Y!IFMBA - Surgery Style

Q-Optics, surgical ergonomics - redefined
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Winged Scapula said:
I've got the perfect plan:

njbmd likes warm weather but her man does not.

Castro likes warm weather but his woman does not (or actually just wants to be close to family in the NE).

Sounds to me like we have an SDN "Wife Swap" situation here!:D
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Word. Let's get it on!
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Winged Scapula said:
I've got the perfect plan:

njbmd likes warm weather but her man does not.

Castro likes warm weather but his woman does not (or actually just wants to be close to family in the NE).

Sounds to me like we have an SDN "Wife Swap" situation here!:D
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I am showing him this post right now! :cool:
 
njbmd said:
I am showing him this post right now! :cool:
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Let us know what he says. :D

So I has a theory that we have carb and junk food receptors.

When you don't use them, they downregulate and when you do, they upregulate.

I've gone without carbs for a year (mostly) but lately have been weak and have indulged a bit. Now I am dreaming about cookies and ice cream. I made it through the holidays surrounded by cookies, cake, etc. and didn't indulge once. I would sell my soul for some Coldstone Creamery.:oops:
 
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Winged Scapula said:
Let us know what he says. :D

So I has a theory that we have carb and junk food receptors.

When you don't use them, they downregulate and when you do, they upregulate.

I've gone without carbs for a year (mostly) but lately have been weak and have indulged a bit. Now I am dreaming about cookies and ice cream. I made it through the holidays surrounded by cookies, cake, etc. and didn't indulge once. I would sell my soul for some Coldstone Creamery.:oops:
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That pudding ice cream mixture got me. I have to re-route myself or I will be rolling off our sundeck. CC is simply marvelous.
 
Why I realize I prefer female patients:

- they never tell me that I'm turning them on when I'm examining them (they may think it, but they'd never say it)

- they never squeeze their sebaceous cysts and try to get me to smell their fingers

- when instructing them on a 10 lb post-operative weight lifting limit, they never grab their genitals and say, "well I guess someone else (wink wink) will have to help me with this"

I am disgusted to say this was all from the same patient today.
 
Winged Scapula said:
Why I realize I prefer female patients:

- they never tell me that I'm turning them on when I'm examining them (they may think it, but they'd never say it)

- they never squeeze their sebaceous cysts and try to get me to smell their fingers

- when instructing them on a 10 lb post-operative weight lifting limit, they never grab their genitals and say, "well I guess someone else (wink wink) will have to help me with this"

I am disgusted to say this was all from the same patient today.
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soooo what did his finger smell like?:thumbup:
I thought you did all breast all the time? was this a male breast ca pt.?
 
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kocker said:
soooo what did his finger smell like?:thumbup:
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I didn't take him up on his offer. And besides, I KNOW what a sebaceous cyst smells like, I don't need to be reminded.

I thought you did all breast all the time? was this a male breast ca pt.?
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I do, but remember besides breast cancer, males get breast masses, gynecomastia, etc. I am also referred about everything under the sun which falls between the neck and abdomen which may include skin rashes, axillary masses, even sometimes neck masses. This guy had gynecomastia which resolved when I took him off his spironolactone (with his PCP's permission). He also had the aformentioned cyst.

Just in the last two weeks I have diagnosed melanoma, dermatitis, morphea, and lymphoma in addition to my usual stuff.

Since I am trained as a general surgeon and I have a good referral base, many will send me small skin and subcutaneous things as well as breast because they have faith in me.
 
Winged Scapula said:
I do, but remember besides breast cancer, males get breast masses, gynecomastia, etc.
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.... guess that's why he felt the need to wave his junk at you.

Winged Scapula said:
Just in the last two weeks I have diagnosed melanoma, dermatitis, morphea, and lymphoma in addition to my usual stuff.
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the above + big wacks = why I love gs ..... practice for the personal statement.... i hate personal statements.:thumbdown:
 
Winged Scapula said:
Why I realize I prefer female patients:

- they never tell me that I'm turning them on when I'm examining them (they may think it, but they'd never say it)

- they never squeeze their sebaceous cysts and try to get me to smell their fingers

- when instructing them on a 10 lb post-operative weight lifting limit, they never grab their genitals and say, "well I guess someone else (wink wink) will have to help me with this"

I am disgusted to say this was all from the same patient today.
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That's all full on nasty....

That's why I hope to avoid most if not all of that.
 
Winged Scapula said:
Why I realize I prefer female patients:

- they never tell me that I'm turning them on when I'm examining them (they may think it, but they'd never say it)

- they never squeeze their sebaceous cysts and try to get me to smell their fingers

- when instructing them on a 10 lb post-operative weight lifting limit, they never grab their genitals and say, "well I guess someone else (wink wink) will have to help me with this"
I am disgusted to say this was all from the same patient today.
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Looks more like ten oz. to me. Well, in your case we will make the post-operative weight lifting limit 10 oz so you don't strain your self because obviously you are not used to heavy lifting with that. (wink wink)

The sebaceous cyst was pretty nasty. I have never had a patient invite me to "smell " anything but I have encountered some smelly black feet that they pretend are OK and just started looking black the day before they came in. Sometimes the toes are mummified and I just peel them off the foot in front of the patient.
 
