Love your videos! I have surgery to remove my gall vladder this coming tuesday and I'm praying it wont get cancelled because of extremely high hospitalizations again. As long as I get the surgery on tuesday, regardless of outcome, I'll be relieved.
I read the book "an anatomy of addiction" prior to medschool starting. Turns out the guy who basically invented the modern US surgery residency program was doing shovels of cocaine and working 140hr+ work weeks while systematically amputating every personal relationship and potential support network. calling it a malignant culture is generous.
@@iz2333 the one thing it doesn't explain is how the fuck the guy survived so long and was able to perform surgeries with such precision... guy must have been a genetic unicorn with self control like that while under such heavy influence.
@@KO-vb4tg sure but the survival rate of his patients speaks for itself. Nature doesn't give a fuck what the standards are, if you do a surgery wrong, you will kill the patient, yet they made full recoveries. It's mindblowing.
@@louthinator I meant that people’s standards for acceptable death rates at the time were probably lower. They had only just invented anesthesia and asepsis, and before that tons of people died after surgery.
I have a teacher in med school who's a GS. I cannot believe how kind he is, he was and still is my favorite teacher. After all he shared about his residency experience (hes on his 60s), which is obviously, terrible and all that, he still chose and remained to be kind. I reallly salute surgeons, or even other physicians, who choose to be kind despite all the terrible things they went thru as a student. He said, "i was a student too before, so i know how it feels". It just feels so nice.
There seem to be the ones that go "I was a student once and know how bad it can be so I want to NOT do that to others", and those who say "I went through this, so you have to, too".
@@galaxytabs7490 Can I ask which country you are from?...I am curious if patient family anger and violence towards doctors is same throughout the world?
Regarding parents, a calling to do surgery: I'm Ortho/hand surgery. My wife is podiatry. People often ask if we put any pressure on our kids to go into medicine. We say, "Absolutely not. They can be whatever kind of surgeon they want. (But not general surgery)"
Honestly I had that done to me and I was on the freaking applied sciences field. They told me my professors would be smoking pot and preaching the free love while hugging trees. Instead half of them were in burnout trying to explain why we can't just burn all historical records and "you can't just store it on a shed with a leaky roof, as if the Niagara Falls can be considered a drizzle and documents need hydration". The rest were being wined and dined on international meetings for defending that efficiency be measured by how fast they can convince a student to write two 30 pages article in a week so the professor can take credit for it. All while complaining that the bachelor students straight out of high school fucked up on the article formatting, so it constitutes plagiary to not get the quote in the correct alignment and this means a penalty.
As a surgeon I did not laugh as much as usual… Probably because this was so disturbingly close to home. I am disappointed the applicant didn’t discuss his respect of hierarchy and withholding narcotics and antiemetics on SBO patients.
WTF I used to suffer an SBO at LEAST once a month due to a botched appendectomy that left me septic for 8 days. (Long story short: the surgeon perforated my small bowel with the laparoscope & refused to order even an X-ray until 7-8 days later when I was bloated like I had a weather balloon inside my abdominal cavity… lol) I never understood why it was so hard to get pain relief meds (other than a keterolac shot lmao) whenever I had to go to the ER for my monthly NG tube installation - 20/10 would recommend btw No, but seriously, why the apprehension with giving someone opioids in the ER for an SBO? I was always told it was cuz of the constipation, but I felt like that was mostly a cop-out. Also, I’m fine now. Had a corrective surgery a little over a year ago & no more SBOs! 😁
@@kekkekington275 Glad you had the surgery now. I can only speculate but I would say that narcotics could slow your bowels even more, making the SBO worse. Some of my seniors don't like giving pain meds and anti-emetics to patients with SBO because it could mask if the symptoms are persisting or getting worse.
So accurate. When I did my surgical rotation, I had THE MEANEST General Surgeon… miserable the entire time, would yell at staff, and throw things at medical students during tantrums. An almost fight between Gen Surg and Ortho in the OR. But he was a great example of how I don’t want to behave as a professional.
@@Lex-rc1gr my money is on Gen Surg. Ortho is stronger and would definitely get their punches in. But Gen Surg has so much untapped rage. They’d win in the end lol
i actually did fell asleep standing up during surgical rounds in my last year. my body just shut down and the feeling of free-falling jerked me awake and i ended up crashing into the patient's bed and held on to it before i could hit the ground. everyone just looked at me silently for a few seconds then proceeded like nothing happened. totally cool. gotta love them surgeons.
Doctors should not be allowed to work sleep deprived. There is a mountain of statistical evidence for how dangerous it is to patient health. Not to mention the doctors long term health. If truck drivers in Europe are legally not allowed to sacrifice their sleep due to safety concerns, doctors should not be allowed to either. The human brain has needs, and one of the biggest ones is adequate sleep.
I embarrassed my self recently in the Opthalmologist office (I woke up with a sudden corneal abrasion). I asked the MA taking notes if she was the Dr's Johnathan. To which she looked at me bewildered. And then I had to explain by showing these videos haha So may a new follower (hopefully an office of them)
One of the Vascular Surgeons I work with is one of the most decent human beings I've ever met. She never seems tired. Never lost her temper. Never complained. I brought her a cup of hospital coffee once, and she just looked at it half gasingly, and said thank you, and truly meant it. Unfortunately, surgery culture is toxic on so many levels. Kudos to anybody who has remained sane once they've reached attending status. They are true heroes.
Malignant culture is less apparent in some fields of surgery. Gen surg is usually fairly malignant. Not all of them are like that, but the majority are.
I remember being so tired in surgery residency training that I’d often fall asleep standing up on rounds. Scalpels being thrown by older, big-wig surgeons in the OR were not uncommon. Some of that behavior was due to stress and fatigue. But, the field also attracts those with big egos who select and favor those of similar kind to train. Nowadays, though, the culture is changing. Younger surgeons and the profession in general have actively strived to move away from this toxicity. Also, as you get away from the academic centers and into private practice and community settings, behaviors of the sort are not as well tolerated, if at all. Still, it is true that surgery is a Calling. And, well, sometimes, you’ve gotta yell back at that Calling (but not at people :) .
