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Am I the Genius?

What was Your Big 'Oh. Oh NO!' Moment in a SURGERY?

Am I the Genius?

amithejerk.com

Education, Self-improvement

4.6764 Ratings

🗓️ 2 June 2025

⏱️ 22 minutes

🧾️ Download transcript

Summary

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Transcript

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0:00.0

What was your big, oh, oh no, moment in a surgery?

0:06.6

I was doing a corneal transplant when I had the oh crap moment.

0:10.8

During surgery, I cut off the patient's own cornea and replaced it with a new donor cornea.

0:16.1

During that moment when the host's cornea was off, but before I could get the new one on,

0:20.2

there's literally

0:20.9

nothing on the front of the eye except a tear film and acuous humour. Anyway, the patient takes

0:26.3

that moment to start emptying their stomach orally. The reason we tell everyone to skip food

0:31.0

and drink is that they don't aspirate in case they throw up. This patient lied about eating

0:35.9

breakfast and started just chucking it up everywhere.

0:38.3

The eye is still open sky at this time. Everything inside of the eye can now become outside of the eye.

0:45.3

And she's buckling and blowing chunks everywhere. Those in the know will say this is not good.

0:50.3

Those really in the know will say, oh crap. Anyway, I had to grab the new

0:55.7

cornea and start stitching as fast as I could on a patient actively chucking up. I use

1:01.0

10-0 nylon sutures which are thinner than an eyelash. It turned out okay, but not great. Don't

1:07.5

lie about eating breakfast before surgery, folks.

1:14.4

I work in the operating room and I've seen some pretty interesting things.

1:18.1

First day on the job, the surgeon was doing a lap sleeve gastrectomy.

1:22.6

During this procedure, a medical device is used to cut and staple the stomach simultaneously.

1:25.5

However, in this case, the medical device failed. The stomach was cut open, but the staples never

1:28.0

engaged, which left the patient with an enormous gash in the stomach. The surgeon ended up finishing

1:33.4

this part by hand. There was also the time I got called into the room to ensure the laparoscopic

1:37.9

camera was working and able to record. This was a six-hour cardiac procedure and was nearing

...

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