Hey, Cred Forums

Doing good, been a while

No. It's a cheek flap, floor of mouth resection and segmental mandibulectomy + neck dissection.

Not my case, tho. All my pics are just from journal articles or textbooks.

~$300k

>Lying on the internet

Hey bro , I want to be a Plastic Surgeon but I still dont know and I have some questions.

-How many surgeries can you do In a month
-Is it worth the years of studying?
-You can earn as much money as you want????
-How much money do you earn in a normal month

I know that the feeling of helping someone else feel better with their body will be something just amazing.. but I need an opinion of someone that does this everyday.

Thx bro

I'm a head and neck cancer surgeon, so 50% of the patients that I meet in clinic will be dead from their cancer within 3 years.

No one has ever died on my table, but I've had patients die a couple of days after surgery, e.g. I trach and biopsy a guy and he has a post-op heart attack and dies. Happens. Part of the business.

I've never seen it, but some of my friends send me clips so I'm aware of it.

Don't look to be. This is a pretty common approach.

Believe what you want. I've been doing these threads for a few years (since I graduated fellowship) and medfags will agree that I post knowledge that wouldn't be known outside of head and neck surgical oncology.

Doctors are wizards, there is no other explanation to THIS

I'm not a plastic surgeon. I do enough head and neck reconstruction that I am thinking about getting board certified by AAFPRS tho...

Plastic surgeons probably operate 2 days per week. Volume of cases is determined by your practice. Plastics can do anything from hand to craniofacial to breast recon to face/body cosmetics, etc. There's a ton of variety. It's a great field and definitely something I could see myself doing outside of head and neck surgery.

For me, it was worth the years.

In terms of money, I work for an academic ENT department, so I make slightly less than market value for my skills (I get paid $300k yearly)

DUDE, you again ??? Come on Cred Forums you have to be that fucking autistic to come to this fucking Cred Forums every now and than with this pic and asking people to question you. Fuck you.

Dude, seriously, get a shrink, a therapist, psycological help. I know it must be difficult to you to see all this gore every fucking day but we can't stand you any longer. Get a family man. Fuck a girl. Do something with your life, you sorry fuck.

Think about that. Think well.

God forbid I post a thread once every two months while I watch MNF and drink beer.

Eat a dick user

with all this success you have achieved from hard nights burning your eyes studying, do you still enjoy shitposting sometimes, if you do, in wich board?

Do you ever get grossed out after operating? I never understood how someone could be wrist deep in someones brain and 5 minutes later be on lunch break, eating a sandwich. I guess you become desensitized, but still.

Kudos.

lol you posted the same pictres as last time?

Shitposting is eternal.

I frequent Cred Forums, Cred Forums, /k/, Cred Forums, and /fit/ just for running generals.

I get bored of Cred Forums's constant porn, so visit it less than I used to.

#1 If I'm wrist-deep in someone's brain, something has gone horribly wrong
#2 Nothing I do really bothers me. It's my job.

When I first did anatomy as a med student, the smell and the texture grossed me out. That faded after a few months and aside from random butt stuff on general surgery, I don't get grossed out much.

bump

OP: Will this person be able to chew/whistle?

Pretty much, I just have a folder. I can't use any of my patient pics, so you're not getting anything new.

Is that a lymph node?

How would you go about fixing this?

Are you a sociopath?

How are you able to navigate and identify things when everything looks almost exactly the same? especially in color

Would they have to stitch the cheek meat and connective tissue back on or just fix around the edges?

More like a limp chode hqhahahahahahhah

Chew: maybe
Whistle: Probably not

The face transplants never get 100% function back. We grade muscle nerve function on a 1-6 scale (house-brackmann scale, 1 is normal, 6 is complete paralysis), and the best you can do after something like this is 3/6.

Still, a remarkable case. One of my dreams is to start a facial transplant program.

No, it's the submandibular gland.

CT angiogram to make sure something big and pulsating hasn't been lacerated, then go to OR to remove it. Carefully.

