How to treat the phenomenon that some doctors chat while doing surgery?

I have had two caesarean sections, both of which were semi-anesthetized, so my brain was always awake during the operation.

When I had my first caesarean section, I didn't know whether the doctor or the nurse said "go". The surgeon and the medical staff next to him have been chatting about what to eat after work, where the nearby vegetable market is cheap, and which supermarket is doing activities ... I feel that it has never stopped, nor has it communicated with me, nor has it told me which step the operation is going to take. I was so nervous when I listened to them chatting, because they felt relaxed and time passed quickly. After a while, I heard a nurse say to me, "Be careful, it's normal to feel a little stretched now." Then I heard the baby crying and my son came out. I later remembered the whole process, only to know that the doctor's small talk during the operation was actually to divert my attention and make me less nervous.

The second caesarean section, because of experience, will be more nervous, because I know every step of the operation. The attending doctor is a professor and doctoral supervisor. I knew they would chat, but I didn't expect that this time they didn't even say "start". They have been talking about papers and learning seminars. After a long time, no one told me whether it had started, and I was afraid to ask. It was not until I heard the sound of water absorption that I knew that my stomach was cut open and I was sucking amniotic fluid. Then, my second treasure was born, which was a little less pulling than when the first child was delivered by caesarean section.

Finally, to sum up:

Through my experience of two operations, I can tell you responsibly that chatting with doctors during the operation is definitely one of their jobs during the operation, with the aim of relieving the tension of patients without general anesthesia. Moreover, the doctor can operate in such a relaxed atmosphere, and everyone should be happy, indicating that the operation is reassuring and very smooth.

How to treat the phenomenon that some doctors chat while doing surgery?

First of all, as a surgeon, Dr. Liu tells you that intraoperative chat does exist!

First, doctors and nurses have time to chat to prove that the operation is smooth.

Tell everyone that an operation usually consists of a surgeon, an anesthesiologist, a visiting nurse, an instrument nurse, a first assistant (doctor) and a second assistant. There will be more assistants for major surgery, and there may be more visitors and equipment nurses. So as long as you enter the operating room, at least four or five medical staff will participate in the operation. Surgery is a process in which doctors, nurses and anesthesiologists cooperate with each other! Usually, the nurse opens the venous access and inserts the catheter; The anesthesiologist anesthetized the patient well; Assistant disinfection, laying the list; Key steps of main knife operation; Auxiliary sewing and finishing. You see, the cooperation of an operation benefits from the close cooperation of medical staff. If the operation goes well, doctors and nurses still have time to chat. For example, after completing the key steps, the surgeon may discuss with other doctors or nurses what to eat and play at night. Of course, if you meet a generous surgeon who is in a good mood that day, he may ask everyone where there is delicious food and he will invite you to eat it. Therefore, if the medical staff are chatting on the operating table, it must be that the operation is going well!

Second, medical staff will not chat during a big and difficult operation or when an accident occurs during the operation.

Dr. Liu still remembers a relatively simple operation with a general surgeon: prolapse and hemorrhoids with stapler. It stands to reason that this operation is relatively simple for an attending physician who has been engaged in anorectal specialty for many years, and the operation went smoothly as expected that day. However, half an hour after the operation, the patient suddenly bled, and we didn't find the bleeding point for more than ten minutes! Of course, we were both suddenly very nervous and focused, and we never said much. Fortunately, the bleeding stopped after half an hour. Dr. Wang smiled and said, "I am almost planted on this chrysanthemum." The anesthesiologist and nurse immediately smiled and said, "You are a master of chrysanthemum preservation." . Therefore, if there is an accident during the operation, then doctors and nurses are "busy as a bee" and have no time to chat at all! In addition, if we encounter those big and difficult operations, doctors will not chat, because life is a matter of life, and we will never play games.

So, tell everyone that the doctor chatted during the operation, indicating that the operation was "stress-free" and very smooth! On the contrary, if the doctor looks serious, it proves that the operation situation is not very optimistic.

I gave birth to a son, and I almost fainted when I told the truth. I didn't say anything and wouldn't let me wear glasses. I can't see anything clearly.

Doctors and nurses don't talk to me either. I didn't even see the whole picture of the operating room because I was lying inside.

After anesthesia, I don't know whether it's a nurse or a doctor, but we'll talk anyway. ...

What do you want to eat after work?

