The penicillin thing is the single thing that's actually relevant here. That's foolish, and people should rightfully look into whether the right call was made.
But then again, we're not hearing the complete story either way.
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WP: Surgeon convo recorded during woman's operation
- Thread starter Mr. X
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The penicillin thing is the single thing that's actually relevant here. That's foolish, and people should rightfully look into whether the right call was made.
But then again, we're not hearing the complete story either way.
lowhighkang_LHK
Member
No, what he's saying is accurate. Both the chance and severity of the allergic reaction is considered. In a sense, everyone has a an adverse reaction to most medications.
Also surgeons are generally sociopaths. If not at the start then They will be eventually. While his words we're inappropriate to those who can't relate to the stressful environment, his actions resulted in a successful surgery. But YeAh we can look onto the penicillin thing but more information is required.
Also recall some surgeries can last several hours. A bunch of guys talking about stuff for several hours....I'm sure There is going to be a few odd things said.
He doesn't dismiss it...he says he doesn't think that the reaction is bad enough and suggests testing it. Sounds to me like he used that thing he spent a lot of money for (medical training) and came to a conclusion, albeit not the best possible one with the benefit of hindsight.
Wafflecakes
Member
Don't really care about any of this as long as they completed their work as they should have.
..but outrage culture and all that.
..but outrage culture and all that.
The fuck is this. Since when should people expect doctors to make racist remarks about you and joke about "touching" and photographing you while you are under.
The fuck are you all smoking?
Humanity my ass, what part of joking to touch someone who is under, and making clearly racist comments about someone 'humanity'. FOH man.
The fuck are you all smoking?
Humanity my ass, what part of joking to touch someone who is under, and making clearly racist comments about someone 'humanity'. FOH man.
Mysterious
Banned
Can someone please explain how the comments are racist? I don't really understand it.
ClosingADoor
Member
I get doctors complaining about patients and making a few jokes. Everyone talks shit about people at work. But talking about sexual assault and taking pictures like that is messed up.
The penicillin thing doesn't seem to be much of a problem. He tried it in a small dose. As far as we know she only said she had some troubles when a baby, so nothing directly life threatening.
The penicillin thing doesn't seem to be much of a problem. He tried it in a small dose. As far as we know she only said she had some troubles when a baby, so nothing directly life threatening.
Dude, no-one is saying the jokes are appropriate. But they are what they are. Jokes and one-upsmanship between colleagues. Unprofessional, sure. Reason for outrage? Not really.
They what the fuck what now? I'm done with this thread.
Depends on your alternatives, Cephalosporins can be a good choice in general for abdominal surgery. As for as I'm concerned, the guidelines I'm going by advice against any prophylactic for hernia surgery but I'm not working in Texas and I imagine that the surgeon in the OP might have had other recommendations. I mean, it isn't optimal - they should probably have gone with a later generation ceph at the very least - but dodging cephalosporins completely based on such a dubious history of PC-allergy isn't necessarily the best choice. I definitely wouldn't say it's malpractice territory.
Oh, sorry. Interpreted it as a sarcastic remark against the surgeon for some reason.
RatskyWatsky
Hunky Nostradamus
metalslimer
Member
This kind of shit goes way beyond coping mechanisms gallows humor.
I'm saying.
Principate
Saint Titanfall
I've been in an operating room observing a surgery and come from a family of doctors and this doesn't surprise me, surgeons can be eccentric to say the least and speak about all manner of stuff during. Partly I assume is being in that situation where your actions can lead to fatal consequences, there isn't really a normal way to ease stress as too much tension generally isn't great for performance.
With the more experienced surgeons you also notice a tendency of desentization. Either way there's certainly a case for investigation into malpractice, the morbid sense of humour while disturbing doesn't exactly surprise me.
With the more experienced surgeons you also notice a tendency of desentization. Either way there's certainly a case for investigation into malpractice, the morbid sense of humour while disturbing doesn't exactly surprise me.
I don't see why people are automatically assuming "precious" is being used as a racial insult. I kinda took it to be a sarcastic insult due to her attitude.
As for the penicillin, I won't comment because I know nothing about penicillin and allergic reactions and decisions doctors need to make in surgery and if that was the best choice and all that shit so I'm not gonna jump to conclusions.
As for the penicillin, I won't comment because I know nothing about penicillin and allergic reactions and decisions doctors need to make in surgery and if that was the best choice and all that shit so I'm not gonna jump to conclusions.
I'm not sure how we can say it was a bad decision in hindsight when we can't see the consequences of not using that antibiotic.
