World Record Turnover Time

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Hey buddy,

17 minutes is fine for a solo doc with the EXACT same OR crew and housekeeping each case. It's actually pretty average. But it's not ideal. Otherwise, if you have a separate OR team and anesthesia crew, it's actually pretty terrible because an orthopod should be able to scrub out and (having signed and marked the site beforehand) then be able to immediately roll into his next room and start cutting. This is nothing special or unique among places where we flip orthopods.

Long story short, good for you! Keep motivating the youngsters and talkin nonsense about bein a "ROKKSTAR". But i wouldn't be braggin about it on an anonymous forum bc it ain't **** son.

Peace.

:laugh:

Love your style!

You apparently live in a vacuum atmosphere somewhere tho since your story depicts quick turnover times as being "The Norm"

Dude somebody

laced your water bong hydroponic weed with

PCP


you're

hallucinating

which makes you incapable of painting a

Real Life Picture
 
my turnover time is 1.5 minutes. I have the preop nurse place monitors attached to a transport monitor before I get there. I call the patient in the preop area from the OR while in the previous case, telephone consent. Then when my case is done, i drop in the PACU, send a text message to the RN for report. Pickup my next patient and immediately head back. I push induction drugs in the hallway, so that by the time we are in the room the patient is apneic, and I intubate them immediately. I am skin to skin in 3 minutes. the surgeons love me.
 
Jet if you really think only 7 places in the lower 48 can do less than 20min turnovers then you have yo tell us what you are smoking!

I'm consitently under 20min from patient out to patient asleep with barely any help from the circulator/nurse (but that said i'm not in the US).

Peace
 
which makes you incapable of painting a

Real Life Picture

:eyebrow:

Why do you have such difficulty believing that other institutions are capable of being efficient? To the point that you refuse to believe others when they report similar times?

The truth is that room flipping is far more efficient than any one-room lightspeed turnover. 17 minutes out-the-door to in-the-room is nice, but it's still 30+ min at best from the time the orthopod is done with the skilled work on case A and able to cut into case B. When he can walk out of case A while someone else is closing the deep layers, step next door and be buzz-sawing away on case B before A even hits the PACU, that is efficient. Being able to do a few extra cases each day during normal working hours more than offsets the cost of the 2nd room and crew (obviously; else the OR wouldn't allocate the ortho guys two rooms while the general surgeons fight for scraps).


Dismissing others' experience seems a little insecure, but that sure ain't you, so what's up?
 
We don't have any turnover time. As a matter of fact, we go back in time with our subsequent cases, that's how fast WE are.
 
Dismissing others' experience seems a little insecure, but that sure ain't you, so what's up?

Let's take stock here:

Bodybuilder

Monster Truck

Big, Bold fonts

Big, Bold stories

...sounds a little insecure to me, too. As a matter of fact, I seem to recall some kind of flex-off with pictures posted in the distant past.
 
Let's take stock here:

Bodybuilder

Monster Truck

Big, Bold fonts

Big, Bold stories

...sounds a little insecure to me, too. As a matter of fact, I seem to recall some kind of flex-off with pictures posted in the distant past.

😱

:laugh:

You can be the judge and jury, Slim.

Doesn't bother me.

You can be the judge of intent, personality, lifestyle, confidences and vulnerabilities.

What you

CAN'T DO

is deny the plethora of material posted on this forum about our beloved profession by a select few and the lives lived by real life anesthesiologists not long ago. That select few included me.

The business of anesthesia. What to look for when you're a young, naive anesthesiologist about to become partner. How to avoid being taken advantage of in a contract or in the normal everyday runnings of a group practice. How to fluorish as a new hire. How to fail as a new hire. How to run the board. How to handle run ins with surgeons. Real life cases with resultant threads muuuuuuch longer than your johnson full of creative clinical interaction. Clinical questions so relevant and so esoteric at the same time that only MilMD or UT could answer them. Different ways to do the same case. Tricks that make you look like a ROKKSTARR easily learnable to someone right outta residency

ETC ETC ETC


What I'm doing is

WONDERING.

Some wise poster recently posted that

this forum, like our lives, is cyclical.

People come and people go.

I was privileged to be part of this forum when it was very actively pumping out relevant material for the current day anesthesiologist, the new just outta residency anesthesiologist looking for direction, the residents, and the med students interested in anesthesia

ALL AT ONCE.

EVERY DAY.


Sooooo

What am I wondering?

I'm wondering

where are the hungry, budding anesthesiologists on this forum full of s h i t and vinegar, willing to share their love of their craft, their knowledge, and their lives with others in the same craft, in a way that is unlike sitting in a second year med school pharmacology lecture?

