Secrets of the Operating Room

Surgeons are control freaks and obese patients create more physical work for a surgeon during any type of procedure. The operations take longer, tie our upper body in knots and leave us with fatigue and frustration. Obese patients also automatically face an increased risk of complications like infection, pneumonia and blood clots during recovery.

Interestingly, after an operation, most surgeons tend to underestimate the amount of blood that was lost. Whether it’s ego or denial, they can’t help themselves. The reality is that blood loss can be measured. Hospitals know which surgeons are losing blood, and how much, during every operation. They have data from their operating rooms, but the public cannot get access to this information. And this information matters, too. A large amount of blood lost during an operation can be a harbinger of complications to come. Like poker players and their cards, surgeons are sometimes only as good as the patients they are dealt. Obesity, excessive scar tissue from a previous surgery in the same area, disease that is more advanced than anticipated—any one of these physiological conditions creates more work and a more difficult environment for the surgeon. Even before the surgery begins, underlying or chronic conditions such as a history of hypertension, cardiac disease or lung disease put patients at risk for complications. Today, based on your medical history, surgeons can usually analyze, quite accurately, your risk of complications (or death) before setting foot in the operating room. All you have to do is ask.

Surgeons frequently have conversations with the body parts or organs they are trying to remove. They also have conversations with themselves; it’s a way to blow off steam while their minds scramble to deal with the unexpected. You’re going to earn your fee tonight, Dr. Surgeon.” The colon kept talking. “I hope you’re not in this business for the money, like the last guy who operated on me. Between what Medicare pays you, the phone calls in the middle of night and the time you spend category_iding my recovery, I figure you will make about $200 an hour for this operation. How does that grab you?”

Words to the Wise: Land and marry a prominent Surgeon! He’ll have the best connections you’ll need in life. Life.

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