Five years ago i saw a resident fall asleep while holding patients intestines in the OR. He'd slept 30 mins only (actually asked me to wake him up from his "nap") during THE ENTIRE NIGHT, oh why? Coz he had to finish notes and then watch us interns... Sadly, this isn't changing much in my country and it seems that hour limits in the US have been removed so...
Someone has to do the job. Maybe when there are plenty of people that aren't unhurt by the system and can study whatever they want... Until then, what do you prefer, a doctor that holds your hand while telling you are dying, or a doctor that yells to people while trying to save yours ? But sure is nice to try to get away from that toxicity (not that the previous ones didn't try)
@@LuisXGP I prefer a doctor who has communication skills and also treats me properly... Cause let's be honest, it isn't that hard. We have some professors who are extremely mean and they make people want to run away from whichever field they're teaching. In my opinion some fields aren't chosen not solely because they're hard to train but because it's harder to deal with people's egos in the given field.
Man, I've heard that training in the medical field is like the military. They're hard on students and it's full of bullying, and you must have thick skin. You'll be lower than the dirt on the floor and be doing jobs a 7 year old can do until you prove yourself.
@@Umi0295 yeah, we all would love that, but medicine is not an easy profession to begin with and is very expensive too. That just mean there are going to be a few chosen ones to carry all the burden... and that means power (a tons of stress). Yeah, it's good to try living less stressed, but obviously it isn't "not that hard" or else every one would be happier.
@@BoogieDownProduction grow a thick skin. Unfortunately they bring in big business for the hospital, so unless they REALLY go put of bounds, treating others like shit will not get them in trouble.
I feel so lucky that as a student, my surgery preceptor (very first rotation too) was super nice, very calm, would make sure I had a good lunch break every day, etc. And I didn't know anything and was god awful at trying to suture, but he was nothing but encouraging and kind.
These residency interviews feel like a cerebral showdown between a sensei and their student, and the student finally proves they are ready to achieve the ultimate move (aka residency) that will reveal the secrets of universe (aka burnout).
So true! I was trying to be kind to a GS by offering to consult hospitalist, so I wouldn’t waste his time calling him with useless things. He yelled at me. And I yelled back. He went quiet. I went quiet and I almost shat myself (new RN. Only been one for a year, I didn’t even talk sternly to patients). Everyone else on the unit almost shat themselves. He never yelled at me ever again. Scariest 3 minutes of my life. And I have almost died 3 times (once I was kidnapped in a different country), and I still get anxiety thinking about that phone call.
Kind of similar story, I was a fairly newish RN a CTICU with the biggist a-hole CT surgeon- belittled everyone, I was so tired and fed up one day I gave him the finger- he treated me so well after that.... but honestly that shouldn't have had to happen. He just wanted someone to stand up to him I guess?
Happened to me, too. Worked for years in a high profile surgical setting with a very famous chief surgeon/professor. The working environment was HELL. But very soon I understood that you have to show them (in a very caveman-style way) that you are not to mess with. Being older than my colleagues helped, I admit. The chief surgeon loved me after that, his underlings hated me but didn't dare and left me be.
As someone who’s pursuing general surgery, I thank you kindly for this video!!! Tying one-hand knots while palming a needle driver while listening to rock music…all while the anesthesiologist looks at me funny behind his blue veil
Thirty years ago, working as a nurse in the ER, if you were one of those A-Hole physicians, I made sure every single referral that came to you was uninsured and matched your personality. The nice specialist who treated staff respectfully always got the referral on insured and nice patients.
I remember when I had to shadow this surgeon in the OR as a med student. The first time around, I got yelled at for changing my clothes and washing my hands before him, because I was supposed to help out the patients n anesthesiologists n nurses first. Which, ok fair, it was my first time in the ORs. The second time around, still that guy, I was still helping the nurses when he walked in, seeing that I obviously couldn’t have washed my hand yet, and yelled at me for being too slow when he was already done. And it wasn’t even just in the OR. He called me up in front of my entire class the next day and yelled at me again in front of them. But hey I was actually one of the luckier ones according to my peers cause that guy would kick you out of the OR for standing too close/far. Surprisingly, in the teaching hospital I go to, anesthesiologists are even bigger dicks.
For my 2 month surgery rotation, I did a month of ENT and then general surgery in a private surgery center. It was the best setup ever. The ENT surgeons and residents were super nice and the surgeon in the private center was cool and I mostly worked half-days. Sorry to hear that the anesthesiologists were rude - I think it really depends where you are. Like 90% of the anesthesiologists I've worked with have been amazing and some of them even let me intubate and sedate the patient when I was on ENT and OBGYN
Think how much more "amazing" she could have been. BTW, are you capable of competently assessing "amazing". Maybe you are qualified to make such an assessment, we just don't know.
Fun things that happened to me on surgical placement as an MD3. -Yelled at over the phone for a complete misunderstanding. -Saw a surg reg 'assess' JVP in a patient that was standing up during rounds. I was too scared to call his bluff.
Well that was a delightful little rabbit hole! I had no idea what JVP was so I had to look it up and then ended up on Stanford's website looking at instructions for assessment. Why I felt so inclined when I'm neither a doctor or nurse is a mystery, but I at least learned something new today.
@@samantha6564 - Too many of us do this. My brain is built to follow down rabbit holes, to the point it takes up all day or many days. I have a problem. lol.
The trick is to do Urology. You get the good sides of surgery, with options for big cystectomies, options for reconstructive, or many MIS options, without the malignant awfulness, horrible hours and lowish pay of GS. Edit: I did my GS at a program in the outskirts of Chicago, where they has two resident suicides over the past three years. It was malignant as hell. My senior resident outright lied to attendings about interns and it showed up in their assessments. Interns cried all the time and everyday felt like a massive drag.
as a medical imaging student who's had to shadow radiographers during surgeries (and had a few go's with the C-arm myself), I much prefer the urology cases above others as the surgeons tend to be the most friendly and chill so that explains it haha
Yeah, I have found urologists to be a bit more down to earth. I haven't idea why specialties have personalities but it seems like they do. Maybe we just have a personality in mind and only remember the people who reinforce that perception? For my hospital, the general surgeons are generally a nice lot. I will say that one does do a lot of the whole "every other specialty always gets everything wrong" thing that general surgeons seem to do. She criticizes medicine for mismanaging patients yet consults medicine for everything. She obviously also criticizes radiology for not reading things correctly and ER for being generally dumb. I tend to think surgeons forget that their environment is informative in a way that other specialties don't get to see. They open up patients and verify radiology imaging with their own eyes. They see fluid management in real time as they communicate with anesthesia. Etc. And I think part of that is that specialties don't spend any time in each other's worlds during training. If we had ER and medicine residents in the OR for a month and sent surgery residents to inpatient medicine for a month, maybe communication would be better. She's still nice, but it's clear she feels intellectually superior to other people in the hospital.
