24 hour calls are rally exhausting, but the hour or two between finishing the shift and falling asleep are very rewarding, you reflect on what you have managed to accomplish. The day team would have came and you take a few minutes to either low key brag about your saves or complain about some encounters. The last call was interesting. We were asked to remove three temporary dialysis catheters, a rather mundane procedure that the ICU nurses are very comfortable doing but for whatever reason the medical providers that shift on the floor patients were not. It is very frustrating, using the excuse of "not comfortable".. No one is born comfortable doing anything. I offered each MD to accompany me while we remove the catheter from their patient and only 1/3 took the offer. That is two providers who are not comfortable providing an aspect of care for their patients and who don't want to learn how to provide that care.. That was frustrating.
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What makes a bad surgeon. Beyond training, being able to read into every mistake and figure out what went wrong and reflect to honestly think of what could you have done better is the only way to grow and get better. But that doesn't mean that all of the inadequate surgeons we see around us are not doing so. I think at one point after much reflection one will reach a point where he has to confess that he reached his ceiling. If a trauma surgeon struggles with supraceliac control 10 years into his carrier despite reflecting every time on what went wrong then that is it, he is just an inadequate one. What are those supposed to do? If you are faced with the fact that your best will never be enough. I see them either try to limit their practice (refuse to do an indicated gallbladder because it is gonna be a horrible one), Assign blame (always cussing and complaining and trying to find mistakes in others to use as counter attack for when they are criticized) or call for help for everyt...