having to urinate

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lady bug

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Once you're in private practice, how does it work if you have to go pee in the middle of a case? Are you allowed to walk away from a case for like 3 min to use the restroom? I really love anesthesia and want to go into it, but am wondering if I will be able to handle it given my constant urinary frequency that I've had for many years. Usually I have to go once an hour, and after 2-3 hours I can barely hold it. I know that some cases can go on for 4-5 hours or even more...how do female anesthesiologists with small bladders handle it? 😳
 
If it's that big a deal, and if you've confirmed that your urinary frequency is not the result of some other medical problem (diabetes, chronic UTI or cystitis, some brand of autonomic instability), and/or not likely to improve, it's easy enough to join a practice where you'd be medically directing AAs or CRNAs. In this type of practice, you wouldn't necessarily be "stuck in a room" all day. Alternatively, within anesthesiology, pain management and critical care medicine specialists are generally not in the OR full time.
 
how do female anesthesiologists with small bladders handle it? 😳

I had an attending that would just wet herself (No ****, for real😱) just to show everyone that she didn't get a break. Funniest thing I ever saw.
 
I had an attending that would just wet herself (No ****, for real😱) just to show everyone that she didn't get a break. Funniest thing I ever saw.

That takes some major cajones (or lack thereof).

I think if she just showed off the leg bag, she'd get demigod status for work ethic.
 
That takes some major cajones (or lack thereof).

I think if she just showed off the leg bag, she'd get demigod status for work ethic.

She showed more than a leg bag. She showed wet scrubs all the way down the hall to the recovery room.
 
i take a pee whenever i feel like, the bathroom is 20 yards away and sofar nobody died/moved/woke up etc. during my pee breaks. i have no hesitation to delay the case so i can have a lunch or supper break, everybody understands that i am just not available , barring outright emergencies of course. fasto
 
i take a pee whenever i feel like, the bathroom is 20 yards away and sofar nobody died/moved/woke up etc. during my pee breaks. i have no hesitation to delay the case so i can have a lunch or supper break, everybody understands that i am just not available , barring outright emergencies of course. fasto

i hope this doesn't mean the patient is left unattended.
otherwise, this is clearly anesthesia malpractice.

"Standard I of the "Standards for Basic Anesthetic Monitoring," which clearly states: Qualified anesthesia personnel shall be present in the room throughout the conduct of all general anesthetics, regional anesthetics and monitored anesthesia care."
 
Once you're in private practice, how does it work if you have to go pee in the middle of a case? Are you allowed to walk away from a case for like 3 min to use the restroom? I really love anesthesia and want to go into it, but am wondering if I will be able to handle it given my constant urinary frequency that I've had for many years. Usually I have to go once an hour, and after 2-3 hours I can barely hold it. I know that some cases can go on for 4-5 hours or even more...how do female anesthesiologists with small bladders handle it? 😳


I bet you are one of those people who carry a water bottle around everywhere you go???
 
i hope this doesn't mean the patient is left unattended.
otherwise, this is clearly anesthesia malpractice.

"Standard I of the "Standards for Basic Anesthetic Monitoring," which clearly states: Qualified anesthesia personnel shall be present in the room throughout the conduct of all general anesthetics, regional anesthetics and monitored anesthesia care."

You have obviously never needed to use the restroom while doing a long case in the middle of the night with no "qualified anesthesia personnel" available.
 
I had an attending that would just wet herself (No ****, for real😱) just to show everyone that she didn't get a break. Funniest thing I ever saw.

Is she still working there?
 
i hope this doesn't mean the patient is left unattended.
otherwise, this is clearly anesthesia malpractice.

"Standard I of the "Standards for Basic Anesthetic Monitoring," which clearly states: Qualified anesthesia personnel shall be present in the room throughout the conduct of all general anesthetics, regional anesthetics and monitored anesthesia care."

