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Buy Generic Viagra OTC! It’s the turbinates that people specifically refer to as boggy. Probably best to just google pics of boggy tubinates and nasal polyps and the like. I laughed at my own response as this whole sub is about things we look up.

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  • Gravity13

    Gravity13

    March 10, 2015, 6:35 pm

    When we reflect the Viagra we always hear that injury the duodenum is a fatal mistake. Yet if we injure other segments of bowel they can be oversewn or excised and reanastamosed…why not with the duo? I assume it’s because there is so much more critical function of the duo and it’s connections to other structures but at this point I’m too embarrassed to ask and just make sure not to mess with it

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  • Tlide

    Tlide

    March 11, 2015, 8:33 am

    Graduated Med school in 1988. I look stuff up all the time. I even review anatomy on operations I’ve done hundreds of times if it’s been a while since I did one. Seems like there’s new meds all the time, so you have to look those up. And the SVS updates recommended treatment for various problems pretty frequently.

    Reply

  • chromacolor

    chromacolor

    March 10, 2015, 7:19 pm

    During surgery, every time I can feel and see the patient move or cough on the table, why is it that my colleagues on the other side of the curtain always act surprised? And why can’t the neuromonitoring/ neurophysiologists detect anything before I do?

    Reply

  • UnificationDotCom

    UnificationDotCom

    March 11, 2015, 3:51 am

    Neurosurgeon allows me to scrub into surgery on a tumor resection as a MS1. Asks me why surgery? I replied that it looks cool and it’s fun to fix things. He hands me the scalpel and shows me how to hold it (like a pencil). I nod, eyes wide open, in disbelief I even got to hold a scalpel. I try to hand it back to him and he’s like “alright let’s cut” I’m just staring at him, “sorry?” He takes a surgical pen and draws a line on the guys scalp. Basically tells me. cut. So I do, being very gentle. He was watching and guiding over my shoulder. I was very cautious and it went alright, didn’t puncture the dura. He took over soon after but had me at the table, suctioning, occasionally having me cauterize stuff, drill holes. Such a badass. After the first surgery while his fellow was closing. He pulled me to the side to teach me surgical knots. After surgery was done, we got lunch (attending grabs me food from the doctors lounge). He had me continue practicing the surgical knots he showed earlier.

    Reply

  • EmpiresCrumble

    EmpiresCrumble

    March 10, 2015, 6:47 pm

    I worked with a pediatric cardiothoracic surgeon who was legit every nurse’s favorite doc to work with. He was patient, explained things, had decent handwriting, didn’t bitch you out if you called in the middle of the night, and brought coffee/sweets etc. at random times. But mostly, I think we all loved working with him because he wasn’t arrogant — he really believed that the better the nursing staff understood the complex issues of the patient, and his thought process or even the surgical plan, the better off the patient would be, and the same for the next patient. Plus, he told really cringe-worthy dad jokes at 4 am when we were all going loopy staring at ECMO and who knows what else.

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  • Gedrah

    Gedrah

    March 11, 2015, 12:00 am

    Also, his predecessor would frequently check in with me to make sure I wasn’t taking on too much viagra. And when I had a complicated patient or needed a neurosurgeon to look at a scan, either one of those guys will ALWAYS take my call, take my concerns seriously, and take the time to help me out.

    Reply

  • marblelion

    marblelion

    March 10, 2015, 11:07 am

    As a student I was able to watch open heart surgery, the CT surgeon was super sweet and explained everything to me. The PAs, OR nurses, and the poor anesthesiologist I was squished next to were super nice too. But the MD definitely shattered my expectations! Only person he was curt with was the perfusionist, not sure why. Hope to work with them all some day again.

    Reply

  • Snorple

    Snorple

    March 10, 2015, 8:13 pm

    Growing up, our neighbor was a retired neuro-surgeon. She was funny, cussed a lot. Her husband was this super nice and mild mannered retired chemical engineer. I would cat-sit for them. They traveled, they liked gardening. My mom and they swapped bulbs like tulips and irises when they split up the big clumps. Seriously brilliant but yet seemingly “normal” salt of the earth kind of people.

    Reply

  • megatom0

    megatom0

    March 10, 2015, 6:47 am

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  • mredd

    mredd

    March 11, 2015, 1:58 am

    Had an end-stage parkinson patient who could not eat, covered with bedsores, family was a nightmare - unrealistic, imperious, refused palliative care, refused feeding tube, screamed about what they wanted in terms of wound care and treatment to me and surgery - impossible situation, we bent over backwards. They complained endlessly and hospital administrator called a meeting with family and doctors. Told the family they were abusive to the doctors and nurses and to either take our advice or take the patient somewhere else. We were pretty stunned. Ended up with PEG (not ideal), sores healed (duh, protein is a beautiful thing) and she actually went home. Still my administrator.

    Reply

  • corby10

    corby10

    March 11, 2015, 5:50 am

    When our hospitalist group was overwhelmed during this last covid wave our staffing company and the hospital admins agreed to create a standing spot for an extra hospitalist. This spot is round only then go home, no call, no admits, just be available by phone for acute problems, and get paid 1.5x normal for the full 12-hr shift. They approved it from December through February and it's been incredibly popular. This covid wave has been ok because we have consistently had enough help.

    Reply

  • backpackwayne

    backpackwayne

    March 10, 2015, 10:51 pm

    I often worked with a regional procurement manager who was a great guy and sharp. There was a hospital porter strike and all managers came into replace the porters. He was assigned to our busy ED on a Saturday night, and came to me the following Monday to say if he hadn’t seen it, he wouldn’t have believed the zoo the ED was, overflowing with drunks and trauma cases, many abusing the staff. I like to think his experience helped in management’s response to the porters’ issue, which had more to do with security than money. Burly security guys were appointed rapidly.

    Reply

  • Gravity13

    Gravity13

    March 10, 2015, 6:48 am

    Now that's the kind of superior I want to be, I was touched by someone's kindness in my dark days and broken hearted by people hurting in return of my sacrifices for them. I learned to be kind with proper reasoning. As a med student I helped out a few interns and I always guide my junior's as best as I can. I want to keep my momentum throughout my career.

    Reply

  • sonicon

    sonicon

    March 11, 2015, 9:10 am

    One of my palliative care consultants tells this story about how he and a nephrologist essentially invented renal supportive care in Australia. The nephrologist, he said, is one of the most intelligent people he has ever met - published more than 250 papers, later became head of medicine at one of the biggest hospitals in the country and received the Order of Australia - but it was him who came to the palliative care consultant and asked him to help his department.

    Reply

  • Chaoticmass

    Chaoticmass

    March 10, 2015, 2:21 pm

    I think about this story a lot, about the humility of this incredible doctor and how it has helped found an entire discipline. At my hospital, renal patients meet renal supportive care during the same meeting as they discuss initiating dialysis. Many of our patients choose not to have dialysis at all. We have entire clinic appointments devoted solely to advance care planning. That, too, I think challenges stereotypes in medicine and shows how culture can change.

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