Saturday, December 9, 2006

Crack impares judment

So the other day we had a guy in his 30's who's got cancer. He will need chemo therapy. So he was supposed to get a chest port inserted. So that the chemo can get delivered without trashing his veins. This procedure is truly minor surgery.
Some people require very little to no sedation. Its not that painful a procedure.
Really. So man in his 30's comes in to have this done. We explain everything to him. What he's going to feel, how long it will take, etc. He thought we were going to, "knock him out with drugs and put a tube down his throat just like on ER!" We explained again how dangerous it can be to use anesthesia for a minor procedure. Those drugs are super strong and can increase your risks for heart attack, respitory distress, you know... evil stuff.
So the man cancels the procedure on the spot unless he gets anesthesia. Getting a team of Anesthesiologists to come down on a minutes notice for an elective case is just not happening. So one of our super nice surgeons takes it upon himself to squeeze the guy in the following day with anesthesia. The coordination took up most of the surgeon's afternoon. But he set it all up.
Following day: Patient was scheduled for 10am. The surgery team is ready. The anesthesiologist's team is ready. The OR room was ready.....then the patient calls and said," I ain't coming forget it"
Wow what a collosal waste of time!!! I guess cancer wins. Turns out the man is a crack addict. I guess he won't be around much longer to make any more stupid decisions. Best of luck sir, I hope the high is worth it.

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