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njbmd said:
The sebaceous cyst was pretty nasty. I have never had a patient invite me to "smell " anything but I have encountered some smelly black feet that they pretend are OK and just started looking black the day before they came in. Sometimes the toes are mummified and I just peel them off the foot in front of the patient.
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My boss did that once. I almost hurled.

If the toes are mummified and need to be amp'd... Call Pods.
 
Winged Scapula said:
REALLY?

I always rather enjoyed snapping off mummified toes. :smuggrin:
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I'll admit I get queasy at the sight or sound of certain things...

Mummified toes that snap off...
The sound bone makes when you're reducing a fracture...
Organ harvests (sort of relates to the sickening feeling I get at the sight of those beheading videos)...
Maggots in wounds...
And greasy hair.

Yuck.
 
One week of vacation coming right up....actually less than a week now....I'm almost caught up on sleep.

Already missing my last rotation though!!:(
 
Anyone ever used any DEET in the jungle?

How far does the stuff go? Am I reapplying every few hours, or mostly just at dusk and dawn?

I am going to Cambodia in October and can't decide on how much DEET to buy.
 
Winged Scapula said:
Anyone ever used any DEET in the jungle?

How far does the stuff go? Am I reapplying every few hours, or mostly just at dusk and dawn?

I am going to Cambodia in October and can't decide on how much DEET to buy.
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When I was in Cambodia, I used DDT. I always found it worked best if you bathed in it twice a day. It seems stronger then DEET:smuggrin:
 
Winged Scapula said:
Anyone ever used any DEET in the jungle?

How far does the stuff go? Am I reapplying every few hours, or mostly just at dusk and dawn?

I am going to Cambodia in October and can't decide on how much DEET to buy.
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Dusk and dawn if it's the full strength stuff. I'm nuts so I'd reapply to exposed areas if I was sweating a lot. Every few hrs if lesser strength.
 
SplenoMegastar said:
Dusk and dawn if it's the full strength stuff. I'm nuts so I'd reapply to exposed areas if I was sweating a lot. Every few hrs if lesser strength.
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I bought the 98.5% DEET yesterday at REI...4 bottles, but they're small.

I am not much of a sweater and I suppose I could buy it there if I needed more.
 
Winged Scapula said:
I bought the 98.5% DEET yesterday at REI...4 bottles, but they're small.

I am not much of a sweater and I suppose I could buy it there if I needed more.
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on serious note, the humidity will be so high in Cambodia that even non-sweaters will be drenched..... I think the twice a day approach is good and just adjust from there as needed.

JAD
 
Winged Scapula said:
I bought the 98.5% DEET yesterday at REI...4 bottles, but they're small.

I am not much of a sweater and I suppose I could buy it there if I needed more.
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Of course, there is no time like the present to seek out your favorite Tropical Medicine specialist, take him/her to a great dinner and get them to hook you up with the best immunizations in the world. This is no time to come back with a tropical disease so that everyone knows you were in the jungle, DEET notwithstanding. I certainly hope you have a great trip.

My relatives' hotel in Ocho Rios is as tropical as I get. The 150-proof rum takes care of any diseases before they latch on.
 
So, I was watching some of the talking heads today.
Apparently, a large number of doctors went to see the great one in DC. They were apparently given the gift of a "white coats"....
Then the Pres is apparently saying they endorsed the "healthcare plan"...

Makes me think of all those colleges opposing industry dinners/textbooks/pens/gifts..... well, they got a "white coat" from the "white house"....

JAD
 
I am sitting here before a case wondering if I had a stroke or fell into twilight zone...

man appears on political scene for under five years....
Very much connected to racists and marxist for numerous years when background actually examined.....
sweeps into office of president.....
emergency passage of large omnibus items.....
Speaks UN, fails to confront certain parties as "might overshadow his successful speach"....
flies to copenhagen presumably for olypmics.... but lacks time to speak to his general about on-going war.....

then, I read has won Nobel Peace Prize....... is this a hoax?

who slipped me the drugs in my coffee:eek:
 
I think it's great that we finally have a president whom we can mention constantly in any context without any logical transition or prompting.

I'm starting to believe he really is a religious figure, at least to conservatives.

JackADeli said:
I am sitting here before a case wondering if I had a stroke or fell into twilight zone...

man appears on political scene for under five years....
Very much connected to racists and marxist for numerous years when background actually examined.....
sweeps into office of president.....
emergency passage of large omnibus items.....
Speaks UN, fails to confront certain parties as "might overshadow his successful speach"....
flies to copenhagen presumably for olypmics.... but lacks time to speak to his general about on-going war.....

then, I read has won Nobel Peace Prize....... is this a hoax?

who slipped me the drugs in my coffee:eek:
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I am a horrible person.

Today I had to restrain myself from telling a patient, "I told you so" when I told her she had cancer.

For some reason I find this particular patient extremely annoying. Maybe its the fact that she doesn't listen or stop talking for 5 seconds so she can listen.

Maybe its her insistence that the pneumonia shot caused her breast mass and skin changes.

