Outrageous

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Man o War

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If a first year medical student can do this and much more, it's absolutely no big deal if a CEO does it. For goodness sake, the surgeon is standing right there, probably guiding his hand. Some nurse probably reported him, and the bureaucrats had no idea what to do, so they ridiculously overreacted.
 
It’s outrageous that the nurse who reported this is being lauded as some sort of hero...and we all know it was a nurse.
Reporting/tattle culture is out of control.
This was stupid and inappropriate, and I cringe thinking about sitting at the head of the bed watching this new surgeon kiss admin butt like this....but this is ridiculous
 
This wasn't throwing a couple sutures. It sounds as if the surgeon let this doofus make an initial sternotomy incision. The CT surgeons here half the time don't even let the PGY 3 surgery resident make the sternotomy incision unless they're interested in going into CT.
 
This wasn't throwing a couple sutures. It sounds as if the surgeon let this doofus make an initial sternotomy incision. The CT surgeons here half the time don't even let the PGY 3 surgery resident make the sternotomy incision unless they're interested in going into CT.

I don't think it was the sternotomy. I think it was the initial skin incision. Sure, if the CEO did the sternotomy, slightly different story, but I've seen M4s do sternotomies under the guidance of the CT surgeon.
 
Do you need a medical license to participate in a medical procedure? Med students close skin all the time and they don't have a license.

I think this is a poor example.
I know at least where I went to school we were always a part of the patients care from the beginning while they were awake, introduced ourselves, etc even though we didn’t have a medical license. Patients were free to say they didn’t want a student to participate in their care.

I think it just shows poor judgement to invite whoever wants to come in to the OR to participate. Maybe not a big deal to you, but still not something that should go unnoticed.

There are things in medicine that should be looked at with a critical eye and "just because we’ve always done it that way" doesn’t mean it shouldn’t change.
 
If that surgeon wants to blow smoke up the CEOs anus he can do so without patients being involved. I’m assuming the CEO has a pure business/non-medical background so he isn’t some educational observer or on a future physician track. The CEO of a hospital can’t be treated like the CEO of any other business. Patients deserve care by physicians, soon-to-be physicians, nurses, etc. A non-medical CEO has no business making incision on an unaware patient under anesthesia.

That said I’m also no fan of the nursing truth brigade or the board of directors fire wagon, but at least a CEO was put in their place.
 
Last time I checked, none of the nurse first assists, PAs, nurse practitioners, nurse midwives etc have medical licenses but they wield scalpels in the OR all the time.

They are supposed to be there learning technical skills in the care of patients.
This was a guy in a the c suite who would be reasonable to have as an observer. Not anything else. You can argue that the punishment for the CEO and the surgeon didn’t fit the crime. But it was about as wise as the Aeroflot captain who let his kid take the controls of the plane awhile back.
 
The new order of things is A zero tolerance policy. If you act inappropriately or do things outside your scope/area of practice then the real possibility of termination could be the result.

No longer are patients or society going to tolerate inappropriate behavior in the OR. From examining a woman under anesthesia to making a skin incision only the appropriate healthcare personnel should be involved unless explicit consent is obtained from the patient.

I would even argue that inappropriate comments by healthcare personnel in the room could result in termination as well.
 
The new order of things is A zero tolerance policy. If you act inappropriately or do things outside your scope/area of practice then the real possibility of termination could be the result.

No longer are patients or society going to tolerate inappropriate behavior in the OR. From examining a woman under anesthesia to making a skin incision only the appropriate healthcare personnel should be involved unless explicit consent is obtained from the patient.

I would even argue that inappropriate comments by healthcare personnel in the room could result in termination as well.

And this is why the older generation harks about "the good ol' days". The stories I've heard from my former attendings and current older docs I work about their senior colleagues/attendings doing all kinds of thing in the past (as in 1960s-1980s) made it sound like the Wild West e.g. bringing alcohol to after hours medical staff meetings on hospital grounds, yelling at OR staff and even throwing objects at them, grabbing nurses asses, etc. Some of them tried their best to live up to the "God complex" stereotype. Sure, some of this behavior may have been overboard...but the pendulum has swung far too much in the other way. The former hierarchy medical establishments once maintained has been leveled by the proletariat leading to a lack of institutional control that has given way to perceived structure and organization.
 
