General surgeon on call. Slow day. AMA

General surgeon on call. Slow day. AMA

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amazon.com/Psychopath-Inside-Neuroscientists-Personal-Journey/dp/B00GBE69WW
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What is your favorite furniture ?

Bookshelf.

How are you determined enough to go through all the pre-med biased ass degrees?

why would a surgeon browse Sup Forums come on now

What is the most stressful operation you've ever done?

been on Sup Forums long before I became a surgeon so the real question is why is a Sup Forums faggot a surgeon?

24yo male, duodenopancreatectomy with pelvectomy - close to 18h in the OR, no breaks

MBBS or MD?

So how did you get to be a surgeon?
Also what country

MD

Nice. I got MBBS... but am a physician... so that bachelor of surgery wasn't needed

>6 years university
>6 years surgical residency
>Romania

Not too shabby. Im doing a 5yrs biotech degree in california, hoping to get an MD and go for neurosurgery at a school near here. Probably 14 more years

I would have gone for NS as well, but here there are only 3 hospitals that perform ns, so your options are very limited

Do you miss communism?

I hope my resume pulls me through. Initials are K M you ever hear about me. Also im doing research on proteomics and i might do a startup soon in the field of synthetic biology

What are your thoughts on medical tourism?

Are traps gay

Did you have to work up from an e1 medic to become a general surgeon, or did you go in as an officer?

My big toe on my left foot is numb. Parts of the same leg feel numb at some times too. What can I do to fix it?

You are a surgeon Sup Forumstard, what hospital do you work at? I need to know what ER and OR to avoid.

Many surgeons are psychopaths. Since you're on Sup Forums, I can only assume you're a psychopath or an autistic guy like dude on the Good Doctor.

Ever worked with a davinci machine?

was was too little during that period, by the time I started to figure out how things work, the cuck was dead
We don't really have that here, so I'm not all that informed on the matter
No, just attention whores
In the 1st year after the uni you are an "intern" - after that, for the remaining 5 years you are considered an officer
sounds like a neurological problem, might want to get checked

I failed a year of medschool here in my eastern europeanprogram. I stead of 6 years its looking like i will spend 7 years at school.


Will it negatively impact me looking for residency. I feel like everyone will think i am a retard for taking an extra year.

At least i started at 18 i geuss. Some people in my class and most at my school started at 22, 23.

im studying to become one, any tips or unwritten rules i should know about?

I have been describes as a "psychopath" or "sociopath" by many people, not bothered by it or the stigma they bring
Yes, we have one on our ward, we use it for pelvic tumours mostly, but we do the occasional colic and esophagus tumour. Thing is that the materials that we use are not covered by the health insurance and they are really expensive

>you might have a problem, get it checked

Gee. Never could have come up with that on my own. Credentials verified ...

>I have been describes as a "psychopath" or "sociopath" by many people, not bothered by it or the stigma they bring

Nice. Neither is this guy amazon.com/Psychopath-Inside-Neuroscientists-Personal-Journey/dp/B00GBE69WW

Go to a different school and start over. Dont show papers from the current uni.
Protip: move to the west polanfag

I think you missed the part where he wrote "neurological"

What do you think of Obamacare?

jesus, i can even imagine going thur that. How do you prepare yourself on operating for 18 hours straight. like if you have to piss or get leg cramps.

don't sweat it, I have a lot of colleagues that failed several years, there is no shame in it, shit happens, so really, it doesn't matter at all
rule nr.1 - what happens in the OR stays in the OR
rule nr.2 - never talk shit about a fellow surgeon, we have physicians for that
rule nr.3 - anesthesiologist are cucks, but we need them more than we like to admit, so give them A LITTLE respect :)

Do they offer gastric bypasses that only, maybe, take out HALF the stomach?
90-95% seems a bit much, but I do have the fats disease.

do you ever jack off after a surgery

I personally think that the US health system is by far the worst in the... civilised world. I have some friends who went to work in the US after they finished the uni, had to take some "steps" exam... now they are full of cash but the medicine they do is really basic. So it's all about the doctors and not enough for the patients.

How good were you in high school and undergrad?

Do you ever jack off before surgery?

i started going to Uni late due to knocking up a crazy bitch after high school. by the time i get to med school ill be 29. Will that effect me in anyway?

funny that you mention it, we do a lot of longitudinal gastrectomies, we take out roughly 75% of the stomach. The bypass is performed after roughly 1 year, because the stomach tends to dilate and reach about 80% of the initial volume, so in order to maintain the weight lose you need to perform the bypass. The bypass in itself won't help you lose weight, it's just for inoperable tumours

Oh... hmmm

Interesting.
I'll keep that in mind. Thanks

Your life expectancy will expire by the time you make decent bank. Otherwise all good

What can i do to get rid of my puffy nipples?