Or, you can switch out of urology into radiology and have an actual life. My urology mentors as a med student are my colleagues now and they always tell me I made the right choice.
These are terrific, and by far their most outstanding feature is the stealth criticism of American health care and wealth inequality coming from a doctor. Thank you for making these.
@@akenu87 hi. So i slept. And yes you are right. I finish my intetnal medicine rotation next week and i promise imma sleep a reasonable amount during. Happy new year
The department brawls are so evident from miles afar. A week ago, in the OT, the patient started moving her hand and coughing during her Mayos Repair for Umbilical Hernia and that distracted our HOD who is also our Unit head from pimping us to yelling at the Anaesthesiologist who was on his snack break at the room outside. The anaesthesiologist angrily storms in and asks what’s going on. Surgery HOD proceeded to tell him what’s going on in Uppercase words. His exact response was “She’s COUGHING ?? YOU PRESCRIBE HER SOME COUGH SYRUP THEN” and walked out.
Doc G, you work largely outpatient surgery. In hospital settings we do in-house call for OB or trauma or both. The colleagues you work with DEFINITELY have nice lifestyles if they work exclusively outpatient surgery. No calls no weekends. They are amazing lifestyle positions to get. The rest of us miss a few family dinners a month, sadly.
I’ve been a scrub tech for 8 years, and I LOVE YOUR VIDEOS I crack up every time. My coworkers and I love to watch your videos in the break room on lunch 😂
The word finding difficulty bit is gold. The voice inside my head often speaks to me in the wee hours of the morning: “The words dribbling from my mouth should form a sentence, but my brain is tapioca.”
Circulator here. I've been surprised at how much pushback has come from OR staff against misbehaving surgeons. Had a scrub tech openly lecture the surgeon about his treatment of another tech and in another case the tech told the surgeon to get his own instruments after getting an instrument thrown at them. She stayed scrubbed in so as to avoid any claims of patient abandonment, but she refused to assist him until he apologized and changed his behavior... which occurred within 2 minutes of him having to find what he needed out of the set. Other posters are correct in saying that there has started to be a change in surgeon personality. A lot of newer and even older surgeons are team players with many having previous experience as techs and know the difficulties associated with the other jobs. I'm happy to say that I've never seen the surgeon anesthesia relationship put out by this channel at my workplace. Most are on a first name basis with each other and bed movement requests are accompanied by a please or at least in a 'could you' format. But there's always the exceptions. The ones who scheduled an appointment 10 minutes after the scheduled end of their last case and start trying to blast the staff for the patient's IV falling out of an 85 year old vein.
That is absolutely retarded. I am a general surgeon, and I have never yelled or thrown stuff at staff if they were doing their job as expected. We are dealing with lives here. If my fecking mosquito doesn’t hold, or LigaSure doesn’t ligate properly, well suprise, people die! And also I must mention: all the responsibility belongs to me. So, for TLDR: if you do you work right, you will have nothing to fear from GS. You will be respected, and even revered from him. And if you don’t; go facking work in a wallmart. We are dealing with lives over here.
Yeah, its definitely a calling. I was getting ortho,radio,gynec,internal medicine and any other specialty,but i took surgery only. I ve waited for two years to get into surgery rather than submitting myself to any other specialty and I dont regret it. 😊
This video is made on such a light note. Too good! ❤ Nevertheless, surgeons are the beast. Seeing my surgery professors make me take pride in being an aspiring surgeon. (Do I sound like a part of perpetuating the malignant culture?😅) They are all such renowned faces in their field but so kind and loving. And they do share their stories of struggle and how their good professors made them appreciate kindness amidst the chaos.
Except for one, all of our surgeons were friendly and kind. Even the cardiothoracics 😯 That one GS, though. He had enough assholery to make up for all the others.
Oooooo. This is so true. And all the reasons I signed up for surgery in 1982. Thank god they decided I would be the first “ unfunded resident “. That is I would be living in a call room stealing food from the patients . Or on the other day of 1 in 2 I would be living at the ymca or homeless shelter. That broke my resolve so went into family med. Have gotten to do all the surgery I needed for 40 years. !
This explains so much about my colorectal surgeon. Told my cousin, who is a nurse, something my surgeon said to me about an issue I was having post surgery and severe pain, and my cousin said, “Your surgeon sounds like a sadist.” 🤣
“My condolences” is the reaction I get when I tell someone who KNOWS how time intensive and stressful architecture is and that both of my parents are architects.
Pls do infectious disease fellowship 🙏🏽🙏🏽 they can talk about their creative writing skills, doxycycline, and basically being detectives 🙏🏽🙏🏽 maybe they deduce each other’s questions and answers and the interview is reversed? Idk lol Signed, a future ID doctor ☺️
this is really funny for me especially the part about hating his parents cause of them being internal docs. this year during my surgery course in cardiacsurgery lesson i asked one of my teachers that if radiofrequency ablation was better to treat ventricular arrythmia cause one of the cardiologists had told me so. he started yelling at me saying that guy was an arrogant liar who doesnt know what he is talking about. then one of my friends asked about mitral clip, he said dont say "mitral clip" say "mitral shit"😂. i was completely shocked.
I had a general surgery professor throw a pancreatic tumor on me in the operation room for not knowing the blood vessel running around it. I wish that was enough, but he started to laugh and then everyone around him started to laugh. Not because it was fun. No, because when he laughed everyone had to laugh.
@@TheWalterHWhite And his medical career would have ended right there for ever... It's an unfair system...Surgeons are treated as gods by the hospitals and medical centers bcoz they bring in most of the revenue... Surgeons bloody well know that and hence the arrogance and powerplay.