It’s outrageous that the nurse who reported this is being lauded as some sort of hero...and we all know it was a nurse.
Reporting/tattle culture is out of control.
This was stupid and inappropriate, and I cringe thinking about sitting at the head of the bed watching this new surgeon kiss admin butt like this....but this is ridiculous

Agree. And NETS reporting has been weaponized by some.
 
And this is why the older generation harks about "the good ol' days"..... yelling at OR staff and even throwing objects at them, grabbing nurses asses, etc..... Some of them tried their best to live up to the "God complex" stereotype. Sure, some of this behavior may have been overboard...
Yeah, it was.
 
And this is why the older generation harks about "the good ol' days". The stories I've heard from my former attendings and current older docs I work about their senior colleagues/attendings doing all kinds of thing in the past (as in 1960s-1980s) made it sound like the Wild West e.g. bringing alcohol to after hours medical staff meetings on hospital grounds, yelling at OR staff and even throwing objects at them, grabbing nurses asses, etc. Some of them tried their best to live up to the "God complex" stereotype. Sure, some of this behavior may have been overboard...but the pendulum has swung far too much in the other way. The former hierarchy medical establishments once maintained has been leveled by the proletariat leading to a lack of institutional control that has given way to perceived structure and organization.

Bringing alcohol to meetings...
Yelling at OR staff and throwing objects at them... (physical assault)
Grabbing nurses asses...(sexual assault)

But only "some" of this behavior may have been overboard apparently.

So you'd be cool with some ******* surgeon throwing equipment at your daughter and grabbing her ass, so you can all yuck it up about the good old wild west days in the OR? Sounds less like "good ol days" mentality and more like "good ol boy" mentality.

To get back to the point at hand, this blatant disregard for patient autonomy and control over what happens TO THEIR OWN BODY is insane in this thread. What's outrageous is that the ass kissing surgeon "invited" (it wasn't even like the CEO was pressuring him to do it or anything based off the news stories I'm seeing) a person who had no business touching and especially cutting a patient without the patient being aware that this would happen beforehand. Yes, the pendulum is swinging way back in this direction because the general public has been learning about the totally outrageous things that have been done in the OR on anesthetized people in an extremely vulnerable position.

To put this in perspective, what if I had a hidden mic/mirror in my interview room and just "invited" random C-suite executives to listen in my psychiatric interviews for my patients without their consent or knowledge of the matter to see all the "cool stuff" I'm doing? You'd all feel good with that as you told me some detailed abuse history or how you tried to kill yourself last year? We're not in high school and this isn't something you do to look cool to your friends.

Is the punishment too much? Maybe, if I were the patient I'd probably want an apology in person from both the CEO and surgeon, possibly in front of the rest of the hospital. But, they're being made examples of and sometimes you have to make examples to show the rest of your organization that you won't tolerate what happened. Same kind of stuff that happens with stupid HIPAA violations.
 
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And this is why the older generation harks about "the good ol' days". The stories I've heard from my former attendings and current older docs I work about their senior colleagues/attendings doing all kinds of thing in the past (as in 1960s-1980s) made it sound like the Wild West e.g. bringing alcohol to after hours medical staff meetings on hospital grounds, yelling at OR staff and even throwing objects at them, grabbing nurses asses, etc. Some of them tried their best to live up to the "God complex" stereotype. Sure, some of this behavior may have been overboard...but the pendulum has swung far too much in the other way. The former hierarchy medical establishments once maintained has been leveled by the proletariat leading to a lack of institutional control that has given way to perceived structure and organization.

Agree on most points. There were certain folks who certainly WERE a-holes, and for no good reason.

