Doctors Share "Oh Sh**" Moments During Surgery - AskReddit

they had infested the wound and were eating the rotting skin surgeons what was your oh no moment doing a c-section for this poor mom had been in labor for hours baby wouldn't come out of the hole we'd made so more pressure was applied to the fundus top of the uterus and suddenly whoosh baby zooms out like a torpedo it is covered in lubricating vernix zips over the surgical sheeting which has the texture of a slip and slide and almost rockets straight off the table the baby's foot was caught by the reg who whipped her up in the air upside down like in old cartoons but almost dropped her again due to gloves plus vernix thankfully the midwife was ready with the towel and caught the baby to wrap her up mum and dad seemed to think this was normal practice and didn't notice but me and my colleague just stared at each other with a look of absolute horror it still makes me shudder to think how close the baby was to hitting the floor head first never happened before or since i was doing a corneal transplant when i had the oh no moment during surgery i cut off the patient's own cornea and replaced it with a new donor cornea during that moment when the host cornea was off but before i could get the new one on there's literally nothing on the front of the eye except a tear film and aqueous humor anyway the patient takes that moment to start vomiting the reason we tell everyone to skip food and drink is so they don't aspirate in case they throw up this patient lied about eating breakfast and started throwing up everything the eye is still open sky at this time everything inside of the eye can now become outside of the eye and she's bucking and vomiting those not in the know will say this is not good those really in the know will say oh no anyway i had to grab the new cornea and start stitching as fast as i could on a patient actively throwing up i use 10 to 0 nylon sutures which are thinner than an eyelash it turned out okay but not great don't lie about eating breakfast before surgery folks surgeon here i've dealt with loads of morbid stuff but one thing that made me stop and go oh no was a conversation with a young patient who had a perforated colon from diverticular disease which is a common wear and tear of the colon he was one of youngest patients i had seen with this condition and certainly the youngest with a perforation so bad as to require an operation when i was counseling him on the operation which involves removing the perforated part of the colon and giving him a colostomy he told me his biggest concern was how he was going to a backdoor fun with his same-sex partner he would only have a small stump of rectum left inside which would be at risk of perforation with any force applied to it it made me really think about the implications of the surgery we do the operation is the easy part i'm not a surgeon but when i was in med school there was an oh no moment for everyone including the surgeons anesthetists nurses and students they were prepping a patient for surgery and put him under and the nurse said okay he's out before they were about to start slicing him open the patient just had enough strength to move his head from side to side and said no i'm not out yet everyone laughed it off but if the patient didn't do that it could have ended badly not a surgeon but was working in obstetric theater and uk mid-heat wave last year this is important as maternity wards are kept quite warm as newborn babies aren't good at regulating their temperatures combine this with a heat wave and the fact that in britain we're not exactly used to high temperatures and we have the perfect storm mid emergency kaz area in the scrub nurse assisting the ob starts feeling faint this is unusual as this scrub nurse worked in these theaters full-time so this was her bread and butter so i can only conclude it was the heat she has to step out so the sho takes her place assisting the obs registrar with the section this show looked extremely junior as in first section ever and they were trying to assist with the instruments in the uterus when they fainted i had to jump in and grab the back of their theater gown to stop them face planting the open uterus and then sort of gently tug backwards to let them fall into me when someone else has taken over assisting this sho was not exactly small thank god the baby was already out when i was in new rn working the icu in a large teaching hospital i came into work one morning to a patient that was admitted that night intubated breathing tube in sedated foley catheter tube and pp hole and all long story short he was exturbated breathing tube out that same shift and was completely alert and oriented he was an end-stage renal patient meaning his kidneys didn't work and he needed dialysis and was only in his late 30s said he never made urine anymore and didn't need the foley catheter so he wanted it out because it was hurting now the catheter bag had been empty my whole shift which is normal seeing is how he didn't make urine anymore and this hospital had a nurse-driven foley removal policy meaning while we needed a doctor's order to insert one we could remove one at our discretion unless a doctor specifically put in orders not to this patient had no such doctor order so i went to remove the catheter they are held in the bladder by a balloon on the end that is inflated with 10 milliliters of saline id inflated the balloon removing 10 