tag:blogger.com,1999:blog-30499448.post4487553931325398559..comments2024-02-18T13:53:30.168-08:00Comments on Surgeonsblog: Right Here in River CitySid Schwabhttp://www.blogger.com/profile/14182853083503404098noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-30499448.post-73083412472865014002006-11-24T09:50:00.000-08:002006-11-24T09:50:00.000-08:00anon: I don't think I suggested urologists should ...anon: I don't think I suggested urologists should call surgeons for such things. On the other hand, I do think in an example I citied, when the rectum was entered inadvertantly and a colostomy made, had the urologist called a surgeon he might have 1) avoided the need for a colostomy, 2) brought the right end out and/or 3) covered his ass. I know how to repair a ureter; were I to damage one, however, I'm pretty sure I'd call a urologist.Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-47972564777234310702006-11-24T07:53:00.000-08:002006-11-24T07:53:00.000-08:00Helloooooo? Please don't tell me the urologists ca...Helloooooo? Please don't tell me the urologists call the general surgeons for every cystectomy and ileal conduit formation because 'Gasp', the urologists atcually have to cut bowel? I think urologists are competent with bowel, out of necessity. The abovementioned operation is so common, and involves things like ileostomies and anastomoses,etc, that there is no excuse for urologists not being able to do bowel repairs without bothering the general surgeon.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-82373990351694583222006-11-23T16:22:00.000-08:002006-11-23T16:22:00.000-08:00In some sad way, does the increasing litigious cul...In some sad way, does the increasing litigious culture encourage docs to address their limitations also?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-74915243521115848852006-11-23T09:09:00.000-08:002006-11-23T09:09:00.000-08:00Stay tuned. I'm going to continue the thought in a...Stay tuned. I'm going to continue the thought in a way that will likely piss off my family doc readers (unless they accept the proposition that my thinking has evolved...)Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-84457928721644568972006-11-23T08:39:00.000-08:002006-11-23T08:39:00.000-08:00Wow. I have to admit, Sid, that this is the very f...Wow. I have to admit, Sid, that this is the very first time I have ever read a cogent argument for the inhumanity of surgical training. You are correct about the need for understanding one's limits, and clearly the current method (usually) works. What I need to think about now is whether it is the only way (or perhaps the best way) to accomplish that end.#1 Dinosaurhttps://www.blogger.com/profile/01357845504444464397noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-72927178116326701382006-11-23T01:39:00.000-08:002006-11-23T01:39:00.000-08:00Aaah, yes... there is much value in the constant h...Aaah, yes... there is much value in the constant haranguing and much to be said for knowing one's limitations.<br /><br />I remember fondly my first surgical term. The day before I started I was sternly told by the head of the unit:<br /><br />"Remember: you're not here to show initiative. You're here to do exactly what we tell you."<br /><br />Then on the last day of term he said:<br /><br />"Barb, you've been great. You showed initiative and that was great."<br /><br />It was a valuable lesson: providing you know your limitations you can show as much initiative as you want and be appreciated for it. But if you don't know your limitations and you go off half cocked you're soon gonna get your butt kicked. And rightly so.Barbados Butterflyhttps://www.blogger.com/profile/08682551090528020034noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-73817552091190608282006-11-23T01:11:00.000-08:002006-11-23T01:11:00.000-08:00This comment has been removed by a blog administrator.Medblog Addicthttps://www.blogger.com/profile/13040521269327418240noreply@blogger.com