Those guys do their own anesthesia tho. Not the typical surgeons correct?
At our program they spend 6 months in anesthesia.
This is a combination of ignorance and being a dick. It is a learned thing unfortunately. I try to approach things differently but until some of the old stereotypical characters quit being the ones teaching it will persist. But if I notice the patient is taking a deep breath, hiccuping, coughing, whatever that is making it difficult to do my operation and I politely inform my anesthesiologist, usually they rapidly correct the issue. No drama on my side means no defensiveness on theirs.
The folks who can't distinguish between someone being asleep but not paralyzed versus being awake drive me nuts. Some movement towards the end of a case is probably fine. If their omentum is eviscerating out the umbilical port then I might ask them to make the patient quit pushing (unless they are skinny and I can see enough to push it back in while I close the fascia and be sure I am not catching it in my stitch) but otherwise I can hit a moving target as long as they aren't trying to escape from the bed.Wish more were like you! The ones that make us roll our eyes and lose respect for are the ones that think they know more about our field when they don't even know the mechanism of action of anything we use or ever read a book. Had a surgeon tell me the patient is waking up because the patient moved while pulling the specimen out of the laparoscopic port and I gave it back to him saying the patient is far from awake. He yelled at me saying the patient is awake because he (surgeon) said so. And he said doesn't understand why "you anesthesiologists" say patient is asleep when they move so clearly they are all wrong. For a lap appy none the less. Lol. Please teach your residents and colleagues to let us worry about if the patient is relaxed or awake, we might know what we're doing
Or it means you’re a ****ty surgeon when your colleagues can close in 5 mins when you took 15!
Most of my cases are appys and choles so I know it is extra hard because the cases are super short and the time where stillness really helps is very close to the time when I will be finished. Add in the "large volume of distribution" for a lot of my patients (aka they are fat) and it is even harder.
I get called hey doc all the time and it bothers me not even a bit, but i get how it could bother others. I don't use the names of any of those other folks you mentioned because I usually have no idea what it is (I am terrible with names). I just say hello or hey and then ask for what I need from them. We get a fair amount of locums here and they usually introduce themselves before the case. The non teasing times they remain nameless is because they literally don't say a word to me before I need to ask for something from them while they are behind a drape. Because a word is all it would take for me to recognize their voice because I know all the regulars. But having no idea who the hell is back there thing isn't common, either because I come in before the draping, they happen to be standing when I come in, or they say hi.
This is one reason. Though I can avoid it by saying stuff like "can I get position please" when I don't know a name and/or don't care who accomplishes the task. Now if I don't get a response then a generic hey to the room won't be helpful and in have to get specific in some way so I pick role (have also been known to say hey where is our circulator when the situation arises). That way if a personnel change has happened I am covered too (sometimes I am focused enough I don't notice when my tech changes let alone anyone else)
Or you could try being friendly and saying hey I am so and so before each case with a new person. I don't know what to tell you. It is a different setting in the OR where you can't tap someone on the shoulder or just hover right behind them until they acknowledge you to start a conversation. Same stuff happens during bedside procedures. Hey nurse grab me such and such or hey rt I need a different trach. It isn't so much a double standard as it is that I don't need something immediate from any other specialty like I might from anesthesia so I can use other methods and hide forgetting their name. Maybe others mean offense by it, but i doubt it. I think it is more that it is sort of tradition for whatever reason and they don't realize it may upset some.