OTOH, healthcare is a major bureaucracy, and hasn’t gotten any better. The job of a doctor, much like a lawyer, is to be an ADVOCATE for their patient, in order to get things done. “Being polite” doesn’t always get things done, when dealing with incompetence or laziness, or when a true nedical emergency is occurring and seconds/minutes really DO count. A doctor is not there to be nice to staff, but to get his/her patient the care that they need (just as a lawyer is not there to treat witnesses in a gentle fashion).

(In this case, letting a CEO operate, is NOT advocating for your patient...)
 
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It’s outrageous that the nurse who reported this is being lauded as some sort of hero...and we all know it was a nurse.
Reporting/tattle culture is out of control.
This was stupid and inappropriate, and I cringe thinking about sitting at the head of the bed watching this new surgeon kiss admin butt like this....but this is ridiculous

Agree. My money is on the RN that reported this was in the room and didn't say anything while the CEO was scrubbing in then gowned and gloved. Probably didn't say anything when the CEO was handed the knife. Just kept to themselves quietly and reported online later. OTOH, maybe it's a systems issue and if the RN had been through proper TeamSTEPPS training and learned to CUS this all would've been avoided. :laugh:
 
No way it was the RN. It was the anesthesiologist that reported this.

See look, I can throw around baseless claims too!

Here's what's certain :

1- This should not have ever happened.

2- The surgeon didn't need to lose his job or anything silly, nor does he need his license removed like some people say in the comments of that story. He made a bone headed mistake.
 
I think y'all are being WAY too flippant about this. #1 consent issues. Large majority of the consents include some sort of statement about who will be actually working on the pt. I'm willing to bet the patient DID NOT consent to allowing the CEO to cut on him. From a law perspective, this is straight up battery. Secondly, and some of you have your goddamn heads buried so far up your asses, I don't think you'll see the light up until you decompose, it is ENTIRELY up to us to prevent our medical specialties from being taken over by midlevels. FOR ****S SAKE, SO MANY anesthesiologists on this board have agreed that the deterioration of our specialty has been brought on by greedy old timers and CRNAs and the AANA. And here YOU ****ERS are, talking about how it's perfectly ok for some untrained, has no place being in the operating room to begin with, CEO cutting on some patient. How DARE you POS's diminish the medical profession by saying that it's ok for some rando to cut on someone. I am SO ****ING PISSED at you guys right now. CANNOT believe ANY ONE of us should ever say that's ok!!!!!! SHAME ON YOU!

MODS: feel free to send me a warning on this or whatever, I know it's against the TOS to use profanity on the board, but I don't care in this case. This is the kind of **** that ruins the medical profession.
 
But only "some" of this behavior may have been overboard apparently.

So you'd be cool with some ******* surgeon throwing equipment at your daughter and grabbing her ass, so you can all yuck it up about the good old wild west days in the OR? Sounds less like "good ol days" mentality and more like "good ol boy" mentality.

Never said I'd be cool with it. And if a hot-shot surgeon did that to my wife or daughter without them asking for it, you better believe I'd be waiting for them in the parking lot. But because I didn't scream bloody murder and pitch a fit like you, it's easier to have internet outrage over an era you weren't even born in. Whether you like it or not, that kind of stuff did happen. I did say it was overboard, but you got hysterical over it because I used the word "some". If you're oblivious to the fact this went on back in the day, I don't know what to tell you except talk to enough older or retired physicians and you'll hear stories like that. If not, then maybe go watch an episode or two of 'Mad Men' or something...

My broader point was despite this type of past behavior, there has been a dissolution of hierarchy in the health care system when I hear older physicians talk about the past (ass-pinching aside), and a concurrent lack of institutional control, comparatively.
 
