Not exactly emergency medicine is it?

More hilarious brilliance from ‘That Mitchell and Webb Look‘ – following on from their ‘homepathic A&E‘ masterpiece.

This skit reminds me of a half-remembered anecdote from Frank Vertosick Jr.’s classic book about neurosurgical training, ‘When The Air Hits The Brain‘.

After yet another brutal shift the Orthopedics Chief says to Frank (a neurosurgical resident at the time) and the Chief Neurosurgical resident:

Been a tough year for you guys hasn’t it.

The chief Neurosurgical resident responds:

Yeah, at least three times as tough as the toughest three years of an orthopedic surgeon’s training.

Orthopedics Chief:

Really? And which three years are those then?

Chief Neurosurgical Resident:

Eighth grade.

Finally, budding neurosurgeons would do well to remember Frank T., Jr. Vertosick’s 5 rules of neurosurgery: [When the Air Hits Your Brain: Parables of Neurosurgery]

  1. You “ain’t never” the same when the air hits your brain.
  2. The only minor operation is one that someone else is doing.
  3. If the patient isn’t dead, you can always make him worse if you try hard enough.
  4. One look at the patient is better than a thousand phone calls from the nurse.
  5. Operating on the wrong patient or doing the wrong side of the body makes for a very bad day – always ask the patient what side their pain is on, which leg hurts, which hand is numb.
References:

Chris is an Intensivist and ECMO specialist at The Alfred ICU, where he is Deputy Director (Education). He is a Clinical Adjunct Associate Professor at Monash University, the Lead for the  Clinician Educator Incubator programme, and a CICM First Part Examiner.

He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives. He was one of the founders of the FOAM movement (Free Open-Access Medical education) has been recognised for his contributions to education with awards from ANZICS, ANZAHPE, and ACEM.

His one great achievement is being the father of three amazing children.

On Bluesky, he is @precordialthump.bsky.social and on the site that Elon has screwed up, he is @precordialthump.

| INTENSIVE | RAGE | Resuscitology | SMACC

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