I didn't think I'd laugh this hard! I grew up listening to this type of mockery of surgeons, mostly from my dad's best friend, about my dad. The friend in question is an internal physician. It still puzzles me how they became friends.
Just finished today my rotation in general surgery. I literally had nightmares 💖. And then this video appears. Thank you for the laughs! 🙃 I’m a (100% clinical) med student at the last year! 😂💖 👋🏼 from 🇮🇹
I remember the good ole days as a surgical tech…retracting for the surgeon who was always in a hurry…would stick me with the suture and then blame me for being “in his way”…followed by throwing the instrument across the room
HNS here. My favorite joke along these themes: two vascular surgeons are having lunch. First dude asks the second dude, "How did your morning go?" Second dude says, "Terrible. I was repairing an abdominal aortic aneurysm and the guy bled to death on the table." First dude shouts, "WHO THE HELL WAS YOUR ANESTHESIOLOGIST?" Anesthesiologists love that joke.
A colorectal surgeon had a patient in lithotomy for several hours a year or two ago. I was the anesthesiologist and when I visited the patient the next day she had some numbness from what was clearly a stretch/compression injury of a femoral cutaneous nerve. The surgeon, however, had told her earlier that she had “a touch of malignant hyperthermia” resulting in the numbness. I was in awe at this combination of brazenness and ignorance.
Difficult for me to visualize. I can understand that the dorsal lithotomy position could cause dysfunction of the obturator nerve but can't quite visualize how the lateral femoral cutaneous nerve would be impinged upon. Was the pt. obese? The hip extended and rotated externally?
All the surgeons from my medical school at the time were the nicest, most passionate, yet kind hearted people on earth. However the biggest a-holes were the anesthesiologists followed by nearly the entire internal medicine dept. I remember my anesthesiologist attending had that Gordon Ramsay-type attitude, was the only one who yelled and made me cry throughout medical school.
These videos make me miss the OR. The most annoying surgeon I ever worked with was a general surgeon who yelled at people for no reason in particular, but by and large, the OR is a great place to work
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Thanks for watching, my friends. Please like and subscribe and join me as I try to make scrub top + blazer interviews a thing
I love it!!!!!
Love your videos! I have surgery to remove my gall vladder this coming tuesday and I'm praying it wont get cancelled because of extremely high hospitalizations again. As long as I get the surgery on tuesday, regardless of outcome, I'll be relieved.
please do a how to ace cardiothoracic surgery residency interview
One of your finest works yet. Signed: hopefully a future indoor sunglass wearer
Do one for heart surgery interview…. Please!!!
Dr. G, could you show us on the doll where general surgery hurt you? Excellent video, thanks again!!
😂😂😂
General surgery has touched us all. And we did not enjoy it.
Everywhere.
AND CONTAMINATE THE FIELD?!?!
I read the book "an anatomy of addiction" prior to medschool starting. Turns out the guy who basically invented the modern US surgery residency program was doing shovels of cocaine and working 140hr+ work weeks while systematically amputating every personal relationship and potential support network. calling it a malignant culture is generous.
That explains everything
@@iz2333 the one thing it doesn't explain is how the fuck the guy survived so long and was able to perform surgeries with such precision... guy must have been a genetic unicorn with self control like that while under such heavy influence.
@@louthinator I think the standards were also a lot lower back then.
@@KO-vb4tg sure but the survival rate of his patients speaks for itself. Nature doesn't give a fuck what the standards are, if you do a surgery wrong, you will kill the patient, yet they made full recoveries. It's mindblowing.
@@louthinator I meant that people’s standards for acceptable death rates at the time were probably lower. They had only just invented anesthesia and asepsis, and before that tons of people died after surgery.
I have a teacher in med school who's a GS. I cannot believe how kind he is, he was and still is my favorite teacher. After all he shared about his residency experience (hes on his 60s), which is obviously, terrible and all that, he still chose and remained to be kind. I reallly salute surgeons, or even other physicians, who choose to be kind despite all the terrible things they went thru as a student. He said, "i was a student too before, so i know how it feels". It just feels so nice.
There seem to be the ones that go "I was a student once and know how bad it can be so I want to NOT do that to others", and those who say "I went through this, so you have to, too".
@@galaxytabs7490 Can I ask which country you are from?...I am curious if patient family anger and violence towards doctors is same throughout the world?
@@vivek27789 Sounds like he’s from the good old U S A. Doctors are revered in Asia
@@angelo5902 ah yes, the only two continents that have doctors
@@mammalian5489 Hahaha
Regarding parents, a calling to do surgery: I'm Ortho/hand surgery. My wife is podiatry. People often ask if we put any pressure on our kids to go into medicine. We say, "Absolutely not. They can be whatever kind of surgeon they want. (But not general surgery)"
lolllll
😂😂😂😂
"Any kind of surgeon" hahaha
You’re a good parent.
But why!?!?!?
“Perpetuating the malignant culture…”
Yep. And taking enormous pride in perpetuating that culture.
The constant abuse certainly opens a cruelty and darkness in one’s soul, that’s released during the transition from resident to attending.
I agree.
Bingo! Why do they still want to join the circus? You nailed it. Pride.
Honestly I had that done to me and I was on the freaking applied sciences field. They told me my professors would be smoking pot and preaching the free love while hugging trees. Instead half of them were in burnout trying to explain why we can't just burn all historical records and "you can't just store it on a shed with a leaky roof, as if the Niagara Falls can be considered a drizzle and documents need hydration".
The rest were being wined and dined on international meetings for defending that efficiency be measured by how fast they can convince a student to write two 30 pages article in a week so the professor can take credit for it. All while complaining that the bachelor students straight out of high school fucked up on the article formatting, so it constitutes plagiary to not get the quote in the correct alignment and this means a penalty.
Like a badge of honour.
As a surgeon I did not laugh as much as usual… Probably because this was so disturbingly close to home. I am disappointed the applicant didn’t discuss his respect of hierarchy and withholding narcotics and antiemetics on SBO patients.
Withholding antiemetics? Really? Not a thing where I work. The hierarchy thing +1000
Yup, thought the same! Too close to home to laugh..
WTF I used to suffer an SBO at LEAST once a month due to a botched appendectomy that left me septic for 8 days.