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I think y'all are being WAY too flippant about this. #1 consent issues. Large majority of the consents include some sort of statement about who will be actually working on the pt. I'm willing to bet the patient DID NOT consent to allowing the CEO to cut on him. From a law perspective, this is straight up battery. Secondly, and some of you have your goddamn heads buried so far up your asses, I don't think you'll see the light up until you decompose, it is ENTIRELY up to us to prevent our medical specialties from being taken over by midlevels. FOR ****S SAKE, SO MANY anesthesiologists on this board have agreed that the deterioration of our specialty has been brought on by greedy old timers and CRNAs and the AANA. And here YOU ****ERS are, talking about how it's perfectly ok for some untrained, has no place being in the operating room to begin with, CEO cutting on some patient. How DARE you POS's diminish the medical profession by saying that it's ok for some rando to cut on someone. I am SO ****ING PISSED at you guys right now. CANNOT believe ANY ONE of us should ever say that's ok!!!!!! SHAME ON YOU!

MODS: feel free to send me a warning on this or whatever, I know it's against the TOS to use profanity on the board, but I don't care in this case. This is the kind of **** that ruins the medical profession.

Nobody said this was okay. Many said it probably didn't actually put the patient at risk. And that is true. A few thought the punishment as a bit excessive.
 
Nobody said this was okay. Many said it probably didn't actually put the patient at risk. And that is true. A few thought the punishment as a bit excessive.
I know I over reacted, but personally, that's how strong of a reaction this should have elicited. The punishment to me to that CEO and the CT surgeon is justified. By asserting that the punishment was too harsh, people (to me) implied that the incident wasn't that big of a deal. And this is coming from a guy who truly believes in second chances...like to a fault.
 
Last time I checked, none of the nurse first assists, PAs, nurse practitioners, nurse midwives etc have medical licenses but they wield scalpels in the OR all the time.

However, they have licenses from the state, that include in the scope granted by state law, the use of a scalpel. In addition, someone mentioned medical students. Under state law they also have legal status to do certain things that would not be permitted by a non-student. This is why there are "hoops to jump through" for away medical student rotations in another state.

If he had a valid license, even as an RN, or had been admitted as a student in a medical school in the state, the CEO's status would have been vastly different.
 
Never said I'd be cool with it. And if a hot-shot surgeon did that to my wife or daughter without them asking for it, you better believe I'd be waiting for them in the parking lot. But because I didn't scream bloody murder and pitch a fit like you, it's easier to have internet outrage over an era you weren't even born in. Whether you like it or not, that kind of stuff did happen. I did say it was overboard, but you got hysterical over because I used the word "some". If you're oblivious to the fact this went on back in the day, I don't know what to tell you except talk to enough older or retired physicians and you'll hear stories like that. If not, then maybe go watch an episode or two of 'Mad Men' or something...

My broader point was despite this type of past behavior, there has been a dissolution of hierarchy in the health care system when I hear older physicians talk about the past (ass-pinching aside), and a concurrent lack of institutional control, comparatively.

What? Just because you don't like something that happened in the past doesn't mean it didn't happen. Are you conflating the two and can't tell the difference? I can acknowledge that Halsted was on cocaine most of his life and state that was not a good thing. If I was arguing that the things you said never happened...I'd say that none of the things you said happened.

Arguing against someone by saying that they're "screaming bloody murder and pitching a fit" isn't really an argument. And nobody was "hysterical" about anything 🙄 (classic thinly veiled ad hominem instead of actually addressing the point at hand). I'm not yelling, screaming and crying on the floor about your weird post. But stating that only "some" of that was inappropriate (as opposed to ALL of the things you mentioned being inappropriate) shows that you have a poor sense of what is actual appropriate behavior in the workplace.
 
Nobody said this was okay. Many said it probably didn't actually put the patient at risk. And that is true. A few thought the punishment as a bit excessive.

The "putting the patient at risk" part doesn't really matter. It's a matter of the patient being aware of what is happening to them and what they are consenting to. Again, would me letting an executive sit in on a psychiatric interview without the patient's knowledge or consent put a patient "at risk" of anything? But would any of you think that's actually appropriate to do this for apparently just entertainment purposes? (it's not like the CEO was learning how to perform the actual procedure or anything useful)

Also some of the responses were a bit more than just thinking the punishment was a bit excessive (which I also agreed with but can see why it happened).