Oh, we can eat anything. We can't go out anyway.

It seems that some doctors and nurses have to have surgery and can't go out, and then they have surgery to save disinfection. )

If you can't get out, we'll bring you food. Don't choose!

Ok, get it back quickly. I am always hungry all day.

Then we began to discuss collectively which fried noodles are delicious.

Which spicy food is clean and affordable?

Barabarabarabarabarabarabarabarabarabarabarabarabarabarabarabara ...

Anyway, it sounds interesting to me and I want to eat it.

I'm not nervous at all. I want to laugh when I hear something interesting.

Unexpectedly, the time was not long, and the children were all pulled out.

In a word, chatting between doctors and nurses during the operation is a good signal.

Clear your name, your operation is very sure.

Do you think it is a little less important for patients to talk between doctors or doctors and nurses during the operation? Do you feel sick? Dr. Xie will talk to you about this!

I must admit to you here that Dr. Xie is a person who likes to chat. Sometimes there are not many outpatients, so you must hold the patient down, explain the illness clearly, and explain some things that need attention especially clearly before you can let the patient go. It is precisely because of this idea that you began to write articles on the official WeChat account very early, writing down some details that patients need to pay attention to and how to recover, for fear that patients will not remember or have something they can't do.

It's the same when you have surgery occasionally. Because most of the operations performed by Dr. Xie are arthroscopic and have monitors, we can let the patient see the process of the operation, see what his meniscus is torn and see to what extent the ligament is broken during the operation. In fact, we just want the patient to know his condition, talk to the patient occasionally during the operation, tell him what to pay attention to in the future, and tell him that this situation may not hurt.

Another purpose of this is to prevent patients from being too scared during the operation. You don't know what it's like to lie on the operating table and let the doctor operate without surgery! Dr. Xie has had two minor operations, so this feeling still has the right to speak. Because the patient is satisfied with the future treatment of the disease, there is fear. Coupled with the fear of the operation itself and the fear of postoperative pain, lying alone in the operating room, such fears will be superimposed on each other, which will be really uncomfortable. Otherwise, one of the most lonely things in the world is to sign the operation alone! Most patients will be very nervous during the operation unless they have a big heart and a good attitude. This is why some patients with hypertension often control their blood pressure well in the ward, and their blood pressure will soar as soon as they enter the operating room. Some patients even have to stop the operation and recuperate their blood pressure for a while before they can operate. Dr. Xie once met a patient with hypertension because he entered the operating room, but he didn't have surgery three times. ...

These are the reasons why I think it is necessary to chat with patients during the operation. On the other hand, our medical staff do have chats during the operation, such as how to write papers during the operation, the changes in the condition of special patients in the department, and the children going to school. This is normal. The more this happens, the smoother the operation will be. As a patient, doctors still have room to chat during the operation.

In addition, under normal circumstances, in the process of strict surgical operation, medical staff rarely speak. At this time, in addition to what surgical instruments are needed, they will simply say a few words, such as "hemostatic forceps, blue forceps, bone rongeur, gelatin sponge, suction device ready, blood pressure monitoring during anesthesia". At this time, intelligent assistants, anesthesia and operating room nurses will keep their mouths shut and cooperate quietly. If someone has no sight,

However, when the patient is anesthetized, the most critical part of the operation is over, and the incision needs to be washed and sutured, the medical staff will start chatting, because these processes are when the pressure of the medical staff is very low, as long as the incision is carefully sutured and the conversation is appropriate, the whole operation process will not be affected.

In addition, chatting is also divided into people. For example, there are some directors in our hospital, who usually talk very little, and basically don't talk much during surgery. Therefore, the operation is often very quiet, and the medical staff will not chat, especially when the surgeon is the hospital leader, and no one will say too much, because there is nothing to say.

In short, if you are not under general anesthesia, the doctor will talk to you during the operation according to the needs of your condition and tell you the specific situation of the operation and what you will do in the future. Of course, this is also a matter for doctors. Some doctors will communicate with patients in detail after the operation. In addition, if it is not general anesthesia, please don't be overly nervous when you hear the medical staff chatting during the operation, which often indicates that the operation is very smooth, but if you really feel uncomfortable, then,

Generally speaking, a person will only be in the mood to chat when he is relatively relaxed and things are going very smoothly. Therefore, when your own surgery is progressing very smoothly, all indicators are stable, and the tissue to be cut is also removed, the doctor will be in the mood to chat at this time, and you should be glad that the surgery is very good at this time.

