You ALMOST have to be obsessive. I’ve learned to run towards the things I feared the most and immersed myself in every aspect of the situation. I’ve never regretted it.
Shaky hands tip from someone who's not a surgeon: If you can't rest your hands to stabilize, try barely touching something with your pinky finger. When I'm cutting glass to a pattern, sewing, welding, soldering, drawing or any other precision, freehand task where I can't rest my hands, just touching something with or slightly dragging my pinky on something makes a massing difference.
Agreed, but I also got propanolol (I do 40mg AM and 40mg after lunch if I need to work), couldn't get rid of the slight tremors with normal techniques. Cannot say if it is genetics and just general nervousness, but the medication can help to steady hands. It basically brought me to normal steady hands, nothing extraordinary.
😭😭 this video is soooooooo comforting, i am a new intern , lacking practice and experience, i had to suture a somewhat profound wound literally yesterday and students of all sorts where crowding my space and telling me all sorts of advices , i sucked , my hands where shacking like crazy , the patient was unhelpfully impatient and rude and i felt sooooo embarrassed, i tried to play it of with laughs and smiles , i tried to brainwash my mind with positive ideas such as i am still learning, it's fine , this is a valuable experience, all that jaz , which i believe but i still feel like shit , so seriously thanks for this vid , you just earned a new sub and a fan , now back to bing watching your content
Surgery resident PGY1 question: In terms of OR etiquette for residents, 1) when is a good time to ask questions about parts of the case you don't understand? 2) Should I ask for permission to perform certain aspects of the operation? Sometimes I'm not sure if I should ask to close/make incision/tie a knot or if I should be patient and wait for my attendings to give me the opportunity in due time. Also, how do I deal with the pressure of performing maneuvers quickly (when I rather go slowly but correctly) so that the attendings/fellows don't take the instruments back to finish?
My response might be useless since your post is a year old, but my mom (an ob-gyn) told me to ask to do small things to get the attending to trust you, and then ask for bigger roles as they gain confidence in your abilities
Thank you for sharing this. My goal is to be a pediatric surgeon. I find that when I am in high stress situations, I tend to rush and panic. I am trying to remain calm in these situations.
Mortality ratio in the paediatric surgery is far more then other specialties.if you you r mentally prepare for this the u r welcome( trainee paediatric surgery)
Pause. Breathe. Slow down. Think. Then go. As Victor Frankl once said, "Between stimulus and response there is a space. In that space is our power to choose our response. In our response lies our growth and our freedom." Easier said than done.
I think panic comes from not feeling in control. What helps with having control is experience, because the more you are put in that position, the more you learn for next time. You also gain control and calmness when you are familiar with the environment, the people, and the instruments used. Again, experience. You can't convince me that the calm attendings we see now weren't freaking out at one point as a student.
Basic surgical techniques is such a great book and I will not lie, without it I would not have gone into surgery. Understanding the mind set is so so sooo important.
I’ve always wanted to be a surgeon. I’ve got the grades to do it, I was just confused on the logistics. You really helped to clear some of my confusion up on the best fields, managing a work life balance, etc. Keep up the great work!
Hey Dr.Buck...Keep it up... You bring a smile to my face 😊I'm a student of 2nd year mbbs from India.Can you please make a video on to make the most out of the 2.5hrs postings we are posted to especially surgery during this year and in future too... Thank you..😊
during listening to you i got a couple ideas: - watching Big Clife soldering is a very good example of experience of how to utilise your fingers and eye hand coordination. and as he says "it is only practise" - also other delicate hand work you do might help. from sewing over assembling plastic models or wood carving or drawing or artistic writing can help develop the wanted finesse.... even playing an instrument. - tremor and shaking is often caused by nervousness or insufficient nutrition. so be sure to eat and drink well. I think overcoming the nervousness or the ... how it is called in German "Lampenfieber"... is more of a problem. my advise would be for these people: you are not an actor watched by a million eyes. you are here to do your job, you need to focus on the task as everone else does in this room. calm yourself to help your patient. if you ask yourself, why is an professional IT worker watching this? because for preparation in case of an emergency.
