For those who work in an OR, what do you see or experience that never gets old or inspires awe, if anything? What makes you think “woah that’s amazing/cool/surreal”?

Edit: I’d like to add the reason I ask is because I’d like to work in an OR someday. I shadowed and was fortunate enough to be trusted to observe 8 cases over a year. I was overwhelmed with a sense of awe and the immense privilege it is to actually see someone’s vagus nerve or their carotid or femoral artery pumping blood, to see the care with which the staff treats the patient at their most vulnerable. What you all do is amazing to me, truly. I think about it every day as I work toward my higher ed goals. Thank you for what you do.

im not a doctor, im not smart, please be nice. do the intestines move during surgery to the point where they have to be held in place. someone told me this, ive questoned it for a while now, tried researching and have decided now to bite the bullet of embaressment and just ask the doctor people who have a degree and, unlike me, know things

Guys i hope i did better than my prev one

Thanks a lot for the support and tips

Hey all, first-time poster. I have a close family member who is a surgeon, and we were recently having a debate about robotic surgery (at the dinner table). He was saying that robotic surgery is the future and should be everywhere, because even though it may cost some more money in overhead, it's far less load-bearing than laparoscopic procedures on him (especially as he and his colleagues get older), and the difference in timing isn't all that bad anymore. Curious to hear any of your thoughts, if you prefer using a DV, and especially if the patients who have had procedures from a DV even have noticeably different outcomes? He mentioned that more residents and young surgeons are becoming "robot-native," but again curious to hear your experiences there as well. Thanks!

In viata mea de student, dar si inainte, am fost atras strict de chirurgie.Dar acum la moda este sa ti alegi, mai presus decat ceva ce sa ti placa, o specializare care te lasa sa traiesti, si comentariile negative ma fac sa ma feresc de aceasta specialitate.Am tot fost in practica si la stagii pe diverse sectii de chirurgie generala si absolut peste toti mi s au parut doctori care nu stau rancezi in fata ta, care iti explica si care au simtul umorului.Nu mi s a spus niciodata da- te la o parte ca incurci, ca pe alte sectii.Deci care e faza?De ce e chirurgia generala blamata ca este printre cele mai proaste alegeri?Mi se pare foarte low cortisol si high reward.

Hello guys
I just had a thought about appendix surgery

Can the surgery be done with out full anaesthesia only local one ?
And if no why so ?

👀 sos

The diagnosis of appendicitis can only be made when the appendix is under a pathologists microscope.. ..and small tumours in the appendix can’t be distinguished from an inflamed appendix - they tend to be radiological occult..

The diagnosis “acute appendicitis” implies a specific disease entity when it is actually a syndrome with multiple possible causes. In many cases we do not know whether we are dealing with infection, obstruction, or an underlying neoplasm.

I propose replacing it with a two-stage framework:

• Stage 1: Suspected Appendiceal Pathology (initial presentation)

• Stage 2: Confirmed Appendiceal Pathology (only after histology)

This would make it clear to patients that choosing non-operative management means accepting management of a syndrome without ever establishing a true diagnosis.

Has anyone explored a similar re-framing of the diagnosis? I’d be interested in your thoughts.

I’m sure enough to realise that i wanna pursue my medical career as surgeron. And i got a 7** rank(19th batch) as a general candidate in this years inicet. So obviously I’m not gonna get general surgery or any of the two 6 year super speciality courses i filled in my choices. What’s still an option is paediatric surgery. But it seems like it’s such a niche branch that I haven’t been able to get any feedback from any of my seniors. Also I do plan to apply for licensing exams abroad. So it’s a request to my seniors, someone plz help me out here should i go for paediatric surgery in the open round or try my luck for general surgery in the upcoming neet pg?

I don’t study or work in medicine but I’m considering getting some plastic surgery done and would love to see a procedure, struggling to find anything would appreciate any resources? Are all the vids kept behind a paywall or something ?!

I also very likely don’t even know the vocabulary to best search so if that’s the issue, grateful for insight, I wanna find vid of breast lifts & breast implants. Maybe vids of facial work too.

P.S. were you guys there when plastic surgeons were posting clips of their active surgeries on Snapchat stories in like 2016-2019ish? I saw many ab walls get stitched up lol

I have fair surgical exposure, i am in the middle of my surgical training. But ever since early internship days i have problem with subcutaneous sutures especially when it came to skin like scalp. I usually by taking assymetrical depth or distance between the two, resulting in overlapping skin or ugly looking sutures
Any tips on remedying this?

I've looked into a few survey platforms over the years and most of them either screened me out constantly or paid so little that it wasn't worth finishing. Maybe I've just had bad luck.

A colleague recently told me there are platforms that specifically target doctors, but I haven't spent much time researching them yet. Before I go signing up for a bunch of sites, I figured I'd ask here.