If a group of people are silent, working hard, or their voices are harsh, or even have a feeling of quarreling, you should think about whether you are in a critical state now. There are many times when the operation is not smooth or when you need to be rescued, basically no one can talk and chat.

And many times, what you call chatting is actually not chatting. Many colleagues preach or ask nurses for something to describe the specific requirements.

Some hospitals are teaching hospitals, or when senior doctors take junior doctors for surgery, they will stop to let junior doctors see what is going on here, learn this operation, and even stop the pace of surgery and give corresponding lectures. At this time, it is not completely certain that this is a chat behavior.

Or sometimes you need some special instruments or equipment. When you don't use them regularly, you need to talk to the nurse in detail about the use and preparation requirements of some instruments. This time is not a chat.

So generally speaking, if the doctor or nurse can do this kind of operation on the operating table with a good chat tone and prove that everything goes well, you can rest assured.

However, it is true that some people always think that doctors and nurses should do these operations without saying a word, or all of them should be operated around specialties. Yes, there are such people, and there have been reports in this regard, and this is not a case.

But to be honest, doing surgery is just like doing a project in an enterprise, with the crew sailing, the driver driving or the chef cooking and so on. In the eyes of professionals, it is already a relatively simple matter, and no one has stipulated that the crew should sail without saying a word, or the driver should drive without saying a word. Sometimes, words can effectively boost morale and play a role of unity, thus ensuring the smooth implementation of a thing.

Therefore, my personal point of view is not to deliberately emphasize certain things. The more people have this idea, the greater the psychological pressure. Many times, some small things will obviously expand and become some shocking statements. Why do you have to bear so much psychological pressure?

I wish you all good health!

This is normal and necessary for work. It's not chat that affects surgery, it's surgery that affects chat …

I had appendicitis surgery, only local anesthesia, about an hour before and after the operation. The actual operation is less than half an hour. Because it is local anesthesia, I have been awake and can hear what they are discussing. I joked with my surgeon, "Are you chatting like this to relax?"

Guess what the doctor said. He said, "It's not to relax us, it's to relax you." Then I thought about it, and they were right.

First, surgery will make ordinary people nervous. When I entered the operating room, my wife pushed me to the door of the operating room, and I was pushed by another doctor. When I went in, I thought it was an operation. I didn't know until I went. First, the anesthesiologist anesthetizes you, and then makes you wait on the operating table. It may take about half an hour. The anesthesiologist will come over and ask if you feel any anesthesia. Usually take something and rub it on the place where you are anesthetized, and repeat it until you. He will tell the next surgeon that the anesthesia is in place, and he will also tell you if there is anything in the middle of the operation.

Hearing this, I was so nervous that I wondered if anesthesia would fail during the operation. But it turned out that I was thinking too much.

But from the day before I entered the operating room, I was very nervous, and I was even more nervous when I entered the operating room. After all, the doctor wants to open a hole in your stomach. After you obviously feel that he made an incision in your stomach, you will feel that the doctor dominated your life at that moment, not only grateful for the safe completion, but also feel that the doctor is really an angel after the doctor said that the operation went well.

People who have never been on the operating table will never feel that feeling. You won't see the whole operation, but you can only hear what the doctor is saying. Some people are under general anesthesia, and many people can't even hear what the doctor says. I've been blindfolded, as most operations should be. So, just like closing your eyes with an injection, you can't see at all.

Second, do doctors get nervous when they operate? My brother is a doctor. He often has operations. Sometimes he will be asked if they are nervous when they operate. He sometimes jokes that they are not nervous at ordinary times, but sometimes they are. He said that the reasons for nervousness may be the following reasons.

1. Some operations are very difficult.

This situation does not exist for relatively small operations, but it does exist for relatively large and complex operations. After all, it's a life. When you get to the operating table, it is equivalent to your life falling into your hands. For those difficult operations, there may be several backup situations when discussing the scheme before operation, which is very stressful for the surgeon.

2. There will be various emergencies during the operation.

Some operations do nothing before operation, but there will be some unexpected situations in the middle. Although doctors will face it calmly after many battles, it is very normal to be nervous.

