What's your 'The bone is broken; I need to fix it story'?

[Iso4ane]

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We have a ortho surgeon who doesn’t believe in blocks but let’s us them them anyways since he at least understands we have a fellowship and the fellow needs to get him numbers.

One of these days I hope that guy needs like a TKA or ORIF or something. See if he changes his tune.

 

[anbuitachi]

it feels like about half of the orthopods care and the other half only cares about their bottom line. i'm sure they are smart people but i dont understand how some of them dont understand simple things, like the benefit of leaving in a catheter for post op pain for bigger cases. there was an orthopod who did not let his patients get catheter because 10 minutes of his time is more important than patient comfort after surgery.

 

[Nargosi]

So did you do it?

I told them I had considered it and respectfully declined.

 

[2Fast2Des]

To be fair to orthopods every where, I think most of them care about the patients. The ones I work with, if you bring up concerns they will more than likely listen. They don't want to do anything that will ultimately harm their patient. None of them want bad outcomes. I think the disconnect comes from how they are trained and how a lot of systems are set up. I think they just assume that if a patient makes it to the holding area, then they had all the boxes checked off. They assume medicine/cardiology/pulmonary has cleared them (consulted by the interns) and are ready to cut them up. Believe me, you don't want these guys managing the patients on the floor when it comes to medicine...

Maybe it's better to leave every specialist to their forte. Why expect medical management from a specialty that is a "me hammer now?" all day. Better their time spent practicing their expertise in the OR rather than writing notes and chasing down labs and consults.

 

[deleted9493]

In our adult shop on a call weekend a few months ago I had two 99 year old hips and a 750lb patient with an ankle fracture (in an already busy, 20-25 case day). I actually thought the orthopod was kidding when he said that he had a second 99 year old. Thankfully the hospitalists cleared them so everything went fine.

 

[Ronin786]

So did you do it?

Best nerve block ever.