(Long story short: the surgeon perforated my small bowel with the laparoscope & refused to order even an X-ray until 7-8 days later when I was bloated like I had a weather balloon inside my abdominal cavity… lol)
I never understood why it was so hard to get pain relief meds (other than a keterolac shot lmao) whenever I had to go to the ER for my monthly NG tube installation - 20/10 would recommend btw
No, but seriously, why the apprehension with giving someone opioids in the ER for an SBO? I was always told it was cuz of the constipation, but I felt like that was mostly a cop-out.
Also, I’m fine now. Had a corrective surgery a little over a year ago & no more SBOs! 😁
@@kekkekington275 Glad you had the surgery now. I can only speculate but I would say that narcotics could slow your bowels even more, making the SBO worse. Some of my seniors don't like giving pain meds and anti-emetics to patients with SBO because it could mask if the symptoms are persisting or getting worse.
Or sending a lumbar fusion patient up to the floor with ZERO PAIN MEDICATIONS WHATSOEVER
This is GOLD. I died at "name 5 things anesthesia did wrong."
So accurate. When I did my surgical rotation, I had THE MEANEST General Surgeon… miserable the entire time, would yell at staff, and throw things at medical students during tantrums. An almost fight between Gen Surg and Ortho in the OR. But he was a great example of how I don’t want to behave as a professional.
I’d wanna see gs and ortho get into a fist fight lol my moneys on gs even though ortho is jacked, gs is just more savage
We learn in generations
@@Lex-rc1gr Oh ortho all day! Just need to use the bone hammer 😂
@@Lex-rc1gr my money is on Gen Surg. Ortho is stronger and would definitely get their punches in. But Gen Surg has so much untapped rage. They’d win in the end lol
@@melaninmonroe007 that’s what I’m thinking 🥵🥵they don’t need might they got strategy and stamina from the rage 😤
i actually did fell asleep standing up during surgical rounds in my last year. my body just shut down and the feeling of free-falling jerked me awake and i ended up crashing into the patient's bed and held on to it before i could hit the ground. everyone just looked at me silently for a few seconds then proceeded like nothing happened. totally cool. gotta love them surgeons.
At leadt you weren't in operating room and compromised the sterility!
Jokes aside: hope your working hours have improved!
Doctors should not be allowed to work sleep deprived. There is a mountain of statistical evidence for how dangerous it is to patient health. Not to mention the doctors long term health.
If truck drivers in Europe are legally not allowed to sacrifice their sleep due to safety concerns, doctors should not be allowed to either. The human brain has needs, and one of the biggest ones is adequate sleep.
I embarrassed my self recently in the Opthalmologist office (I woke up with a sudden corneal abrasion). I asked the MA taking notes if she was the Dr's Johnathan. To which she looked at me bewildered. And then I had to explain by showing these videos haha
So may a new follower (hopefully an office of them)
So . . . waking up with a sudden corneal abrasion can turn out to be a good thing? (Hope you'll be okay!)
So you are aware of The Council of Jonathans then??
She was a Jonathan, but pretended like she was not one
She was most likely the technician
Brilliant! I’ve been telling my docs about Dr. G but I forgot to tell the MAs. 😆
One of the Vascular Surgeons I work with is one of the most decent human beings I've ever met. She never seems tired. Never lost her temper. Never complained. I brought her a cup of hospital coffee once, and she just looked at it half gasingly, and said thank you, and truly meant it. Unfortunately, surgery culture is toxic on so many levels. Kudos to anybody who has remained sane once they've reached attending status. They are true heroes.
Malignant culture is less apparent in some fields of surgery. Gen surg is usually fairly malignant. Not all of them are like that, but the majority are.
@@Soriyou3Come to Urology, we will treat you well.😁
I remember being so tired in surgery residency training that I’d often fall asleep standing up on rounds. Scalpels being thrown by older, big-wig surgeons in the OR were not uncommon. Some of that behavior was due to stress and fatigue. But, the field also attracts those with big egos who select and favor those of similar kind to train. Nowadays, though, the culture is changing. Younger surgeons and the profession in general have actively strived to move away from this toxicity. Also, as you get away from the academic centers and into private practice and community settings, behaviors of the sort are not as well tolerated, if at all. Still, it is true that surgery is a Calling. And, well, sometimes, you’ve gotta yell back at that Calling (but not at people :) .
Five years ago i saw a resident fall asleep while holding patients intestines in the OR. He'd slept 30 mins only (actually asked me to wake him up from his "nap") during THE ENTIRE NIGHT, oh why? Coz he had to finish notes and then watch us interns... Sadly, this isn't changing much in my country and it seems that hour limits in the US have been removed so...
Someone has to do the job. Maybe when there are plenty of people that aren't unhurt by the system and can study whatever they want... Until then, what do you prefer, a doctor that holds your hand while telling you are dying, or a doctor that yells to people while trying to save yours ?
But sure is nice to try to get away from that toxicity (not that the previous ones didn't try)
@@LuisXGP I prefer a doctor who has communication skills and also treats me properly... Cause let's be honest, it isn't that hard. We have some professors who are extremely mean and they make people want to run away from whichever field they're teaching. In my opinion some fields aren't chosen not solely because they're hard to train but because it's harder to deal with people's egos in the given field.
Man, I've heard that training in the medical field is like the military. They're hard on students and it's full of bullying, and you must have thick skin. You'll be lower than the dirt on the floor and be doing jobs a 7 year old can do until you prove yourself.
@@Umi0295 yeah, we all would love that, but medicine is not an easy profession to begin with and is very expensive too. That just mean there are going to be a few chosen ones to carry all the burden... and that means power (a tons of stress). Yeah, it's good to try living less stressed, but obviously it isn't "not that hard" or else every one would be happier.
One of your finest works yet. Signed: hopefully a future indoor sunglass wearer
Travel nurse here. Just completed a 13 week assignment on a gen surg floor, never been inexplicably yelled at so many times in my entire career.
What are you secrets for thick skin? Im relatively new to the OR
@@BoogieDownProduction grow a thick skin. Unfortunately they bring in big business for the hospital, so unless they REALLY go put of bounds, treating others like shit will not get them in trouble.
Nurses are invaluable, they should not be yelling at you.
