| 00:00 - 00:03 | Lewis: Today we have 2 cases on our elective list |
| 00:04 - 00:05 | The first is a lady with backpain |
| 00:05 - 00:07 | For this case we plan to do a posterior interbody fusion |
| 00:08 - 00:12 | For the 2nd case, she has a grade 1 Degen spondylolisthesis |
| 00:12 - 00:15 | And therefore also needs an interbody fusion |
| 00:17 - 00:19 | Hall: No need to do a fusion on either |
| 00:19 - 00:21 | non op for 1st patient, and decompression alone for 2nd |
| 00:24 - 00:26 | Mr Hall |
| 00:27 - 00:28 | We thought |
| 00:31 - 00:33 | We thought that the grade 1 spondylolisthesis needs stabilising |
| 00:34 - 00:36 | She has sagitally orientated facets |
| 00:53 - 00:58 | Everyone leave the room, except Steven, Varman, Anum, Lewis |
| 01:13 - 01:15 | You fucking idiots always want to do the latest thing |
| 01:15 - 01:17 | Not everybody needs a fusion |
| 01:18 - 01:23 | Are you all on the payroll of the implant companies? |
| 01:25 - 01:28 | Why do you want to make quick case.. |
| 01:29 - 01:31 | ..into three hours of fucking around |
| 01:31 - 01:34 | And not to mention unnecessary complications and harm |
| 01:34 - 01:37 | I should report you to the medical council for incompetence |
| 01:37 - 01:40 | Have you learnt nothing during your time at the RAH |
| 01:40 - 01:42 | But we thought given her backpain… |
| 01:42 - 01:46 | Backpain! We can only make that worse! |
| 01:46 - 01:48 | Mr Hall, but her disc lights up on CT SPECT |
| 01:48 - 01:52 | I don’t give a flying fuck about a SPECT |
| 01:53 - 01:54 | Waste of resources! |
| 01:56 - 01:57 | We never had that fancy imaging in my day |
| 01:57 - 02:00 | The patient is 85years old |
| 02:00 - 02:03 | Just get them off the table as fast as possible |
| 02:04 - 02:08 | Why waste 2hours of your life |
| 02:08 - 02:13 | And waste all our precious healthcare dollars |
| 02:14 - 02:16 | And listening to Aaron harp on about screw harmony |
| 02:17 - 02:21 | A decompression is only 45minutes if done properly |
| 02:27 - 02:29 | Except Yu Chow who can do it in 30 |
| 02:30 - 02:34 | Then spends an hour ensuring adequate haemostasis |
| 02:34 - 02:36 | But they still get a haematoma |
| 02:41 - 02:42 | Despite the drain |
| 02:43 - 02:47 | And If I hear about one more patient requiring a fusion |
| 02:48 - 02:53 | I will personally write to RACS and |
| 02:54 - 02:56 | Ill have you transferred to medical training |
| 02:56 - 02:59 | You have all been listening to too many surgeons from the eastern states |
| 03:00 - 03:02 | Front-back, 270, 360, fusion...rubbish |
| 03:04 - 03:07 | Its ok we can put the patient on Aarons list |
| 03:14 - 03:16 | My consultant colleagues are no better |
| 03:19 - 03:23 | The other day Aaron said to me "We have to move with the times” |
| 03:25 - 03:26 | Cancel my list |
| 03:31 - 03:33 | There's no point trying to do electives anyway |
| 03:40 - 03:46 | At least Leeanne will be happy with the outcome |
| 03:46 - 03:49 | As the fellows will be confined to clinic where they belong |
| 03:53 - 03:56 | And can do plenty of virtuals |