Why would the OP be a Sociopath? He seems just fine. I'm good with all this stuff and it does not freak me out. It just makes me curious of how they fix people

when did you decide you wanted to be a surgeon, and how hard was med school?

I thought the five year survival for Head & Neck was greater than 50%. Am I incorrect or is there a reason that your clientele has a less than 50% at three years? Not trying to be an ass. My first thought is than my information is incorrect or that your practice sees more advanced cases than the average since you're at a UMC.

What is it about the head/neck that makes you want to study for years to become a head/neck surgeon? Do you do it to change people's lives or are you just fucking fascinated with the head/neck?

Hope not.

Study and practice. Plus, in the OR, I'm looking at a 3D field and I'm constantly using landmarks to orient myself. For an untrained person, it just looks like a mess of meat.

That's a maxillectomy, so the surgeon should either 1) reconstruct the bony defect with a flap (using shoulder blade usually) or 2) reconstruct the defect with a plastic obturator so the cheek doesn't sink in.

After you reconstruct the bony defect, you still have to suture the deep soft tissue layers before closing the skin.

It's not as hard as it looks. You lay the cheek back down and it all fits together.

You ever listen to music while operating? How casual is the atmosphere in the operating room?

Touche.... Surgions are more likely ta be socio or psycho fags than the normal population

What's the purpose of that gland and why isn't there a fetish about it yet?

First time I stepped into OR as a first year med student. Nothing like it in the world.

Med school was harder than college in terms of hours and competition, but it was a fixed set of stuff to learn. It wasn't like organic chemistry where your tests could be fucking anything.

Survival for stage I or II is about 90% over 5 years. Most patients present with locoregionally advanced disease. Resectable advanced disease has a 5 year survival of ~ 65%, unresectable ~35%, and metastatic disease 0%. H&N SCC has a high recurrence rate as well, so on average, about 50% of patients diagnosed with head and neck cancer will be dead of disease by year 3.

When I did head and neck anatomy as a med student, I was like "this is the coolest thing ever". So complex, so many tissues types and structures intertwined. Then I did some rotations and ENT residency and loved treating cancer patients and going head to head with the beast (cancer). So here I am.

are the butt doctors just in it for the free butts?

but then there's like a ton of old ppl ya?

What watch do you wear?
Can you wear watches in surgery?
What car/ bike do you drive?
What do you do for fun/ hobbies in your spare time?

Sup fellow MDfag. I was originally shooting to be a surgeon, but ended up doing GYN instead.

The field is a lot less stressful, fam.

hi almost the same same question as

I believe they can be a little eccentric. I thank them for being the way they are. I Had my tibia and fibula shattered when I was hit by a taxi cab and the surgeon was able the fix my leg back to 95% with screws and a Titanium rod

I usually operate to music. OR is very casual after patient is under anesthesia. Most of my cases are long (2-16 hours), so music is necessary.

Makes saliva. Why would you have a fetish for that...

Butts are horrific. Just poop and flab and sweat and horror.

I don't wear a watch in OR since you can't.

But I wear a Rolex Submariner in clinic.

I drive a Mazda MX-5. Love that fucking car.

Plenty of hobbies: running, gats, vidya, cooking, etc.

so are all T1 and T2's M0's by definition? I know SCC is the worst cell type, well possibly excepting melanoma, but would a BCC be just as deadly if allowed to get to a T3 or T4?

what do you for a living

which kind of doctor, jewish or athiest?

I'm one of the only male GYNs in my city. People ask me this question all the fucking time.

I didn't enter the field because I like vaginas. Most of the ones I see are diseased, or irregular, or weeping pus.

I don't get boners while doing a pelvic. I don't lick any clits.

The vagina is just a problem to be observed and solved; about as sexy to me as a knee or a lung.

what is wrong with this guy's hand

i.4cdn.org/b/1474327976797.png

No, we use the TNM staging system. Each is independent. So you can have a T1N0M1 tumor (rare, but it happens).

Squamous cell carcinoma is not the worst. Shit like glioblastoma multiforme or small cell carcinoma are pretty much death sentences. I can still do something for my squamous cell carcinoma.