TheDerek47 Like most left-handers, I had to make a decision early in surgical training to remain purely left-handed or to become ambidextrous. I took the latter route and adjusted my handedness depending on exposure, position and attending preferences. This meant that I usually opened with my right hand (to avoid clashing instruments with my invariably right-handed attending), sewed in the right-to-left direction (since attendings were used to setting up anastomoses in certain right-handed ways) and tied right-handed. When I had opportunities to sew left-handed, I excelled at (i) confusing the scrub nurse, (ii) confusing the attending and (iii) spinning the customarily right-loaded needle by its tip to properly orient my needle. Relapses of left-handedness during an operation often gave my staff an uncomfortable pause and generated some of my favorite ACGME evaluations: “ambi-confused” and “ambi-awkward.” Memorable cases with old-school surgeons also occurred whereby I was “strongly encouraged” to operate right-handed with the immutable logic that surgery was a right-handed profession. Fortunately the vast majority of my attendings took up the challenge of teaching a southpaw proper surgical principles despite my attempts at sabotage!!!!!!!!!
I have zero talent but i have high motivation. I have ptsd i am trying yo overcome ... so my hands shake and i played a lot of video games so i get pain in my hands but i am acing my basic classes and i have specialty in mind i just need to figure out how To stop my hands from shaking , which i think is due to anxiety. .
Pause. Breathe. Reflect on what you're so scared of, accept it with compassion, choose to move on, and remember your purpose. Breathe again. Maybe one more time. Focus. Act. It takes practice, but it's effective for stress management in general. Also consider counselling if you're having issues with PTSD. Look for LCPC, LPSW-C, or PhD.
I commented on your last video about tremor and I think you noticed it Anyways like your video Essential tremors fucked my life 😭😭and I am in med school also wanted to be a surgeon
Damn, please allow us to use videos and such in the OR so residents and med students can learn first hand. No other form better then this besides “hands on”. HIPPA laws need to change. As a surgeon I am petitioning in court to allow these changes. Doing this could reduce actual residency years needed (5) . And will have less malpractice and students will learn 100% more through this way of love videos of actual surgeries !!! It’s a Proven fact and statistic and also common sense !!! Get your heads out of your ass medical boards !!! Starting petition as we speak for us !!!!! As an attending surgeon , I am sure I will get backlash. Oh well !!!!!!
i agree 1000%. They want healthcare to cost less, they want more safety and they want less burnout. all this could be achieved with real-life video learning.
You should make a video about the corruption and bias decisions made by admission committees in medical school. I personally heard this from faculty, it should be talked about more. People shouldn’t be accepted or denied for unjustified reasons
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You ALMOST have to be obsessive. I’ve learned to run towards the things I feared the most and immersed myself in every aspect of the situation. I’ve never regretted it.
Shaky hands tip from someone who's not a surgeon: If you can't rest your hands to stabilize, try barely touching something with your pinky finger. When I'm cutting glass to a pattern, sewing, welding, soldering, drawing or any other precision, freehand task where I can't rest my hands, just touching something with or slightly dragging my pinky on something makes a massing difference.
Thank you!
Agreed, but I also got propanolol (I do 40mg AM and 40mg after lunch if I need to work), couldn't get rid of the slight tremors with normal techniques. Cannot say if it is genetics and just general nervousness, but the medication can help to steady hands. It basically brought me to normal steady hands, nothing extraordinary.
