tag:blogger.com,1999:blog-7675087351939177300.post2842887483193622459..comments2023-08-15T09:39:41.235-05:00Comments on Sutured for a Living: A Surgeon's Outburstrlbateshttp://www.blogger.com/profile/15236331355857884458noreply@blogger.comBlogger9125tag:blogger.com,1999:blog-7675087351939177300.post-18071784901789599222008-08-19T23:01:00.000-05:002008-08-19T23:01:00.000-05:00I'm having a hernia repaired in a few weeks and I'...I'm having a hernia repaired in a few weeks and I've got to say this post makes me nervous.<BR/><BR/>I cannot imagine the surgeon I met today throwing anything, yelling at anyone, or being other than the kind, cheerful, and (to me) exceptionally honest guy that impressed me and acquired my trust today.<BR/><BR/>However, I can imagine someone in the OR on a cell phone or equipment not working, but it would never have crossed my mind that "visitors" would drop in and distract the team working on me.<BR/><BR/>Now I'm nervous again.Donna B.https://www.blogger.com/profile/16771075314473811594noreply@blogger.comtag:blogger.com,1999:blog-7675087351939177300.post-16814609206832177812008-08-17T20:34:00.000-05:002008-08-17T20:34:00.000-05:00I have been frequenting operating theatres for a c...I have been frequenting operating theatres for a couple of years now, and I have never witnessed a yeller. I think this behaviour is increasingly rare as we all get more grown up. <BR/><BR/>Frustrating things happen in surgery. I have seen faulty instruments thrown at the wall by pleasant, lovely, polite surgeons, and I can understand that. <BR/><BR/>However, I have also been insulted and shamed by softly spoken surgeons, which caused much more distress to all the staff present. Yelling in frustration is over in a second. Manipulation and nastiness (which is about a person, not about surgeons in general) is much worse and deserves to be stamped out. <BR/><BR/>It is easy to drop into cliches when you can't think of anything to say. Surgeons: uncaring, uncommunicative, soulless and unintelligent. And I want to be one.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7675087351939177300.post-61953278142727773102008-08-16T02:02:00.000-05:002008-08-16T02:02:00.000-05:00To generalized that surgeon's are the nemesis of h...To generalized that surgeon's are the nemesis of healthcare is clearly the wrong vision to unfold. There are many healthcare providers that are able to maintain their professionalism at all times which is what they should be doing - MD or RN.<BR/><BR/>The fact remains though that healthcare does have in my opinion a great deal of "bullies" in it. I don't know the percentages but many of them are physicians and there are plenty of nurses too.<BR/><BR/>Unfortunately my facility has several MDs that fall into the category of being obnoxious and rude. Even in the ED which I work other ED physicians don't want to call these Docs when they are on duty because of their caustic nature.<BR/><BR/>The problem is that healthcare leaders are for what ever reason not mitigating the behavior of bullies. I have written a couple posts on my site regarding this bully problem in healthcare and despite any loss in revenue MDs that are out of line need to be shown the door permanently just like the nurses are. There is no need to be belittling or rude, or otherwise curt at work to fellow providers - MD or RN.<BR/><BR/>That being said, to make generalizations about healthcare providers is clearly myopic as you point out. It seems obvious the media is just trying to get some mileage out of the article and the new Joint Commission stance on bad behavior in healthcare.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7675087351939177300.post-11464270299339268822008-08-14T04:27:00.000-05:002008-08-14T04:27:00.000-05:00Great post. I agree that there can be so many dist...Great post. I agree that there can be so many distractions in the OR. I find this a much more common phenomenon in the States for some reason. When I work overseas there seems to be a bit more seriousness and a bit less levity during the case. It also seems that perhaps that in other countries it would be considered poor form to distract the surgeon--not so much here.hdhindsahttps://www.blogger.com/profile/16526564079897401056noreply@blogger.comtag:blogger.com,1999:blog-7675087351939177300.post-30472465476401502352008-08-13T15:15:00.000-05:002008-08-13T15:15:00.000-05:00actually i have already touched on it from a diffe...actually i have already touched on it from a different angle.<BR/><BR/>http://other-things-amanzi.blogspot.com/2008/02/i-r-surgeon.htmlBongihttps://www.blogger.com/profile/12918640034313468627noreply@blogger.comtag:blogger.com,1999:blog-7675087351939177300.post-47282262923410163852008-08-13T15:13:00.000-05:002008-08-13T15:13:00.000-05:00i have never shouted in theater. i have spoken ste...i have never shouted in theater. i have spoken sternly, once to my junior for shouting at someone in theater. in fact i have been considering touching on my surgical principles in a series of posts, one of which deals with this in detail.Bongihttps://www.blogger.com/profile/12918640034313468627noreply@blogger.comtag:blogger.com,1999:blog-7675087351939177300.post-62002536733341140472008-08-13T14:56:00.000-05:002008-08-13T14:56:00.000-05:00Nice post and I enjoyed reading the links as well....Nice post and I enjoyed reading the links as well. I've come into contact with many excellent and kind surgeons during my training and also have had run-ins with vicious, inconsiderate oofs on both sides of medicine. Our Institution has always had a physician 'behavior' reporting system in place. But it is now being aggressively 'activated' and advertised throughout the system. In addition, strong consequences, including job termination, are being imposed on repeat offenders regardless of their status or hierarchy. I'm interested to see how all this pans out in the near future.mark's tailshttps://www.blogger.com/profile/08097539019772913051noreply@blogger.comtag:blogger.com,1999:blog-7675087351939177300.post-23310909853125751292008-08-13T13:44:00.000-05:002008-08-13T13:44:00.000-05:00Very interesting post. I'd like to nominate my hus...Very interesting post. I'd like to nominate my husband for that list, not just because I love M.A.S.H., but because several nurses have told me he's a 'saint'. I suspect the issue of overbearing paternalistic physicians extends to all specialties of medicine, but the OR-surgeon scenario gets talked about more.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7675087351939177300.post-23460368519151867802008-08-13T11:06:00.000-05:002008-08-13T11:06:00.000-05:00You might want to go back to HealthBeat today (www...You might want to go back to HealthBeat today (www.healthbeatblog.org)<BR/>where you will find a surgeon's very thoughtful response to the original post as well as a comment by the husband of a patient who found himself in the OR recently.<BR/><BR/>I agree with most of what you say. Of course not all surgeons are shouters. I also suspect that OR culture varies with overall hospital culture . . . And that perhaps in some hospitals no one would even consider using their cell phone while in the OR. (This would make me completely nuts!)Anonymousnoreply@blogger.com