Those are pretty exotic procedures, I find it hard to believe you were required to scrub in on more than one of those, and that you didn't sit or leave the OR once the whole time. I guess it's possible a student would get to scrub in on one or two of those and then for some reason not be offered a break to sit on a stool for 5 minutes or eat all day, but I doubt it.
And yes, I am going into surgery. Surgeons eat too. Not superheroes like yourself, but us mere mortals do, when we can.
<sigh> I had this long response posted, which was lost when SDN blacked out.
- They may be exotic procedures at your hospital, but they're not exotic procedures everywhere. At my institution, they do 3-5 Whipples
per week - not per year, as it is elsewhere. I was on an HPB service for about 2 months, and scrubbed in to over a dozen Whipples. The rest were distal pancreatectomies.
Radical cystectomies are also not exotic procedures at my hospital either. They do probably 2-3 cystectomies per week here.
- Students don't always get a break. In a difficult Whipple, the surgeons may be so engrossed in what they are doing that
they forget to take a break. Sometimes they take one, but don't offer one to students. It happens.
Even when I did get a break, I didn't sit. The break was supposed to be pretty short, so I'd dash in, chug a cup of juice or milk, then run back into the OR. If it were a "slow" case, then I'd take a minute to pee. That's it.
Especially as a sub-I, though, if your chief doesn't take a break (and many will refuse), you feel a little weird taking one yourself.
- I don't know how your clerkship is set up, but as a resident and as a sub-I, you won't always eat. As a sub-I, I spent 3 consecutive days scrubbed in to cases that were all >8 hours long (one was 14 hours, one was 12, and one was 9). After the cases, I still had to do some floor work. Each of those days, I didn't eat anything until 6 PM or later.
Granted, my hospital has a reputation for having very difficult and work-intensive rotations. I don't know how yours is, but a lot of the clerkships at the neighboring schools are ridiculously easy in comparison.
When you do your 4th year rotations, I would recommend trying to find a program with the highest volume, and that has a reputation for running its students hard (i.e. treating them like actual interns). Some surgery sub-Is are almost unbelievably easy, and that's not doing its students any favors.