Has anyone found any legit paid surveys for doctors that are actually worth doing?

f/u: Thanks everyone. I ended up trying a few of your recommendations. I had the most success with Sermo so far. The specialty focus seems to make a big difference compared with the general survey sites I've tried before, and I've already completed a few surveys without too much hassle.

Saw a funny video about a doctor experimenting flatulence and its safety in the OR. So it seems that if the flatulence is through some type of fabric/clothes its safe to do. But what if the patient is prone on the table and rips one? There's also situations where the patient has to flip mid case to finish surgery.

1. Is flatulence aerosol?

2. If so, and youre the patient in the OR amd you rip one, is your own gut & skin bacteria safe during surgery and it wont break the sterile field?

Hello all!

I just got an interview as a Surgical Services Assistant and I haven’t ever worked at a hospital before so I’m struggling to understand where I fit in the puzzle.

For background: I have my CNA and have been a nursing assistant at long term, rehab and memory care skilled nursing facilities / nursing homes. I’m currently going back to school to pursue a Physician Assistant degree and I’m hoping to get exposure to PAs and how they work in surgical settings before I get accepted into a program and commit that time and money.

The job that I got an interview for has these listed as the key job duties. Is this something that would help me see how things run, get opportunities to watch surgeries and meet surgeons, PAs, surgical nurses, etc. or is this a job that will stick me with the grunt work and not get any exposure?

Job duties:
*Responsible for preparation, set up and cleanup of assigned spaces.
*Properly identifies, handles and disposes of biohazardous, hazardous and pharmaceutical waste according to policies and procedures.
*Safely transports supplies, instrumentation and equipment needed for surgical procedures.
*Provides patient transport within the facility via stretcher, wheelchair and ambulatory assistance.
*Completes and maintains records of assigned check lists.

I’m a medical student, I was discussing this with a team of surgery Residents today, in context of cesarean sections, which have been around for thousands of years.

What precautions did physicians use to prevent infections, if any? Did they use any form of antiseptic?

Did people go into surgery assuming that they would die?

How Would they suture the incisions, and did the surgical sites always get infected?
Thank you!

Hi everyone! I'm a medical student at a Canadian medical school looking to join any surgery-related systematic reviews, scoping reviews or meta-analyses. I've worked on a lot of these in the past so I have quite a bit of prior experience in this domain and would be happy to help with screening, data extraction, risk of bias, or manuscript writing. Please message me if you're looking for another collaborator

Greetings. Pathologists’ assistant here. I have some questions about appendectomies. Obviously this is anecdotal, but is there an increasing trend of treating suspected appendicitis with antibiotics, drain, and imaging rather than surgery?

In the past week to ten days we’ve received multiple cases of presumed appendicitis that was a malignancy. By the time the malignancy caused symptoms, the cancer had spread all over the abdomen and the surgeries these patients received were en bloc resections of multiple organs.

I know that surgical guidelines are above our pay grade, and correct me if I’m wrong, but aren’t around 1-2% of appendectomies positive for malignancy? It seems as though conservative treatment is going to miss those.

Hello, I recently became a board-certified abdominal surgeon, and I would like to ask for your opinion/experience.

What helped you improve and continue developing on your journey as a surgeon? What did you read, and which courses did you attend? Thank you!

Sutured this

Give me feedback i know i did kinda terrible job

Hi guys. I hope I'm asking this question in the right place. I'm a medical lab tech, and recently had a case presented at work in which they mentioned a heart-lung bypass machine. They used a very nice diagram to explain its functionality and components. During this explanation the presenter mentioned a membrane which apparently even though it's uncommon, can have clots get stuck (idk how to explain this as well lol, English isn't my first language, sorry!) after a certain amount of time. I'm aware these patients are given heparin (or another equivalent in other cases) and that clots are very rare to happen, but this still raised a question in me.

Since there's people who still need this machine to function post op or for any other given reason that causes them to need to be connected to this for a longer time, how does this problem get resolved? Assuming these (fibrinogen?) clots - after a longer amount of time of course - cause disruption in the entire process by somewhat clogging up the membrane. How do these get changed? Do they stop the entire process for this?

Not sure if there is an answer anyone has or a site/different subreddit they could direct me to, but I'd be interested (and grateful) for any answers :) thanks in advance!

Hi everyone,
I’m looking for some feedback on a facial reconstruction case involving the nasal root / medial canthus area.
After excision of a small lesion near the nasal root/medial canthus, a local rotation/transposition-type flap from the glabellar/nasal root region was used. Post-op, it looked like the flap did not quite rotate/reach into the defect without tension. There was some central crusting/dehiscence at the inset area.
Any ideas what went wrong? Thanks