tag:blogger.com,1999:blog-30499448.post3004516278061281456..comments2024-02-18T13:53:30.168-08:00Comments on Surgeonsblog: Not Lately...Sid Schwabhttp://www.blogger.com/profile/14182853083503404098noreply@blogger.comBlogger11125tag:blogger.com,1999:blog-30499448.post-73259928747037227032006-10-13T18:09:00.000-07:002006-10-13T18:09:00.000-07:00Now that's rich from Medstudentgod, blaming others...Now that's rich from Medstudentgod, blaming others for delays. Your education is far from complete; would you consider practicing a few months of anesthesia while still in med school so that you have some clue what goes into good care on the other side of the drape?<br /><br />Consider for a moment that med students are nothing but a time sink. Everything about your participation with the delivery of health care costs time; the patient has to give you a second history and physical, your interns and residents have to go through your presentation, your attending has to listen to you also and provide teaching at your level on rounds. When you perform any procedure the patient give literally of themself and you take extra time to do it. We participate in medical education because it is a value to us to pay forward the benefits of education that others undertook to teach us. <br /><br />Do you really think that delays you attribute to anesthesia physicians are without any merit? We too have lives and families outside the hospital; delays merely prevent our completion of the work day in a timely manner. Delays reduce overall billables. Did you ever hear an anesthesiologist complain of delays while you closed a wound at the end of a surgery taking substantially longer than an experienced surgeon? Probably not. <br /><br />Get a grip med student. If you have a god complex now imagine how insufferable you will be as you move up the hierachy.Gasmanhttps://www.blogger.com/profile/02637243477592311364noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-14448036475652235922006-10-13T08:55:00.000-07:002006-10-13T08:55:00.000-07:00Hit another one out of the ballpark again Dr. Schw...Hit another one out of the ballpark again Dr. Schwab!<br /><br />Punctuality I can control in my office, and I am also a fanatic about it. Patients appreciate it, the staff appreciate it. A patient once asked how it was that my office seemed always to run on time and other doctors' did not. I replied, "That's easy. Those other doctors don't value your time the way they do their own."<br /><br />These days, I'm wondering if those same doctors don't fundamentally suffer from a lack of self-respect about the value of their own time.<br /><br />Cograts on getting the OR to move at your pace. At times it can seem like trying to jog through molasses.No Acute Distresshttps://www.blogger.com/profile/11863597576862907197noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-44495939574882369332006-10-12T18:11:00.000-07:002006-10-12T18:11:00.000-07:00We have a different problem in my hospital. I'm fa...We have a different problem in my hospital. I'm fanatically on time as you are. The OR staff is not, especially as the day wears on, and turnover times get longer. The reason? I get paid by the case, they get paid by the hour. All too often, the OR crew gets paid more than me, as they get paid whether the patient has insurance or not. A percentage of mine are "freebies." 3 more years to retirement.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-73302224958229430282006-10-12T16:03:00.000-07:002006-10-12T16:03:00.000-07:00fyi: added you to the blogrollfyi: added you to the blogrollDaniellehttps://www.blogger.com/profile/00293144856124041861noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-5676830012765857382006-10-12T08:52:00.000-07:002006-10-12T08:52:00.000-07:00Too bad beepers don't have a shock function.Too bad beepers don't have a shock function.beajerryhttps://www.blogger.com/profile/16721586072565803661noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-37869926910631073602006-10-11T19:41:00.000-07:002006-10-11T19:41:00.000-07:00A particular instructor who plagued me for several...A particular instructor who plagued me for several years had the following bylaw: "Order and punctuality."<br /><br />Punctuality stayed with me ... <br /><br />... but I never did get myself organized ... ;o)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-81338956016798789432006-10-11T18:44:00.000-07:002006-10-11T18:44:00.000-07:00I've been practicing my subcuticular stitch! Howev...I've been practicing my subcuticular stitch! However, I can't seem to get the stitch started, lol, and always have to have the Resident start it for me.Daniellehttps://www.blogger.com/profile/00293144856124041861noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-54058395155491805632006-10-11T17:20:00.000-07:002006-10-11T17:20:00.000-07:00I was personally motivated to be on time or habitu...I was personally motivated to be on time or habitually early due to my upbringing. My father was always late. I once observed my mother crying because we were late to her brother’s wedding and were holding up my uncle who was our ride. It truly impacted on how I view the punctual and non-punctual. I’ve often found those who are late rude, insensitive of others, and lazy or unorganized. Currently I’m in my Gen Surg rotation and love it. However, what I find agonizing is waiting – on labs, anesthesia, the operation before us to get over, etc. I will try and read, practice my suturing and knot tying, or check on patients, but I constantly come back to “the board” to see if my patient is “in holding” or “in room”. I can’t relax knowing we should have already begun.<br /><br />On another note: I have added your blog onto my sidebar as I’ve enjoyed your writings for some time. I look forward to more poignant and thought provoking posts.MedStudentGod (MSG)https://www.blogger.com/profile/02670042423377931696noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-53453249869504073782006-10-11T13:39:00.000-07:002006-10-11T13:39:00.000-07:00I have been pondering what inspires a good post......I have been pondering what inspires a good post...its often small occasions whne we have time to think, or in your case, slowly smolder as each minute passes.<br /><br />My nursing school employs the three strike rule to everything, including puntuality. If youre late three times (1 min or more to clinical) you fail the course and have to re-apply to the program.<br /><br />If only medical professionals could self-govern themselves in such a manner.Intelinursehttps://www.blogger.com/profile/17609767439508682181noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-71071567237370338752006-10-11T11:15:00.000-07:002006-10-11T11:15:00.000-07:00This would drive me nuts! I hate to be late as wel...This would drive me nuts! I hate to be late as well. At least you're blogging while you're waiting - that helps pass some time.Dr. Ahttps://www.blogger.com/profile/05207266669522973903noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-87084332317194460052006-10-11T09:05:00.000-07:002006-10-11T09:05:00.000-07:00Personal accountability, a most refresing approach...Personal accountability, a most refresing approach! I am a retired Hospital Administrator who can remember the days when most, if not all of the surgeons respected the sanctity (and real value) of starting on time. Alas, too many of todays surgeons feel that only their time has value. <br /><br />Totally lost on these physicians is the fact that the support staff begin to count on a late start, so anesthesia has more time to work on the crossword, talk to their stockbroker or chat up the new single and very good looking nurse!<br />So in the event that Dr. Always Late does show up on time; guess what-nothing is ready!!! So... the tirade begins about "how this hospital doesn't care about the surgeons who support it".<br /><br />The reality of the OR is, the surgeon sets the tone for the surgical team. If things aren't going as the surgeon wishes, it is always a good idea to look in the mirror before assigning blame. You wanted to be the captain so act like one.Anonymousnoreply@blogger.com