As an anesthesiologist and perioperative medicine specialist, I utilize this strategy! I pretty much use this script when talking with my surgical colleagues about a patient who I have any concerns: "My concerns with this patient under going anesthesia are x, y, z. I feel going to surgery right now could cause a, b, c and I don’t feel these risks outweigh the benefits of this surgery. I ask that the patient have the following addressed before proceeding. If you [surgery] still want to proceed, please document the why you want to pursue emergent surgery and I would be happy to get this patient through surgery as safely as possible."

Straight up facts🙌

@@michaeldouglas8202 except when they don’t get it or don’t care. So, after many years, I have decided IDGAF about their feelings. I’m not here for that. 😏 It’s just way more work than it’s worth.

@@michaeldouglas8202 Me, an IT consult : I'm stealing this script for future reference - thanks! 😊

@@michaeldouglas8202 very much appreciated

Elizabeth kubler ross will be very happy with your observation.

Lol I was getting to comment on this!

No you no new

@Christine Firth Cook I ain’t reading all that but I’m glad for you or sorry that happened

Boom! Well played, Sully. And long live Elisabeth Kubler-Ross. 👏😁

omg

why do they throw a hissy fit over a cancellation?

$5k gone because a cancellation

@Mdisk64 Murica!

It is reality. NEVER allow the surgeon sway you from sound judgement. The patient's life depends on it. And there is nothing more disheartening than witnessing such cowardice from another anesthesiologist.

Be thankful he didn't give you an IV potassium drip and sent you home

Lol

Lmao, didn't know that

Potassium citrate sprinkled in a sports drink would have been a lot easier. But if you don’t dose it right it could be dangerous. Helps get rid of PVC’s for me.

the surgeon can go right ahead and perform the case; there's an anesthesiologist somewhere ready to kowtow

Green Goblin: No one says 'No' to me!

We actually had a patient decline a foot amputation recently, and got psych in to assess her capacity. The outcome of declining the operation is continuing infections, she already had sepsis several times, and refusing the op will result in her dying much earlier. But psych said she has capacity, so.

I don’t know the details but there are definitely scenarios/surgeries where the act of not wanting the surgery is itself enough for a psych consult. I can’t name something specifically but it would be something like a minimally invasive and safe surgery to fix an extremely deadly problem

@@shanedancer3895 absolutely. In my prof's case I dont know either. It depends on the case

@@shanedancer3895 Probably something like an appendectomy

Lmao funny running into you here, Dr. Mon

I loved how the surgeon said he'd just do the case quickly, as if he usually just takes his time and he can magically do the repair faster today! I've witnessed them say this

@@OlaDeen2018 in anesthesia there's a saying - "If a surgeon tells you how much time they've got left to finish the surgery, add 30 minutes to that."

Me too and I agree

😄

1. Were they actually coding? If no, then what's the problem? 2. If they code - when you have ROSC, we roll. 3. Chest compression time will be recorded as an Anesthesia delay.

Well the patient just needed a little Essential Oil of Amiodarone and they'd have been fine for surgery!

And the surgeon had a hissy fit? Im pretty sure those dudes went to med school too. Did they forget all of that stuff? LOL

@Jason Walter in my hospital, the surgeon and Dr. , Don't have flat salary, and their income is based on the amount of patients under their care.

@@theworkinginvestor Yeah I don't think this is specific to any speciality but the thing that makes a competent doctor in my mind is knowing a lot of things they can't actually do. Like an orthopedic surgeon might never treat any sort of vascular disease but if they can't recognize thrombosis or manage blood thinners they will be failing their patients.

thanks a lot for the time stamp! really helpful

Is that what people think about vaccines... 🤣🤣

@@aryowincaster2775 I don't think I've met anyone who thinks that vaccines go through the Kubler-Ross "5 Stages" model of grief, no.

But my Species has six stages

@@andrewthomas817 sounds like an alien from star trek.

If you could change a particular part of you sentence to *hard-to-work-with people or *people who are hard to work with, it could make it easier to undestand what you meant ^.^

The problem with that of course is that you're supporting their negative behavior instead of challenging it. That's how a-holes usually stay a-holes... (In the case of the video being a psycho who would rather endanger someone's health than be mildly inconvenienced.)

