Hey Yea Forums. Your friendly neighborhood surgeon here

looks like you're into plastic surgery. resident?

He is the guy that does them with his teeth.

What’s the craziest thing you’ve removed from someone?

Seeing humans opened up I'm sure you're used to.

How do you think you'd handle / have you seen just straight gore? i:e suicide/accident.

I feel like I can handle seeing photos but seeing it in person would take some mustering up for the first dozen times.

Fuck that sounds painful

Nope. What do you mean?

See You have to be a little bit nuts to do what I do. I am a head and neck surgical oncologist, which is a very subspecialized area within medicine. I exclusively deal with horrific problems requiring long, brutal, complex surgeries to give patients a shot at survival.

A prescription for generic bactrim or macrobid is like pennies I think. But not over the counter.

Back in medical school, but I just gave the kid sugar while the pediatric surgeon did it. I've never personally done one.

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How much adderall do you need to take during your longer operations?

What's the longest operation you've done?

what is your fave part of the job? and do you have any more pics? i fuckin love those anatomy shits

how long have you been in plastics

resident?

Totally bullshit, but that's my personal opinion, not medical one. I do agree that hyoid fractures are basically seen in strangulation injuries.

H&N surgical oncology and microvascular reconstructive surgery attending.

Eh. Foreign bodies are pretty predictable. Coins, bobby pins, etc. I've removed a few wire bristles from grill brushes....those things should be illegal. They get into food and people swallow them and they lodge in esophagus.

I've seen it many times. Doesn't really bother me. I don't like poop or GU stuff that general surgeons deal with it. Grosses me out still. No issue with mucus, trachs, gunshot wounds to face, etc.

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Ever kill anyone? I dont mean unforeseen complications leading to them dying during surgery but you just fucked up something and they died?

attending!! COOL

microvascular! How do you attach a vessel to another vessel?

you're a HERO man. thank goodness for people like you. you work miracles. I hope that's not lost on you.

He'd likely get in trouble for malpractice

Is it just me or are Anesthesiologists the biggest OR divas out there? I am an Anesthesia Clinical Engineer and they just whine about fucking everything.

they make TONS of money for doing nothing. you could do it if you could get your medical license, and you're an imbecile.

EVERY attending has killed someone. Maybe a few.

I don't. When I'm in OR I rarely feel tired. Sometimes I get hungry or thirsty but usually I'm so focused I forget about that stuff.

That's the best part of the job. Everything else vanishes and it's just me, the patient, and the problem. I use my hands and brain and experience to fix problems so complex the patient will never understand what I do.

Longest operation was 26 hours. Operation for a young guy who failed suicide attempt, blew off his mandible, tongue, maxilla, and one eye. The operation I did to reconstruct his palate, upper jaw, nose, upper lip and face took multiple tissue transplants and lasted from 6am to 8am next day.

Favorite part as above.

Otolaryngology attending out for a few years now.

Never had a patient directly die from a fuckup. I mean people get recurrent cancer after an operation and die, but that's just the nature of the work. My outcomes are good as compared to average in my field, but I've still had dozens upon dozens of my patients die of their cancers.

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Uh, well, you're the best I can ask I guess.

My mother is having the exact same surgery that my grandmother had, and my grandmother died 3 days after. The surgery involves removing arthritis and stuff from my mothers knee. Not sure if my grandmother dying from that surgery means my mom is at risk of the same fate.

Why my dick loved by so many women? Does it secret special pheromones? Who should I talk? Can it be harvested and made for profit?

>Longest operation was 26 hours. Operation for a young guy who failed suicide attempt, blew off his mandible, tongue, maxilla, and one eye. The operation I did to reconstruct his palate, upper jaw, nose, upper lip and face took multiple tissue transplants and lasted from 6am to 8am next day.
Holy fuck that's crazy. Did he survive? How was the the outcome?

does he look anything near normal today?

Are you rich or super rich?

Thanks for doing this, you're awesome.

how much money do you make in 1 paycheck?

do you do it more for the money or more because you actually like this

Under the microscope using fine suture about as thin as human hair. It's a tissue transplant so I sew an artery to feed the flap (could be bone to reconstruct a jaw, skin and muscle to reconstruct a tongue) and a vein to drain the blood from it.On average maybe 10 stitches per artery.