That same standard that you mentioned leaves some flexibility margin to the anesthesiologist in case of an emergency or in situations where they have to temporarily leave the room to avoid risk like radiation.
Having to urinate can bee seen as a situation where the Anesthesiologist can use her/his judgment to assign the monitoring of the patient to another person provided that the patient is stable.
 
reminds me of my cardiac rotation as a resident, my attending thought it to be funny to bring a suction cannister when i requested a pee break. i stated loud , for everybody to hear that this might work for him but for me the opening is too small ... somehow we didn't get along so well for the rest of the rotation....
 
Once you're in private practice, how does it work if you have to go pee in the middle of a case? Are you allowed to walk away from a case for like 3 min to use the restroom? I really love anesthesia and want to go into it, but am wondering if I will be able to handle it given my constant urinary frequency that I've had for many years. Usually I have to go once an hour, and after 2-3 hours I can barely hold it. I know that some cases can go on for 4-5 hours or even more...how do female anesthesiologists with small bladders handle it? 😳

stop drinking so much, problem solved (i suspect you don't suffer from diabetes insipidus)
 
depends_1.jpg
 
You have obviously never needed to use the restroom while doing a long case in the middle of the night with no "qualified anesthesia personnel" available.

i gotta HYOOJ **** in bladder!
 
"Standard I of the "Standards for Basic Anesthetic Monitoring," which clearly states: Qualified anesthesia personnel shall be present in the room throughout the conduct of all general anesthetics, regional anesthetics and monitored anesthesia care."
That same standard that you mentioned leaves some flexibility margin to the anesthesiologist in case of an emergency or in situations where they have to temporarily leave the room to avoid risk like radiation.
Having to urinate can bee seen as a situation where the Anesthesiologist can use her/his judgment to assign the monitoring of the patient to another person provided that the patient is stable.

somehow, i don't see flexibility here.
i'm just saying.
me? wouldn't do it.
besides, you know as well as i do, that things can turn on a dime
in this bizniss!
and besides, stepping out for xray, you have a clear eye on the patient.
i don't care how well equipped you are!!!
i don't see that happening from the bathroom
 
"Standard I of the "Standards for Basic Anesthetic Monitoring," which clearly states: Qualified anesthesia personnel shall be present in the room throughout the conduct of all general anesthetics, regional anesthetics and monitored anesthesia care."


somehow, i don't see flexibility here.
i'm just saying.
me? wouldn't do it.
besides, you know as well as i do, that things can turn on a dime
in this bizniss!
and besides, stepping out for xray, you have a clear eye on the patient.
i don't care how well equipped you are!!!
i don't see that happening from the bathroom
You have to read the rest of that standard that you keep mentioning and you also have to remember that these standards are made for intelligent people who have brains not robots that follow hardwired instructions regardless of the situation.
 
You have to read the rest of that standard that you keep mentioning and you also have to remember that these standards are made for intelligent people who have brains not robots that follow hardwired instructions regardless of the situation.

yea, i get it.
i don't consider having to pee an emergency.
the only time i would, is if i just drank a keg
and couldn't stand up straight because i was
ready to burst.
besides, the standard is pretty clear.
however, your insinuation regarding the "objective"
is rather subjective.
i still don't buy it.

i guess i should call george jetson
to come and oil my parts...
 
DFK

What does dfk stand for, Don't Fukking Know?

You have got a lot to learn my friend. And I'm not just talking about leaving the room for a pee break.

Lets start with "standards".
 
DFK

What does dfk stand for, Don't Fukking Know?

You have got a lot to learn my friend. And I'm not just talking about leaving the room for a pee break.

Lets start with "standards".

close you are, noy san...

and perhaps you want to educate me as to WTF i'm missing??

these standards were designed for best patient outcomes,
and i understand if an emergency arises, things can be amended.

unless of course this all refers to having to pee so bad,
that patient outcome can be compromised.
that would have to be pretty extremis i guess.

i don't know, at this point, i wouldn't feel comfortable leaving the room.
 
