tag:blogger.com,1999:blog-5628616877664827988.post1487732186968217468..comments2024-02-17T14:50:54.001-05:00Comments on Notes of an Anesthesioboist: Tales from Saint Boonie's: Gross, and I mean GROSS, AnatomyT.http://www.blogger.com/profile/09208990104460795917noreply@blogger.comBlogger14125tag:blogger.com,1999:blog-5628616877664827988.post-52210233854694233272008-06-20T23:28:00.000-04:002008-06-20T23:28:00.000-04:00Oh, my...how utterly disgusting! I am not very squ...Oh, my...how utterly disgusting! I am not very squeamish at all, but I can totally see why some of the things on that list would be nausea and/or vomit inducing. Actually, some of your descriptors made me very relieved that I was educated and experienced enough to request that I be put under conscious sedation for a surgery I had on a very nasty MRSA abscess that also got me a week and a half in hospital last year. I knew that there were any of several reasons I couldn't handle being completely aware with just a local, the likely stench being one of them. My olfactory sense is acute, and I didn't need that on top of my already large bundle of nerves to make me totally stressed. Besides that, I would have wanted to actually watch the procedure, which would not have been possible! Yes, I know that's warped, but I am a wannabe surgeon who wound up in HIM...<BR/><BR/>And now I think I just got some more inspiration for a new blog post!thecatsmeowhttps://www.blogger.com/profile/16269681849332498912noreply@blogger.comtag:blogger.com,1999:blog-5628616877664827988.post-24462409739223691702008-06-15T23:40:00.000-04:002008-06-15T23:40:00.000-04:00"Pearlescent oniony goodness" is just about as goo..."Pearlescent oniony goodness" is just about as good a description of a nasal polyp as I've ever seen. Ugh! Katy, I'll never look at pearl onions the same way again, anemic though they may be by comparison! <BR/><BR/>Uh...thanks! :)<BR/><BR/>And no, I've never seen the extract-through-the-mouth technique; our ENT just brought it out in pieces...lots and lots of pieces...or should I say, globules...<BR/><BR/>OMG, I think I gotta go barf...Excuse me...T.https://www.blogger.com/profile/09208990104460795917noreply@blogger.comtag:blogger.com,1999:blog-5628616877664827988.post-12008489047918671582008-06-15T23:15:00.000-04:002008-06-15T23:15:00.000-04:00I had to come back and make a case for my friend M...I had to come back and make a case for my friend Mr. Nasal Polyp. I mean, have you ever seen one that couldn't fit through the nose and had to be extracted through the mouth?? When that pearlescent oniony goodness comes peeping through...good gravy, now that's medicine!!<BR/><BR/>On the propofol subject, our policy stated that only physicians could push propofol. Period. (Of course, they're the only ones that can turn the dial on the sevo and I did that plenty of times, so you do the math.) :-)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5628616877664827988.post-85949349047500786482008-06-14T03:47:00.000-04:002008-06-14T03:47:00.000-04:00BTW, Katy - I'll take a colon or endometrial polyp...BTW, <BR/><BR/>Katy - I'll take a colon or endometrial polyp over a nasal polyp any day!<BR/><BR/>MS4 - didn't get to thank you earlier for stopping by. Best of luck with the anesthesia placements - it's the best specialty in all of medicine! :)<BR/><BR/>Ramona - I bet you have your share of non-glamorous work too. All I can say is, your patients are lucky to have you!T.https://www.blogger.com/profile/09208990104460795917noreply@blogger.comtag:blogger.com,1999:blog-5628616877664827988.post-59550799445103918592008-06-14T01:39:00.000-04:002008-06-14T01:39:00.000-04:00Don't I know it, Bardiac - I was a humanist myself...Don't I know it, Bardiac - I was a humanist myself. An English major. I think my missing the humanities is a big part of the reason this blog exists! Incidentally, I love the way (most) books / libraries smell... <BR/><BR/>But the image of a young Peace Corps volunteer catching a whiff of Giardia on a crowded bus almost made me gag...<BR/><BR/>I wonder if the pus-filled abscesses would make me wretch less if the smell factor weren't there? I don't know...it looks pretty scary too...Isn't it funny how visceral our reactions can be? And how different people have strong reactions to different things?<BR/><BR/>I think part of the cringing with "gross" stuff might come from the back-burner realization that ANY of us could be in the predicament of having a yucky problem - abscesses, discharge, bowel obstruction, skin or foot issues, getting caught in an accident while unkempt or un-showered, etc. Maybe not, though - maybe the gross stuff is gross enough without this type of philosophical mulling!T.https://www.blogger.com/profile/09208990104460795917noreply@blogger.comtag:blogger.com,1999:blog-5628616877664827988.post-45752218573479376682008-06-14T00:55:00.000-04:002008-06-14T00:55:00.000-04:00There are untold advantages to being a humanist! ...There are untold advantages to being a humanist! But I do have an old book that smells just a tad old when I take it out for show and tell. (It actually smells good in that really old book sort of way.)