I've had many complications, some of which are related to unintended "fuck ups" (cut a nerve, devascularize a gland, wound breakdown leads to a fistula and lifetime feeding tube dependence), but never been sued. Complications happen and are expected. Complication rate for major head and neck surgery is about 50%. Patients know that going in. You get sued if they think you're hiding something.

I work closely with anesthesia (head and neck cancer surgeons see the worst airways known to man routinely). Most physicians are divas, me included. My expectation for myself is perfection and it's hard for people around me who don't have that drive to really get it.

I'm sorry your grandmother died. Knee surgery is very safe overall. You're more likely to die driving to the hospital in a car accident than die from a complication of the surgery. Your mother will be fine.

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I have a question about brain surgery, specifically dealing with brain abscesses.
Had a gf with a brain infection and after they drained it after 6 weeks of pick line antibiotics the infection came back even bigger in the same place, could the doctors foreseen this coming? Also the doctors have no clue how it started in the first place.

Yeah I just didn't know if that kind of thing could be like, a genetic thing. Like some families are more prone to that than others. Just a bit worried. Did just learn the other day that she doesn't have breast cancer after having to go in for extra tests after her mammogram. Just a bit of a tense couple of weeks.

Still squeamish or no?

Are you qualified to do anything else like be a GP or nurse or be a surgeon in a different field or do you have to be in that specific field?

thanks for doing this, many would die without people like you :)

Oh yeah, he survived. That reconstruction was over a year out from injury. He's doing okay, all things considered. Very scarred, but he can eat by mouth, no feeding tube, no trach. He goes out in public without a mask anymore. He is married. He'll never live a normal life, but outcome is good all things considered.

No.

Wealthy. Still paying off my student loans from school, but my wife is a physician as well and we are comfortable.

Fluctuates based on billing. I'm partially salaried, partially paid based on productivity. I make >$500k yearly.

Interesting question. I work hard and deal with nasty problems that are draining physically and emotionally. I truly love my job, but would have a hard time justifying it if I feel I wasn't fairly compensated.

As a parallel, there are WAY more NFL players in the US than people who do what I do. I am a hyperspecialist who can do what I do only after decades of training.

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they can move specialties in surgery with time spent under another attending in that field.

Is half of his head missing?

Where are you from? I am thinking about going to medical school in Australia but I am from Canada. My GPA (3.7) would be great if I were American but unfortunately for our schools it's an uphill battle and there are very few here that I have a good chance at. We don't have state MD schools or DO schools like you guys have in the US where admission requirements are more forgiving. I am interested in psychiatry but apparently if I want to go to the US to practice after I would be what is considered an IMG (international medical graduate) and that makes it more difficult to find a training position. Do you have any advice or input for someone in my shoes? I have not even applied to Canadian medical schools yet but I just have serious doubts cause I know people with like 3.8/3.9 GPA's who were rejected or waitlisted.

Not sure. I don't deal with stuff like that often.

Not really. I really don't like bugs. And I don't like poop. Aside from that I'm fine. Blood and all that stuff doesn't bother me.

I guess I could be a GP? I mean I did an intern year (enough for licensure as a GP in the US) and otolaryngology residency. But I couldn't be a nurse or be a specialist in any other field without doing residency in it (3-5 years) and getting board certified.

Like I've said, I'm a hyperspecialist. I actually don't know much anymore about general medicine like high blood pressure or diabetes or pneumonias or whatever.

Nope. To get privileges in a field at any hospital you need to be board certified in that specific field, which requires you to do residency in it. I couldn't spend some time hanging out with a thoracic surgeon and decide to start taking out lungs.

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Well thank you for doing what you do, you deserve the money you make and I'm glad you love the job

universal medicare or private??

how much did the whole shebang cost? school, tuition, etc. and how long did it take per each stage?

Are you extra worried about Parkinson's and do you take extra care of your hands since they are your bread and butter?

Going to bed. Fun an usual. Up early tomorrow. Take care, Yea Forums.

Goodnight, surgeon user

I don't have a question but you're a good person and while nobody in my immediate family has ever required the kind of stuff you'd handle I appreciate what you do regardless. Thank you.

Gr8 thread man

A friend got a squamous cell lump near her cheekbone. Treated with chemo + radiation, then another round a year or so later. Didn't work out. Would she have had a better chance of surviving if she had gone with surgery?