"Standard I of the "Standards for Basic Anesthetic Monitoring," which clearly states: Qualified anesthesia personnel shall be present in the room throughout the conduct of all general anesthetics, regional anesthetics and monitored anesthesia care."


somehow, i don't see flexibility here.
i'm just saying.
me? wouldn't do it.
besides, you know as well as i do, that things can turn on a dime
in this bizniss!
and besides, stepping out for xray, you have a clear eye on the patient.
i don't care how well equipped you are!!!
i don't see that happening from the bathroom

I'm actually shocked that anyone thinks leaving the room to go to the bathroom is acceptable practice. It's not. You would be crucified if anything happened in that short time you were gone.
 
I'm actually shocked that anyone thinks leaving the room to go to the bathroom is acceptable practice. It's not. You would be crucified if anything happened in that short time you were gone.

How long does it take you to urinate?
What is the difference between the stable patient in the OR and any intubated ICU patient on IV Propofol?
Why can an RN watch the second one but not the first one?
Sure you are not going to leave while they are unclamping the Aorta in a AAA operation, but if the patient is stable and there is no conceivable surgical event that is about to take place, and if the alternative is wetting your pants, I say go for it and if something goes wrong the jury will understand.
 
I just piss in the sharps box on the floor near my pyxis machine..... From a distance of course.... don't want my happy-go-lucky getting poked ya know.
 
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How long does it take you to urinate?
What is the difference between the stable patient in the OR and any intubated ICU patient on IV Propofol?
Why can an RN watch the second one but not the first one?
Sure you are not going to leave while they are unclamping the Aorta in a AAA operation, but if the patient is stable and there is no conceivable surgical event that is about to take place, and if the alternative is wetting your pants, I say go for it and if something goes wrong the jury will understand.

clearly you must be joking.
you'd be laughed out of court and into jail.
show me some case reports that support your opinion here.
 
clearly you must be joking.
you'd be laughed out of court and into jail.
show me some case reports that support your opinion here.
😀
Let's see here:
You want case reports about anesthesiologists who:
1- Went to the bathroom and
2- During their time in the bathroom something went wrong and
3-They got sued and
4-The jury was sympathetic to them when they went to trial?
I will have a hard time finding that.
Do you have case reports about
1- Anesthesiologists who went to the bathroom and
2- During their time in the bathroom something went wrong then
3- They got sued and
4- They were "laughed out of court and into jail"?
I don't expect you to understand the logic behind what I am trying to tell you but can you at least give it a sincere effort?
 
😀
Let's see here:
You want case reports about anesthesiologists who:
1- Went to the bathroom and
2- During their time in the bathroom something went wrong and
3-They got sued and
4-The jury was sympathetic to them when they went to trial?
I will have a hard time finding that.
Do you have case reports about
1- Anesthesiologists who went to the bathroom and
2- During their time in the bathroom something went wrong then
3- They got sued and
4- They were "laughed out of court and into jail"?
I don't expect you to understand the logic behind what I am trying to tell you but can you at least give it a sincere effort?

Leaving the patient unattended by the anesthesia provider is unacceptable practice, period. Obviously the chances of something happening are pretty remote. And BTW, this would never make it to a jury trial. The deposition would go something like this:

"Well doctor, tell me, where were you when the patient had their air embolism and arrested?"

"Well, I was in the can - I'm sure it was only a minute or so"

"So, you actually left the OR, leaving the patient without an anesthesia provider watching and monitoring the patient? Are you sure it was just a minute? Could it have been two?"

"I'm sure it couldn't have been more than two, three at the most"

"And doctor, did you immediately return to the patient when you came back to the OR, or did you perhaps chat with the nurses across the room first, since you assumed the patient was still doing fine? And how long before you actually attended to the patient did you realize something was seriously amiss? Do you think our expert witness, the chairman of the anesthesia department from the Hopkins/Harvard/Mayo/Emory group might disagree with you?"

Defense lawyer to plaintiff's lawyer - "Do you think we can settle this for anything less than 7 figures if we keep the settlement sealed?"


I know it's unlikely. But really, you have absolutely no recourse if something happens while you're out of the room. None at all, except writing the big check. This would probably be an "agree to disagree" topic, but I can tell you, anyone in my department would be fired on the spot if this happened.
 