Third, chatting during the operation can actually reflect whether your operation is smooth or not. During the operation, some doctors spend a very long time and have very high demands on physical strength, so they must always stay awake, and chatting is an important means to stay awake. In order to relieve the pressure, I played a joke with the doctor, and sure enough, the pressure was much less.

You can also see from the doctor's words whether your operation went well or not.

During the operation, the doctor talked easily and laughed constantly, indicating that everything went well and the rhythm was controlled.

The doctor's silence and efforts during the operation mean a little trouble, which is not in line with his preoperative plan.

When a doctor shouts loudly or even scolds his assistant during an operation, it is usually a big mistake in this operation. Let's seize the time and fight for our lives. Patients may be humiliated.

So it's not chat that affects surgery, it's surgery that affects chat …

Third, how can ordinary people ease that fear when they enter the operating room? 1. You can ask the doctor for the details of the operation.

Because the operating room in the hospital is highly sealed, most people have no chance to get a glimpse of the real scene inside. This undoubtedly increased the degree of panic before the operation. Therefore, knowing the details of the operation process from the doctor and asking the doctor to introduce the medical equipment in the operating room in detail, the patient's feelings during the operation, how long it will take to finish the operation and other details can alleviate the preoperative fear to varying degrees.

2. Ask the patients in the hospital how terrible the operation is.

If you feel that the doctor's introduction can't relieve your doubts and worries, you can also ask the details of the operation among the patients in the hospital, especially those who have already had surgery, and have a personal experience of the operation. Knowing yourself and yourself can eliminate fear.

3. Rely on the support of relatives and friends to spend the preoperative anxiety period.

Strong support from relatives and friends can largely eliminate their preoperative fears. Especially the full support between husband and wife, parents' patient care for their children, children's family support for their elders and so on. Therefore, when you feel scared before operation, you must seek the support and help of your relatives and friends to spend the preoperative anxiety period with a relaxed and happy attitude.

4. Get familiar with the anesthesiologist in advance and seek support and help.

Get familiar with the anesthesiologist in advance and seek professional support from the anesthesiologist when you are afraid and uneasy. Before the operation, you can ask the anesthesiologist to explain the details of anesthesia in detail, what kind of feelings you will have, and whether you will feel pain and discomfort. At the same time, the anesthesiologist will have a specific and clear explanation of the anesthesia effect during the operation. These instructions can eliminate most preoperative fears.

Don't worry about entrusting yourself to the doctor.

Completely relax yourself and entrust yourself to the doctor. On the operating table, in fact, many times you are in a state of semi-confusion. When you wake up, you may have been lying in the hospital bed and the operation has already been completed.

So when you are doing surgery, don't make a fuss while talking about general surgery. Most of it is the relief given by the doctor, which relieves the current tension.

I'm afraid I won't say anything, but I still look miserable, which proves that the operation is very difficult and I may not be able to get off the operating table if I'm not careful. You can also chat easily, which proves that your problem is not very big. They are easy to get, and you can recover quickly! I watched a video of the operation and happened to know the surgeon. I really admire him, especially when he said that his assistant was really handsome during the operation, "What's to worry about? Hold your hand steadily, it's a minor problem". At the same time, he is calm and focused, which is exactly what surgeons can do. Great!

I am a surgeon, and I have the phenomenon of chatting while operating, mainly because of the doctor's personality. I want to say two things about this problem. First, the doctor's chat during the operation must be simple and familiar to the doctor. Second, when the operation is difficult or dangerous, doctors will definitely not chat. If other people who cooperate with the surgeon are slow and not in place, the surgeon will only swear.

As a surgeon, it is worth talking about.

All eyes of the operating room are fixed on the operating table, holding a sweat for the patient and the surgeon when the operation is in a critical step or in an emergency. Anyone who has leisure to chat is the staff under the stage explaining their work in a low voice, for fear of disturbing the doctors who are concentrating on operating key parts. This is the minimum rule of the operating room, which is known by the surgeon in the operating room and various professionals.

During the operation, because of the need to cooperate with each other during the operation, the surgeon often has a brief language exchange with the first assistant and a simpler communication with the instrument nurse.

After successfully passing the dangerous barrier, the first person to relax is the surgeon. Everyone can talk as long as the surgeon says something. During the operation, the surgeon doesn't talk, and others don't talk about things unrelated to the operation, especially the assistants and instrument nurses should concentrate on the operation process. The anesthesiologist will remind the surgeon whether the patient is awake.