milliliters of saline and pulled it out as soon as the catheter left his penis blood started pouring out in a heavy stream turns out the nurse who placed it on admission hadn't advanced it far enough since there was no urine production to indicate correct placement and had inflated the balloon while still in his urethra causing trauma it would not stop bleeding i had to hold this man's noodle shut to put pressure on it while my co-worker paige the resident who came and looked at me with pity as he told me to just keep holding this 30-something-year-old man's weiner in my hands to staunch the blood flow until urology could get there to assess it just kept gushing blood every time i eased up to check for over an hour total i held this man's johnny and tried to make polite conversation until the urologist arrived happened at my hospital a mentally ill young woman who was pregnant at the time was in denial locked herself into her room when she realized the contractions were coming she basically didn't push and the baby didn't come naturally her family called 911 because of the smell the er realized her baby had died inside her and was basically rotting due to the smell she was taken to the or to remove the baby and apparently all the nurses and surgeons were vomiting because once they opened her up the smell was overpowering and it was traumatizing to see a rotting baby [Music] i work in the o.r and i've seen some pretty interesting things first day on the job the surgeon was doing a lap sleeve gastrectomy during this procedure a medical device is used to cut and staple the stomach simultaneously however in this case the medical device failed the stomach was cut open but the staples never engaged which left the patient with an enormous cash in the stomach the surgeon ended up finishing this part by hand i got called into a room to ensure the laparoscopic camera was working and able to record this was a six-hour cardiac procedure and was nearing the end so i knew i was about to see something good the surgeon pulls out some kind of growth from inside this guy's heart this thing was the size of a chicken wing it was growing through his valve and i'm honestly amazed they were alive supposedly the only symptoms were shortness of breath my grandfather told a story about a clamp coming off an artery while he was pulling a kidney in rural wyoming in the early 50s the abdominal cavity was quickly filling with blood and the nurse fainted he was able to push down with his elbow on the descending aorta and got the clamp back on patient lived but i think he chose his surgical assistance little more carefully after that during my third year of medical school i was stitching up the wound after breast cancer surgery and the anesthesiology nurse woke the patient too early as i was making my last stitch and i felt the patient moving her arm and trying to sit up patient was still covered in surgery draping and cables and still intubated luckily most people do not remember much from the first moments after waking up but i got quite nervous from the patient starting to move rn here i was working in the er and had a patient brought in by her husband apparently the woman had a fall a week prior and injured her face but refused medical care her husband finally forced her to come in as soon as i see the wound on her face from across the room i think that does not look like any wound i've seen i approached her and realized maggots had infested the wound and were eating the rotting skin a really simple and quick fix but i can't imagine her living conditions not mine but my father's he told me this back when i was 10 so i'm sorry if it doesn't fully make sense he had a 21 year old patient that needed to have a penectomy he had cancer of the weiner there were two oh no moments for this the first is a common thing he wasn't fully asleep the second however is funny and humiliating they are about to start the surgery suddenly one of the nurses that was there threw up and left a test later and boom she got knocked up halfway through the surgery the other nurse leaves for a call about her father my dad's just standing there a half gone wiener in his hand he calls for help and is standing there a guy's noodle in his hand for 30 minutes not a surgeon but my mom had to have a kidney removed due to her waiting for almost two years to go to the doctor about her pain in her back the doctors found out it was a large kidney stone and that her kidney was infected and had lots of gross pus shutting it down after draining the fluids through tubes over the course of a month and a half she was finally ready for surgery cue last wednesday the day of the surgery she was ready to finally be done with it they removed the stent put in and the tubes no problem next was the kidney here comes the oh no moment as they get ready to remove the kidney there was complications the kidneys infection had spread to a portion of her lung and a major artery making them fragile as toilet paper as the surgeon removed the kidney a hole was tore in the lung and even worse the artery was severed at that point it was a race to save her life and stabilize her i don't remember much about how they fixed her up there but they had to fly her to a different hospital and have a heart surgeon fix the severed artery in a more permanent fashion anyways the heart doctor saw the grave situation and said she's got a one percent chance for her to make it but he did such an excellent job