Surgical Assistant Quotes

Wanted you to meet Murphy, the new guitarist. Very cute. Laughing, I respond: Stop trying to set me up! Jenna: Your vagina is going to close up, and you’ll need surgical assistance to use it again.

What does it take to unwind the unwanted? It takes twelve surgeons, in teams of two, rotating in and out as their medical specialty is needed. It takes nine surgical assistants and four nurses. It takes three hours.

Although Liston was renowned for his success stories—such as the removal of a forty-five-pound scrotal tumor in four minutes; prior to the operation, the poor patient had been forced to carry his scrotum around in a wheelbarrow—he also developed a reputation for the flamboyancy of his surgical failures. For instance, his joy at amputating a patient’s leg at the thigh in less than three minutes was hindered greatly when he realized he had also inadvertently sawed off the patient’s testicles. And perhaps, most famously, another leg amputation performed in less than three minutes had the unfortunate result of killing three people: the patient (who survived the surgery but died of gangrene several days later); his young assistant (whose fingers he accidentally sawed off during surgery and who would also later succumb to gangrene); and “a distinguished surgical spectator” whose coattails Liston also slashed. The man, who found himself surrounded by geysers of blood, was so convinced that the knife had pierced his vitals that he immediately “dropped dead from fright.” It was later described as “the only operation in history with a 300 percent mortality [rate].

One might have thought that on learning of Quinta’s death—this woman the company doctors had professed was not going to die—the United States Radium Corporation might, at last, have softened. But one would be wrong. Berry did manage to win a settlement of $8,000 ($113,541) for Mae Canfield in the new year, but the company had a straitjacket clause attached. The only way they would pay his client any money, they said, was if Berry himself was incorporated into the deal. He was far too knowledgeable about their activities—and becoming far too skilled in court—to be left off a leash. And so Raymond Berry, legal champion, the pioneering attorney who had been the only lawyer to answer Grace’s call for help, found himself forced into signing his name to the following statement: “I agree not to be connected with, directly or indirectly, any other cases against the United States Radium Corporation, nor to render assistance to any persons in any actions against said Company, nor to furnish data or information to any such persons in matters against said Company.”37 Berry was gone. He had been a serious fighter against the firm, an irksome thorn in their side. But now, with surgical precision, they had plucked him out and banished him. They were two settlements down, but the United States Radium Corporation was winning the war.

Code Blue! We’re losing him!” The EMTs hustled the gurney containing Erik Dawson’s broken body into the operating room where the surgical team waited. The nursing staff literally ripped his clothes off as they worked to stabilize him. “What do we have here?” the lead surgeon asked. His assistant didn’t bother to look up as she answered, “Auto accident. An eighteen- wheeler smashed his car into a guardrail.” The lead surgeon whistled through his teeth. “It’s a miracle he’s still breathing. Let’s keep him that way.” As the surgical team moved into action with skill born of practice, Erik drifted on the fringes of consciousness. Erik’s thoughts raced. What? Where? Anesthesia put him under, but as the doctors began their work and his parents prayed fervently in the waiting room, Erik spasmed and stopped breathing. Family Matters, from Home Again

The most extraordinary story of appendectomy survival that I know of occurred aboard the U.S. submarine Seadragon in Japanese-controlled waters in the South China Sea during World War II when a sailor named Dean Rector from Kansas developed an acute and obvious case of appendicitis. With no qualified medical personnel on board, the commander ordered the ship’s pharmacist’s assistant, one Wheeler Bryson Lipes (of no known relation to the present author), to perform the surgery. Lipes protested that he had no medical training, did not know what an appendix looked like or where it was to be found, and had no surgical equipment to work with. The commander instructed him to do what he could anyway as the senior medical person aboard. Lipes’s bedside manner was not perhaps the most reassuring. His pep talk to Rector was this: “Look, Dean, I never did anything like this before, but you don’t have much chance

One of his surgical assistants—Jonathan Williams, who replaced James Watt after Watt refused to go along with Freeman’s plan to do lobotomies in his office, without a surgeon present—later told a story about a patient who had been brought to Freeman for a lobotomy. The day before the surgery, though, he’d gotten cold feet and refused to go through with the operation. He locked himself in his hotel room. Freeman, contacted by the patient’s family, drove to the hotel and convinced the patient to let him in. Using a portable electroshock machine he had designed and built for himself, he administered a few volts to the patient to calm him down. According to Williams, “The patient was…held down on the floor while Freeman administered the shock. It then occurred to him that since the patient was already unconscious, and he had a set of leucotomes in his pocket, he might as well do the transorbital lobotomy then and there, which he did.