If a first year medical student can do this and much more, it's absolutely no big deal if a CEO does it. For goodness sake, the surgeon is standing right there, probably guiding his hand. Some nurse probably reported him, and the bureaucrats had no idea what to do, so they ridiculously overreacted.

Last time I checked, none of the nurse first assists, PAs, nurse practitioners, nurse midwives etc have medical licenses but they wield scalpels in the OR all the time.

And then of course there's the poster I directly responded to who seems to imply that this is just an example of the "pendulum swinging back too far the other way".
 
The "putting the patient at risk" part doesn't really matter. It's a matter of the patient being aware of what is happening to them and what they are consenting to. Again, would me letting an executive sit in on a psychiatric interview without the patient's knowledge or consent put a patient "at risk" of anything? But would any of you think that's actually appropriate to do this for apparently just entertainment purposes? (it's not like the CEO was learning how to perform the actual procedure or anything useful)

Also some of the responses were a bit more than just thinking the punishment was a bit excessive (which I also agreed with but can see why it happened).





And then of course there's the poster I directly responded to who seems to imply that this is just an example of the "pendulum swinging back too far the other way".

I don’t disagree with you, but within the field of medicine psych does have a higher standard when it comes to patient privacy. A lot of EMRs utilize break-the-glass for psych notes.
 
Yeah, it was.
Boy if someone grabbed my ass! Ohh... they know better than to do that w Black women because they will get slapped and or humiliated.

There was overt sexual and physical abuse happening with some of those old dinguses to patients and staff.
Disgusting behavior I have heard about by some of these 70 year old jerks.
 
Whatever happened to that Anesthesiologist who stuck their finger up a pt's pooper? Or was it a cervical exam?
I think it was a cervical exam. I know of an old nasty foggie urologist who used to give all his female patients a breast exam. I think I brought it up on here once before and someone said it would be hard to prove that he, as a doctor, did not have a reason to do a complete physical exam on patients.
Disgusting.
 
I know of an old nasty foggie urologist who used to give all his female patients a breast exam. I think I brought it up on here once before and someone said it would be hard to prove that he, as a doctor, did not have a reason to do a complete physical exam on patients.
Disgusting.
That’s shady AF
 
Agree on most points. There were certain folks who certainly WERE a-holes, and for no good reason.

OTOH, healthcare is a major bureaucracy, and hasn’t gotten any better. The job of a doctor, much like a lawyer, is to be an ADVOCATE for their patient, in order to get things done. “Being polite” doesn’t always get things done, when dealing with incompetence or laziness, or when a true nedical emergency is occurring and seconds/minutes really DO count. A doctor is not there to be nice to staff, but to get his/her patient the care that they need (just as a lawyer is not there to treat witnesses in a gentle fashion).

(In this case, letting a CEO operate, is NOT advocating for your patient...)
Being an dingus in order to get things done mostly works for male physicians, not female. FYI.
Maybe if some of these men tried to be a little nicer, it would be easier for the rest of us. Because the minute a woman tries to be a bit of a jerk to "get things done" she's labeled difficult and things don't necessarily go her way. But plenty of ass hole men out there just being "assertive" etc, bs.
You can actually be nice and get things done at the same time.
 
I know I over reacted, but personally, that's how strong of a reaction this should have elicited. The punishment to me to that CEO and the CT surgeon is justified. By asserting that the punishment was too harsh, people (to me) implied that the incident wasn't that big of a deal. And this is coming from a guy who truly believes in second chances...like to a fault.
What do you say of surgeons who neglect to tell patients that they will be having a FIRST ASSIST working with them only for the patients to find out after the fact, when they get some insanely outrageous bill from someone they have never heard of? Should those surgeons be fired? There are plenty of those going around and you have probably participated in those cases.
 