@@notthere83 they've been like like their entire lives. There's nothing you can do to change them now, especially when they're in a position of power and wealth and you aren't their superior to keep them in check.

As I medical representative I always use this strategy. I deliver the info while making them think they already know that shit. Most of the doctors have no clue about details of drugs.

Oooo! I'ma going to find that episode now...

Ultimately the blame is always on the anesthesiologist.

@@thefortunemusic We have the broadest shoulders and surgeons like hiding behind them.

Big bro anesthesia lmaoo

What how old are you am I reading this wrong or are you actually around 57 just curious by the way also if I am correct I did the math in my head

without jackass and MTV where is he going to find more patiences :)) tiktok challenges are what's keeping surgeons in porches and bmws.

Hey I found a chubby emu fan

Did They Mess Her Up ? my Was like 1 hr 1/2 He Was Done In 48 Min's Sick Still 170 from 280

billable hours my friend. billable hours. he doesn't do it? who's the next competent surgeon at this place who can do it? is the procedure hard? no? is it lucrative? well what the hell, why am i not raking in the fun coupons?

An abdominal aortic aneurysm (triple A) is one of the most urgent or emergent cases out there. It needs to be done asap!

That is a medical emergency. It is not an elective procedure. If she went home she might have passed away

​@@tawis01A ruptured AAA is an emergency, otherwise it can wait another day

The influencer part felt like what people do when they can't go to college

I like this one. 😂😂

I thought they'd say -who's there? -not your surgery 😂

Then you run before they can react!

That’s only if anesthesia knows they can outrun surgery.

@@azure5273 nice hahaha

Yes! I’ve lived the same thing with an EP! Give the patient a banana w low K! On the narcissist scale: EP>Surgeon

@@nathalienguyen6860 will banana really gonna help? I know they have potassium but is that really gonna help real quick?

@@AlwaysOnForever Nope.

Sure, have a banana! Now, with that full stomach, DEFINITELY cancel the case! Actually, I never cancel a case. I DEFER cases. If the surgeon or proceduralist (OMG, GI is THE WORST) is willing to wait 8h for proper NPO status, I'll be there. Yet they never wait, so THEY "cancel" the case. I defer the case until the pt is optimized. Use your words, colleagues. USE. YOUR. WORDS.

the fact that anesthesiologist is not a doctor is really true, no one knows them outside o.t , they r just puppets of surgeons , surgeon are real heroes

Personally I would prefer them to be on KZfaq

You LOL AND I Get MESS Up Dam No Funny ALL A JOKE TO YOU GREED MONEY Dr.

No Love MONEY Run U Though Don't Care Just Biz F't Up Don't Care

what surgery?

@@FixItStupid Bro They Better Than That

(They only want you to come in before surgery day so they can get paid for the consult. If they do it the day of the surgery it's included in the surgery fee.)

Lmai

Lmai

Lmai indeed

Surgery’s wife is too busy sleeping with ophthalmology

@@skaftonmd8916 Does Johnathan know about this??

@@barbarabreadman2373 of course, Johnathon is an avid supporter of healthy relationships and he makes them brunch on sundays

@@riverstein7251 Mind you, if it was after 4pm on a Friday or the weekend, wouldn't opthalmology be on the golf course?

@@barbarabreadman2373 sometimes it’s where people go to cheat on their spouses. It’s got almost everything. Nature, walks, lunch, friends, and surgery never comes home so this is where his wife goes.

I'm pretty certain it's the surgical nurse. Glaucomflecken has referred to them in another skit.

We have to normalize Potassium. Sodium too

Best comment. Short and sharp.

"I can't believe they're trying to cancel my patient over one banana!"

Not as far as the cutting culture has gone. So.

Nurse of 35 years. Absolutely true.

Teach me your ways!!!

Ain't this the truth.

Maybe that’s the necessary personality profile for cutting into intact bodies in front of people with undue confidence?

