What are you talking about here?

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Jul 10, 2020
10:54:42am

SJS Shaky place kicker

What are you talking about here?

Opening? As in the abdomen? No thanks.

Closing? As in the abdomen? If it’s a well trained PA that I trust, ok.

Washouts? As in washing out an open abdomen? These are some of the sickest patients in the hospital. Not happening.

Gallbladder? The most variable anatomy on the human body is the biliary tract. And if you screw that up, you can really hurt someone. That’s a surgeons job.

But if that’s what they do at Walter Reed, then by all means, go ahead!

This message has been modified

Originally posted on Jul 10, 2020 at 10:54:42am

Message modified by SJS on Jul 10, 2020 at 10:56:55am

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SJS

Previous username: San Juan Sun
Bio page: SJS
Joined: Jan 5, 2002
Last login: Jun 7, 2024
Total posts: 37,839 (7,401 FO)

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Messages

Author

Time

I'm on day 3 of a cosmetics plastic surgery rotation and all I can say is

Blue Golfer

7/9/20 8:41pm

Tell us more

kotacoug

7/9/20 8:42pm

I saw 38 year old woman today that looked like she was a 60 year old fighting

Blue Golfer

7/9/20 8:45pm

Filler + lip injections need to be used extremely judiciously

Mrs Featerbottom

7/9/20 9:31pm

Probably almost every woman in my ward has had an augmentation without much else done. I think most people are

Slim

7/9/20 8:43pm

My biggest issue is the cost. Hard to justify that. But whatever.

Backcountry

7/9/20 8:44pm

Seems like its worth it, especially when they usually do 2 for the price 1

4mack

7/9/20 9:02pm

Well worth the cost as one who paid for them and gets to see them daily.

Phred84044

7/10/20 10:56am

Potential complications scare me too. Unnecessary risk.

Backcountry

7/10/20 10:58am

Two comments: one, kinda weird you've been looking close enough to make that

MasterLump

7/9/20 8:45pm

Not hard to notice.

Baron

7/9/20 8:45pm

Whether they're natural or not? You've gotta be looking a little harder than a

MasterLump

7/9/20 8:46pm

It is not hard to notice. Especially if you are married

Baron

7/9/20 8:47pm

Board name doesn’t check out?

fredetteaboutit13

7/9/20 9:16pm

His wife probably pointed it out. They notice, then talk.

bluecheese

7/9/20 9:19pm

Friends talk, word gets around.

Backcountry

7/9/20 8:47pm

Augmentation can mean a lot of things and if you've seen them before and

Blue Golfer

7/9/20 8:46pm

Where's the wink wink nudge nudge emoji?

No touching

7/9/20 8:49pm

Board name doesn't check out.

7/9/20 11:53pm

I loved Plastics, great field.

SJS

7/9/20 8:46pm

I think I'd love the surgery part of it, this is just in office cosmetics stuff

Blue Golfer

7/9/20 8:47pm

If you’re a PA student, you won’t be “doing surgery”. Maybe assisting though.

SJS

7/9/20 8:49pm

Lol. Yes, I know. When I say do surgery, I mean to say that's the field I'd like

Blue Golfer

7/9/20 8:52pm

Hey man that’s elitist

CardiacCoug

7/9/20 8:54pm

It’s like when nurses do “residencies”, by which they mean extended orientation

SJS

7/9/20 8:55pm

Haha I remember the first time a nurse told me she was doing a residency. I was like

Slim

7/9/20 8:58pm

If they came back to me and said I had to do residency again, I would quit.

SJS

7/9/20 9:06pm

Literally have nightmares about this

Slim

7/9/20 9:55pm

Sad thing is I look back on residency and fellowship and think how easy it was

cougfanz

7/9/20 11:44pm

This is so true. What I thought was "really cool" in medical school is an

doctorcoug

7/10/20 8:51am

If you could avoid litigation/high premiums, would you still feel this way?

D.T. Survivor

7/10/20 11:53am

It’s not so much litigation as license/privilege restriction that’s terrifying.

valleus

7/10/20 12:01pm

Yep. My partner got run out of one job. Sure that happens. He piped up when

cougfanz

7/10/20 2:23pm

Yea I haven’t been sued and don’t think about it too much

cougfanz

7/10/20 2:19pm

The expectations are unreal for physicians

D.T. Survivor

7/10/20 3:01pm

Very true. One false complaint/allegation can follow you for decades. I find

valleus

7/10/20 12:00pm

Nursing, man. "Nurse residency", "nursing care plans", "nursing diagnosis"

Backcountry

7/9/20 9:34pm

Good point. I went through a stage where when someone (nurse/tech) wanted

cougfanz

7/9/20 11:49pm

We have this PA that works for us now that was a surgery PA for many years. Now he’s been doing internal medicine stuff

Slim

7/9/20 8:55pm

I love a great PA.. I’m such a fan of PAs over NPs and some of them

cougfanz

7/10/20 12:05am

We have 3 PAs with our group. They’re great.

SJS

7/10/20 7:04am

PAs do parts of surgeries unassisted at Walter Reed without incident.

valleus

7/9/20 10:53pm

If I was a PA I would totally do the military or something similar

cougfanz

7/10/20 12:08am

Did they do 5+ years residency, possibly a fellowship, pass written and oral boards, maintain privileges/certifications?