that my mom is still alive and getting stronger each day the moral of this story is if you have insurance and are experiencing pain go to a doctor as soon as you realize it you may save your life and also save some doctors from a no-no moment like this when i was in pharmacy school i was doing my internal medicine rotation in my final year my preceptor and i were doing med reviews in the icu when one of the pulmonary docs was basically like hey you wanna see something cool they were trying to extract a foreign object from a guy's lung in one of the rooms so we go in and watch for a bit about six people in the room tube down the guy's throat little grippers at the end two doctors watching a monitor and trying to control the grabbers and get it like a claw game i watched for a bit then after a while i lost interest and went back out to what i was doing a few minutes later i hear got it cheers from the room oh it's a tooth dude aspirated his own molar doctor walks out with his trophy in a jar and it's a completely intact tooth root and all not a doctor but my grandfather was scheduled to have double knee replacement surgery when he was in his 70s they go through a bunch of health screenings to make sure your body can take the stress of the surgery and during one of these screenings the cardio doc found an aneurysm in his aorta running basically the length of his torso the doctors were shocked he was still alive with that in his chest he ended up having to have stand surgery in his aorta first and then a few months later was cleared for his knee replacements patient presented for a swelling in the abdomen which had a fluid wave but the fluid could not be aspirated in any position patient was taken to surgery for exploratory and upon opening the abdomen i was greeted with thousands of clear fluid-filled cystic structures roughly the size of marbles attached to every organ in the abdomen at that moment i realized that this patient had metastatic ovarian adenocarcinoma and it was physically impossible to resect all of the metastatic lesions since that would be total evisceration of the abdomen patient was euthanized on the table at the request of her mother at this point i will point out that the patient was a chicken i was a nursing student i was on theater prac we had a guy in who needed humorous and elbow repair i was pretty useless in everything but emotional support as i wasn't qualified so was chatting to him before he went under he admitted to having an unhealthy meth habit i informed the surgeon who shrugged it off apparently i should have told the anesthetist because this dude woke up mid-surgery and was trying to reach for his open arm that the surgeon was working on super oh no moment as we scramble to contain this guy's arm and stop it from touching anything sterile former medical student here rotating through general surgery was mainly an enjoyable time i remember one young patient 22 years old was revisiting the er where he'd been seen six weeks prior for sustaining some abrasions and bruises after falling hard off a skateboard he was all scraped up everywhere but had healed up okay but now he's in the er again feeling awful sick vomiting and with a fever as the third year med student i was dispatched to the bedside and hung up the ct films on the light box too much finger pointing and grunting among the surgeons i had no idea how to read a cd at the time wasn't even really sure what part of the body had been scanned so when the surgical resident barked prep him for surgery i was non-plussed decided to disguise my ignorance and just go for it as was the approved way for students at this busy public hospital way back when we got him gassed and prepped and i scrubbed in surgeon set open and i raised the number 15 blade he'd been prepped for a midline laparotomy but i guess i exposed my ignorance when i spoke up to confirm same this was decades before timeouts before wrong sight became a never event because everyone laughed i opened and it went uneventfully reflected the momentum with its lovely arcades and exposed the viscera you remember how to perform the coker maneuver the attending barked yes sir well do it i slid my gloved hand up into the splenic flexure getting well ready to grab the entire sack of intestines and move it up and over the opening salvo of the coker maneuver but met unexpected resistance i peered up seeing in my confusion that everyone was edging away from the table what's the trouble young man get your hand up there and complete the maneuver push harder a spongy sort of barrier gave way and with a sickening stench immediately recognizable as the locker room aroma of staphylococcus aureus a gushing cascade of two liters of grey brown bloody pus roared out of the incision it's soaking my gown scrub pants and shoes before splattering on the or floor and walls the splenic abscess doubtless caused by the transient bacteremia from his skateboard accident had been lysed ruptured evacuated and mostly cured the attending finished up with a splenectomy and after some abdominal avage the patient was good as new i had to throw out my shoes thanks for listening to radio tts hit the subscribe button and activate the notification bell for more videos click the right box for the doctors playlist let us know in the comments what you think about these stories

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Id: QM1R6F3llLc

Length: 15min 48sec (948 seconds)

Published: Sat Aug 22 2020