Yeah, really. I'm assuming that God wouldn't fret if I missed some religious observance because I was in the process of saving that person's life. In fact, I'd think God would be pretty proud of that. I'm not sure I'd respect any deity that wouldn't respect me for doing that.
We're not talking about extenuating circumstances here. Emergencies are emergencies.
And as far as the bathroom break argument goes....if your concentration is being scuttled during a surgery because your bladder is full, then I'd argue that relieving yourself is not only acceptable but essential. Pilots, for instance, don't try to fly across the Atlantic without taking bathroom breaks (although pilots have the benefit of autopilots and/or co-pilots that are capable of attending to the plane while they're in the bathroom). However, disrupting a surgery in progress to satisfy your personal religious beliefs is selfish and kind of ridiculous. I cannot envision a deity that would endorse abandoning another human in such a precarious state just so that one of his/her believers would pray to him/her at that exact moment. God can wait, believe me.
That's your opinion, and you're entitled to it. I can tell you, however, that I get MUCH more anxious/disturbed/emotionally troubled when I'm about to (or in the rare & unfortunate case that I actually have) miss a prayer. In an extremely NON-judgmental way, I'd like to remind you that your level of faith and what impact it has on you is just that: specific to YOU. You can't speak to what impact it has or what role it plays on other individuals who consider themselves to be deeply religious.
Having said that, much like how you realize that you could use the bathroom, and later that you should use the bathroom, and much later that you NEED to use the bathroom...prayer time in Islam isn't some instantaneous phenomenon. Each prayer has a start and end time, in between which you are free to pray the prayer anytime. So as I said in my original post, the responsible Muslim physician will pray immediately upon the beginning of this time frame to avoid putting himself/herself in a situation of being in the middle of patient care, and the prayer time about to run out.
The problem, however, arises in one of two situations.
One, is when the Attending is scheduling cases back to back, with little to no turn-around time. Sure, usually you have a few minutes between cases (room turnaround, ensuring all pre-op paperwork is complete, Anesthesia to come get the pt., sedate & intubate the pt, the nurse to prep the pt, etc) then you walk in and do your thing. So in between cases, it is feasible to disappear real quick and pray. The PROBLEM arises, however, when Attendings just wanna bang out cases ALL day long, and end up running multiple rooms at once. So there is NO time between cases...as soon as you finish one case, you enter the other OR where the case is already underway.
The other problem is along the same premise...but it's when you're in a single really REALLY long case.
Both situations present you with a situation where you are scrubbed in for extended periods of time, because at the Attending's discretion, there is nothing else more important to do before/after/in between cases.
Now, please note the following:
- These are SCHEDULED ELECTIVE cases I'm speaking of. Nothing emergent. So this is by CHOICE.
- Likewise, if the Attending gets distracted by anything (gets hungry, has to take a phone call, has a family emergency etc), he CAN and is MORE than willing to put EVERYTHING on hold, delay the case, or even cancel it altogether to attend to what he deems as HIS priority.
So the situation that I'm complaining about is the lack of priority given to our religions requirements (understandably so, however, since it is something unfamiliar and probably altogether foreign to many non-Muslims). And this lack of priority is two-fold: both on the Attending's part as well as on the entire system's. What I mean is, the Attending can very well accomodate it (so that you don't have to chose one over the other) if he is aware of the situation and chooses to respect it. And on the second point, the system itself can very well accomodate prayer time as a whole, as the ENTIRE Muslim world (from North Africa, to the Middle East, to Asia & Indo/Pak subcontinent, to Indonesia) have this as the STANDARD. Surgeries (and pretty much all other things in life) are scheduled AROUND the 5 daily prayers.
So in short, it's all about what YOU see as YOUR priority, and important enough for YOU to accomodate. If you're a practicing Muslim and you happen to be an Attending, problem solved. If you're a junior under a non-Muslim Attending, it's hit-or-miss.
So I don't buy the argument that it's a real issue at all. It can and IS commonplace in practically 1/3 of the world, if not more. Us dealing w/ this is merely one of the many challenges faced by Muslims living amongst a non-Muslim majority, and we do our best to meet everyone halfway without compromising our principles or core beliefs.