tag:blogger.com,1999:blog-37286253.post8793799024641883147..comments2024-03-09T11:08:34.910+02:00Comments on other things amanzi: tough surgeonBongihttp://www.blogger.com/profile/12918640034313468627noreply@blogger.comBlogger14125tag:blogger.com,1999:blog-37286253.post-48276112189241552842008-04-18T22:18:00.000+02:002008-04-18T22:18:00.000+02:00Secure a large plastic bag (trash/rubbish bag or e...Secure a large plastic bag (trash/rubbish bag or even several thin plastic grocery bags nested) around the distal 1/3 of the rectal tube and create a gas/projectile collector closed containment system.<BR/><BR/>And you have my sympathies, tough guy.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-37286253.post-67948762472816972462007-07-28T05:14:00.000+02:002007-07-28T05:14:00.000+02:00This was not the right time for me to be reading t...This was not the right time for me to be reading this kind of... shi!t.BillyBobhttps://www.blogger.com/profile/15697668141858001717noreply@blogger.comtag:blogger.com,1999:blog-37286253.post-70765307199219675612007-07-19T00:51:00.000+02:002007-07-19T00:51:00.000+02:00I have to concur with Dizzy Dee:"I'm thankful that...I have to concur with Dizzy Dee:<BR/><BR/>"I'm thankful that I spend all day every day staring at a 17" screen."<BR/><BR/>I would not want to be a surgeon for all the tea in China. Reading about it is one thing... I'm content to remain a mere mortal.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-37286253.post-78731925974804280812007-07-17T17:45:00.000+02:002007-07-17T17:45:00.000+02:00buckeye, south africa is a world superimposed on a...buckeye, south africa is a world superimposed on another world. it's layered, not unlike an onion or an ogre for that matter. it is fully first world and fully third world. in the private hospital where i work, we have everything i could need. in the state hospital where i work on tuesdays, we have no lap stuff. we stuggle with many things there. it is a shoddy place trying against the bungleings of beurocrats to deliver a service, but in the end failing dismally. take a look at my post called failure to see what it is like. also if you go to power to the people (last year november some time) or strike (recently) you will be amazed at how first world we can be. <BR/><BR/>here with seriously dangerous hiv levels i would not touch any human fluids without gloves if i can help it.<BR/><BR/>i suppose we've all pretty much seen it all. the very first post in my blogging career touched on that.<BR/><BR/>as far as smells go, usually i can handle most. malena is just bad. necrotic bowel is worse. but the smell left on your hands no matter how much you scrub after operating on peritonitis holds a special place in my heart.Bongihttps://www.blogger.com/profile/12918640034313468627noreply@blogger.comtag:blogger.com,1999:blog-37286253.post-78038461977066239642007-07-17T03:29:00.000+02:002007-07-17T03:29:00.000+02:00I'm curious about your practice. CT scans readily...I'm curious about your practice. CT scans readily available? Laparoscopic equipment? I have this image in my mind of some MASH tent out in the bush.<BR/><BR/>Now that Ive been doing this for a while, Ive found that I can pretty much see and touch anything without being grossed out. I've seen eyeballs popped out laying next to a guy's neck, legs bent backward and halfway up someone's back. And I'll touch anything. Even with bare hands. Shit, piss, infected wounds. It doesnt bother me. <BR/><BR/>But I still have a problem with some of the smells. Dead bowel, melena, and gangrene of a diabetic foot, to name a few. Good to know I'm not alone.Jeffrey Parks MD FACShttps://www.blogger.com/profile/15650563299849196122noreply@blogger.comtag:blogger.com,1999:blog-37286253.post-13616047527674973822007-07-16T22:39:00.000+02:002007-07-16T22:39:00.000+02:00sid, when next i see amanzimtoti (schweet name by ...sid, when next i see amanzimtoti (schweet name by the way) i'll let her know about your reply concerning surgeons having their feet firmly on the ground in this particular point.Bongihttps://www.blogger.com/profile/12918640034313468627noreply@blogger.comtag:blogger.com,1999:blog-37286253.post-31448045885930167952007-07-16T22:30:00.000+02:002007-07-16T22:30:00.000+02:00sid, the reason for the prevalence here falls into...sid, the reason for the prevalence here falls into two theories. <BR/>1) the higher fiber diet of black people here. apparently someone actually measured the volume of feces of ugandans (i kid you not) and found it to be the most per capita in the world. this is believed to be a surrogete marker of fiber in their diet. i struggle to accept this as this would not account for the absolute nature of the difference in black and white volvulus.