BCC is locally agressive, but rarely fatal since it really doesn't spread (metastasize). That being said, I've seen some horrific BCC, but those are rare. People dying from squamous cell carcinoma is common.

Catholic

Head and neck surgical oncology and microvascular reconstructive surgery

What don't we know about anesthesia?

How dose a 16 hour surgery work, do you have breaks? Stop for lunch?

>The vagina is just a problem to be observed and solved; about as sexy to me as a knee or a lung.

so why arent you a lung doctor then

i'll even believe everything you just said but there's got to be some reason you spent however many extra YEARS studying gashes over one of the other parts of the body, if they are just all the same then how'd it happen, frat house all draw specialties or what

What it the technical name for the metal bike chain looking attachments / what are other uses for them?

Op, you rock. The last time you were here I was a fucking nervous wreck knowing I was going under the knife with carotid artery surgery. At first they told me it would only be a cut only a couple of inches. Two days before the procedure I was informed it might be "a bit more intense."
The night before surgery I seen your thread and with your information was able to calm down and relax that the Docs weren't cutters for fun.
Anyway, yeah I had a serious cut but the docs were great. Thanks Doc!

Fuck it, chicks dig scars!

>catholic
how does it feel to know god isnt real now that i told u

How hard is it to become a brain surgeon?

>Catholic
so like you were just jewish when you graduated or what?

Where's this dude's teeth? And why are you prying his face Beck with a food stabber?

whats all those black things?

OP: Have you ever seen scoliosis surgery

Surgeons are the navy SEALs of medicine. Not dicksucking here, but it takes a very special kind of person to do that job and maintain their sanity.

I was very good at my OB/GYN rotation, so I decided to make a career of it.

Plus, my goal is to own my own practice one day, and GYNs don't pay as much in insurance as other fields.

Thats pretty much the apex of the medical field. Neuros generally spend the standard 4 years in med school and over a year in additional schooling.

The brain is extremely complex.

>I'm a head and neck cancer surgeon
Can you break down the causes of these cancers? Like are 80% smoking, 15% occupational, and 5%unknown, for example

how many batteries can i safely eat also which kind would be the least harmful if i were trying to ingest a lot? please

this is for a bet

>know it must be difficult to you to see all this gore every fucking day
>difficult to see gore
>on Cred Forums

You're new, eh friend?

We don't actually know how volatile anesthetics induce surgical anesthesia. Which is crazy. But we know what effects they produce and how they safe they are, so it works.

Yeah, of course. I have residents who could do probably 80% of case on their own, so we swap out, grab lunch/dinner, take a shit, etc.

They're titanium plates, sized from miniplates (1mm thickness) to fracture plates (2mm) to recon bars (2.4 or 2.8 plates). Most of the plates in my pics are recon bars.

They're used to fix bony fragments in everything from traumatic fractures to cancer surgery to orthognathic surgery.

Glad you're doing well!

Almost cut myself on that edge

More difficult than anything, and the life of a neurosurgeron is more difficult than any other physician. Those people are truly gifted. Hats off.

>I was very good at my OB/GYN rotation, so I decided to make a career of it.
>Plus, my goal is to own my own practice one day, and GYNs don't pay as much in insurance as other fields.

cool, smart move. i will upvote your post

Love your threads man.

You may not know much about this because your a surgeon but.

Why are hospitals and health centers so disorganized? I swear it's almost criminal. I'm a pharmacist and I am disturbed by this fucking "out of sight out of mind" mentality.
>well I didn't deal with this patient so
Do you guys have no way of passing on information to the next person? every time there is a shift change at the local hospital I've got to start all over again.

The good news is that when I talk to a doctor they are efficient and solve the problem immediately.

But are all the nurses, MA's, PA's, hospitalists fucking retarded? Or is my local hospital just completely god-awful and it's not like this everywhere.

Great bread user.
I'm studying neurobiology so it's cool to see other medfags.
Question: ever run into a patient and just say to yourself he's certainly a Cred Forumsro.
Or
Does anyone know you come here in your professional life?