@@happyjolly77able Don't take it personal. They yell at everyone equally (although the med student will always be yell at the loudest)
@@BoogieDownProduction Yell back.
I feel so lucky that as a student, my surgery preceptor (very first rotation too) was super nice, very calm, would make sure I had a good lunch break every day, etc. And I didn't know anything and was god awful at trying to suture, but he was nothing but encouraging and kind.
These residency interviews feel like a cerebral showdown between a sensei and their student, and the student finally proves they are ready to achieve the ultimate move (aka residency) that will reveal the secrets of universe (aka burnout).
So true! I was trying to be kind to a GS by offering to consult hospitalist, so I wouldn’t waste his time calling him with useless things. He yelled at me. And I yelled back. He went quiet. I went quiet and I almost shat myself (new RN. Only been one for a year, I didn’t even talk sternly to patients). Everyone else on the unit almost shat themselves. He never yelled at me ever again. Scariest 3 minutes of my life. And I have almost died 3 times (once I was kidnapped in a different country), and I still get anxiety thinking about that phone call.
Kind of similar story, I was a fairly newish RN a CTICU with the biggist a-hole CT surgeon- belittled everyone, I was so tired and fed up one day I gave him the finger- he treated me so well after that.... but honestly that shouldn't have had to happen. He just wanted someone to stand up to him I guess?
I’ve seen this pattern with a lot of bullies. Once you yell back they stfu
Happened to me, too. Worked for years in a high profile surgical setting with a very famous chief surgeon/professor. The working environment was HELL. But very soon I understood that you have to show them (in a very caveman-style way) that you are not to mess with. Being older than my colleagues helped, I admit. The chief surgeon loved me after that, his underlings hated me but didn't dare and left me be.
As someone who’s pursuing general surgery, I thank you kindly for this video!!! Tying one-hand knots while palming a needle driver while listening to rock music…all while the anesthesiologist looks at me funny behind his blue veil
"They were both Internal Medicine doctors " So apt! The never ending feud! 🤣🤣
Thirty years ago, working as a nurse in the ER, if you were one of those A-Hole physicians, I made sure every single referral that came to you was uninsured and matched your personality. The nice specialist who treated staff respectfully always got the referral on insured and nice patients.
The accuracy is just.. wow
I remember when I had to shadow this surgeon in the OR as a med student. The first time around, I got yelled at for changing my clothes and washing my hands before him, because I was supposed to help out the patients n anesthesiologists n nurses first. Which, ok fair, it was my first time in the ORs. The second time around, still that guy, I was still helping the nurses when he walked in, seeing that I obviously couldn’t have washed my hand yet, and yelled at me for being too slow when he was already done. And it wasn’t even just in the OR. He called me up in front of my entire class the next day and yelled at me again in front of them.
But hey I was actually one of the luckier ones according to my peers cause that guy would kick you out of the OR for standing too close/far. Surprisingly, in the teaching hospital I go to, anesthesiologists are even bigger dicks.
Baffling 😳
Yeah; i too was yelled at by a surgeon as an intern and he made me cry, but hey we should start a club! :>
Don't know what it is about the specialty but every anesthesiologist I've had to talk to here has been a massive asshole
Weird, anesthesiologist are the nicest people in my hospital
For my 2 month surgery rotation, I did a month of ENT and then general surgery in a private surgery center. It was the best setup ever. The ENT surgeons and residents were super nice and the surgeon in the private center was cool and I mostly worked half-days. Sorry to hear that the anesthesiologists were rude - I think it really depends where you are. Like 90% of the anesthesiologists I've worked with have been amazing and some of them even let me intubate and sedate the patient when I was on ENT and OBGYN
Perfection as always
Not too long ago, I was in rounds with General Surgery where they were bemoaning the restrictions of hours placed on residents (
Think how much more "amazing" she could have been. BTW, are you capable of competently assessing "amazing". Maybe you are qualified to make such an assessment, we just don't know.
Fun things that happened to me on surgical placement as an MD3.
-Yelled at over the phone for a complete misunderstanding.
-Saw a surg reg 'assess' JVP in a patient that was standing up during rounds. I was too scared to call his bluff.
Well that was a delightful little rabbit hole! I had no idea what JVP was so I had to look it up and then ended up on Stanford's website looking at instructions for assessment. Why I felt so inclined when I'm neither a doctor or nurse is a mystery, but I at least learned something new today.
@@samantha6564 - Too many of us do this. My brain is built to follow down rabbit holes, to the point it takes up all day or many days. I have a problem. lol.
Jvp not very useful anyway, so it is doubly bad, an inaccurate assessment of a poor test
@@jamesmprogers idk wtf they managed to measure while standing up
The trick is to do Urology. You get the good sides of surgery, with options for big cystectomies, options for reconstructive, or many MIS options, without the malignant awfulness, horrible hours and lowish pay of GS.
Edit: I did my GS at a program in the outskirts of Chicago, where they has two resident suicides over the past three years. It was malignant as hell. My senior resident outright lied to attendings about interns and it showed up in their assessments. Interns cried all the time and everyday felt like a massive drag.
Urology is uber competitive these days though. It has always been, but for some reason, it has become even more popular.
as a medical imaging student who's had to shadow radiographers during surgeries (and had a few go's with the C-arm myself), I much prefer the urology cases above others as the surgeons tend to be the most friendly and chill so that explains it haha
Yeah, I have found urologists to be a bit more down to earth. I haven't idea why specialties have personalities but it seems like they do. Maybe we just have a personality in mind and only remember the people who reinforce that perception?
For my hospital, the general surgeons are generally a nice lot. I will say that one does do a lot of the whole "every other specialty always gets everything wrong" thing that general surgeons seem to do. She criticizes medicine for mismanaging patients yet consults medicine for everything. She obviously also criticizes radiology for not reading things correctly and ER for being generally dumb.
I tend to think surgeons forget that their environment is informative in a way that other specialties don't get to see. They open up patients and verify radiology imaging with their own eyes. They see fluid management in real time as they communicate with anesthesia. Etc. And I think part of that is that specialties don't spend any time in each other's worlds during training. If we had ER and medicine residents in the OR for a month and sent surgery residents to inpatient medicine for a month, maybe communication would be better.
She's still nice, but it's clear she feels intellectually superior to other people in the hospital.