Leaving the patient unattended by the anesthesia provider is unacceptable practice, period. Obviously the chances of something happening are pretty remote. And BTW, this would never make it to a jury trial. The deposition would go something like this:

"Well doctor, tell me, where were you when the patient had their air embolism and arrested?"

"Well, I was in the can - I'm sure it was only a minute or so"

"So, you actually left the OR, leaving the patient without an anesthesia provider watching and monitoring the patient? Are you sure it was just a minute? Could it have been two?"

"I'm sure it couldn't have been more than two, three at the most"

"And doctor, did you immediately return to the patient when you came back to the OR, or did you perhaps chat with the nurses across the room first, since you assumed the patient was still doing fine? And how long before you actually attended to the patient did you realize something was seriously amiss? Do you think our expert witness, the chairman of the anesthesia department from the Hopkins/Harvard/Mayo/Emory group might disagree with you?"

Defense lawyer to plaintiff's lawyer - "Do you think we can settle this for anything less than 7 figures if we keep the settlement sealed?"


I know it's unlikely. But really, you have absolutely no recourse if something happens while you're out of the room. None at all, except writing the big check. This would probably be an "agree to disagree" topic, but I can tell you, anyone in my department would be fired on the spot if this happened.
They wouldn't be fired on the spot if they urinated in their pants in an OR where they want you to cover your hair and breath through a mask to keep it clean?
What is the opinion of your department about urine saturated pants?
Guys, please note that in all my statements I only mentioned anesthesiologists, I am not discussing if other kinds of providers should leave or should not, because these providers are supposed to always have an Anesthesiologist available so this problem does not apply to them.
But If you are an Anesthesiologist and you find yourself in a situation where you have to leave for 30 seconds to avoid embarrassing yourself and since you are an Anesthesiologist you should have the judgment to be able to decide when it is safe to assign the monitoring to another professional.
This is a very rare situation but it can happen.
 
This has officially become the stupidest discussion on this site.

DFK, is it standard to piss your pants.
 
This has officially become the stupidest discussion on this site.

DFK, is it standard to piss your pants.

is this really for real?
 
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😀
Let's see here:
You want case reports about anesthesiologists who:
1- Went to the bathroom and
2- During their time in the bathroom something went wrong and
3-They got sued and
4-The jury was sympathetic to them when they went to trial?
I will have a hard time finding that.
Do you have case reports about
1- Anesthesiologists who went to the bathroom and
2- During their time in the bathroom something went wrong then
3- They got sued and
4- They were "laughed out of court and into jail"?
I don't expect you to understand the logic behind what I am trying to tell you but can you at least give it a sincere effort?

dude, gimme a break.
you speak of understanding logic here?
i mean, i know your smart and all, ya know, cause you're a doc and all.

i guess you fail to see the logic in what i or jwk have said.

and to answer, no, i don't have cases to cite.
and since you don't either, looks like both of our "opinions" are moot here.

do what you want... 👎
 
Has anyone considered that she could probably be the most painful resident ever? Getting paged every hour for a pee break? Are you ****ting me? Not many people would want her around.
 
I had an attending that would just wet herself (No ****, for real😱) just to show everyone that she didn't get a break. Funniest thing I ever saw.


Or, she was "one of those folks" who get off on that sort of thing. To each his/her own dude!
 
Hi,

I am a senior in grade school interested in the practice of anesthesiology. However, I have a huge problem with retaining feces, a problem which I have had since I was 0 years old. I have shadowed both surgeons and anesthesiologists in the O.R. quite a bit, but I absolutely need to leave every hour to evacuate my colon. If I do not, my rear end opens up, drowning the surgeons, anesthesiologist, scrub nurse, and other O.R. personnel in a raining shower of liquid feces. Will I be able to practice anesthesiology in the future with this sort of problem?

Thank you kind sir and madams.
 
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Just grab an extra large exam glove, fill that baby up, tie off the end and now you have a water ballon!!!
 