If you were a part of the forum back then, you'll understand my point of reference. If you weren't, you'll haffta take my word for it that this forum current day leaves a lot to be desired.

I am happy. I love my job as an anesthesiologist. I chose to share my professional and life experiences with you and people like you.

I chose to let you see my life.

I'm hoping there are clinicians out there that choose to do the same thing, using whatever style they choose.

We will all benefit.
 
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Jet if you really think only 7 places in the lower 48 can do less than 20min turnovers then you have yo tell us what you are smoking!

I'm consitently under 20min from patient out to patient asleep with barely any help from the circulator/nurse (but that said i'm not in the US).

Peace

I laud and respect you and your efforts.

You post as if

efficiency is the norm

It is not.

And it should be.

SOOOOOO, you've missed the message.

There is more operating room inefficiency out there than dudes that've

SCHTOOPED

Angelina Jolie.
 
my turnover time is 1.5 minutes. I have the preop nurse place monitors attached to a transport monitor before I get there. I call the patient in the preop area from the OR while in the previous case, telephone consent. Then when my case is done, i drop in the PACU, send a text message to the RN for report. Pickup my next patient and immediately head back. I push induction drugs in the hallway, so that by the time we are in the room the patient is apneic, and I intubate them immediately. I am skin to skin in 3 minutes. the surgeons love me.

I don't know if someone can "win" a thread, but this dude just did. And he's a resident.
 
I don't know if someone can "win" a thread, but this dude just did. And he's a resident.

👍👍

This

RocurWorld

dude?

THATS WHAT IT'S ABOUT MAN.

IT IS VERY OBVIOUS YOU GIVE A S H I T.

There are many attendings out there that should model themselves after you.

Keep it up, dude. It'll pay off. Bee Leave me.

👍
 
:. I chose to share my professional and life experiences with you and people like you.

I chose to let you see my life.

.

Dont think it isn't appreciated, Jet.

I've been around quietly for a few years now and I've read many of your old threads, and enjoyed them all. You say you love writing, so keep em coming.
 
I am happy. I love my job as an anesthesiologist. I chose to share my professional and life experiences with you and people like you.

I chose to let you see my life.

I'm hoping there are clinicians out there that choose to do the same thing, using whatever style they choose.

We will all benefit.

I was so inspired by this- a callout to improve the clinical benefits of this forum, and a reminder that WE ALL take time out of our days to post here.

and some

NERD

makes a big deal about it.

Then the callout regresses to namecalling, as it so often does. And for the record, there was no boat involved to my recollection. The pic I am referring to showed a headless figure posing in front of a mirror, as a taunt in a very volatile thread.

Don't bother searching for the pic- it was deleted before the sun set on that day.

Why is everyone suddenly feeling the urge to annoy Jet?

Because he sometimes annoys us? No one can deny the rich history of his posts, and basically everyone here has learned something, if not very many things, from his contributions.

Historically, voices that were not loud and obnoxious around here were crushed. You can brag all you want about the mountains of advice and countless hours of time you contribute, but if at the end of the day you continue to threaten, mock and make fun of people and their opinions, I'm not so sure your "contributions" are as valuable as you think they are. That's not fostering education. It's puffing your chest out and dominating to prove you are the king of the hill.

Maybe I think it's silly that a man brimming with so much confidence would give a damn about what a internet nerd like myself thinks about him. Unless he actually cares what other readers of this forum think about him, which goes against hundreds of his posts quoting the exact opposite.

Or maybe I am just trying to take this forum back to the Good Ole Days that so many people miss. It's been at least month since we've had a ban around here.
 
No one can deny the rich history of his posts,

and basically everyone here has learned something, if not very many things, from his contributions.

Maybe I think it's silly that a man brimming with so much confidence would give a damn about what a internet nerd like myself thinks about him.

Unless he actually cares what other readers of this forum think about him, which goes against hundreds of his posts quoting the exact opposite.

Hi Gang,

What I can say about my friend Jet is that I think he's getting the short end here. But then again, all you Jet haters are probably D712 haters too, because we're on the same team, but for what it's worth...

I bolded what I thought are the main points of the post above. It should PROBABLLLLY end with the first bold...that no one can deny the rich history of his posts. Period. So let it go.

When you add up all that Jet has added to this site, FUGHEDDABOUTIT.

Jet isn't brimming. And he absolutely gives a crap what people here on SDN think. What I'll say here is, he's got a tough love sort of style. He gives it good. And he takes tough love good too. Trust me on that one. So, for all the BOLD AND BIG FONT, that's just him having some fun and letting people know EXACTLY where he stands. There is no ambiguity in his posts and I, actually, appreciate that.