Teaching stuff like this leads to the overuse of Azactam. Which should be only used in real anaphylaxis as it's coverage is garbo compared to a BL
Littlefang
Member
I mean I'm sure we all expect doctors to shoot the shit during surgery but the Bill Cosby stuff is just plain creepy.
Why are most penicillin allergies bullshit? I know that some penicillin allergies can still allow you to take small dosages since doctors have asked about the severity of my allergy before surgery. But as a baby I had a very severe allergic reaction and my mom said that the doctors made it very clear that I am never to be touched by penicillin.
Why are most penicillin allergies bullshit? I know that some penicillin allergies can still allow you to take small dosages since doctors have asked about the severity of my allergy before surgery. But as a baby I had a very severe allergic reaction and my mom said that the doctors made it very clear that I am never to be touched by penicillin.
I mean, jesus. I feel like I'm on the moon sometimes. People will find a way to defend anything. Heinous behaviour is seemingly never inappropriate or over the top.
"It's just a prank bro" shit in full effect I guess.
Eh, don't know how much I would be concerned with there.
Yeah, they did a little shit talking. You have no idea what Precious is, and they seemed to refer to two seperate things (“Precious, yes, this is Precious over here, saying hi to Precious over there,”
Not a doctor, but he did say that what she gave as her symptoms to a penicillien allergy wasn't bad enough to keep her from receiving whatever he gave her that only effects a portion of people with that allergy. He still said to just try a little bit and see how that works, and then finished up. Really would prefer my doctor to be confident in his choices, especially when under the knife, so I actually would give them points for this move.
I guess the touching comments are the biggest concern. Would really like to think that whatever they were talking about wasn't sexual, but shes seems to believe it is.
Yeah, they did a little shit talking. You have no idea what Precious is, and they seemed to refer to two seperate things (“Precious, yes, this is Precious over here, saying hi to Precious over there,”
Not a doctor, but he did say that what she gave as her symptoms to a penicillien allergy wasn't bad enough to keep her from receiving whatever he gave her that only effects a portion of people with that allergy. He still said to just try a little bit and see how that works, and then finished up. Really would prefer my doctor to be confident in his choices, especially when under the knife, so I actually would give them points for this move.
I guess the touching comments are the biggest concern. Would really like to think that whatever they were talking about wasn't sexual, but shes seems to believe it is.
Sums up what I was about to post as well.
TwEE-N-Toast
Banned
Could be. She and posters here seem to think it alludes to some movie about an illiterate abused teen named Precious.
Agree with the bolded.
And if there is any chance of a penicillin allergy, we're told specifically not to use ancef.
Aruarian Reflection
Chauffeur de la gdlk
I'm a doctor and have spent more time working in the OR that I would have liked. What's said in the OR should stay in the OR, but I've seen plenty of off-color remarks and some epic rage sessions and cursing during high stress situations. The comment about touching her I would consider inappropriate although I don't know the context
The part about penicillin allergy and the fact that she was given a cephalosporin has already been addressed in this thread and isn't that big a deal
The part about penicillin allergy and the fact that she was given a cephalosporin has already been addressed in this thread and isn't that big a deal
Pretty sure we all talk and gossip/shit talk at work.
One of my projects involved practicality living in OR's for months. It is a work shift, like anywhere else people talk. These people work work 12 hour plus days under extreme stress.
The cell phone thing initially freaked me out lol (people using in the wing not beside the patient).
My favorite was hearing a surgeon as he was leaving the OR talk to his colleges "I did not think it was fucking possible for a kid to eat so many coins"...and then 1 minute later was talking professionally to the parents about how the surgery was a success
One of my projects involved practicality living in OR's for months. It is a work shift, like anywhere else people talk. These people work work 12 hour plus days under extreme stress.
The cell phone thing initially freaked me out lol (people using in the wing not beside the patient).
My favorite was hearing a surgeon as he was leaving the OR talk to his colleges "I did not think it was fucking possible for a kid to eat so many coins"...and then 1 minute later was talking professionally to the parents about how the surgery was a success
Because PC allergies are pretty much always self-reported and people have a tendency to assume that any side effect or unrelated symptom they got during a PC treatment is an allergy. To make things worse, a slight rash is common side effect from PC that's rarely caused by an actual allergic reaction but it could also be part of a genuine allergic reaction.
Your case is different, you had a severe reaction and was diagnosed as allergic by a doctor. That's not the case for most self-diagnosed people and why most PC allergy claims are probably unsubstantiated - you still try to respect them though, but sometimes the risks of of taking them for granted can result in inferior treatment which means you need to take a chance.