>Almost cut myself on that edge
plz be careful, almost nothing in here has been properly sterilized

I have a bad hernia (lingual) on my right side. I want it repaired WITHOUT MESH. I can't find a doctor who perform such an operation here in the US. What is your opinion?

Have any advice for an aspiring cardiothoracic surgeon?

What advice do you have for people considering medicine as a profession?

>slice and dice, sow it back together

You make it sound like your a taylor for faces.

...

>navy SEALs of medicine
>not dicksucking
faggot

This.

Patient has no teeth, and the face is being retracted with an instrument called a "rake" (for obvious reasons).

Little speckles of charred tissue from cautery to control bleeding.

No, I never have, but I hear it's nuts. They pack like $100k in hardware in people's backs.

Neurosurgeons (not called neuros...neuro is neurology) have at least 6 years of residency training after medical school, not to mention fellowship. It's not unusual to meet a neurosurgeon who's spent nine years AFTER medical school just training. And they work worse hours than any other field in medicine. They are beyond the rest of us.

70% smoking/drinking, 20% HPV, 10% no cause.

Zero batteries.

...

>Rolex Submariner

Did you get the free shipping?
amazon.com/Rolex-Submariner-Black-Ceramic-116610LN/dp/B00407LYDQ

Do you get to use robotically-assisted surgery?

Hay I'm gonna be a medic and right now I'm squeamish so...
1. Were you squeamish when you started
2. If not were some of your colleagues squeamish when they'd started
If so how did you/they grow out of it?

...

Thanks. Sometimes I regret my field, but working 4 days a week for $250k isn't bad.

Nurses generally get burnt out fast; they have a lot of shit heaped onto them. God knows during residency I did that.

Coffee, Cigarettes, Cocaine/adderall.

Realize your motivations for the field. If they involve the word money, take a long hard think about it.

Both careers take a lot of discipline, hard work, and blood. Not everyone with the necessary skills are cut out for the job.

Sorry for the term mixup. I'm very tired. And yeah, one of my friends decided to go into Pediatric Neuro Surgery. Poor bastard

I'm not OP, but asking him; do you have any substance abuse problems in your private life? Excessive drinking, ect?

Ive noticed a pattern with surgeons.

youtube.com/watch?v=iD2JUzjZNwo

...

>70% smoking/drinking
Im 33. I smoked from 19-28. I dont think Il ever smoke again. How safe am I?

>20% HPV
Well thats surprising; should I get tested?

...

Amazing job on all of your works, doctor! What did your parents originally do for jobs? Were they also in the medical field? By the way Christ bless you, my friend!

Do you find niggers stink more when performing surgeries?

What role do PA's play in your OR and do you like them?

...

Nurses, MAs, PAs, NPs, etc are all shift workers. They don't give a shit. They are there to punch their card.

Most of my patients are 60-year-old chain smoking alcoholics, often homeless. So rarely Cred Forumstards.

And no, none of my colleagues admit to visiting Cred Forums.

Just get the mesh. The docs use it for a reason. It prevents the hernia from coming back.

I remember when I was a med student we had some idiot like you. The doc (who was like 65 years old ) tried to convince the patient for a half an hour just to use the damn mesh. Patient refused. Doc said during operation, "This guy's a moron. I'm the only surgeon in the city who remembers how to do this without a mesh and I haven't done one in 20 years."

It's a wonderful field, but it's still a job, and not every moment is going to be sunshine and rainbows.

I lost a good friend to squamous cell carcinoma up around her cheekbone. Two rounds of radiation + chemo, dead in 3 years. Always wondered if she would have done better with surgery.

I do pity the nurses because they work long hours and do as much work as anyone and they have a lot of expectations with minimal education but they almost need to make the program harder to weed out the idiots. but most of them have fucking awful attitudes.

Next question. I chew a lot. started the habit back in high school and I'm 28 now and I've got some gum recession and a bluish discoloration to my lower gum and inner lip area.