The lowest level of this modifying intermediate network is the spinal cord. The cord still possesses many features that were first developed in the segmented earthworm. It is largely made up of neurons completely contained within it, which form bridges between the sensory and motor elements throughout the whole body. Each peripheral nerve trunk still innervates a specific segment of the body, and still joins the cord at a specific level, creating a ganglion. Sensory signals entering into a single segment may be processed by its own ganglion, and cause localized motor response within the segment; or the signals may pass to adjacent segments, or be carried even further up or down the line, involving more ganglia in a more widely distributed response. In this way, the cord can monitor a large number of sensorimotor reactions without having to send signals all the way up to the brain. Thus stereotyped responses can be made without our having to “think” about them on a conscious level. Most of these localized and segmentally patterned responses are not the result of experience or training, but of genetically consistent wiring patterns in the internuncial network of the cord itself. These basic wiring patterns unfold in the foetus during the “mapping” process of the nervous system, and they have been pre-established by millions of years of development and usage. The spinal cord can be surgically sectioned from the higher regions of the internuncial net, and the experimental animal kept alive, so that we can isolate the range of responses that are primarily controlled by these cord reflexes. Almost all segmentally localized responses can be elicited, such as the knee jerk caused by tapping the tendon below the knee cap, or the elbow jerk caused by tapping the bicep tendon. These simple responses can also be spread into other segments, so that a painful prick on a limb causes the whole body to jerk away in a general withdrawal reflex. The bladder and rectum can be evacuated. A skin irritation elicits scratching, and the disturbance can be accurately located with a paw. Some of the basic postural and locomotive reflex patterns seem to reside in the wiring of the cord as well. If an animal with only its cord intact is assisted in getting up, it can remain standing on its own. The sensory signals from the pressure on the bottoms of the feet are evidently enough to trigger postural contractions throughout the body and hold the animal in the stance typical of its species. And if the animal is suspended with its legs dangling down, they will spontaneously initiate walking or running movements, indicating that the fundamental sequential arrangements of the basic reflexes necessary for walking are in the cord also. All of these localized and intersegmental responses are rapid and automatic, follow specific routes through the spinal circuitry, and elicit stereotyped patterns of muscular response. Most of them appear to consistently use the same neurons, synapses, and motor units every time they are initiated.

Business-suit broad raised an eyebrow and extended her hand in a limp handshake that gave me the creeps. She batted long eyelashes, which I was fairly certain were fake, as she looked down on me. And speaking of fake, I don’t think anyone’s breasts could possibly be that substantial and buoyant without the assistance of a surgical lift. -Malley

Legal You will learn that there are restrictions placed upon you in some areas. These restrictions are for your own protection. You will be prohibited from administering medications, recording sponge counts, or carrying out direct physician’s orders regarding treatment of a patient out of your scope of practice. As soon as you overstep your limitations and boundaries and perform any of these actions, you are placing yourself in legal jeopardy. Whether functioning under the supervision of a surgeon or a registered nurse, a CST is always part of the surgical team and you must carry out your responsibilities within the scope of your practice. Never try to do a task that does not fall within that realm. All counts are significant and have important legal ramifications. When performing a count, it is crucial to ensure that the count is correct for the patient’s well-being. When you are scrubbed, you count sponges while the registered nurse observes and records the count. At any given time during a surgical procedure, the CST may request a sponge, and possibly a sharps count to take place. If you are assisting the circulating nurse in a nonsterile role, you may assist with the counts as long as the nurse verifies it. In this scenario, the nurse is legally acting as the surgeon’s agent. It is the responsibility of the registered nurse to obtain the required medications for a case. The CST draws the drugs into syringes and mixes drugs when scrubbed; during this process, the proper sequence of medication verification and labeling must occur. In any phase of your responsibilities, there are possible grounds for legal breaches. Shortcuts may cause a patient to suffer tragic complications, even loss of life. Negligence must be avoided. Both as an employed CST and as a student, you carry the responsibility to do no harm. If you should become discouraged in your role or begin to feel this responsibility is overwhelming, it could simply mean that you need a change; it isn’t always the other team players or the place of employment that are at

However, the most worrying incident for his students occurred during an amputation when Liston accidentally amputated an assistant's fingers. The outcome of this operation was horrific: the patient died of infection, as did the assistant, and an observer died of shock. It was the only operation in surgical history with a 300 per cent mortality rate.