Is there any evidence that anything inappropriate happened. Do we know what he was referring to when he said touch. People are making assumptions about context. Saying something in a private conversation and doing it are two completely different things.
this first post could be your epitaph.
penicillin allergies don't have any give. what the fuck was the doctor thinking as a "trial"?
Alandrus Sun
Banned
Meh, sounds like harmless banter. I'm pretty sure the doctors knew what they were doing.
My man. I 100% agree.
Dr.Guru of Peru
played the long game
Not really. Its not uncommon to give patients Ancef if they've had a minor allergic reaction to Penicillin. For one, the vast majority of patients with minor penicillin allergies don't have true allergic reactions (or they've outgrown them). Secondly, the cross-reaction between Ancef and Penicllin is something like 1%. For a minor reaction, that's an acceptable risk. Her "difficulty breathing for days" had to do with the fact she just had surgery for a hiatal hernia and nothing to do with the reaction - anaphylaxis doesn't work like that.
Dr.Guru of Peru
played the long game
That's really a terrible attitude to have from an antibiotic stewardship point of view, and you're probably doing your patient a disservice with poorer coverage of skin commensals.
The majority of kids diagnosed with Penicllin allergies have rashes as their reaction. The vast majority of these kids also had viral infections that caused their rash, not the penicillin. Something like 94% of people who think they have a Penicillin allergy are not allergic upon testing.
If the reaction was minor, its perfectly reasonable to try an antibiotic that has less than 1% cross reactivity. You're talking about a 0.06% chance of causing a rash.
Except, like everyone else in the medical field in here has said, what he did wasn't inappropriate.
People, people - let's all take some milt juleps out onto the veranda and fan ourselves. Our pearls are about to fall off from all the clutching happening.
Ken K in the Fresh!!!
Member
Not surprised..
I remember when I had my molars removed, I came to to the sound of west coast 90s rap music and one of the surgeons slapping me in the face repeatedly and addressing me as sleeping beauty
I remember when I had my molars removed, I came to to the sound of west coast 90s rap music and one of the surgeons slapping me in the face repeatedly and addressing me as sleeping beauty
half a moon
Banned
Gossip and risking a mild? reaction are one thing, but how often do you think a patients care is compromised if the doctors dislike you?
I knew a man and spoke to his new doctor and they were both conviced his previous doctor didn't care about people with his problem.
Jmanunknown
Member
WTF is wrong with some of you excusing this bs at no point is it ok to infer or make jokes about sexual assaulting a women while she is sedated like this is beyond ridiculous. That some people can just flippantly dismiss a doctor making remarks about sexual assaulting a patient while they are sedated whether it was a joke or not is crazy.
DontBeThatGuy
Member
Surgeons are often immature assholes.
Yeah as someone with a severe allergy that has put me in the hospital, lets just say I won't be very understanding of stressors and 'banter' if you almost kill me when my fucking chart and the card in my wallet and chain on my wrist say do not do xyz.
he will be pulling those pearls out of someplace and he is going to need a doctor's help.
Alandrus Sun
Banned
People have dark senses of humor especially those that have to deal with death and gruesome mutilation on a constant basis. There's a reason we have the saying, "talking like a sailor."
Yeah, I've read of other situations like these. I honestly don't like it but apparently it's very common? Shit is fucked up. I've never understood why some Gaffers defend this type of shit.
"It's very common, don't make such a big deal about it"
yeah ok
Edit: Sometimes I wonder if GAF is more forgiving of things regarding medicine and doctors (like defending their salaries and their dark humor)
"It's very common, don't make such a big deal about it"
yeah ok
Edit: Sometimes I wonder if GAF is more forgiving of things regarding medicine and doctors (like defending their salaries and their dark humor)
Massive Duck. C.M.
Banned
I guess the image of medical professionals as caring and compassionate is outdated. Have to rebrand them as dark, stressed out yet mechanically competent sociopaths with expensive degrees
Alandrus Sun
Banned
Or just regular human beings who use humor to cope with high stress situations.
If that were the case, every single job/career should allow similar dark humor but for everyone else people demand professionalism, so why is this the exception to the rule?
Jmanunknown
Member
Talk of sexual assaulting an unconscious patient let alone anyone is not dark humor its straight up sick but at least you know what type of person someone is if they think that type of stuff is ok.
Massive Duck. C.M.
Banned
Nah, a lot of people can handle stress without dehumanizing others or testing supposed hypochondria
I'm not agreeing with the hand wave
DontBeThatGuy
Member
Or maybe they're assholes.
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