How is this possible?
Is it?
What is it called, if it is?

Looks real, but maybe I'm just being dumb

yes, sometimes even before
In highschool I was basically a C student, a little above average, and in the uni I was like a B, upper 30% - but was utterly uninterested in some courses - neurology and cardiology comes to mind. But was focused on surgery from day 1
no, if you wanna do it, just do it. I'm 32 and I have a colleague that is 48 and still a 4th resident... so yeah... the age is not an issue

Damn is the surgeon still a thing? It's been years for me since the surgeon was in

thanks that makes me feel better.

Ill be making decent enough money, so all in all i dont mind.

I've seen something similar, but nothing that extreme - but still, the disproportion is not an illness, however I tend to call that fake

Do you have some amount of contempt for the people who come in for surgery? Like, you studied and GREATLY bettered yourself, why should regular people get to benefit from your skills and talent? Or are you truly happy to help everyone? Serious question, because I don't like going to doctors because I don't feel worth their time.

Then just contact a psychologist to help you with aspergers. It gets tough, i understand

I have never felt contempt for anyone who came in the ER and NEEDED surgery. But if you come to the ER at 4 am with a toe abscess that you've had for like 2 weeks... I will have a shitty and sarcastic attitude towards you. But other than that, I have no feelings whatsoever towards my patients. I do have a superiority complex, but it doesn't manifest with my patients. I mean, they feed my ego since they trust me so much that they would let me cut them open. But other than that, the feelings are just not there.

Dont let thread die

I'm still here, still a slow day, still got nothing to do but chat with you Sup Forumsastards

post pics

Hi, I need a varicocelectomy, an inguinal hernia meshless repair, and a AF ablation - in which order should they be done in order to avoid complications.

Awesome. I'm glad people like you exist. Thank you.

Ah ok.
Alright, then

In this exact order. That will be $159.99 please for the consultation

I'm your supervisor, and that was a test.
Stop fucking around and go back to theatre.

Also, inguinal surgery interferes with venous routing and therefore the more critical of the three should be performed first.

OP here, I could do all 3 at the same time

Where would the ablation entry point be.

I would need a cardiologist to perform the ablation, but the hernia and varicocelectomy could easily be performed during the same operation

I am your supervising supervisor. You fired

femural artery

How would you avoid spermatic cord constriction from the mesh, and which method would you use to perform the varicocelectomy if both are done at once.
Further to that, how to ensure there is no partial torsion presenting during the surgery.

I would do it laparoscopic, it's more elegant and easier, the mesh would be placed pro-peritoneal, would not have any contact with the spermatic cord and I would just clip the spermatic vein

>I would just clip the spermatic vein

Sounds a bit primitive.
Did you say you were in Romania? I know laproscopic varicocelectomies are common there.
Subinguinal or in this case inguinal microscopic would be better in order to avoid arterial or lymphatic rupture.
Laproscopic hernia repair has higher incidences of post operative problems, and meshed leads to 40% of patients with lasting PO pain.
Meshless would be preferable, but impossible with laparoscopical approach.

How many generals have you surged on

yes, I agree with you but this is the status quo here. The vascular surgery here is still in it's infancy so we manage how we can. As for the po pain in hernia patients, we concluded that it depends on what type of staples you use. As of lately we don't use titan ones, we use some made out of silicon. I myself am a fan of meshless classic approach to the inguinal hernia, but a lass, the head of the department only wants laparoscopic approaches

Not alot, since they go the urology or gynaecology. However I do the occasional phimosis or bartholinitis

>dull ache under right rib
>it grows more painful and spreads upwards
>after 5 hours, the pain is radiating all the way to the back of my right shoulder
>stabbing pains whenever I move
>nausea to the point that my head is in the toilet bowl
>cannot breathe properly because the pain is prohibiting me from filling my lungs with air
>8/10
>go to emergency room
>blood tests come back fine, globulin a liiiittle bit high but nothing significant
>get chest x-ray
>as I'm standing up for chest x-ray, pain instantly dissipates
>pain entirely gone within 5 minutes
>pain returns after around 15 minutes
>only about a 4/10 when it's there
>resident DR thinks it's gall stones
>go home
>over the course of the next 5 days, occasional stabbing pains and dull ache under right rib
>occasional nausea
>get ultrasound on gallbladder
>no gall stones
>no abnormalities in ultrasound
>eventually goes away after about a week

wtf was it? probably some of the worst pain I've felt in my life. I was sweating and couldn't even talk it was so bad at times.