😭😭 this video is soooooooo comforting, i am a new intern , lacking practice and experience, i had to suture a somewhat profound wound literally yesterday and students of all sorts where crowding my space and telling me all sorts of advices , i sucked , my hands where shacking like crazy , the patient was unhelpfully impatient and rude and i felt sooooo embarrassed, i tried to play it of with laughs and smiles , i tried to brainwash my mind with positive ideas such as i am still learning, it's fine , this is a valuable experience, all that jaz , which i believe but i still feel like shit , so seriously thanks for this vid , you just earned a new sub and a fan , now back to bing watching your content
Surgery resident PGY1 question: In terms of OR etiquette for residents, 1) when is a good time to ask questions about parts of the case you don't understand? 2) Should I ask for permission to perform certain aspects of the operation? Sometimes I'm not sure if I should ask to close/make incision/tie a knot or if I should be patient and wait for my attendings to give me the opportunity in due time. Also, how do I deal with the pressure of performing maneuvers quickly (when I rather go slowly but correctly) so that the attendings/fellows don't take the instruments back to finish?
My response might be useless since your post is a year old, but my mom (an ob-gyn) told me to ask to do small things to get the attending to trust you, and then ask for bigger roles as they gain confidence in your abilities
Thank you for sharing this. My goal is to be a pediatric surgeon. I find that when I am in high stress situations, I tend to rush and panic. I am trying to remain calm in these situations.
Mortality ratio in the paediatric surgery is far more then other specialties.if you you r mentally prepare for this the u r welcome( trainee paediatric surgery)
David Smith I think I am but I know there is always room for improvement. Thank you 😊
Pause. Breathe. Slow down. Think. Then go.
As Victor Frankl once said, "Between stimulus and response there is a space. In that space is our power to choose our response. In our response lies our growth and our freedom." Easier said than done.
@@MNchees a little harsh
I think panic comes from not feeling in control. What helps with having control is experience, because the more you are put in that position, the more you learn for next time. You also gain control and calmness when you are familiar with the environment, the people, and the instruments used. Again, experience. You can't convince me that the calm attendings we see now weren't freaking out at one point as a student.
that made me think of what i learned in my welding class and i will now call myself a metal surgeon.
I was always made fun of as a kid for loving arts and crafts and making lanyards. Ha! Jokes on them, i'll be your surgeon now.
Basic surgical techniques is such a great book and I will not lie, without it I would not have gone into surgery. Understanding the mind set is so so sooo important.
I’ve always wanted to be a surgeon. I’ve got the grades to do it, I was just confused on the logistics. You really helped to clear some of my confusion up on the best fields, managing a work life balance, etc. Keep up the great work!
it works to listen to you with 1x, as well as 2x. I appreciate that you acknowledge the value of time.
When I listened to the commitment part, something just clicked into place inside me. Thank you for the video.
I actually never thought of stabilising my hand to improve steadiness! Awesome video as always Dr Parker
Really appreciated Dr Buck's "How to Handle Yourself" video
i just practiced suturing for the first time today. i sucked... but im excited to learn and get better at it.
Hey Dr.Buck...Keep it up... You bring a smile to my face 😊I'm a student of 2nd year mbbs from India.Can you please make a video on to make the most out of the 2.5hrs postings we are posted to especially surgery during this year and in future too... Thank you..😊
I'm really interested in the medical field, so I decided to start early with practicing things I'd need in any specialty.
during listening to you i got a couple ideas:
- watching Big Clife soldering is a very good example of experience of how to utilise your fingers and eye hand coordination. and as he says "it is only practise"
- also other delicate hand work you do might help. from sewing over assembling plastic models or wood carving or drawing or artistic writing can help develop the wanted finesse.... even playing an instrument.
- tremor and shaking is often caused by nervousness or insufficient nutrition. so be sure to eat and drink well.
I think overcoming the nervousness or the ... how it is called in German "Lampenfieber"... is more of a problem.
my advise would be for these people: you are not an actor watched by a million eyes. you are here to do your job, you need to focus on the task as everone else does in this room. calm yourself to help your patient.
if you ask yourself, why is an professional IT worker watching this? because for preparation in case of an emergency.
Slow is steady, steady is smooth, smooth is fast.
yup!
Great video! These C’s are relevant to so many things in life
Another great video. Thanks Dr. Buck! Looking forward to this video series, it's super relevant and helpful for surgical residents like myself.
