Assuming that I'm a blogger, it stands to reason that you, don't turn around, I'm writing to you, yes, yes you...are a bloggee. Linguistics aside, some bloggees might remember The Rules. Recently I discovered Rule #9: "It is strongly advised that hemoglobin be maintained within the blood vessels."
The case was a 70 year old patient undergoing a lung lobectomy with the VATS technique. This is minimaly invasive surgery with the major benefits being less post operative pain and quicker recovery. Things did not go well from the start. The anatomy was less than optimal and the surgeon had difficulty visualizing the relevent structures. When the stapler was applied to the blood vessels supplying the lobe to be resected, all hell broke loose. The pulmonary artery was lacerated. The pulmonary artery though not the aorta, is not a vessel to be lightly dismissed. If it weren't so deadly, I'd describe the scene as breathtaking. The velocity at which one's entire blood volume pours into the chest cavity literally takes one breath away.
No doctor, no matter how talented is immune from complications. What is unforgivable is unprofessional behavior. The surgeon screamed at the top of his lungs at the nurse who did not provide the rib spreader fast enough. I understand who stressful such a situation is. No one likes killing a patient, but that is no excuse for venting one's frustration on an innocent team member, especially one who is desperately needed to continue functioning. I have previously stressed how important it is to keep a cool head in an emergency. Even I, with my experience, was frozen in place during the surgeon's cathartic rage. (The surgeon may have felt very good about himself afterwards, but the rest of us felt like crap.) Despite the delay, the rescucitation went relatively well and the patient made it alive, albeit post pulmonectomy, to the ICU.
I personally have no desire to ever work with that surgeon again.
In the Chapters of the Fathers (פירקי אבות), chapter 4 verse 1 it is written:
In translation:
Who is strong? He who subdues his passions. For it is said: "He who is slow to anger is better than a hero, and he who has control over his will is better than he who conquers a city."
We still have much to learn from our forefathers (and mothers).
The case was a 70 year old patient undergoing a lung lobectomy with the VATS technique. This is minimaly invasive surgery with the major benefits being less post operative pain and quicker recovery. Things did not go well from the start. The anatomy was less than optimal and the surgeon had difficulty visualizing the relevent structures. When the stapler was applied to the blood vessels supplying the lobe to be resected, all hell broke loose. The pulmonary artery was lacerated. The pulmonary artery though not the aorta, is not a vessel to be lightly dismissed. If it weren't so deadly, I'd describe the scene as breathtaking. The velocity at which one's entire blood volume pours into the chest cavity literally takes one breath away.
No doctor, no matter how talented is immune from complications. What is unforgivable is unprofessional behavior. The surgeon screamed at the top of his lungs at the nurse who did not provide the rib spreader fast enough. I understand who stressful such a situation is. No one likes killing a patient, but that is no excuse for venting one's frustration on an innocent team member, especially one who is desperately needed to continue functioning. I have previously stressed how important it is to keep a cool head in an emergency. Even I, with my experience, was frozen in place during the surgeon's cathartic rage. (The surgeon may have felt very good about himself afterwards, but the rest of us felt like crap.) Despite the delay, the rescucitation went relatively well and the patient made it alive, albeit post pulmonectomy, to the ICU.
I personally have no desire to ever work with that surgeon again.
In the Chapters of the Fathers (פירקי אבות), chapter 4 verse 1 it is written:
איזהו גיבור, הכובש את יצרו שנאמר טוב ארך אפיים מגיבור ומשל ברוחו מלכד עיר
In translation:
Who is strong? He who subdues his passions. For it is said: "He who is slow to anger is better than a hero, and he who has control over his will is better than he who conquers a city."
We still have much to learn from our forefathers (and mothers).
