Not really an offensive hospital rhetoric, but you guys will definitely love this story.
This happened to me on the same medicine service with the same attending. Again, to reiterate, the attending still does not know that I am an OMFS resident.
We get this HIV patient with left submandibular/submental abscess/cellulitis with erythema from the left mandible down to the sternum. The cause was from a folliculitis/acne. Instead of consulting with omfs service for abscess drainage, I told my medicine residents that I would be more than happy to drain the pus. They knew my background and agreed.
I pretty much did everything by the book.
- Incision made 2 cm below the inferior border of mandible
- blunt dissection
- culture
- irrigation
- drew a line demarcating the edge of erythema
- packed wound with **** load of gauze
Next morning my attending rounds with us to see this patient.
Attending: Wow, notice the surgeon who made this I&D did a superb job. He packed the wound with gauze and closed it skin tape. Notice how he also drew this demarcation line across the patient's clavicles. Doggie, what is the purpose of this demarcation line?