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The New Coffee Room

  1. TNCR
  2. General Discussion
  3. I HATE when this happens

I HATE when this happens

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  • taiwan_girlT taiwan_girl

    @George-K (and @bachophile and @Jolly)I am always amazed by your abilities

    JollyJ Offline
    JollyJ Offline
    Jolly
    wrote on last edited by
    #14

    @taiwan_girl said in I HATE when this happens:

    @George-K (and @bachophile and @Jolly)I am always amazed by your abilities

    Nah, George is pitching above my league. But the heart message story is pretty neat. I've only been around once when that happened (in the ED) and the patient didn't make it. My flawed understanding is that the patient rarely makes it.

    “Cry havoc and let slip the DOGE of war!”

    Those who cheered as J-6 American prisoners were locked in solitary for 18 months without trial, now suddenly fight tooth and nail for foreign terrorists’ "due process". — Buck Sexton

    George KG 1 Reply Last reply
    • JollyJ Jolly

      @taiwan_girl said in I HATE when this happens:

      @George-K (and @bachophile and @Jolly)I am always amazed by your abilities

      Nah, George is pitching above my league. But the heart message story is pretty neat. I've only been around once when that happened (in the ED) and the patient didn't make it. My flawed understanding is that the patient rarely makes it.

      George KG Offline
      George KG Offline
      George K
      wrote on last edited by
      #15

      @Jolly said in I HATE when this happens:

      But the heart message story is pretty neat.

      I loved working with this heart surgeon. He was an accomplished pianist, read a TON of books (mostly fiction). He never, ever, lost his cool and had remarkably steady hands.

      He retired about 4 years ago, and had an intracerebral hemorrhage about 16 months ago. He was alone in the house, fell to the floor, hoping to not die. He spent a long time in rehab, and after about 8 months, was able to play "Spinning Wheel." He ultimately sold his Steinway...

      A bunch of us geezer docs had lunch back in December. Heart surgeon is driving and now independent. He returned to golfing as well. He has a bit of a limp and a bit of a facial droop, but he considers himself lucky.

      At the table are a general surgeon, an ENT, a heart surgeon, a urologist and a gas passer.

      These guys were my friends. My partners? Not so much.

      IMG_3935.jpeg

      "Now look here, you Baltic gas passer... " - Mik, 6/14/08

      The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

      1 Reply Last reply
      • George KG Offline
        George KG Offline
        George K
        wrote on last edited by
        #16

        By the way...

        This surgeon, though extremely talented, was not particularly liked by the cardiologists.

        Seems that he had really good judgment as to who was a good surgical candidate and who was not. If a cardiologist approached him to do a CABG and mitral valve replacement on an 88-year-old in heart failure, he would refuse the case. With all the comorbidities, etc., the chances of a good outcome were slim.

        Then, when his group's contract was up for renewal, the hospital didn't renew it, and they brought in another, more aggressive, group. These guys would, as we used to say, operate on anyone who could fog a mirror.

        Guess what happened? Yup mortality went up.

        Cardiologists didn't give a rat's ass, because the mortality statistic was surgical, and not on them.

        Such is hospital politics.

        "Now look here, you Baltic gas passer... " - Mik, 6/14/08

        The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

        1 Reply Last reply
        • George KG George K

          @bachophile said in I HATE when this happens:

          Vasovagal.

          Didn't see it too much, if at all, during cataract surgery. There's little, if any, pulling or pushing on the globe during the procedure. In the dark ages, when the eye guys would do retrobulbar blocks (look it up), it was more common.

          However, if there was any muscle work being done, like strabismus surgery in pediatrics, it happened frequently.

          Also, I saw it at least once, during an enucleation.

          bachophileB Offline
          bachophileB Offline
          bachophile
          wrote on last edited by
          #17

          @George-K said in I HATE when this happens:

          @bachophile said in I HATE when this happens:

          Vasovagal.

          Also, I saw it at least once, during an enucleation.

          Read that too fast and saw “during an ejaculation”

          1 Reply Last reply
          • CopperC Offline
            CopperC Offline
            Copper
            wrote on last edited by
            #18

            The guy in the red plaid forgot his old-man sweater, he needs a shawl or something to be comfortable.

            George KG 1 Reply Last reply
            • CopperC Copper

              The guy in the red plaid forgot his old-man sweater, he needs a shawl or something to be comfortable.

              George KG Offline
              George KG Offline
              George K
              wrote on last edited by
              #19

              @Copper said in I HATE when this happens:

              The guy in the red plaid forgot his old-man sweater, he needs a shawl or something to be comfortable.

              That's the urologist.

              "Now look here, you Baltic gas passer... " - Mik, 6/14/08

              The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

              1 Reply Last reply
              • jon-nycJ Offline
                jon-nycJ Offline
                jon-nyc
                wrote on last edited by
                #20

                You’d think he’d be tired of hanging around dicks.

                They’ll end up, after a lot of drama, with the same formula they use every time they have a trifecta: take away health care and food assistance from low income families and use the money to fund tax cuts for their donors.

                George KG 1 Reply Last reply
                • jon-nycJ jon-nyc

                  You’d think he’d be tired of hanging around dicks.

                  George KG Offline
                  George KG Offline
                  George K
                  wrote on last edited by
                  #21

                  @jon-nyc said in I HATE when this happens:

                  You’d think he’d be tired of hanging around dicks.

                  Takes a lot of balls.

                  "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                  The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                  JollyJ MikM 2 Replies Last reply
                  • George KG George K

                    @jon-nyc said in I HATE when this happens:

                    You’d think he’d be tired of hanging around dicks.

                    Takes a lot of balls.

                    JollyJ Offline
                    JollyJ Offline
                    Jolly
                    wrote on last edited by
                    #22

                    @George-K said in I HATE when this happens:

                    @jon-nyc said in I HATE when this happens:

                    You’d think he’d be tired of hanging around dicks.

                    Takes a lot of balls.

                    alt text

                    “Cry havoc and let slip the DOGE of war!”

                    Those who cheered as J-6 American prisoners were locked in solitary for 18 months without trial, now suddenly fight tooth and nail for foreign terrorists’ "due process". — Buck Sexton

                    1 Reply Last reply
                    • George KG George K

                      @jon-nyc said in I HATE when this happens:

                      You’d think he’d be tired of hanging around dicks.

                      Takes a lot of balls.

                      MikM Offline
                      MikM Offline
                      Mik
                      wrote on last edited by
                      #23

                      @George-K said in I HATE when this happens:

                      @jon-nyc said in I HATE when this happens:

                      You’d think he’d be tired of hanging around dicks.

                      Takes a lot of balls.

                      I expect he was pretty pissed.

                      “I am fond of pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals.” ~Winston S. Churchill

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