tag:blogger.com,1999:blog-30499448.post2030384471735848795..comments2024-02-18T13:53:30.168-08:00Comments on Surgeonsblog: It Can Be a GasSid Schwabhttp://www.blogger.com/profile/14182853083503404098noreply@blogger.comBlogger18125tag:blogger.com,1999:blog-30499448.post-35649046864803326462008-05-16T12:01:00.000-07:002008-05-16T12:01:00.000-07:00"I don't need some pipsqueak punk telling me how t..."I don't need some pipsqueak punk telling me how to do my job," he yelled.<BR/><BR/>pipsqueak! Was he really huge? I wouldn't call someone 6'-4" tall a pipsqueak. Even if I did it would be "Sir Pipsqueak".Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-35282321097596941452006-10-31T14:27:00.000-08:002006-10-31T14:27:00.000-08:00I am a RN who used to do trauma and then from ther...I am a RN who used to do trauma and then from there transferred to the PACU. I love the stories about the surgeons and the anesthesiologist. So very true!poodyhttps://www.blogger.com/profile/10218496818838737975noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-78738525579629810962006-10-31T08:06:00.000-08:002006-10-31T08:06:00.000-08:00As a former surgical assistant, I loved this post!...As a former surgical assistant, I loved this post! We almost always used nurse anesthetists and, while I would have expected them to have slightly less ego than their MD counterparts, it was woefully untrue. When you find some good ones, though, you've gotta stick with them. Nothing ruins a smooth surgery more quickly than a bad anesthesia!kariohttps://www.blogger.com/profile/10150537989886423212noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-81925072092349462462006-10-31T07:13:00.000-08:002006-10-31T07:13:00.000-08:00enrico: even in the belly, it's not the smooth mus...enrico: even in the belly, it's not the smooth muscle we're concerned about: it's the muscles of the abdominal wall. So the little twitchometer is in fact a reflection. But some rely on it above all with no admission that for various reasons it might not be telling the whole story.Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-14706040647725112232006-10-30T22:37:00.000-08:002006-10-30T22:37:00.000-08:00Bwahaha....blood brain barrier!
So I planted the ...Bwahaha....blood brain barrier!<br /><br />So I planted the seed and am late to the party...sorry! Damn medical school eats up so much of my time -- how inconsiderate of it, right?<br /><br />Thanks for addressing my suggestion so quickly! I'm flattered you found it worthy of discussion. I especially loved the vignette style of post that I haven't seen here much before--I think it's really effective for such a multifaceted topic with so many different personalities and situations.<br /><br />"Monitor says he's fully relaxed," -- what a tool! Correct me if I'm wrong but SM relaxants (pol&nondepol) can have a regional/directional progression, so while the monitor on the forehead may read A-OK, that doesn't mean their various abdominal muscles, for example, are loosey goosey. <br /><br />The surgeon I spent a lot of time with was a board-certified anesthesiologist before switching careers, so most gas passers knew not to screw around with him because he'd literally give three options to correct the situation at hand if they didn't do it fast enough, all while not breaking stride with the Bovie. On the other hand, he knew when a case needed special handling from them, and having been there, gave due space/time when it was warranted. <br /><br />Too often it seems like surgeon/anesthesiologist is like a dysfunctional marriage--too often ugly, great on occasion, but for better or worse, it keeps going for the sake of the patient (or kids, in my analogy).<br /><br />I look forward to more (as always)!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-46103501541704086992006-10-30T20:29:00.000-08:002006-10-30T20:29:00.000-08:00LOL @ blood brain barrier !!!LOL @ blood brain barrier !!!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-849928500962665862006-10-29T08:25:00.000-08:002006-10-29T08:25:00.000-08:00I enjoyed reading your post. You have good insigh...I enjoyed reading your post. You have good insight into human nature and a great sense of humor.<br /><br />MJMother Jones RNhttps://www.blogger.com/profile/01298418463273622952noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-75381470823981157412006-10-29T06:26:00.000-08:002006-10-29T06:26:00.000-08:00that was really enjoyable! i do appreciate this lo...that was really enjoyable! i do appreciate this look into your world. even tho i'm only a lowly little appointment setter in a clinic (altho i love my job), i have always loved the world of medicine and care. perhaps it's because my mother was an xray tech for 35 yrs, and it feels like home.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-37856647570315877042006-10-28T18:11:00.000-07:002006-10-28T18:11:00.000-07:00amazing insight doc. thanks....
