tag:blogger.com,1999:blog-30499448.post939427041774536674..comments2024-02-18T13:53:30.168-08:00Comments on Surgeonsblog: Sleeve (Up)Sid Schwabhttp://www.blogger.com/profile/14182853083503404098noreply@blogger.comBlogger16125tag:blogger.com,1999:blog-30499448.post-60039225530972769772007-10-03T13:13:00.000-07:002007-10-03T13:13:00.000-07:00I love the one about the Mayo scissors for Mastect...I love the one about the Mayo scissors for Mastectomies. The guy who taught me used those ultra sharp black handled mayos. I made my hospital order them special. You can't beat the uniformity of the flap, compared to bovie. Even the scrub nurses are impressed.Jeffrey Parks MD FACShttps://www.blogger.com/profile/15650563299849196122noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-91487807857805942232007-09-21T04:18:00.000-07:002007-09-21T04:18:00.000-07:00I was reading an article on your preferred method ...I was reading an article on your preferred method of removing sebaceous cysts and came across this line:<BR/><BR/>"Care must be taken not to splatter nursing personnel with cyst contents."<BR/><BR/>Uh, yeah. Thanks for that.Johttps://www.blogger.com/profile/16520599099436383317noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-66160354753846375692007-09-18T06:56:00.000-07:002007-09-18T06:56:00.000-07:00I'd like to see more posts like this, specifically...I'd like to see more posts like this, specifically in how doctors deals with patients and hearing more about your end of the stick.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-61241892304143043322007-09-17T16:10:00.000-07:002007-09-17T16:10:00.000-07:00The surgeon who fixed my broke hip was in my room ...The surgeon who fixed my broke hip was in my room that evening after surgery in the morning, morning and evening the second day and morning of the third day. I went home in that afternoon. No one else touched the wound. He was the best!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-14165137752066823182007-09-17T12:58:00.000-07:002007-09-17T12:58:00.000-07:0020a, i: Don't make the patient undress any more th...<I>20a, i: Don't make the patient undress any more than absolutely necessary.<B>*</B></I><BR/><BR/>* If further undressing is required during an examination, say you'd like to visualize the legion of lentigines in the labial region of said patient, being of the same gender does not make it ok to request the patient drop trou on the spot. <BR/><BR/><I>*faint*</I>Lisahttps://www.blogger.com/profile/15508518592917445895noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-79932480964554416302007-09-16T13:59:00.000-07:002007-09-16T13:59:00.000-07:00Excellent list. I'm a current general surgery res...Excellent list. I'm a current general surgery resident and I use many of these daily as they've been passed from generation to generation of surgeon (mostly by word of mouth). Great to see pearls like these recorded. Thanks! -RBAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-69806080618228994112007-09-16T09:55:00.000-07:002007-09-16T09:55:00.000-07:00a patient: In my book, that's totally inexcusable,...a patient: In my book, that's totally inexcusable, and I hate hearing stories like that. It's hard to think of any acceptable explanation.Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-73193051286194261372007-09-16T01:45:00.000-07:002007-09-16T01:45:00.000-07:00After my cancer surgery, I didn't see the surgeon ...After my cancer surgery, I didn't see the surgeon until the 2nd day of my hospital stay. And that was when I accidentally bumped into him in the hall when he was exiting another patient's room. When I greeted him, he looked at me quizzically. I realized then he didn't recognize me. I said my name, then asked how my operation went. He had to look in my chart.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-1383705690492777402007-09-15T17:55:00.000-07:002007-09-15T17:55:00.000-07:00In 30 years of working in hospitals, being an inpa...In 30 years of working in hospitals, being an inpatient, and sitting with postoperative relatives, I have never seen a doctor round more than once a day. (some didn't make that). One of my favorite things about you is the way you took care of your patients before, during, and after surgery. ....if only that were the standard.justmehttps://www.blogger.com/profile/18093595156625216962noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-23772833390825625372007-09-15T16:42:00.000-07:002007-09-15T16:42:00.000-07:00Here's my best tip--When sewing up lacerations, st...Here's my best tip--<BR/>When sewing up lacerations, start with "key" landmarks--anatomical (vermillion border) or acquired (tatoos). The "puzzle" becomes much clearer then.rlbateshttps://www.blogger.com/profile/15236331355857884458noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-79650830106685240672007-09-15T15:54:00.000-07:002007-09-15T15:54:00.000-07:00j1lane: I like that lube idea! I never used a band...j1lane: I like that lube idea! I never used a bandage; generally a single subcuticular stitch and told them they could shower whenever.Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-27606694621370498782007-09-15T15:52:00.000-07:002007-09-15T15:52:00.000-07:00Rob: I don't entirely disagree; however, done righ...Rob: I don't entirely disagree; however, done right you can express and tease the entire cyst wall intact. When you don't, you can tell, and can find the pieces. But mainly, if it's not been infected, I rarely had any trouble getting the whole thing. Looks cute, like a little leather bag.Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-47005852404197346702007-09-15T14:08:00.000-07:002007-09-15T14:08:00.000-07:00In re. to rule 15 about sebaceous cysts. I think t...In re. to rule 15 about sebaceous cysts. I think that technique of trying to drain and express the sac piecemeal leads to lots of recurrent cysts. In most instances I'll trade a little longer access incision for getting the cyst out en-bloc or at least long enough to directly disect the cyst wall out (rather then squeeze as that can make those shells fragment)Dr. Rob Oliver Jr.https://www.blogger.com/profile/09059882318849767896noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-10792110499304636142007-09-15T13:50:00.000-07:002007-09-15T13:50:00.000-07:00In an unrelated story...My word verification is w...In an unrelated story...My word verification is w-e-i-r-d .<BR/><BR/>Don't really have a comment, just couldn't let anything weird go to waste.<BR/><BR/>P.S. Okay, guess I do have a comment. I like the technique for non-dog-eared closure of mastectomy incisions. I may pass this on ~ not that anyone listens to me!make mine traumahttps://www.blogger.com/profile/18149160428613740527noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-38059460574958592092007-09-15T13:44:00.000-07:002007-09-15T13:44:00.000-07:00For scalp cysts, I like surgilube to slick the hai...For scalp cysts, I like surgilube to slick the hair back out of my way. I also like dermabond for the closure, because good luck trying to secure a bandage. The patient will have to wash the surgilube out later, but it's water soluble, so that's OK.JenLhttps://www.blogger.com/profile/11150910526057638166noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-33657545489901683412007-09-15T13:26:00.000-07:002007-09-15T13:26:00.000-07:00I saw a rerun of "Scrubs" the other night where th...I saw a rerun of "Scrubs" the other night where they poked fun at the propensity doctors have for making patients get undressed for everything. They showed a doc telling a patient to take off his pants before looking in his ear. :)girl_in_greenwoodhttps://www.blogger.com/profile/00337410012641477994noreply@blogger.com