Some Surgeons Never Learn

[Noyac]

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Did a pretty funny case today. 60ish you lady with ESRD, CAD, HTN, Severe PVD s/p bilateral BKA's. She had an MI in December and received 4 DES (stents) supplying the vast majority of her coronary flow. On Plavix and ASA s/p stents. I did the anesthetic for her last BKA about 2 months ago withthe same surgeon. She bled like a stuck pig, big surprise since we didn't stop the plavix. He like many surgeons didn't have an accurate appreciation of plavix during the first BKA. He asked me why I was type and crossing the pt for a BKA. 😱 Now don't get me wrong, he's a good surgeon but thats it. He doesn't know much about medicine like many surgeons. He thinks, bring them to the OR, I can fix it. Fast forward to today. Pt is septic from infected BKA stump. We sort of need to debride it and I am not in favor of stopping the plavix. So we go to the OR and I say "Hey you want to put a tourniquet on that stump b/4 we start?" He says, "No, why?" So I type and cross her again since he didn't do it, AGAIN. He gets started and looks up at me and says, "she exsanguinating". No ****, I say. How about a tourniquet? Finally he puts a tourniquet on and gets control of the bleeding. Then I remind him of the last time we did her. 😴 Oh well, another day down.

 

[pmichaelmd]

Did a pretty funny case today. 60ish you lady with ESRD, CAD, HTN, Severe PVD s/p bilateral BKA's. She had an MI in December and received 4 DES (stents) supplying the vast majority of her coronary flow. On Plavix and ASA s/p stents. I did the anesthetic for her last BKA about 2 months ago withthe same surgeon. She bled like a stuck pig, big surprise since we didn't stop the plavix. He like many surgeons didn't have an accurate appreciation of plavix during the first BKA. He asked me why I was type and crossing the pt for a BKA. 😱 Now don't get me wrong, he's a good surgeon but thats it. He doesn't know much about medicine like many surgeons. He thinks, bring them to the OR, I can fix it. Fast forward to today. Pt is septic from infected BKA stump. We sort of need to debride it and I am not in favor of stopping the plavix. So we go to the OR and I say "Hey you want to put a tourniquet on that stump b/4 we start?" He says, "No, why?" So I type and cross her again since he didn't do it, AGAIN. He gets started and looks up at me and says, "she exsanguinating". No ****, I say. How about a tourniquet? Finally he puts a tourniquet on and gets control of the bleeding. Then I remind him of the last time we did her. 😴 Oh well, another day down.

 

[nociceptor]

Did a pretty funny case today. 60ish you lady with ESRD, CAD, HTN, Severe PVD s/p bilateral BKA's. She had an MI in December and received 4 DES (stents) supplying the vast majority of her coronary flow. On Plavix and ASA s/p stents. I did the anesthetic for her last BKA about 2 months ago withthe same surgeon. She bled like a stuck pig, big surprise since we didn't stop the plavix. He like many surgeons didn't have an accurate appreciation of plavix during the first BKA. He asked me why I was type and crossing the pt for a BKA. 😱 Now don't get me wrong, he's a good surgeon but thats it. He doesn't know much about medicine like many surgeons. He thinks, bring them to the OR, I can fix it. Fast forward to today. Pt is septic from infected BKA stump. We sort of need to debride it and I am not in favor of stopping the plavix. So we go to the OR and I say "Hey you want to put a tourniquet on that stump b/4 we start?" He says, "No, why?" So I type and cross her again since he didn't do it, AGAIN. He gets started and looks up at me and says, "she exsanguinating". No ****, I say. How about a tourniquet? Finally he puts a tourniquet on and gets control of the bleeding. Then I remind him of the last time we did her. 😴 Oh well, another day down.

Good thing Anesthesiologists wear that special something under their coat/scrubs.

😎

 

[OB1🤙]

My intern opinion of surgeons: when LOLs with broken hips are admitted to medicine rather than surgery so that the surgeons don't kill them while in house, then, uh, that sucks and stuff.

Funny story, Noy.

 

[bubalus]

"Insanity: doing the same thing over and over again and expecting different results."

-Albert Einstein