Jet caring goes against 100s of posts? No. He cares, some might say, too much. The dude loves his job, loves being creative, loves writing and leading the best way he knows here.

So, to all the haters, GET A LIFE. Really. You wanna give him crap about hating on you, on this internet forum? This anonymous forum. Then, right back atcha. Seriously, there's nothing I'm seeing in Jet that is bad in his bones. Not a thing. And I think Plank, another good guy here, hits the nail on the head. A few people don't like his style, so they target him.

Little old premed D712 has landed here, respectfully, amongst doctors here on this sub forum, a group of insanely busy professionals that the average American simply isn't afforded the opportunity to stop in the hospital, needs to wait for a call-back same day MAYBE, if you have fever, or a rash, and that weighs on me as I watch and learn. But what little old premed D712 has also done, is stare down the big bad wolves on this forum, all with MD next to their names, who have come and gone and BURNED themselves to the point of a BAN or just DISAPPEARING. I am passionate about telling loud mouths to shut up, I can spot arrogance and ignorance and naiveté a click away, and Jet is NONE of the above. On the phone, chatting for an hour, or three, the DUDE is the mellowest, nicest, supportive, good souled human being you would WANT PROVIDING EXCELLENT ANESTHESIA to you and your loved ones. So, if people are gonna speak up and get mad, go for it. It's not gonna stick with Jet. To me, or anyone with a mind on this forum. Never. Dislike his style, fine. Bad human, please. Arrogant? Nope. Assure of himself and his craft and profession? YOU BET. AS HE SHOULD BE. Tell me you guys and gals don't swagger into the OR every once in a while, hypocrites. I've seen Jet and his team in photos. Every person in that damn hospital loves that Dude.

So, for sticking up for Jet, Target me, I get it. At least I'm not boring and indifferent. I'll take the crosshairs any day over boring and indifferent. I'll NEVER be boring and indifferent.

Jet doesn't need me to post a SINGLE WORD in his defense. I just felt like it. Somebody asked for a ban around here, take your best shot. (though reading in the other thread, HA, I think that MIGHT have been handled).

If you don't like the tough love from Jet? I think there is still an IGNORE button for you to use. So use it.

D712
 
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I fail to understand why people feel the need to defend the Teflon Don of this forum.

I make one post suggesting certain qualities may belie insecurity, and all of a sudden it's some kind of East Coast/West Coast turf war. Compared to the stuff that used to pass as acceptable around here, what I have posted thus far isn't a blip on the radar.

There have been plenty of other not-quite-so-prolific posters that have been shaken down for mild attitude. Given his history, I hardly feel as though Jet is beyond reproach or challenge, and frankly feel he can take care of himself quite well. As you stated, he's shown he can take it as much as he dishes it, and I've barely dished some crumbs and a bit of tomato off a slice of bruschetta.

You want to see some better threads? Put up or shut up.
 
I fail to understand why people feel the need to defend the Teflon Don of this forum.

Yeah, this would be the first time in the history of anonymous internet forums that something didn't make sense... 😉

p.s. I like Bruschetta. Yum.

n.b. And Jet is totally not beyond reproach. Nor am I beyond posting when the moment strikes... ain't nothing but a thang. We'll agree to disagree. More fodder for the masses.
 
The pic I am referring to showed a headless figure posing in front of a mirror, as a taunt in a very volatile thread.

Don't bother searching for the pic- it was deleted before the sun set on that day.

Pretty sure I remember that one. It was super awesome...in a silly internet tough guy kind of way. Kind of like watching the movie Roadhouse when it comes on TV. It's good because it is so unintentionally bad.
 
You can always "ignore" people. It is a sweet function on this forum.
 
👍👍

This

RocurWorld

dude?

THATS WHAT IT'S ABOUT MAN.

IT IS VERY OBVIOUS YOU GIVE A S H I T.

There are many attendings out there that should model themselves after you.

Keep it up, dude. It'll pay off. Bee Leave me.

👍

You know he was joking, right?
tumblr_l4lvabPfH21qa0b99o1_250.gif
 
I would like to think everyone knew I was joking. But i do mean it when I say it made my day getting some validation from JPP! I was mostly making fun of the people who were saying how efficient they were ... when they get to use a second room prepared by a different staff! At my institution turnover time is supposed to be 40 mins from patient out to patient in. and the actual average time is closer to 50 minutes. Ive been at 5 different hospitals in my lifetime (obviously all academic so far), and its pretty rare for a surgeon to have 2 rooms, unless one of their partners is out of town. I think Jet was referring to the situation where you only have 1 operating room. And in this case, 17 minutes is pretty efficient.
 
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