<BR/>2) the simple genetical difference. not all black males get volvulus, but all that do have a very large sigmoid and a narrow takeoff of the sigmoid mesocolon, lending towards torsion. just like blacks don't get melanoma (with the obvious exception of acral lentigenous which is incidentally very common here) young whites don't get our particular brand of volvulus.Bongihttps://www.blogger.com/profile/12918640034313468627noreply@blogger.comtag:blogger.com,1999:blog-37286253.post-33653154926731303522007-07-16T20:15:00.000+02:002007-07-16T20:15:00.000+02:00And, of course: although some lesser beings are un...And, of course: although some lesser beings are unwilling to acknowledge it, for their own petty reasons, the surgeons' recognition of their own superiority is one of the few areas in which we have our feet planted firmly on the soil of reason and truth.Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-37286253.post-11805746580230167122007-07-16T20:12:00.000+02:002007-07-16T20:12:00.000+02:00Yep. In de-torsing the (rare, in my practice) sigm...Yep. In de-torsing the (rare, in my practice) sigmoid volvulus, I've often thought of the cliche'd answer when applying to med school, to the question "Why do you want to be a doctor?" "Because I like people," is the scripted answer. At two a.m, at the bazooka end of a scope as you describe, it's sometimes hard to remember. <BR/><BR/>By the way; what do you think is the expanation for the prevalence among young men in your world?Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-37286253.post-66857170303170026732007-07-16T10:47:00.000+02:002007-07-16T10:47:00.000+02:00I was in a conversation yesterday where we discuss...I was in a conversation yesterday where we discussed all the medical staff. People who spend their entire lives working with sick and hurting people. Never mind the grossness of it all. I really have a lot of respect for people like yourself. People who are brave enough to help others. And I'm thankful that I spend all day every day staring at a 17" screen. :)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-37286253.post-47006784864160184512007-07-16T03:51:00.000+02:002007-07-16T03:51:00.000+02:00Oh you make being a surgeon sound like so much fun...Oh you make being a surgeon sound like so much fun! NOT!! I'm working on getting my BSN but no way am I going to be a surgical nurse!Crazed Nitwithttps://www.blogger.com/profile/09433413927453925851noreply@blogger.comtag:blogger.com,1999:blog-37286253.post-59073250366895813772007-07-15T09:01:00.000+02:002007-07-15T09:01:00.000+02:00jason, yes, oh shi!t is exactly what goes through ...jason, yes, oh shi!t is exactly what goes through your head at that moment, and to be tptally honest, what goes over some people's heads at that moment too.<BR/><BR/>amanzimtoti (schweet name by the way), it's not that we think we're amazing. it's more like we know.<BR/>:)Bongihttps://www.blogger.com/profile/12918640034313468627noreply@blogger.comtag:blogger.com,1999:blog-37286253.post-79009704712298881982007-07-15T08:57:00.000+02:002007-07-15T08:57:00.000+02:00I am amazed by the surgeon's ego. Even as you say ...I am amazed by the surgeon's ego. Even as you say your comments are tongue in cheek, you boast about how good you are at siggy's. It's amazing! By the way, the only people who think surgeons are amazing are surgeons. But can I call them people or should i say gods?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-37286253.post-82730609276379442202007-07-15T03:25:00.000+02:002007-07-15T03:25:00.000+02:00Oh shi!t...I wouldn't want to be there when the 'e...Oh shi!t...I wouldn't want to be there when the 'explosion' happened either. Nevertheless,<BR/><BR/>*in gruff sergeant's voice*<BR/>Excellent work soldier! You've earned your honorary Crap badge.<BR/>*pat on the back*<BR/><BR/>Interesting bit about the different variety of faeces...Anonymousnoreply@blogger.com