Hey thanks for returning my call. Can you come place this Foley tonight? Yes the nurse and I tried and Couldn’t do it thanks bye!
Or, you can switch out of urology into radiology and have an actual life. My urology mentors as a med student are my colleagues now and they always tell me I made the right choice.
These are terrific, and by far their most outstanding feature is the stealth criticism of American health care and wealth inequality coming from a doctor. Thank you for making these.
I have loved all of the anesthesia references in this and your other videos: They are spot on! Too funny!
The "How do you answer to the calling?" "By yelling at it." is so good.
I love general surgery!!!! Sleep is for the week and standing up is how you do everything
And lack of sleep causes weak to be spelt as week :-D
@@akenu87 hi. So i slept. And yes you are right. I finish my intetnal medicine rotation next week and i promise imma sleep a reasonable amount during. Happy new year
The department brawls are so evident from miles afar. A week ago, in the OT, the patient started moving her hand and coughing during her Mayos Repair for Umbilical Hernia and that distracted our HOD who is also our Unit head from pimping us to yelling at the Anaesthesiologist who was on his snack break at the room outside. The anaesthesiologist angrily storms in and asks what’s going on. Surgery HOD proceeded to tell him what’s going on in Uppercase words. His exact response was “She’s COUGHING ?? YOU PRESCRIBE HER SOME COUGH SYRUP THEN” and walked out.
😂😂😂
In a GA case, if patient is light, the anaesthetist will get sued or reported for that response.
Damn this made my day better. Failed an exam an hour ago, but this helped.
Amazing vid! Please Dr. G do a video on how to Ace a radiology interview. I want to be prepared
Wear sunglasses under your wraparound sunglasses? 😎
🎶I wear my sunglasses at night
I think I need to see Anesthesia's response to this blatant and unprovoked hostility.
Anesthesia is home enjoying a nice family dinner
Doc G, you work largely outpatient surgery. In hospital settings we do in-house call for OB or trauma or both. The colleagues you work with DEFINITELY have nice lifestyles if they work exclusively outpatient surgery. No calls no weekends. They are amazing lifestyle positions to get. The rest of us miss a few family dinners a month, sadly.
- How’s your temper?
- I don’t have one.
- You willing to work on that?
- Yes sir of course!
😬😅
The energy this man puts off is my spirit animal.
I laughed so much at this. You truly are fighting the good fight here my dude.
I’ve been a scrub tech for 8 years, and I LOVE YOUR VIDEOS
I crack up every time. My coworkers and I love to watch your videos in the break room on lunch 😂
Do you all hint to what surgeon is like the ones portrait in these vids? Then laugh/giggle among yourselves?
@@Idtelos of course 😆
This is so cool... I knew that I wanted to be a surgeon after my first surgery night duty as an intern... Just loved the adrenaline rush ❤️
Good luck to you^^
I'm going into anesthesiology, but you gotta just love and appreciate what surgeons do
The word finding difficulty bit is gold. The voice inside my head often speaks to me in the wee hours of the morning: “The words dribbling from my mouth should form a sentence, but my brain is tapioca.”
He should also add "telling how long 1 cm is by sight" as weakness/strength :D
Circulator here. I've been surprised at how much pushback has come from OR staff against misbehaving surgeons. Had a scrub tech openly lecture the surgeon about his treatment of another tech and in another case the tech told the surgeon to get his own instruments after getting an instrument thrown at them. She stayed scrubbed in so as to avoid any claims of patient abandonment, but she refused to assist him until he apologized and changed his behavior... which occurred within 2 minutes of him having to find what he needed out of the set.
Other posters are correct in saying that there has started to be a change in surgeon personality. A lot of newer and even older surgeons are team players with many having previous experience as techs and know the difficulties associated with the other jobs.
I'm happy to say that I've never seen the surgeon anesthesia relationship put out by this channel at my workplace. Most are on a first name basis with each other and bed movement requests are accompanied by a please or at least in a 'could you' format.
But there's always the exceptions. The ones who scheduled an appointment 10 minutes after the scheduled end of their last case and start trying to blast the staff for the patient's IV falling out of an 85 year old vein.
That is absolutely retarded. I am a general surgeon, and I have never yelled or thrown stuff at staff if they were doing their job as expected. We are dealing with lives here. If my fecking mosquito doesn’t hold, or LigaSure doesn’t ligate properly, well suprise, people die! And also I must mention: all the responsibility belongs to me.
So, for TLDR: if you do you work right, you will have nothing to fear from GS. You will be respected, and even revered from him. And if you don’t; go facking work in a wallmart. We are dealing with lives over here.
Yeah, its definitely a calling. I was getting ortho,radio,gynec,internal medicine and any other specialty,but i took surgery only. I ve waited for two years to get into surgery rather than submitting myself to any other specialty and I dont regret it. 😊
Everyhting presenting itself as a calling is a scam to get you to work more
Is there any tips you can give to an img . I will be starting med school soon and pursuing surgery is my dream. A reply would be highly appreciated
I absolutely love your videos
I was just saying I hope we see another interview soon
This video is made on such a light note. Too good! ❤ Nevertheless, surgeons are the beast. Seeing my surgery professors make me take pride in being an aspiring surgeon. (Do I sound like a part of perpetuating the malignant culture?😅) They are all such renowned faces in their field but so kind and loving. And they do share their stories of struggle and how their good professors made them appreciate kindness amidst the chaos.
"They looked at me funny." 🤣
The intensity and build up! Silk smooth interview 👌🏻😂✨
oh my god finally a new episode for my favorite YT series
This is so spot on!
I'm a General Surgeon myself 😅😂
Except for one, all of our surgeons were friendly and kind. Even the cardiothoracics 😯
That one GS, though. He had enough assholery to make up for all the others.
Oooooo. This is so true. And all the reasons I signed up for surgery in 1982.
Thank god they decided I would be the first “ unfunded resident “. That is I would be living in a call room stealing food from the patients . Or on the other day of 1 in 2 I would be living at the ymca or homeless shelter.
That broke my resolve so went into family med. Have gotten to do all the surgery I needed for 40 years. !
Id love a video of the general surgeon when anesthesia cancels his case😁😆
You finally made a video about us !!! I loved it 😂😂😂 So accurate!