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Teamwork may just be hard in certain lines of work. Under conditions of extreme complexity, we inevitably rely on a division of tasks and expertise—in the operating room, for example, there is the surgeon, the surgical assistant, the scrub nurse, the circulating nurse, the anesthesiologist, and so on. They can each be technical masters at what they do. That’s what we train them to be, and that alone can take years. But the evidence suggests we need them to see their job not just as performing their isolated set of tasks well but also as helping the group get the best possible results. This requires finding a way to ensure that the group lets nothing fall between the cracks and also adapts as a team to whatever problems might arise.

Despite all this bad news, there is real-world evidence that groups do confront bullies as a group—and it works! A shining example is the “Code Pink” technique used by surgical nurses. These highly skilled professionals are often berated and belittled by pompous surgeons, both men and women. In some hospitals, whenever a bullying surgeon steps over the line into mistreatment, “Code Pink” is called by the targeted nurse. Immediately, supportive nurses form a circle around the physician. Together, they declare their unwillingness to assist that person with current and future patients, if an apology is not given with a promise to behave in a civil manner. The interdependent nature of surgery makes the surgeon powerless without the help of the team in the operating room. All work stops and the physician is accountable for her or his bullying. It is the physician who is responsible for the patient’s life. “Code Pink” is the group displaying its power to the bully, demanding cooperation instead of controlling games.

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beside his brothers in a small, living room-style waiting room in their unused-until-today surgical ward. Hell, The Arsenal didn’t even have a medical team on site yet. Fortunately, Logan had come along and recruited a trusted surgeon to assist. Edge had dragged the spook doctor from a certain death, and he wasn’t about to bug out when she was down. He’d called in favors to make sure she got the best treatment possible. Logan’s surgeon friend, Maisey Winn, seemed competent enough for a bitchy piranha. She took one look at Dylan “helicoptering

Twenty-one years after the release of Kubrick’s film, a strangely similar scene played out in a University of California laboratory—with one major difference. In Alex’s place was an adult cat. Researchers led by Dr. Yang Dan, an assistant professor of neurobiology, anesthetized a cat with Sodium Pentothal, chemically paralyzed it with Norcuron, and secured it tightly in a surgical frame. They then glued metal posts to the whites of its eyes, forcing it to look at a screen. Scene after scene played on the screen, but instead of images of graphic violence, the cat had to watch something almost as terrifying—swaying trees and turtleneck-wearing men. This was not a form of Clockwork Orange–style aversion therapy for cats. Instead, it was a remarkable attempt to tap into another creature’s brain and see directly through its eyes. The researchers had inserted fiber electrodes into the vision-processing center of the cat’s brain, a small group of cells called the lateral geniculate nucleus. The electrodes measured the electrical activity of the cells and transmitted this information to a nearby computer. Software then decoded the information and transformed it into a visual image.

The author despises his demonic nature and desires to slay his contemptible ego via a calculated surgical vivisection. Wishing to shed his ugly warts and contemptible character flaws that he gleaned by living a greedy and anxiety filled life, and yearning to emulate the wisdom and emotional unflappability of the emblematic tortoise, the author undertook a contemplative investigation into the fundamental nature of human existence, a narrative examination of an ignorant and troubled man’s life. Transcendental meditation (‘TM’) is an increasingly popular technique to achieve inner peace and wellness. Proponents’ of TM claim that regular periods of meditation improves a person’s physical energy by enabling the meditator’s body to settle into a profound state of rest and relaxation. TM notionally promotes a restful state of mind “beyond thinking,” alleviates stress, reduces blood pressure, depression, and anger by assisting practitioners obtain a reprieve from painful and distracting thoughts. The author wrote this self-investigative script in order to pursue the same type of physiological and psychological rejuvenation that a person ostensibly attains when ‘transcending’ their ordinary thoughts and attains a pure state of consciousness. He encountered many obstacles blocking his path seeking self-awareness and imperturbable mental serenity including his manic nature, fear of change, stubborn intractability, pessimism, skepticism, self-doubt, mental stupor, and epic stupidity. Attempting to replicate the stoic demeanor and resoluteness of a sagacious tortoise, the author continued plodding along drafting this interminable scroll seeking to become the cartographer of a transformative, life-affirming journey cleansing and revitalizing a weary body and an emotionally stagnated soul.

The cooler was stuffed with bistecca fiorentina, a three-inch thick porterhouse from local cows, simply prepared. Probably the single most recognized dish from the region, the crown jewel of cucina tipica (typical cuisine). After the large grill face was lined with dozens of steaks, the host - on a platform in front of the grill - theatrically salted and peppered the steaks, then chopped lemons and minced rosemary. The steaks were quickly flipped by an assistant wielding long tongs, and delivered to the cutting table to rest before being surgically hacked into chunks and placed on ceramic platters where they were dressed with local olive oil, coarse salt, squeezed lemon and sprinkled rosemary.