What do you say of surgeons who neglect to tell patients that they will be having a FIRST ASSIST working with them only for the patients to find out after the fact, when they get some insanely outrageous bill from someone they have never heard of? Should those surgeons be fired? There are plenty of those going around and you have probably participated in those cases.
On a larger scale, that's part of the reason why we all know and agree that there needs to be HUGE medical reform here in the United States. Out of network billing should never have been a thing....like seriously, who the **** invented networks for billing purposes?
I wouldn't say a surgeon needs to be fired for that because the first assist was likely necessary to ensure the success of the surgery. The CEO cutting on the patient was not a necessity. These are difficult discussion topics and I don't/won't have the right answer most of the time, but that question you posed kind of changes the goal posts just a little bit.
 
Do you need a medical license to participate in a medical procedure? Med students close skin all the time and they don't have a license.

Patients at a training hospital have given implied consent to treatment by the entire medical team (attending, resident, students, RNs, techs), as well as for educational purposes, if they haven't already agreed to it in one of the 20 consent forms they signed. There is a tremendous amount of trust patients place in a physician's hands, especially when they are incapacitated under anesthesia. Letting a nonmedical person lay hands on a patient for a fun day of show and tell is a huge breach of trust. This has no place in the profession.

I can't believe the correctness of the hospital's response is being debated. I understand gas docs don't have the same type of doctor-patient relationship as other specialties, but stop for a moment and appreciate the trust you are given by random patients just by virtue of being a doctor or part of the surgical team. Granted, most don't understand how serious going under anesthesia is, but they still trust you to do the right thing.
 
I have been around long enough to see and experience behavior in the O.R. that was appalling. The type of stuff that would get the surgeon fired today. But, when I reported these events, which were truly horrendous, to the O.R. supervisor her response was "administration won't do anything about it because they bring in huge $$$ to the hospital." So, these jerks were allowed to commit battery, sexual harassment and verbal harassment at will because they bring in the money. I'd rather see people fired and reprimanded even in today's PC climate than go back to the supposed good old days where smoking, porn, liquor, sexual harassment, sex in hallway, throwing instruments, etc were all allowed provided you bring in the money.

For those that can't see how allowing a CEO with no formal medical education or training to cut on a patient is going down that same "slippery slope" of the past I want to remind you that is how it all gets started. It is a culture where those in power get to break the rules, even make the rules, while the rest of us are forced to obey them. The Cardiac Surgeon will be lucky if the state Board of Medicine doesn't issue a formal reprimand or even a 60 day suspension.
 
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I have been around long enough to see and experience behavior in the O.R. that was appalling. The type of stuff that would get the surgeon fired today. But, when I reported these events, which were truly horrendous, to the O.R. supervisor her response was "administration won't do anything about it because they bring in huge $$$ to the hospital." So, these jerks were allowed to commit battery, sexual harassment and verbal harassment at will because they bring in the money. I'd rather see people fired and reprimanded even in today's PC climate than go back to the supposed good old days where smoking, porn, liquor, sexual harassment, sex in hallway, throwing instruments, etc were all allowed provided you bring in the money.

For those that can't see how allowing a CEO with no formal medical education or training to cut on a patient is going down that same "slippery slope" of the past I want to remind you that is how it all gets started. It is a culture where those in power get to break the rules, even make the rules, while the rest of us are forced to obey them. The Cardiac Surgeon will be lucky if the state Board of Medicine doesn't issue a formal reprimand or even a 60 day suspension.

The good-ol-days are on the way out and thats a good thing for everyone's sake. We are held to a higher standard and have a lot to live up to. This case is a violation of the patient's trust and none of us would be cool with this happening to our bodies nor the bodies of our families or loved ones. Bad behavior warrants appropriate action. Professionalism is a real thing and we should strive to maintain it as best as we can.
 
Yeah I feel like I’m on drugs here with some of the responses, wtf. This is not the case of a medical student learning. So we can just bring anyone in to our offices and ORs for show and tell now to do stuff on patients while they’re under anesthesia?! Your mom is visiting from out of town and wants to see what you do for a living and that’s ok because med students interact with patients?!

But I guess I shouldn’t be surprised. To be honest, it’s a surprise that patients trust us as much as they do because medicine has done some pretty horrific things to people over the years. These responses reinforce the fact that we have a long way to go.
 
