Reasonable professional behaviour-Internal examination

This would have really upset me.

@Zov Someone having 'surgery,' and having the surgeon chat to other people about the procedure, (whilst doing it,) is nothing like the experiences of the OP (and the one I posted about.) Not even a remotely similar comparison!
I doubt very much that they pop out and make calls, or go off to chat to a colleague about something halfway through cutting into the patient either!
Seriously HoppingPavlova! Utterly daft, and patronising response! Maybe YOU should not post about stuff you don't know about

Not the one being daft or talking about stuff I know nothing of. Worked in tertiary hospitals for decades. In certain cases surgeons most definitely pop into another theatre for emergency assistance etc. Not uncommon. They either stabilise or the next level there can take over for a bit, but not always. Patient is never left alone ‘half way through being cut open’, there will be people there but you can pack as appropriate, attend to something more urgent, and come back. For prolonged neuro sessions, they often pop out for a (protein)bar, skull a coffee, toilet, every few hours while the patient is ‘cut open’ on the table. Anaesthesia is always there though, they will swap over as necessary.

As for talking about the operation to those there. Not what I was talking about. I’m talking about surgery while answering questions from other theatres with the team (supervisors don’t need to be in theatre with them at all levels), questions from team in clinics wanting confirmation/approval on patients/treatments there etc, giving other areas info on patients they are treating that has cross over etc. All of this multi-tasking is standard. No idea why you think it isn’t or why any of this is daft, and r why after working in this space for decades I shouldn’t post about it? But sure, 100% attention only on every patient in front, no safe pivoting for emergencies, no playlists and singing along, and no multi-asking as that’s never done. As I said, it’s just that you don’t know about any of that, but let’s go with it doesn’t happen if it helps you.

I think it's warranted to say something.

If the pager means 'emergency' then stopping the procedure to respond is fine imho. But halting mid flow to assess and respond (leaving hand inside) is not.

I'd differentiate my response between the situation with a conscious and unconscious patient.... I think most would?

100% This. ^ 👏

Looks like your request for that poster to not be rude has not been adhered to though. Take no notice. No-one has the right to minimise someone's experience by accusing them of 'bitching' and 'banging on about shit they don't know about.'

Because of what happened to me in my early 50s, (and the appalling treatment by the nurse,) I never went for another cervical smear. I could end up getting cervical cancer and dying because of this. Why on earth would someone minimise my experience? (OR yours @Sunnywithchanceofshowers ) And other posters too, by saying 'stop complaining!' Truly nasty thing to say.

That poster's posts are rude and pretty fucking offensive actually. Better to ignore them than get bothered by them though. A angry reaction is what this kind of person looks for. They get a thrill from it. Don't give it.

!

No, was not me. However, in my area is common to multi-task and have someone talking at you/to you/getting instruction while you are examining/treating people. If not, it means an even longer wait time for people to be seen, then they are just bitching about that instead.

@Brefugee

When you are being examined you should be the doctor's (or nurse's or whoever's) number one priority until the examination is finished

@HoppingPavlova

Lucky you are not awake during surgery then. Not uncommon at all for the surgeon to take calls, provide instruction to others, in some me institutions/situations even pause what they are doing to pop into another theatre for urgent management, then come back and resume etc. Most people are competent multi-taskers when needed, you just don’t complain about what you don’t know about😊.

Someone having 'surgery,' and having the surgeon chat to other people about the procedure, (whilst doing it,) is nothing like the experiences of the OP (and the one I posted about.) Not even a remotely similar comparison!

I doubt very much that they pop out and make calls, or go off to chat to a colleague about something halfway through cutting into the patient either!

Seriously HoppingPavlova! Utterly daft, and patronising response! Maybe YOU should not post about stuff you don't know about.😊

!

well @HoppingPavlova that is disingenuous twaddle.

I hardly believe i have to specify: if a doctor has a hand up your lady parts and you are even 1% conscious THEY SHOULD BE PAYING YOU 100% ATTENTION.

FFS.

(was it you? next time don't be so rude)

When you are being examined you should be the doctor's (or nurse's or whoever's) number one priority until the examination is finished

Lucky you are not awake during surgery then. Not uncommon at all for the surgeon to take calls, provide instruction to others, in some me institutions/situations even pause what they are doing to pop into another theatre for urgent management, then come back and resume etc. Most people are competent multi-taskers when needed, you just don’t complain about what you don’t know about😊.

Yeah feedback
They start to see people as objects so forget they have their hand up a person.

if you're an HCP that may help, so from professional to professional? and you can reiterate that patients shouldn't be left in that kind of position.

@Northernbrightlights

Clearly out of touch with how training works these days. Competition rations means that many are working for 3+ years prior to commencing specialist training. Then many IMGs come over with years of experience.

@Sunnywithchanceofshowers

Agree it was inappropriate, many Dr’s go “hyperefficient” when close to burn out. I reckon you should feed back, might help Dr in question, future patients and staffing!

I think you should give feedback. It’s rather dehumanising, treating you like a specimen instead of a person.

I would feedback to the department. We all do things without thinking when busy/stressed, but I think it would be good for her to reflect on this situation.

if she's doing a training rotation she simply MUST get feedback like this.

I would have been absolutely fucking furious. And she would have known it.

Sorry, she had a full phone conversation while her hand was inside you? I’d not accept that from a sexual partner in an intimate relationship much less a health professional. Surely it’d common courtesy to excuse yourself and ensure your patient is covered. Apart from the discourtesy to you, the conversation may have needed her full attention and possibly some privacy.

Really???

I was actually having a cervical smear some 5 years ago, and was behind the curtain (on the little bed.) The nurse shoved the speculum in, and went to get the cytology brush off her table in the room. Someone knocked the door just as she was coming back to me, and she answered the door and said 'oh yeah, OK Sue.' Then said to me 'won't be a minute.'

Then she left me, legs akimbo, with this fucking thing shoved in me, naked from the waist down (on the bed.) Nurse was still not back after some 3-4 minutes! Someone came in. I said (loudly) PLEASE can someone bring the nurse back? I am halfway through a cervical smear with the speculum in my vagina, and she's disappeared.

Nurse came back 2 minutes later. She didn't even say sorry or anything, and just shoved the cytology brush in, swept the cervix, and then said 'off you pop then. Results in 3-4 weeks.' I was so pissed off and angry about this, that I never went for another smear. I was early-mid 50s then, and probably should have gone for a few more, but never did. Put me off for life. And yes I know I should have complained. But I didn't. Then Covid happened!

tlr;dr @Sunnywithchanceofshowers I would complain!

I probably would have said "get back to what you were doing, and answer that later"

and then complained afterwards. It is not on. When you are being examined you should be the doctor's (or nurse's or whoever's) number one priority until the examination is finished. And if something happens? they don't have one hand up you while they do something else.

Surely it's not particularly likely a gynae trainee will have 10+ years of qualified experience. Most StRs will be in years 1 - 7 of specialty training, so 3 - 9 in total.