beeamazing insight doc. thanks....<br /><br />beeEmpress Bee (of the high sea)https://www.blogger.com/profile/08300140506585000934noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-71263430992304425812006-10-28T14:36:00.000-07:002006-10-28T14:36:00.000-07:00Enjoyed this format and the topic. I also enjoyed ...Enjoyed this format and the topic. I also enjoyed the artwork for the post-very fitting.Intelinursehttps://www.blogger.com/profile/17609767439508682181noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-69566322052614648192006-10-28T13:50:00.000-07:002006-10-28T13:50:00.000-07:00the screen is sometimes called the blood brain bar...the screen is sometimes called the blood brain barrier, haha. all in good humour.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-68071383580572304642006-10-28T08:10:00.000-07:002006-10-28T08:10:00.000-07:00cathy: very glad to hear it! Thanks.cathy: very glad to hear it! Thanks.Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-56371043017246349112006-10-27T20:22:00.000-07:002006-10-27T20:22:00.000-07:00Dr. Schwab, I wanted to tell you, I just finished ...Dr. Schwab, I wanted to tell you, I just finished reading your book..It was awesome! I am learning so much about what you guys have all went through. everyone should read this book. <br /><br />I am having my bookstore get me 2 more of them as Christmas presents!Cathyhttps://www.blogger.com/profile/13540096932312929506noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-31768538249776653832006-10-27T19:03:00.000-07:002006-10-27T19:03:00.000-07:00Dex: having that sort of code-savvy is beyond me. ...Dex: having that sort of code-savvy is beyond me. Wish I had some. I do have a jpg of the cover. Meanwhile, I visited your blog and it's very return-worthy. And yes, when the stars align properly, the dialog between surgeon and anesthesiologist achieves a karmic plane, known only to the holy few.Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-26151075344175355872006-10-27T16:37:00.000-07:002006-10-27T16:37:00.000-07:00Nice post, Dr. Schwab! Your book was great--if yo...Nice post, Dr. Schwab! Your book was great--if you've got a bit of HTML you can shoot to me, I'll put an ad for it on my blog.<br /><br />The screen functions like the fence between Tim and Wilson on "Home Improvement". The surgeon occasionally will ask some profound existential question, like "John, is the patient deep enough?" to which the gas man will peek over the curtain, with only his eyes visible, one oh-so-expressive eyebrow jauntily cocked, and cryptically reply, "Bob, the train of four's zero, zero, zero, and the BIS is 23." The surgeon will nod sagely and returns confidently to his work, his fear (well okay, fear's not in the surgeon's vocabulary), uncertainty (alright, alright--even when a surgeon's wrong, he is confidently and passionately wrong), and doubt (okay, lots of this--surgeons love doubting things) swiftly and completely swept away. Just like Home Improvement, see?Dexhttps://www.blogger.com/profile/06318145066843764025noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-35070273365236216122006-10-26T20:10:00.000-07:002006-10-26T20:10:00.000-07:00Anonymous: the screen (still referred to as the "e...Anonymous: the screen (still referred to as the "ether screen" is a barrier between the sterile field of the operating table and the unsterile area the anesthesiologist works in. Occasionally it's used like a net on a tennis court: some surgeons like to toss things up there, knowing the anesthesiologist can't return serve.<br /><br />felix k: humor definitely lubricates the process.Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-60457188374230605662006-10-26T15:55:00.000-07:002006-10-26T15:55:00.000-07:00"Jack, you might want to stop what you're doing fo...<i>"Jack, you might want to stop what you're doing for a while and push on the man's chest."</i><br /><br />Clearly, this anaesthesiologist will not need to take his own pulse first when running a code.<br /><br />One of the things I like about surgeons -- aside from "cold steel cures" -- is the black humour. I believe that you and your esteemed colleagues have developed it into a form of art.<br /><br />Thank you!Felix Kaszahttps://www.blogger.com/profile/16632822169351276667noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-61061702619707879762006-10-26T14:50:00.000-07:002006-10-26T14:50:00.000-07:00I hope this doesn't sound too ill informed, but wh...I hope this doesn't sound too ill informed, but what is the purpose of the screen that's put up in between the surgeon and the anesthesiologist? (Is it so they can't see what the other one is doing?)Anonymousnoreply@blogger.com