Will the surgeon come round before

[Petrolsmasher]

Hi,

From peoples experiences - when you have an operation has the surgeon come and spoke to you before you have the operation (on the day of the operation)..

I ask because its been a while since my initial refferal and i still want to clarify something before he cuts me open.

[WinstonWolf]

Petrolsmasher said:

Hi,

From peoples experiences - when you have an operation has the surgeon come and spoke to you before you have the operation (on the day of the operation)..

I ask because its been a while since my initial refferal and i still want to clarify something before he cuts me open.

You'll have chance to clarify anything that concerns you before the op. If not the surgeon himself then someone from the team will chat to you. I usually chat to a registrar during the prep stages as the surgeon is often already in theatre.

[Petrolsmasher]

WinstonWolf said:

Petrolsmasher said:

Hi,

From peoples experiences - when you have an operation has the surgeon come and spoke to you before you have the operation (on the day of the operation)..

I ask because its been a while since my initial refferal and i still want to clarify something before he cuts me open.

You'll have chance to clarify anything that concerns you before the op. If not the surgeon himself then someone from the team will chat to you. I usually chat to a registrar during the prep stages as the surgeon is often already in theatre.

Good, ive had my surgeon changed and im glad as the other one was arrogant and not willing to consider my side of things.

Yes i know plenty of people think they know what needs doing but im not daft, i work in the medical field myself so know whats what, so if i can chat to someone else or the new surgeon i will be much happier, otherwise i would likely be back for a second op which i dont want.

[55palfers]

You'll definitely meet your anaesthetist before the op. He / she will usually be happy to discuss any questions you may have.

[Marcellus]

Unless you've already done so won't someone from the surgical team need to get you to sign off your consent for the operation in which you signe to say you've talked through all aspects and understand and accept all the risks involved?

[anonymous-user]

55palfers said:

You'll definitely meet your anaesthetist before the op. He / she will usually be happy to discuss any questions you may have.

If you don't meet your anaesthetist before the op start running!

[WinstonWolf]

Marcellus said:

Unless you've already done so won't someone from the surgical team need to get you to sign off your consent for the operation in which you signe to say you've talked through all aspects and understand and accept all the risks involved?

I've been consented more than eighteen weeks before surgery, it seems to be the norm round here.

[Petrolsmasher]

55palfers said:

You'll definitely meet your anaesthetist before the op. He / she will usually be happy to discuss any questions you may have.

Its not the anaesthetist i need to speak too haha its the surgeon.

Its been about 9 months since ive seen him for my original consultation.

[lj04]

I had the young surgeon come to see me before my hernia surgery last year, to mark the correct side for operation. I just assumed she came as she was a new surgeon (trainee)

[numtumfutunch]

lj04 said:

I had the young surgeon come to see me before my hernia surgery last year, to mark the correct side for operation. I just assumed she came as she was a new surgeon (trainee)

Beavis moment

[tim0409]

I was in the unfortunate position of having three operations last year, and on each occassion the surgeon and anesthetist went through the procedure with me (and all their day patients) before they went off to surgery.

[Voldemort]

lj04 said:

I had the young surgeon come to see me before my hernia surgery last year, to mark the correct side for operation. I just assumed she came as she was a new surgeon (trainee)

I worked for 15 years in the business of professional medical insurance.

You would not believe how often/common mis-sited operations occur. If I ever went in to have a sited operation I would take my own sharpie with me to write 'NOT THIS SIDE' on the relevant part of my anatomy.

[RTB]

Voldemort said:

I worked for 15 years in the business of professional medical insurance.

You would not believe how often/common mis-sited operations occur. If I ever went in to have a sited operation I would take my own sharpie with me to write 'NOT THIS SIDE' on the relevant part of my anatomy.

And hope that the NOT portion of the message doesn't get rubbed off......


https://www.ncbi.nlm.nih.gov/pubmed/19144931/

I remember reading this paper a number of years ago, and being quietly astounded that such procedures weren't standard.

[2Btoo]

Petrolsmasher said:

Good, ive had my surgeon changed and im glad as the other one was arrogant and not willing to consider my side of things.

I thought that the general rule was that the best surgeons were all b'stards with egos larger than a planet and no patient skills at all, but were bl00dy good at their jobs? Are you sure the swap was a good one?

[WinstonWolf]

2Btoo said:

Petrolsmasher said:

Good, ive had my surgeon changed and im glad as the other one was arrogant and not willing to consider my side of things.