This explains so much about my colorectal surgeon. Told my cousin, who is a nurse, something my surgeon said to me about an issue I was having post surgery and severe pain, and my cousin said, “Your surgeon sounds like a sadist.” 🤣
Brilliant! Keep them coming!
OMG😂😂😂😂
I am a surgeon myself and that truly was epic😂😂 nothing is more right than this😂😂
This is legitimately great stuff. All stuff I hear from those who work at hospitals.
“My condolences” is the reaction I get when I tell someone who KNOWS how time intensive and stressful architecture is and that both of my parents are architects.
I can’t look at my doctors the same way after finding this channel 😂
Thank you so much. Needed to smile like this today
You gotta do videos of different type of personalities/attendings while rounding.
you just get better and better!
For the love of Pete, you nail down the truth and I love it
I'm so glad my traumatized self never went into medicine! Our docs are not OK! 😭
I was waiting for this one I love it!!
lolol. So spot on for General Surgery. Even the trauma /general surgery mixed ones.
Pls do infectious disease fellowship 🙏🏽🙏🏽 they can talk about their creative writing skills, doxycycline, and basically being detectives 🙏🏽🙏🏽 maybe they deduce each other’s questions and answers and the interview is reversed? Idk lol
Signed, a future ID doctor ☺️
All the surgeons I’ve worked with have been very very lovely :)
Thank you, I was waiting for this!!
this is really funny for me especially the part about hating his parents cause of them being internal docs.
this year during my surgery course in cardiacsurgery lesson i asked one of my teachers that if radiofrequency ablation was better to treat ventricular arrythmia cause one of the cardiologists had told me so.
he started yelling at me saying that guy was an arrogant liar who doesnt know what he is talking about.
then one of my friends asked about mitral clip, he said dont say "mitral clip" say "mitral shit"😂.
i was completely shocked.
Amazing!
I had a general surgery professor throw a pancreatic tumor on me in the operation room for not knowing the blood vessel running around it. I wish that was enough, but he started to laugh and then everyone around him started to laugh. Not because it was fun. No, because when he laughed everyone had to laugh.
Surgeon sycophancy in OR out of fear and pressure is same throughout the world.🤦😞
Jfc that’s awful :/
Should have thrown a used scalpel at him. Seen if he'd laugh then.
@@TheWalterHWhite And his medical career would have ended right there for ever... It's an unfair system...Surgeons are treated as gods by the hospitals and medical centers bcoz they bring in most of the revenue... Surgeons bloody well know that and hence the arrogance and powerplay.
Omfg that's horrible
I didn't think I'd laugh this hard! I grew up listening to this type of mockery of surgeons, mostly from my dad's best friend, about my dad. The friend in question is an internal physician. It still puzzles me how they became friends.
Because they both enjoyed the traditional rivalry and appreciated the fact that it was just a humorous trope.
You have described me in first half and in the second half I realized this is what is describing me
This sums up my work experience in surgery with the general service team.
Just finished today my rotation in general surgery. I literally had nightmares 💖. And then this video appears.
Thank you for the laughs! 🙃 I’m a (100% clinical) med student at the last year! 😂💖
👋🏼 from 🇮🇹
I remember the good ole days as a surgical tech…retracting for the surgeon who was always in a hurry…would stick me with the suture and then blame me for being “in his way”…followed by throwing the instrument across the room
Yell at it for no particular reason 😂
Absolutely nailed it
As an ENT specialist I demand an ENT/Head and Neck Surgery video! :D :D :D Love your videos, keep them coming!
Loved it
as a general surgery resident I can say this is hilarious and painful at the same time
LOL much love from a RN in California 😆
THIS IS AMAZING, so accurate
HNS here. My favorite joke along these themes: two vascular surgeons are having lunch. First dude asks the second dude, "How did your morning go?" Second dude says, "Terrible. I was repairing an abdominal aortic aneurysm and the guy bled to death on the table." First dude shouts, "WHO THE HELL WAS YOUR ANESTHESIOLOGIST?"
Anesthesiologists love that joke.
Lmao..this is my new favorite you tuber! 😆
A colorectal surgeon had a patient in lithotomy for several hours a year or two ago. I was the anesthesiologist and when I visited the patient the next day she had some numbness from what was clearly a stretch/compression injury of a femoral cutaneous nerve. The surgeon, however, had told her earlier that she had “a touch of malignant hyperthermia” resulting in the numbness. I was in awe at this combination of brazenness and ignorance.
Difficult for me to visualize. I can understand that the dorsal lithotomy position could cause dysfunction of the obturator nerve but can't quite visualize how the lateral femoral cutaneous nerve would be impinged upon. Was the pt. obese? The hip extended and rotated externally?
Actually the nerve got trapped under the inguinal ligament in that position, especially for long periods of time.
The lateral cutaneous nerve exits the pelvis under the inguinal ligament, and it’s already a tight space. Much like the carpal tunnel at the wrists.
spot on. well played.
Today was my second day of clinical rotation in surgery and there was actually a nice surgeon who remembered my name!
All the surgeons from my medical school at the time were the nicest, most passionate, yet kind hearted people on earth. However the biggest a-holes were the anesthesiologists followed by nearly the entire internal medicine dept. I remember my anesthesiologist attending had that Gordon Ramsay-type attitude, was the only one who yelled and made me cry throughout medical school.
LMAO!! At my interview I was just trying not to break scrub, or pee my pants. 😂
As a Surgery Resident, I approve all the details mentioned above though I would add switching off the AC on a hot day on things to yell at Anasthesia.
I was lucky enough to finish my 12 weeks of surgery rotation with very good surgeons. ENT, urology, and colorectal. All had very chill attendings
Perfectly hilarious! But thanks for the shoutout to anesthesia!
“Rank to match” 😆I can’t wait to get those vibes one day 😩
LMAO. the accuracy is so beautiful.
« Perpetuating a malignant culture because I’ve successfully convinced myself it’s what it takes to be a surgeon » Truer words have never been spoken
These videos make me miss the OR. The most annoying surgeon I ever worked with was a general surgeon who yelled at people for no reason in particular, but by and large, the OR is a great place to work
I'm not a Dr but I love your videos so much 😅 hilarious