Thank you Dr.Parker
Awesome stuff
I love you dr buck ..
Keep up the great work ♡
I have an essential tremor. This gives me hope! :')
This is my favourite quarantine content💕- Toronto
I'm currently in college as a Pre-Med student. I'm hoping to be a Cardiothoracic Surgeon someday!
Best video.Hope for more such tips.
Thank you doctor....very helpful
Fuck yeah bruh! Loving this format.
Great tips!
good motivate speech doc...thanks
more of these videos loveee u from Sweden
Does being left-handed or right-handed make any difference to the surgical team?
TheDerek47
Like most left-handers, I had to make a decision early in surgical training to remain purely left-handed or to become ambidextrous. I took the latter route and adjusted my handedness depending on exposure, position and attending preferences. This meant that I usually opened with my right hand (to avoid clashing instruments with my invariably right-handed attending), sewed in the right-to-left direction (since attendings were used to setting up anastomoses in certain right-handed ways) and tied right-handed. When I had opportunities to sew left-handed, I excelled at (i) confusing the scrub nurse, (ii) confusing the attending and (iii) spinning the customarily right-loaded needle by its tip to properly orient my needle. Relapses of left-handedness during an operation often gave my staff an uncomfortable pause and generated some of my favorite ACGME evaluations: “ambi-confused” and “ambi-awkward.” Memorable cases with old-school surgeons also occurred whereby I was “strongly encouraged” to operate right-handed with the immutable logic that surgery was a right-handed profession. Fortunately the vast majority of my attendings took up the challenge of teaching a southpaw proper surgical principles despite my attempts at sabotage!!!!!!!!!
The scrub tech will load the suture the opposite direction if we know, but more often we don't know.
Personally I peel an orange via craniotomy approach
Amazing!
thank you
Sweet video👍🎬
You mentioned the book basic surgical techniques. Who was the author?
Whats the difference in salary between a resident and a fellow?
dear doctor i’m a nurse can i get benefits from ur videos, why in ur all video’s said medical students!?
Yo Dr buck we need some car videos too!
I have zero talent but i have high motivation. I have ptsd i am trying yo overcome ... so my hands shake and i played a lot of video games so i get pain in my hands but i am acing my basic classes and i have specialty in mind i just need to figure out how
To stop my hands from shaking , which i think is due to anxiety. .
Pause. Breathe. Reflect on what you're so scared of, accept it with compassion, choose to move on, and remember your purpose. Breathe again. Maybe one more time. Focus. Act. It takes practice, but it's effective for stress management in general. Also consider counselling if you're having issues with PTSD. Look for LCPC, LPSW-C, or PhD.
I actually prefer the car videos
I commented on your last video about tremor and I think you noticed it
Anyways like your video
Essential tremors fucked my life 😭😭and I am in med school also wanted to be a surgeon
Damn, please allow us to use videos and such in the OR so residents and med students can learn first hand. No other form better then this besides “hands on”. HIPPA laws need to change. As a surgeon I am petitioning in court to allow these changes. Doing this could reduce actual residency years needed (5) . And will have less malpractice and students will learn 100% more through this way of love videos of actual surgeries !!! It’s a Proven fact and statistic and also common sense !!!
Get your heads out of your ass medical boards !!! Starting petition as we speak for us !!!!!
As an attending surgeon , I am sure I will get backlash. Oh well !!!!!!
i agree 1000%. They want healthcare to cost less, they want more safety and they want less burnout. all this could be achieved with real-life video learning.
james S how are you a surgeon with such poor grammar and sentence structure? I’m an engineer and have better grammar, and I’m fucking ass at English!
2nd
You should make a video about the corruption and bias decisions made by admission committees in medical school. I personally heard this from faculty, it should be talked about more. People shouldn’t be accepted or denied for unjustified reasons
you gotta love self righteous doctors that play god. never gets old.
I’m not playing god, I am god.
Buck Parker, M.D. you may be a god as a doctor, but I make gods as an engineer!
Buck's good but he doesn't lift