So, for some reason we are starting with a patient with atrophied testicle and they're suggesting removal. They declare it's not cancer (impossible to say without path), then say recommended treatment is removal because it hurts - even though the patient seems opposed. Hmm.
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2nd plot line, a kid lies about an illness to bring his mother into the hospital, and the nurse starts trying to scare her into staying. The nurse promises to get her "the best doctors". That's not unprofessional at all, suggesting you are the arbiter of access to quality.
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Ok, here's the meat, third plot line - now the decision for "concurrent surgery" is being pushed from above by administrators! This is bananas in so many ways it's hard to describe. For one, the reaction to this practice is a source of public hysteria, it sounds frightening.
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However, like many things in science, the "common sense" gut reaction is not supported by rigorous study. It turns out, the rare surgeons who coordinate overlapping surgeries studied their outcomes and, they weren't any different.
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A more recent analysis suggested that there may be a risk in for orthopedists performing hip surgeries, but, read the paper! The risk in elective surgery didn't increase until > 2 hours of overlap (hip replacements shouldn't take more than about 2 hours)https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2663757?redirect=true …
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Are you measuring risk from overlap? Or are you inadvertently measuring complexity? The other key feature is that emergency surgeries with overlap had a much more rapid time to increased risk - this suggests overlap doesn't work well with complex cases.
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But in elective, planned cases, if the surgeon has a mature, efficient system and well trained support staff, senior residents and assistants, the evidence instead suggests the attending surgeon does not need to micromanage the less complex parts of an operation.
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I have no dog in this fight. I do not overlap surgeries or have any interest in it.
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Oh, now I see who York is, it's our chance to mock a patient for DIY sex toys. I take this mildly personally, guess who gets called when things get stuck. General surgeons. It's all fun and games until you need an ostomy.
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I still remember my days in residency. The most unusual thing I ever fished out of a patient's rectum was a pink saltshaker from a local establishment. It took general anesthesia and much effort before the attending and I could get it out.
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