Which countries in your opinion have advanced vascular surgery.
Have you trained with a da vinci yet?
They are limited in the variety of surgeries that can be performed, but do improve accuracy in the ones that are possible.
I'd recommend going to a training day aboard, if only to expand your repertoire for the future.

Do you know which countries favour meshless hernia repair?

...

Are you board certified?

Had it been hot weather?

everything you describe sounds like gallbladder stones. By the sounds of it, you passed one or more trough the cystic canal and developed into choledocholithiasis... that almost always goes along with icteric skin and high bilirubin - should have been picked up upon the blood tests. Maybe you were the 0.1% :)

Have you ever sent any new employees on a wild goose chase?

Germany, France, Belgium, Danmark - these are the countries I've been in and can vouch for. Yes I have. We mostly use it for pelvic tumours since the narrow space is an inconvenience to the laparoscopic approach. I personally performed mostly right and left hemicolectomies with it. I underwent a 2 weeks intense course in robotic surgery in Belgium prior. Even if I wanted to specialise in vascular, I wouldn't be allowed since i'm a general surgeon and vascular surgery is another speciality, so I would have to undergo another 5 year residency. As for meshless hernia, Germany is pretty big on that, they exceptionally use mesh, and only if it's an incisional hernia. yes I am, I wouldn't be allowed to perform surgery alone otherwise, after the residency you undertake a speciality exam that automatically makes you board certified

I have to go - was nice talking with you.
Listen to your patients and take note if someone seems different from the others.
Try to sleep more, it will really make a difference.
Don't let it affect you too much when something goes wrong, you aren't infallible and you are doing your best.
If it ever becomes too much, take a year out and work in a developing country at a more even pace. You won't lose your position then, but can remove yourself from the cyclic stress for a while.
You can do that periodically too.

We do tend to give the newbies a hard time, most surgeons have that fratboy mentality, but it's like an initiation. That tends to happen in your first year.

Good thread. Post moar soon

Thanks for the information, I appreciate it.
Good luck with your career and try to find a good work life balance, it is important.

cheers for the chat and the advice. will take it in consideration

work life balance is the daily struggle

What computer are you accessing? I assume that, like schools, hospitals have technology policies. Are you even allowed to access Sup Forums?

I'm using my personal laptop with 4g from my phone :) However, I have been developing the informatics system on the surgical ward since I came here, thats like 8 years ago, so I would have access to everything.

Have you ever been aroused by a hot naked patient?

never, I hardly see patients more than a piece of meat.

It's easier if I don't view them as actual people, don't know if you get what I'm trying to say. I remember one patient 22yo female, with a cecal tumour, I knew that she had a 3 month old baby at home, and for the entire operation I kept focusing on that... that she's gonna die and the baby will grow up a orphan. Not gonna put myself trough that again

I've heard anesthetic can fail. Have any patients ever awakened during an operation.

Hey dude, I have really really hard times sleeping. I was prescribed benzodiazepines but stopped them due to addictive properties and the fact they stop working after a while. I'm a Canadafag so I smoke tons of shatter (THC extract usually 80% in THC) while it helps me, I still get used to it. My point being, how do I sleep, hope do I turn my brain off without drugs? How do you sleep?

Yes, more than once, but only with IV anaesthesia. Never happened when the patient is intubated - general anaesthesia.
as a psychiatry enthusiast, stay away from benzodiazepines for sleep problems. They are used to treat much deeper problems than insomnia. I have some periods when I can't sleep, and I do use cannabis during those period alone to help me sleep. Other than that, I don't use it and I don't have problems sleeping in general. My advice would be to try to figure out what is the main cause of your insomnia and work on that. Maybe go trough some therapy...

>therapy
>what's really bothering me

Ooh user, while healthcare is free* here, I don't think I can afford to find the /root cause of my misery. But perhaps one day I will. Although to be honest, I'm not really upset or depressed with life. I'm happy in my life, I'm where I wanna be, I just can't shut my brain off, when the time comes to sleep. I can even be physically exhaust but still not sleep for 3 days at a time. When I first went to my family doctor he tried putting me on anti depressants and I flat out refused because I've heard horror stories about them and I'm not really depressed. That's when he just put me on lorazepam. That a normal course for doctors, or is mine just a lazy pill pusher?

Also, I described my sleeping problem to him, the same way I did to you.
>can't shut brain off
>not upset, just can't sleep
>nothing's really bothering me

he's a fuckin lazy cuck, pills are almost NEVER the answer in these kind of situation

Yeah that's my thoughts exactly dude, it's why I stopped going to him. Been my family doctor since I was literally 11, I'm 32 now. Good doc's are hard to find here, at least in my province. Free healthcare meme is a joke really.