE TO PEE!". My only concern is knee pain which I use support for or I just suck it up.
Stop drinking so much water. Seriously. How much common sense do you have to lack to not understand the basics of this dilemma? I guess my bladder has grown past the age of 3 and can actually retain piss until I'm ready to go?

 

[Winged Scapula]

No you're not the only one.
1) most surgeries are relatively short;
2) most surgeons have trained themselves to limit fluids/hold their urine for long periods of time
3) if a student really can no longer hold it, there should be no problem in excusing oneself to urinate during a longer case; if you excuse yourself multiple times or during very short cases, then it will appear as if you are leaving for another reason
4) surgeons can scrub out during cases, even if they don't have a resident. If the patient is stable, you aren't at a critical portion, it is permissible to scrub out and quickly attend to business (whether its urinating, vomiting, look at frozen section slides with pathologist etc) and return
5) you get busy and focused and don't even notice you need to urinate. I'll often go 8 hours without urinating while I'm in the office - clearly I have the opportunity and the facilities right there, I just get busy and forget/don't feel the urge.

 

[Bacchus]

No you're not the only one.
1) most surgeries are relatively short;
2) most surgeons have trained themselves to limit fluids/hold their urine for long periods of time
3) if a student really can no longer hold it, there should be no problem in excusing oneself to urinate during a longer case; if you excuse yourself multiple times or during very short cases, then it will appear as if you are leaving for another reason
4) surgeons can scrub out during cases, even if they don't have a resident. If the patient is stable, you aren't at a critical portion, it is permissible to scrub out and quickly attend to business (whether its urinating, vomiting, look at frozen section slides with pathologist etc) and return
5) you get busy and focused and don't even notice you need to urinate. I'll often go 8 hours without urinating while I'm in the office - clearly I have the opportunity and the facilities right there, I just get busy and forget/don't feel the urge.

Exactly. I'm pretty sure at this point I have no problem holding a liter in my bladder. I find sometimes I go less often when the facilities are available because I have a schedule as opposed to floor work where there are some breaks for me to go.

Drink less is the key. Flood your system after the cases are over. We're young; we can handle a little daily AKI.

 

[Mad Jack]

Well that's Texas for you: they've got to be special and call it something else .

You've got to wonder who thought, "when people see this piss bag attached to a condom, I want them to think of our great state of Texas" and then decided it was a great idea.

 

[VisionaryTics]

No you're not the only one.
1) most surgeries are relatively short;
2) most surgeons have trained themselves to limit fluids/hold their urine for long periods of time
3) if a student really can no longer hold it, there should be no problem in excusing oneself to urinate during a longer case; if you excuse yourself multiple times or during very short cases, then it will appear as if you are leaving for another reason
4) surgeons can scrub out during cases, even if they don't have a resident. If the patient is stable, you aren't at a critical portion, it is permissible to scrub out and quickly attend to business (whether its urinating, vomiting, look at frozen section slides with pathologist etc) and return
5) you get busy and focused and don't even notice you need to urinate. I'll often go 8 hours without urinating while I'm in the office - clearly I have the opportunity and the facilities right there, I just get busy and forget/don't feel the urge.

👍

I've never needed to urinate during an operation, both because I'm focusing on the case and because I don't drink much before longer cases.

That being said, during longer operations (free flaps, big head and neck resections, etc), the attending/residents have always offered to let me scrub out and grab a snack/use the restroom.

Little do they know I had an elective colostomy with an ileal conduit at the start of medical school so I never have to worry about biologic needs.

 

[Kaustikos]

It's funny because today I was in an 8 hour case... Ross Procedure beginning at 8am until 5pm. Not one break between the three of us. The only complaint I had was my knees being in ridiculous pain but that's my own issue and I can suck it up. I was rewarded by closing the sternum/fascia/skin. I felt so special. No, really, I did.

To top it off - the OP note says I'm a Surgical Resident 😆


Though during cardiothoracic procedures, the attending sometimes says we can take a break to go to the bathroom when we try to resuscitate the patient/take them off bypass. But that's only because there's a 15 minute window where we do absolutely nothing... except make jokes. So, I stay 😆

 

[Winged Scapula]

Little do they know I had an elective colostomy with an ileal conduit at the start of medical school so I never have to worry about biologic needs.

Strong work gunner. Strong work.