Maybe its the way her dentures don't fit and keep clacking all the while she is telling me that if I just give her a Z-pak, she'll "show (you) how the skin changes will go away and the thickness will go down".

She fought me tooth and nail, refused to listen to me when I reviewed everything with her, told her I thought (and was certain) she had a malignancy. I told her the radiologist thought so too.

Well, she's got a helluva lot of tumor with some necrosis (which *did* suprise me as my Mammotome almost bent trying to biopsy her) and multicentric disease with skin involvement.

So almost my second thought was one of "triumph" as I felt vindicated. And then I felt bad about that. I'm horrible...or maybe I'm normal and have had enough of these grads of Google Medical School or "I'll believe whatever I damn well want to believe regardless of what you say" types.

Wish me luck as I attempt to tell her that she needs a mastectomy unless she goes for neoadjuvant. I can feel a post-talk migraine getting ready to settle in.
 
pseudoknot said:
Nah, you're only a horrible person if you actually say it. Thoughts (that any reasonable person would have, I might add) do not make you a bad person.
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Oh I know...I was being a bit dramatic although I have to admit I was taken aback that it even entered my mind to think, "I told you so."

I guess I'm more hardened and bitter than I thought. But thank you for your support.:)
 
Good luck, WS. That kitty in your avatar might need several more drinks after you have to talk to this patient about treatment options.
 
What's the difference between Santa Claus and the CT surgeon... :D
 
I am still wondering what these "caviar wedges" that the news went on and on about are all about????
 
Even the media seemed baffled about these mysterious "caviar wedges".... We heard alot about them; but have yet to see the actual exhibit. It sounds like "El Chupacabra":scared:
 
To X Residency Program: I disliked many things about your program, but really, I'd like to thank you for the astounding lack of manners displayed by your residents, faculty, and 3rd year medical students who scavenged the interview lunch while the applicants were still interviewing. When you neglected to leave enough lunch for all the applicants, it clinched my decision not to rank your program. I really really appreciate the heads up.

Whew, that feels pretty good to get off my chest.
 
LucidSplash said:
...the astounding lack of manners displayed by your residents, faculty, and 3rd year medical students who scavenged the interview lunch ...neglected to leave enough lunch for all the applicants...
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Maybe it was El Chupacabra cause couldn't find any caviar wedges:scared: I hear in Copenhagen they don't have El Chupacabra problems cause they got these magic caviar wedges:poke:

or

Maybe the food was not meant for applicants but rather for all those you mentioned that were so famished from the hard work of interviewing:smuggrin:

PS:You probably made a good decision.... as they say, it NEVER gets better then interview day, cause that is when they put their best shoe forward.
 
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I would like NJBMD to know that I bought a poinsettia.

:)
Merry Christmas!
 
Winged Scapula said:
...I assumed it was something sexual...
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Maybe. Nobody has really spilled the beans on the details. Since I am NOT a member of "the mile high club" and these caviar wedges seem intimately associated with a fleet of private jets to copenhagen... You just might be right:eek:
 
LovelyRita said:
I would like NJBMD to know that I bought a poinsettia.

:)
Merry Christmas!
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Now, isn't it Christmas!!! Those little plants just make you smile. I have taken to sniffing the branches of the Christmas tree in the lobby. After being stranded in Chicago (Midway Airport), on Saturday and finally getting into DC on Sunday, the world is right again. Now that I am here, everything is Christmas in Charlottesville with the snow. Charlottesville will have a White Christmas!! Yea!!
 
Nowadays open heart surgery is the very common operation going on in society.Itgives arebirth to whom undergo the surgery.This operation is at highly in risks, but the efficiency of surgoens most them are resulted successfull.
 
njbmd said:
Now, isn't it Christmas!!! Those little plants just make you smile. I have taken to sniffing the branches of the Christmas tree in the lobby. After being stranded in Chicago (Midway Airport), on Saturday and finally getting into DC on Sunday, the world is right again. Now that I am here, everything is Christmas in Charlottesville with the snow. Charlottesville will have a White Christmas!! Yea!!
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that's hillarious, because in the call room we have this little table centerpiece from a holiday dinner that has pine branches in it and the other day i had my face in it inhaling the pine smell....if there's one thing that gets me going at christmas....lol
 
njbmd said:
Now, isn't it Christmas!!! Those little plants just make you smile. I have taken to sniffing the branches of the Christmas tree in the lobby. After being stranded in Chicago (Midway Airport), on Saturday and finally getting into DC on Sunday, the world is right again. Now that I am here, everything is Christmas in Charlottesville with the snow. Charlottesville will have a White Christmas!! Yea!!
Click to expand...

that's hillarious, because in the call room we have this little table centerpiece from a holiday dinner that has pine branches in it and the other day i had my face in it inhaling the pine smell....if there's one thing that gets me going at christmas....lol
 
sridharraja said:
Nowadays open heart surgery is the very common operation going on in society.Itgives arebirth to whom undergo the surgery.This operation is at highly in risks, but the efficiency of surgoens most them are resulted successfull.
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reads like a peyote enhanced vision/stream of conciousness/flight of ideas.....:smuggrin:
 
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