How fucked am I? I also drink a lot. Do you see a lot of mouth and esophageal cancer among people who dip? probably 1 - 2 cans per week.

...

Where did you go to school?
Schools?

Is crappy is residency? Also, are there any shows that portray, decently, what it is like to be a surgeon?

The surgeon has returned to Cred Forums?
FUUUUUUUUUUUUUUKKKKKK!

...

Not OP.

Two cans per week would be considered moderate usage, not "a lot". Gum recession is pretty standard in chewing tobacco usage. To combat this I recommend shifting where you place your dip in.

The bluish discoloration is pretty odd. Do you have a picture of it?

Residency turned me into an alcoholic and misanthrope. Med school didn't help either.

I meant to ask, how crappy is residency?

I've had that watch since before Amazon existed.

Yes, I use robot for oropharyngeal tumors (tonsil, tongue base). Shit's cash.

I was squeamish when I first started anatomy as a med student, but it vanished after a couple of months.

There are plenty of squeamish docs. They don't go into surgical fields and certainly don't go into ENT.

I remember we had a med student sprint out of the room to vomit when I fired up the saw to open up a mandible.

I'm a heavier drinker. Probably 2-3 drinks per night when I'm off. I don't like to drink when I'm operating the next day.

Smoking 1 pack per year for 10 years is considered the cutoff for having a higher risk for head and neck cancer. I don't know about lung cancer (which is way more common).

Most people have contracted HPV at some point in their life (it's the virus that causes the common wart). No reason to get tested.

Dad is physician, mom is ex-nurse.

Most of my patients are black.

I am an academic surgeon, so I have residents. I don't work with PAs.

...

any QT3.12? if so... after your butcher science would you let me fuck one while still warm? You see doctor, I have no luck with the ladies, help a bro

Pavement apes heavily utilize cigarettes and booze, so not surprised.

COON, COON ...
Black Baboon ...
Brutal, worthless
thieving GOON...
Often High, Thrives in Jail
His welfare check
is in the mail ...
Some 40 offspring have been had,
Not one will ever
call him dad ...
And yet he hollers day and night:
i blames de white man
fo my plight,
it's him spreads trash
all round my shack...
it's him what makes me
smoke dis crack,
he push my kind
to burn and loot,
an sends de po-lice
dat we shoot ...
but inch by inch we takin' hold
like when the white bread starts to mold...
i'll overrun
yo home and soon...
dey be only fit fo de blackassed coon

nice bread op
what vidyas do u play?

...

Okay, I'm tired of answering questions. I'm going to keep watching MNF.

Take care, Cred Forums

What kind of surgeon are you user?

He's a cock surgeon. All these pictures of head and neck surgeries, all he does is chop off dicks. You fucking moron.

...

>Smoking 1 pack per year for 10 years is considered the cutoff for having a higher risk for head and neck cancer.

thanks, makes me feel a little better about my half a pack for 9 years...
BTW I lost my grandfather to throat cancer, he was a very heavy smoker

Looks like a zombie trying to eat someone by using a fork and spoon

I have a blood condition that causes a lot of clotting and can be pretty dangerous. In such, I have an IVC filter. I was terrified the first time I had to get surgery, but then it was all done with cath-lab. Since then, I've had quite a few surgeries and they've all been cath-lab.

Obviously it wouldn't be within the next couple of years, but do you think that cath-lab technology will get more advanced and make other surgeries easier? Obviously anything with reconstruction would still be done the old school way, but even tumor removal could have the potential to be done with catheters, no?

Do you feel like you "live to work" or "work to live". Also favorite liquor?

I have a mild case of hemihypertrophy and now my face is uneven/ugly forever. At 21, am I beyond the point of repair?

>I think OP left. Imo just grow/maintain a beard if you can

I'm just here due to interest. I would become a doctor if I didn't suck at everything I did. Well, I'm good at being a fag on Cred Forums, and I'm good at video games. That's about it tho. My social skills are balls and irl I'm an anxiety written depressed idiot with trust issues. So my hat is off for surgeons. You guys work magic.