Don't be nervous if the sober patient hears the doctor talking. The operation is almost over. The doctor should be happy that the operation went well today.

But before the operation was over, the patient woke up and didn't hear the doctors chatting, so he didn't have to think too much. Some doctors don't like to talk much and like to keep quiet during the operation.

Some surgeons are used to that serious look, and whether the operation is smooth or not is that expression. Colleagues are used to it, and it's nothing. According to the industry, such doctors are relatively stable and will not say anything when the sky falls. Of course, this is a joke.

In fact, most of the chat content of doctors on the operating table is related to patients, and most of the time they are talking about the patients during and after the operation on the operating table. Doctors are very familiar with the routine treatment after operation. If there is a certain difference between the surgical situation and the preoperative estimation, or the surgical plan is modified according to the actual situation found by surgical exploration, then the postoperative treatment may need to be adjusted and supplemented appropriately. At the end of the operation, several doctors on the stage can communicate by the way.

It is the most basic and simple operation to suture the surgical incision and tie the knot with suture. There are many interns in big hospitals, so we have to let them learn to do it. The surgeon will give you some advice, and if necessary, we will demonstrate it, even holding the suture needle directly in our hands, and sometimes we will say more.

For so many years, I have been to the operating rooms of many hospitals to observe, study and work, and my colleagues will relax, and they will not talk about news, stars or what happened during the operation. After all, the operating room is not a vegetable market or a teahouse. We can talk about anything we want during the operation. It is not appropriate to make a special workplace with strict management regulations vulgar. There must be a bottom line between colleagues!

It is more appropriate for me to answer this question, because I have personal experience.

First of all, I want to say that although I talked and laughed during the operation, I was not disgusted at all. On the one hand, it shows that my condition is not serious, and surgery is a familiar and common operation. On the other hand, they operate in a relaxed and pleasant atmosphere, and laughing and laughing can cover up the sound of some instruments, so that patients can relieve their nervousness and complete the operation unconsciously. It's really good!

Let me talk about my two surgical experiences separately, which is very funny!

The first time, I went to see an ophthalmologist, because there was a swollen sand on my eye, because it was too big to remove.

It was an outpatient operation, and it could be done at that time. I was lying on the operating table. The doctor is a senior female doctor, about forty years old. She speaks quickly and acts quickly. While preparing for hand washing and disinfection, she asked the nurse to inject me with anesthetic.

The nurse came up for an injection, but she hit the anesthetic on her eyelids without sand swelling. The doctor came over and touched the sick eye with his hand and asked him if he still felt anything. I said that the anesthetic hit the other eye, and the doctor immediately called the nurse to call it again. He smiled and said, "Are you still wrong with only two eyes?" This is a personal loss. If this honey peak has more than 100 eyes, how many times will you be wrong? Come on, I'll do it! "

I'm a little unhappy that the nurse went to the wrong place. I couldn't stop laughing after listening to the doctor's words. I think it's very interesting! The doctor quickly injected a second needle and then began the operation. While cutting, he said to me, "You are sorry for the value of this operation, and you have to pull a pair of eyelids with your hands. Because you are inside your eyes, your eyelids will look good after removal. "

The operation was quickly completed with laughter. I'm not nervous, and I don't have any more thoughts because of the wrong needle. I just think this disease is easier to cure than anything else.

The second operation was hysterectomy.

For the first time in my life, I was a little nervous lying on the operating bed. Just listen to doctors, nurses, anesthesiologists, all around him and start the operation.

Because of local anesthesia, they can always hear jokes and chats clearly, and sometimes they are funny. I wanted to laugh, too, and was immediately stopped by the doctor, saying that if you want to laugh, cut the knife edge.

After the operation, the chief surgeon asked me what requirements I had for abdominal suture. I said, "I pay special attention to the outside world. I was born good. If I sew two layers, it doesn't matter if the inside is sewn into a broken sack. The outer layer must find a good eyeliner and sew beautifully. "

Just listen to them, there is a seam to practice your hands, and the patient said that sewing into a broken sack will do! Everyone laughed! After a while, the operation was successfully completed, and I was not nervous at all!

So I said that doctors and nurses, as patients, don't worry about talking and chatting on the operating table. People are not sure, so they dare not operate on you. Too quiet and serious atmosphere will aggravate the patient's nervousness, but not good!