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OP
Dirty Dog

Dirty Dog

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when the patient might not tolerate the anesthesia perhaps?
In what way? Allergies? It's generally done under conscious sedation, and there are literally dozens of drugs you can use, from multiple different drug classes. If the person is unstable in a way that would make ANY sedation dangerous, then there's no reason to do a colonoscopy. There are more immediate concerns.
The only unstable people who get scoped are things like GI bleeds. And they're still sedated.
I know it can be done without, too.
Yeah, but who wants to do that?
 

Xue Sheng

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I will not go into detail....but I just had an email discussion that would be equiavent to and as logical as

Me: It will not power on
Response: Well then unplug it and see if it powers on

1709837062219.jpeg


The heck with this...I'm just going to sit here and drink coffee
 

Wing Woo Gar

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In what way? Allergies? It's generally done under conscious sedation, and there are literally dozens of drugs you can use, from multiple different drug classes. If the person is unstable in a way that would make ANY sedation dangerous, then there's no reason to do a colonoscopy. There are more immediate concerns.
The only unstable people who get scoped are things like GI bleeds. And they're still sedated.

Yeah, but who wants to do that?
Some people like to watch or want to drive themselves after. We scope intraoperatively during several different scenarios, both EGD and Colonoscopy. My buddy got his vasectomy under a local anesthetic so he could drive home. He didn’t expect me to be there scrubbed in with a pair of giant, sterile bolt cutters in my hands. It was a good laugh.
 
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Some people like to watch or want to drive themselves after. We scope intraoperatively during several different scenarios, both EGD and Colonoscopy. My buddy got his vasectomy under a local anesthetic so he could drive home. He didn’t expect me to be there scrubbed in with a pair of giant, sterile bolt cutters in my hands. It was a good laugh.
I've had the unfortunate experience of having two vasectomies. My third child is the result of the first failing. During the second, the surgeon (who I knew fairly well) said "Ooops". That is NOT what you want to hear from the guy poking around in your scrotum. Jerk.
 

Wing Woo Gar

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I've had the unfortunate experience of having two vasectomies. My third child is the result of the first failing. During the second, the surgeon (who I knew fairly well) said "Ooops". That is NOT what you want to hear from the guy poking around in your scrotum. Jerk.
Oops is a bad word in the OR, only thing worse is “I’m sorry”.
 

Wing Woo Gar

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“I had a heavy night with the boys last night” would be scary too.
Yeah I think that was common amongst a couple of them at one time. Im no scientist, but at least anecdotally, it appears that cocaine and whiskey is not a good treatment plan for bi polar diseased surgeons. Sweating last nights liquor onto the patient could reflect poorly on the facility, and potentially affect surgical outcomes. Who’d a thunk it?
 

Xue Sheng

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SURPRISE!!!

It appears they want to relocate a Methadone clinic a few hundred feet from my wife's office

They tried to sneak it in, but the news found out and reported on it.

Not happy
 

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Oops is also not a good thing to hear from a pilot during a flight or from an Explosive Ordnance Disposal Specialist doing his job.
The good news is that you won’t hear EOD say oops. It’s all over too fast. 😅

I was ammo in the Air Force, and during desert storm we worked closely with the EOD. All of the munitions AFSCs are special. A lot of dark humor.
 

Xue Sheng

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The good news is that you won’t hear EOD say oops. It’s all over too fast. 😅

I was ammo in the Air Force, and during desert storm we worked closely with the EOD. All of the munitions AFSCs are special. A lot of dark humor.
Spent my early career in hospitals and working with a lot of police... a lot of dark humor there too
 
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gyoja

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The good news is that you won’t hear EOD say oops. It’s all over too fast. 😅

I was ammo in the Air Force, and during desert storm we worked closely with the EOD. All of the munitions AFSCs are special. A lot of dark humor.
After you spend 9 months in EOD school with the same people working with live chemical agents and explosives, you just can’t help but acquire a unique sense of humor!
 

Xue Sheng

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After you spend 9 months in EOD school with the same people working with live chemical agents and explosives, you just can’t help but acquire a unique sense of humor!
remember the commercial
This is your brain, this is your brain on drugs... got an email from a friend in a police department.... with pictures and captions. after a person had walked in front of a train

This is your Brain...
This is your brain on the railroad tracks...
 

gyoja

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remember the commercial
This is your brain, this is your brain on drugs... got an email from a friend in a police department.... with pictures and captions. after a person had walked in front of a train

This is your Brain...
This is your brain on the railroad tracks...
I remember a young EOD tech that was clearing a 40mm grenade range with his team. Since he was the junior tech, he was tasked with locating and picking up unexploded rounds. After picking one up in each hand, he felt one arm itself. Panicking, he asked the senior tech what should he do. The senior tech told him to hold his arms out away from his body. After realizing that the senior techs were having fun at his expense, he walked over and placed the ordinance on the demolition pile. Now, if I could just remember who that young tech was…
 

Buka

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remember the commercial
This is your brain, this is your brain on drugs... got an email from a friend in a police department.... with pictures and captions. after a person had walked in front of a train

This is your Brain...
This is your brain on the railroad tracks...
Oh *****!
 

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