I have been around long enough to see and experience behavior in the O.R. that was appalling. The type of stuff that would get the surgeon fired today. But, when I reported these events, which were truly horrendous, to the O.R. supervisor her response was "administration won't do anything about it because they bring in huge $$$ to the hospital." So, these jerks were allowed to commit battery, sexual harassment and verbal harassment at will because they bring in the money. I'd rather see people fired and reprimanded even in today's PC climate than go back to the supposed good old days where smoking, porn, liquor, sexual harassment, sex in hallway, throwing instruments, etc were all allowed provided you bring in the money.

For those that can't see how allowing a CEO with no formal medical education or training to cut on a patient is going down that same "slippery slope" of the past I want to remind you that is how it all gets started. It is a culture where those in power get to break the rules, even make the rules, while the rest of us are forced to obey them. The Cardiac Surgeon will be lucky if the state Board of Medicine doesn't issue a formal reprimand or even a 60 day suspension.
Why did you have to go to the OR supervisor? Why not go directly to administration yourself? Shoot an email? Why the need to go through nursing?
 
Being an dingus in order to get things done mostly works for male physicians, not female. FYI.
Maybe if some of these men tried to be a little nicer, it would be easier for the rest of us. Because the minute a woman tries to be a bit of a jerk to "get things done" she's labeled difficult and things don't necessarily go her way. But plenty of ass hole men out there just being "assertive" etc, bs.
You can actually be nice and get things done at the same time.

Actually, one of our “meanies” is a female CT surgeon. I’ve seen her get pretty nasty with staff. With that said, it’s almost always an instance when someone didn’t do their job (ordering equipment or patient care), and folks know, when it’s her pt, she’s gonna make darn sure they get what they need. She’s quite affable, otherwise.

This CEO/CT surgeon thing is pure stupidity (on the oart of THOSE two, not the person who reported it),and I’m addressing previous posts, re certain hospital staff who these days seem to think their incompetence/laziness should be tolerated until their next “evaluation”, rather than being called out, immediately, when a patient’s care or safety is at stake.
 
The good-ol-days are on the way out and thats a good thing for everyone's sake. We are held to a higher standard and have a lot to live up to. This case is a violation of the patient's trust and none of us would be cool with this happening to our bodies nor the bodies of our families or loved ones. Bad behavior warrants appropriate action. Professionalism is a real thing and we should strive to maintain it as best as we can.

There is a lot of righteousness on this thread which I think is overblown. Standards of acceptable behavior and speech evolve over time. Yes we used to have wine and beer at MEC 20 years ago. Never saw anybody drunk. Only rarely saw anybody take a single drink. Yes we used to have med students do pelvic exams on anesthetized patients. Nobody, including the RNs gave it a second thought. The argument was that it promoted experience and advanced the day of competence. Some educators in medicine modeled their teaching style on that of a Marine Drill sergeant depicted in some movies. Some of them honestly believed that treating learners this way was an effective teaching technique. Times change. The border between professionalism and individual discretion and unacceptable behavior is a moving target.
 
Actually, one of our “meanies” is a female CT surgeon. I’ve seen her get pretty nasty with staff. With that said, it’s almost always an instance when someone didn’t do their job (ordering equipment or patient care), and folks know, when it’s her pt, she’s gonna make darn sure they get what they need. She’s quite affable, otherwise.

This CEO/CT surgeon thing is pure stupidity (on the oart of THOSE two, not the person who reported it),and I’m addressing previous posts, re certain hospital staff who these days seem to think their incompetence/laziness should be tolerated until their next “evaluation”, rather than being called out, immediately, when a patient’s care or safety is at stake.
She's in the minority. I assure you. This is the world we live in.
Again, it's easier to be nice. And you can be assertive and affable as well.
I am talking about the straight up ass holes just for the hell of it. Tolerated much more so from men than women. Not even a question or a point of discussion really. It's a man's world.
 
The new order of things is A zero tolerance policy. If you act inappropriately or do things outside your scope/area of practice then the real possibility of termination could be the result.