SJS

7/10/20 7:06am

Wish there was a pathway for PA advancement

7/10/20 9:53am

They have a pathway for that: med school and then residency

SJS

7/10/20 10:01am

Such an elitist

Backcountry

7/10/20 10:07am

RE: Such an elitist

SJS

7/10/20 10:08am

This is the exact attitude that is the problem

7/10/20 12:40pm

Where PAs can advance is on the entrepreneurial side of things. Locally

cougfanz

7/10/20 2:12pm

Sorry, no such thing as on the job training. Want to be a doc? Go to medical school.

SJS

7/10/20 2:44pm

Have I once mentioned on the job training?

7/10/20 4:18pm

No, but you don’t need that to do basic opening, closing, washouts, or taking a

valleus

7/10/20 10:16am

They probably let nurses do anesthesia too

Backcountry

7/10/20 10:18am

Under the guidance of a board certified anesthesiologist? Sure.

SJS

7/10/20 10:56am

Still. Seems dangerous.

Backcountry

7/10/20 10:58am

What are you talking about here?

SJS

7/10/20 10:54am

I am very grateful for plastic surgeons. Our son was born with a bilateral

kcca

7/9/20 10:34pm

This is the side of plastics I find very interesting. Glad to hear about your

Blue Golfer

7/9/20 10:39pm

Wait a second, we don't praise dentist here. Take that blasphemy somewhere else!

jaredm

7/10/20 9:07am

<< Deleted >>

rivercitycoug

7/9/20 8:48pm

"Almost every woman?" That's not true.

7/9/20 9:52pm

He lives in highland, higher probability that it's true 😂

azmbacougar

7/9/20 10:14pm

<< Deleted >>

Abe Froman

7/10/20 7:11am

Where do you live??? That’s awful. I think Utah does have highest per capita

valleus

7/9/20 10:43pm

Highland Utah. We are the epitome of keeping up with the joneses here. But this particular nuance is not awful

Slim

7/9/20 10:49pm

Did you compare pictures of these women pre and post op?

Jimmerfan32

7/10/20 8:00am

My wife got a mommy makeover 4 years ago

idacoug

7/9/20 9:05pm

Not saying it can't be beneficial. If we had the money, I personally wouldn't

Blue Golfer

7/9/20 9:25pm

My wife would like one in the next couple of years. I’m in favor

7/9/20 10:03pm

What has been awesome?

ugo1st

7/9/20 10:37pm

Not always but I would guess majority never stop at one surgery

cougfanz

7/10/20 12:01am

We shall see. She has never even hinted it but it’s only been 4 years.

idacoug

7/10/20 12:36am

RE: I'm on day 3 of a cosmetics plastic surgery rotation and all I can say is

TNT

7/9/20 9:09pm

*wary or leery

YSMACK

7/9/20 9:27pm

Lol, thanks. I mix those terms but forget sometimes weary is not a real word.

Blue Golfer

7/9/20 9:49pm

🙂 I mix up words a lot. That is why I know. Weary actually is a word — it means tired.

YSMACK

7/9/20 9:51pm

I’d add that I’ve noticed those who get cosmetic surgery are never happy. I have

valleus

7/9/20 10:49pm

This may be true

Blue Golfer

7/9/20 10:52pm

I know a bunch of people who got plastic surgery who have perfectly happy lives.

Mrs Featerbottom

7/9/20 11:05pm

If it’s reconstructive surgery, that’s different. If it’s breast implants, I’d

valleus

7/9/20 11:16pm

What if it’s not a young woman. But an older better established woman?

IceBlueCoug

7/9/20 11:19pm

Some people just don't win the genetic lottery.

Mrs Featerbottom

7/9/20 11:22pm

Are you a woman? Have you had kids? There is a difference between restoring

Chester Copperpot

7/10/20 10:16am

Breast reduction pt are all way happier

lazycoug

7/10/20 6:49am

Breast reduction? That's like slapping God in the face after he gave you a

Backcountry

7/10/20 7:20am

This is complete BS. Plenty of happy, mentally healthy aesthetics patients out there.

SJS

7/10/20 7:09am

Those who are okay with cosmetic surgery but against two sets of earrings,

valleus

7/9/20 11:03pm

Cosmetic surgery has the potential to improve one's appearance.

Mrs Featerbottom

7/9/20 11:16pm

you can have as many sets of earrings as you have sets of implants

byujag

7/10/20 8:01am

THIS. I don't have a problem with tattoos, or double earrings, or implants

HONOMO

7/10/20 10:52am

Yep. It’s insane.

byu1

7/10/20 11:02am

It's maddening to me.

Blue Golfer

7/10/20 11:41am

The poor moral reasoning can be quite maddening.

valleus

7/10/20 11:47am

To me it’s the lack of truly knowing how horrible and how quickly things can go

cougfanz

7/10/20 12:03am

I inject peoples faces all day. I never make them look crazy or "done." They

YSeattle

7/10/20 12:21am

You’ve never had a pt who is overdoing it with the injections?

fredetteaboutit13

7/10/20 7:57am

I won't allow a patient to over do it

YSeattle

7/10/20 11:45am

But have you seen the most of procedurally? And what setting are you in? There's a huge difference between

unctoothman

7/10/20 6:05am

I've been around the reconstructive side of things, just not in this role.

Blue Golfer

7/10/20 8:36am

I watched a few surgeries online. And read about rates of explants, etcs.

CosmoK

7/10/20 10:08am

Do you watch them with your wife or without?

D.T. Survivor

7/10/20 12:01pm

I’ve read that young women in their early twenties are

D.T. Survivor

7/10/20 1:46pm

RE: I’ve read that young women in their early twenties are

Blue Golfer

7/10/20 2:03pm

And late 30s is a little more understandable, but twenties and late teens?

D.T. Survivor

7/10/20 4:55pm

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