I will say I am thankful they can do it because every single time I have been in the OR cutting a live human freaks me out. I have dissected humans cadavers, stitched myself as a child so it’s not human viscera it’s the idea of cutting into a human and knowing the body will have to heal every unnatural incision /motion made inside and it will cause pain. That to me must have to create some dissonance or a person who lacks that sense of empathy. One or the other in order to perform the task. Just out of necessity because every time I would see it I would be overwhelmed by an urge to stop it or my entire thought process while fascinated by the repair itself was very focused on how our techniques affected the recovery process I had witnessed at the bedside/long term out patient Even as a nurse I am very aware of any painful stimuli I can give to a patient. Especially working in oncology they endure a lot. It has to be done but it’s something I’m hyper aware of. I can’t imagine that fixation as a surgeon.

@@stillhere1425 trust me. It’s not necessary at all

Yeah you try going through years of surgery residency and see how you turn out. Not every fucking surgeon is the same

It sounds like everyone who works for or with a surgeon should sit a course on reflective questioning and Cluster B disorders 😆

Good one lol 🤣

That’s actually really funny. Deserves well more likes 😂

Surgery isn't Anesthesia's boss, though. They're both equally skilled and important doctors.

@@notmyname1883 that is very true. I was just sharing from my own experience, as I have not had a coworker that acts that way (or at least, not that I've put up with!) =)

​@@notmyname1883 true, but they sure act like it, especially if a nurse anesthetist is involved

THAT IS THE WAY IT IS DONE, COLLEAGUE! THAT. IS. THE. WAY. IT. IS. DONE! 🎯💯

That's diplomatic.

Totally understand and can relate. I've got one EP doc that would just chill out and say ok, whatever. Then there's the Drama King.... I think you know exactly what I'm talking about, LOL 🤣

@@fltmed oh yeah, I can 100% relate

Oh God that's horrifying

Could you just wrap a metal detector in sterile plastic or something?

@@Kevin-fj5oe you do realize the size of a standard metal detector, right? The laparoscopic incisions are usually an inch or so. Besides, it’s not like metal detectors are just laying around in the OR anyway.

@@alexfurman1486 That's what the "or something" was for. You don't need to be a jerk when answering what should be a common question to those who know nothing about medicine much less a laparoscopic surgery needle. For your information, there are metal detectors roughly the same size as a large pen. If they could make them sensitive enough, it could help in figuring out what side of the surgical area the needle is on.

@@Kevin-fj5oe maybe they could just have all the tools have strings attaching them to the table or something, that way if you drop something you can just follow the string, and you wouldn't be able to close someone up without noticing the string(s). But that would probably get in the of the actual surgery, introduce a new risk of infection, and possiblly cause a little rope burn on internal stuff.

We need to fix that!

RN here, every single video is so accurate it's uncanny. Every character. My #1 favorite KZfaq channel.

Surgeons are not good with internal medicine I mean one just said give NTG but man yes i can give NTG and the bp will fall but post op most cases the bp shoots up rapidly and lead to further complications I think it's because of such experiences that anesthesiologists don't risk otherwise we have over 10 ways we can reduce that bp but is it worth it 🤷‍♂️

I would just give her furosemide. Then do a colonoscopy and send her home with tablets bro.. a colonoscopy isn't gonna kill the patient. Cancer will.

oml that is too hilarious

Family lawyers are one of the worst types of scum on earth. Don't take them seriously

Make sense, you have to be a fool to think the love of a Spouse & children would ever compare to the love between a Surgeon & OR

And you'll rob her of her nightly phone call into the OR where the OR nurse has to tell her that he's still scrubbed in and will be a while longer....

Hohohoho! #goodtimes

I do NOT envy you

Good point! 😂

does his wife number simply saved in phone?

I had to have an adrenal vein sampling done. The IR doctor bitch his kid wanted to be a) a KZfaqr or b) Instagram influencer. The kid was refusing to take calculus and biochemistry in high school. "Never going to med school, so why bother?" Dad was at stroke level rage 🤣

glad you’re still here!

Yay for you!

So glad you're still here!