<BR/><BR/>(On the other hand, when I was in the Peace Corps, I could pretty much diagnose giardia on the bus. You don't really want to think about that too much.)Bardiachttps://www.blogger.com/profile/11846065504793800266noreply@blogger.comtag:blogger.com,1999:blog-5628616877664827988.post-35096689804808919572008-06-13T23:52:00.000-04:002008-06-13T23:52:00.000-04:00Julie - sorry about that! Didn't realize I would ...Julie - sorry about that! Didn't realize I would make such an...er...impact... :)T.https://www.blogger.com/profile/09208990104460795917noreply@blogger.comtag:blogger.com,1999:blog-5628616877664827988.post-44120511094722232742008-06-13T23:44:00.000-04:002008-06-13T23:44:00.000-04:00I thoroughly enjoyed this post! I just reread my ...I thoroughly enjoyed this post! I just reread my last blog entry, however, and found I had used the offending word--it stopped me, broke my momentum completely! Unwanted visions came. Ahhh! Hopefully, this too will pass.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5628616877664827988.post-33774726386566984192008-06-13T23:39:00.000-04:002008-06-13T23:39:00.000-04:00Hey, C - good to hear from you.In my case the only...Hey, C - good to hear from you.<BR/><BR/>In my case the only reason the regurgitated fecal stuff didn't make my actual Top 10 List, and was instead a mere "runner up," was that the stuff was sequestered in the tubing and went straight into the canister without my having to have direct contact with it. But watching it go there was bad enough!<BR/><BR/>The surgeon cracked up every time he heard another "Eeewww!" from behind the drape...T.https://www.blogger.com/profile/09208990104460795917noreply@blogger.comtag:blogger.com,1999:blog-5628616877664827988.post-30354887806212497152008-06-13T22:47:00.000-04:002008-06-13T22:47:00.000-04:00T, all this is so GROSS, PATHETIC, BIZARRE... But ...T, all this is so GROSS, PATHETIC, BIZARRE... But so real!!!!!<BR/>If I had to vote I believe the regurgitated fecal content in a Bowel Obstruction is enough for me to make me gag and actually vomit outside the OR while the CRNA watch the patient and the orderly run around the hallway in amusement with tissues...hypothetically speaking btw...hahaha<BR/>You are right, we learn to see, live and "eat" among fluids, smells and visuals that would make any "normal" human being question mother nature...<BR/>;)<BR/>but...what a great field!!!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5628616877664827988.post-3752364859699766192008-06-13T19:30:00.000-04:002008-06-13T19:30:00.000-04:00I believe propofol is still supposed to be used by...I believe propofol is still supposed to be used by practitioners trained in the provision of anesthesia and resuscitation, which includes anesthesiologists and CRNA's. <BR/><BR/>There has been much controversy in recent years over the use of propofol by non-anesthesiologists - ever since the American College of Gastroenterologists petitioned the FDA to remove the warning label on propofol that calls for adequately trained anesthesia personnel and immediate availability of, and facility with, resuscitation equipment and procedures.<BR/><BR/>As far as I know the ASA maintains the position that it is imperative that clinicians who use propofol be well trained in anesthesia and resuscitation.T.https://www.blogger.com/profile/09208990104460795917noreply@blogger.comtag:blogger.com,1999:blog-5628616877664827988.post-31708111497585579482008-06-13T18:29:00.000-04:002008-06-13T18:29:00.000-04:00I can only agree... Even though I'm not easily gr...I can only agree... <BR/>Even though I'm not easily grossed out, the day they had to operate on this lady who had a rectovagial fistula, I almost passed out. This poor patient, this is such an awful thing to have!<BR/><BR/>What I find the most disgusting in anesthesia (I'm on my 2nd anesthesia placement right now- I love it so much!) really is sucking out the stomach junk through an NG/OG tube. I just can't stand the sound of the succion, and the color of the stuff...eew. No one seems to understand me in the OR though.<BR/><BR/>I have a question for you. Can propofol be used by non-anesthesiologists/CRNAs in the US? For example, GIs for their colonoscopies or pediatric heme-onc for the LP/IT chemo tx? <BR/><BR/><BR/>Love your blog, btw!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5628616877664827988.post-54814307736596831422008-06-13T11:54:00.000-04:002008-06-13T11:54:00.000-04:00How can you not love a good nasal polyp??How can you not love a good nasal polyp??Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5628616877664827988.post-83830138485349285742008-06-13T07:55:00.000-04:002008-06-13T07:55:00.000-04:00You are so right, T. All of those things are gros...You are so right, T. All of those things are gross.rlbateshttps://www.blogger.com/profile/15236331355857884458noreply@blogger.com