Me: “He’ll need a chest tube.”
Nurse: “Should I call the surgeon?”
Me: “Surgeon?!” (Now with an nursing/tech audience, so with a little flair…) “Dr. 10/10 puts in his own chest tubes.”
Them: (Responding to this new cockiness…) –general murmuring approval–
Thirty minutes later: I’ve cut a hole in his side and opened up a space between his ribs. I repeatedly aim the 36 French tube at the space but keep missing. Finally I give up, and downsize to a 32 French. This works; it goes in.
Except it doesn’t. The follow-up xray shows the tube still outside of the ribs. Ugh.
The lesson, as always — don’t be cocky. Even joking cocky. The medicine gods will quickly strike you down.
August 29, 2007 at 9:39 am
That’s a great story.
But I don’t think you were being cocky. Just assertive.
August 29, 2007 at 4:43 pm
Maybe his chest was defective.
August 29, 2007 at 4:58 pm
Medicine is, if nothing else, humbling.
I am not religious, nor am I superstitious. But I believe in hubris.
August 29, 2007 at 5:42 pm
Thanks for a great blog – I have added your site to my blogroll,
Cheers
creaky15
August 29, 2007 at 6:39 pm
knitalot — lol, yeah, you’re right. It wasn’t me, his chest was freakin defective.
creaky15 — thanks for the link and the nice things you had to say about me (and Dr. Smak) on your blog.
August 29, 2007 at 7:58 pm
I’ve watched our docs and NNPs put in a lot of chest tubes. Sometimes it looks easier than other times — and our patients are tiny compared to yours. A 36F? I think you could put some of our patients inside that.
August 30, 2007 at 11:05 am
I’ve become a fan of the Trocar chest tube for just that reason: you know where the far end is.
And, it’s happened to us all, with LP’s, central lines, reductions, etc.
Thanks for sharing it.
September 3, 2007 at 3:54 pm
*sigh* this does happen to us all… sure… i’m just an EMT/Paramedic… but you get cocky with those IV’s, and you’ll miss that garden hose… gaurenteed… thanks for sharing that this happens to doc’s too!
September 3, 2007 at 5:43 pm
Just found your blog…..love it!
September 5, 2007 at 10:02 am
have fun in new york! just got back. loved it. made me tired though.
December 5, 2007 at 10:31 am
Yes i know the feeling have missed a few in past 20 years as er doc but remeber”it is better to be lucky then good”,lol