Hi,

I am a senior in grade school interested in the practice of anesthesiology. However, I have a huge problem with retaining feces, a problem which I have had since I was 0 years old. I have shadowed both surgeons and anesthesiologists in the O.R. quite a bit, but I absolutely need to leave every hour to evacuate my colon. If I do not, my rear end opens up, drowning the surgeons, anesthesiologist, scrub nurse, and other O.R. personnel in a raining shower of liquid feces. Will I be able to practice anesthesiology in the future with this sort of problem, or will I be relegated to being a ****-filled stool-jockey (CRNA-school graduate)?

Thank you kind sir and madams.

first off, EFF you for your last statement.
you obviously haven't a clue.
second, are you for real?
maybe you should consider being a gay porn star.
you'd "fit" right in!
 
first off, EFF you for your last statement.
you obviously haven't a clue.
second, are you for real?
maybe you should consider being a gay porn star.
you'd "fit" right in!

Dude settle down. Just ignore obviously ridiculous or inflammatory posts.
 
Noy and plank are spot on. We live in the real world and Sh+t or in this case (Piss) happens. When you gotta take a piss and no one is there in the middle of the nite, you do what you gotta do. Obviously, the ones that say that there is no f*ing way they don't take a potty break are 1) so young in training that they haven't been out in the real world 2) in academics, where as the attending you have to take a piss all the time, since you are drinking so much coffee in the break room complaining about how hard you work. when in reality your residents are the ones chained to the machine.

Dude, get in the real world when you are up in the middle of the nite going on 5 hours in some god awful case and you have to piss. I'm not going to piss in a cup...I have more respect for myself. And you know what...I've got more respect for my circulating nurse that she/he can scream out if god forbid something happens in that minute that I'm down the hall.
 
Hi,

I am a senior in grade school interested in the practice of anesthesiology. However, I have a huge problem with retaining feces, a problem which I have had since I was 0 years old. I have shadowed both surgeons and anesthesiologists in the O.R. quite a bit, but I absolutely need to leave every hour to evacuate my colon. If I do not, my rear end opens up, drowning the surgeons, anesthesiologist, scrub nurse, and other O.R. personnel in a raining shower of liquid feces. Will I be able to practice anesthesiology in the future with this sort of problem?

Thank you kind sir and madams.


Stewie,

It is little known cocktail trivia that methane could feasibly be used for an anesthetic agent, except for 2 unfortunate properties: stench & explosion hazards. I would suggest you consider a career in the blossoming field of Surgical Scrub Technologist - the person who hands $hit to the surgeon & strokes their "ego"s.
 
Noy and plank are spot on. We live in the real world and Sh+t or in this case (Piss) happens. When you gotta take a piss and no one is there in the middle of the nite, you do what you gotta do. Obviously, the ones that say that there is no f*ing way they don't take a potty break are 1) so young in training that they haven't been out in the real world 2) in academics, where as the attending you have to take a piss all the time, since you are drinking so much coffee in the break room complaining about how hard you work. when in reality your residents are the ones chained to the machine.

Dude, get in the real world when you are up in the middle of the nite going on 5 hours in some god awful case and you have to piss. I'm not going to piss in a cup...I have more respect for myself. And you know what...I've got more respect for my circulating nurse that she/he can scream out if god forbid something happens in that minute that I'm down the hall.


Personally, if nature calls - I listen. During those long-@$$ed "STAT" middle-of-the-night hips we had to do during training (where the ortho intern & junior took 5+ plus hrs to close FU KKING incision), I grabbed a urinal, whipped out the wedding tackle & filled her up. A fella has to do what a fella has to do!
 
Stewie,

It is little known cocktail trivia that methane could feasibly be used for an anesthetic agent, except for 2 unfortunate properties: stench & explosion hazards. I would suggest you consider a career in the blossoming field of Surgical Scrub Technologist - the person who hands $hit to the surgeon & strokes their "ego"s.

didn't want to be a stickler for details but methane is both color less AND ODORLESS.

the stench is just his sh it.
 
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