No longer are patients or society going to tolerate inappropriate behavior in the OR. From examining a woman under anesthesia to making a skin incision only the appropriate healthcare personnel should be involved unless explicit consent is obtained from the patient.

I would even argue that inappropriate comments by healthcare personnel in the room could result in termination as well.

Imagine if patients find out that a med student is putting in their Foley!! Or intubating a patient!!
 
Being an dingus in order to get things done mostly works for male physicians, not female. FYI.
Maybe if some of these men tried to be a little nicer, it would be easier for the rest of us. Because the minute a woman tries to be a bit of a jerk to "get things done" she's labeled difficult and things don't necessarily go her way. But plenty of ass hole men out there just being "assertive" etc, bs.
You can actually be nice and get things done at the same time.

I’d argue that 98% of the jerks in the hospital are just jerks. A few jerks use their jerkiness to occasionally advocate for their patients, and 2% use it selectively to advocate for their patients and are nice the rest of the time.
 
There is a lot of righteousness on this thread which I think is overblown. Standards of acceptable behavior and speech evolve over time. Yes we used to have wine and beer at MEC 20 years ago. Never saw anybody drunk. Only rarely saw anybody take a single drink. Yes we used to have med students do pelvic exams on anesthetized patients. Nobody, including the RNs gave it a second thought. The argument was that it promoted experience and advanced the day of competence. Some educators in medicine modeled their teaching style on that of a Marine Drill sergeant depicted in some movies. Some of them honestly believed that treating learners this way was an effective teaching technique. Times change. The border between professionalism and individual discretion and unacceptable behavior is a moving target.
I say bring back the wine and beer at MEC. Of course I have never been on the MEC except on the receiving end which of course needed wine.

Anyway, are med students on their respective rotations not allowed to do Gyn exams anymore or something? Or are we talking of grabbing random medical students from the hallway and making them feel something weird when they aren't on that rotation. I remember in my life as an attending being invited to participate in a pelvic exam (I think) and thinking no big deal and participating. Guess that would be viewed as inappropriate in some places.

I have been in Army basic training. I was not traumatized by drill sergeants. And now that I think about it, maybe because in the Military there were so many minorities from all ranks on the non-commissioned side that I didn't feel threatened at all. I never felt like they were gonna kick me out and honestly they just wanted to make us stronger. I felt like we were all treated the same in the military and the drill sergeants actually would let loose sometimes and joke with us and be normal.

Whereas I felt threatened in residency as one of the two black residents I constantly felt like they were gonna get rid of me and I was targeted. In medicine I felt there was always this undertone of "I could end your career" and straight up malignancy of "You have to behave this way" and everything else was "unprofessional" which lead to walking on eggshells. All I know is I have nothing but fond memories of the "abuse" I received in the army where they even gave me a nickname and I was always in "trouble." It's different types of abuse that's for sure. There is a "class" system in medicine led by a bunch of Old White Men (Good Ol' Boys) that leads to rampant abuse and I for one am glad it's changing, because there is no need for it.

Lastly, as a woman in the OR, I can say that I have dealt with a lot of sexual talk, innuendo's, nasty jokes sometimes directed at me, involving me, but mostly involving the surgeons and their lives. Also witnessed A LOT of verbal abuse mostly directed at the OR staff but occasionally directed at me. Happened a lot out West where surgeons rule the town. Made me uncomfortable, was unwelcome, but what the hell do you do besides try to stop it and not partake in it? I got into a huge argument with a Gen Surgery prick one time as I attempted to stand up for a nurse who was getting incessantly berated. Huge argument where the dingus then turned his anger on me, berating me, when I told him something like "come on dude, that is unnecessary". And of course I eventually ended up backing down because I didn't want to lose my job and the prick wasn't gonna stop, but it shouldn't be like that.

Let's face it, there are a lot of narcissists in Medicine. Especially in surgery. Administration sometimes kisses their assess. It isn't right, needs to stop and administration needs to put a stop to it.
 
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