I thought that the general rule was that the best surgeons were all b'stards with egos larger than a planet and no patient skills at all, but were bl00dy good at their jobs? Are you sure the swap was a good one?

I don't care how good a surgeon's bedside manner is, if he is removing bits of tumour that are attached to the covering of my brain with a surgical Dremmel all I care about is how bloody good he is at his job

[The_Doc]

RTB said:

Voldemort said:

I worked for 15 years in the business of professional medical insurance.

You would not believe how often/common mis-sited operations occur. If I ever went in to have a sited operation I would take my own sharpie with me to write 'NOT THIS SIDE' on the relevant part of my anatomy.

And hope that the NOT portion of the message doesn't get rubbed off......


https://www.ncbi.nlm.nih.gov/pubmed/19144931/

I remember reading this paper a number of years ago, and being quietly astounded that such procedures weren't standard.

They are standard now.

The World Health Organisation Safe Surgery Checklist ( https://www.who.int/patientsafety/safesurgery/chec... is pretty much mandatory now. We mostly have a locally tailored extended version of that with plenty more stuff added in.



You shouldn't start anaesthesia until you've had all your questions answered. If a junior doctor ( House Officer, Registrar etc) comes to you before anaesthesia to mark and consent, and you aren't happy with this level of information then ask to see the consultant.
You go to sleep/have a spinal when *you're ready* and not before.

[The_Doc]

Voldemort said:

I worked for 15 years in the business of professional medical insurance.

You would not believe how often/common mis-sited operations occur. If I ever went in to have a sited operation I would take my own sharpie with me to write 'NOT THIS SIDE' on the relevant part of my anatomy.

They are very rare actually.

"Never Events" which is the technical term to include, but not limited to wrong site surgery as it includes overdoses of various medicines and retained medical items are covered for a 10 month period here: https://improvement.nhs.uk/documents/4872/Provisio...

You won't read it, but I have, and it details 165 events. The NHS does about 10 million operations or procedures per year , giving a rate of about 0.001% or 1 in 60,000 chance. None of which will make an inflicted person any happier, but it's rare.

Facts, boring and reassuring

[Marcellus]

2Btoo said:

Petrolsmasher said:

Good, ive had my surgeon changed and im glad as the other one was arrogant and not willing to consider my side of things.

I thought that the general rule was that the best surgeons were all b'stards with egos larger than a planet and no patient skills at all, but were bl00dy good at their jobs? Are you sure the swap was a good one?

It's why they train for so long; the first few years are all about the mechanics of cuttin' and sewin' the rest are how to perfect the arrogant swagger and learn to introduce themselves as Mr and not Dr!!

I was once told that some good surgeons make sure their patients see them 1st thing in the morning of their operation and last thing at night after it, shows they care, makes the patient feel they work all hours especially during the winter when both visits are in the dark, but that surgeons is retired now so things may well have changed.

[RTB]

The_Doc said:

They are standard now.

The World Health Organisation Safe Surgery Checklist ( https://www.who.int/patientsafety/safesurgery/chec... is pretty much mandatory now. We mostly have a locally tailored extended version of that with plenty more stuff added in.



You shouldn't start anaesthesia until you've had all your questions answered. If a junior doctor ( House Officer, Registrar etc) comes to you before anaesthesia to mark and consent, and you aren't happy with this level of information then ask to see the consultant.
You go to sleep/have a spinal when *you're ready* and not before.

When my wife went in for a C-section in 2008 they were very methodical, with the anesthetist and the theatre sister (I think) reading back to each other the drugs as they were prepared and administered. Which was just as well, as it appeared that several of the drugs were in identically shaped vials, and were very similar in appearance.

Then again she went in for another C-section in 2012 and there was no methodical approach, the anesthetist had everything neatly laid out on a trolley next to him. He tried repeatedly to get the spinal in. By the 3rd attempt the neat trolley had been reduced to a pile of random vials, needles alcohol wipes etc etc. I don't think I've ever seen someone look quite so flustered. Glad my Mrs was pointing the other way, although the surgeon quietly shaking his head probably didn't help

I guess consistency is the key to any of these sorts of standards.

[dandarez]

We all know (if going for surgery) about the felt pen. If it's a toddler I would have thought the same would apply? No surgery here but catastrophic consequences for the family. And the boy. And this was recent. Very recent.

https://www.dailymail.co.uk/health/article-6519613...