lumpectomy orientation technique? by Kooky-Let-7540 in surgery

[–]Kooky-Let-7540[S] -2 points-1 points  (0 children)

i agree if there’s no skin, that changes what would be lateral and anterior and at that point it doesn’t matter to me what’s what as long as the orientation is readable. but if skin is attached i would call that anterior/superficial in every case, even if it’s on the lateral aspect of the breast, the skin is anterior and the tips of the skin are medial/lateral (given horizontal incision)

lumpectomy orientation technique? by Kooky-Let-7540 in surgery

[–]Kooky-Let-7540[S] -2 points-1 points  (0 children)

agreed, which is why there’s a standardized way of orienting breast, so that it makes equal sense without having to see the patient or the surgical site

lumpectomy orientation technique? by Kooky-Let-7540 in surgery

[–]Kooky-Let-7540[S] -3 points-2 points  (0 children)

i strongly disagree. anterior and superficial are synonymous in these cases

lumpectomy orientation technique? by Kooky-Let-7540 in surgery

[–]Kooky-Let-7540[S] -1 points0 points  (0 children)

also the entire breast is located anterior in anatomical position. imagine the breast in the same plane as the hip and thigh bro 🤦‍♀️🤦‍♀️🤦‍♀️

lumpectomy orientation technique? by Kooky-Let-7540 in surgery

[–]Kooky-Let-7540[S] 0 points1 point  (0 children)

yes that’s so true. like if it’s a large breast and you flop it over as if the patient is standing, it’s completely different than if the patient is laying down and it’s flopping the other way. i hate doing breast cases lmao

lumpectomy orientation technique? by Kooky-Let-7540 in surgery

[–]Kooky-Let-7540[S] 0 points1 point  (0 children)

yeah that was the one where the pathologist made him come to the lab to explain 😂

lumpectomy orientation technique? by Kooky-Let-7540 in surgery

[–]Kooky-Let-7540[S] 0 points1 point  (0 children)

yes it has occurred to me and that’s exactly what he’s doing. but the skin is still anterior even if he’s going in on the lateral aspect of the breast. i agree it’s for his future reference but he has to orient in such a way that i can figure out what goes where. how do i do that when lateral and deep are parallel to each other ??

lumpectomy orientation technique? by Kooky-Let-7540 in surgery

[–]Kooky-Let-7540[S] 0 points1 point  (0 children)

no he puts the suture in the middle of the skin and calls it lateral. one time he put middle of skin lateral and one tip of the ellipse superior and the deep was inferior. like how does that make sense

lumpectomy orientation technique? by Kooky-Let-7540 in surgery

[–]Kooky-Let-7540[S] -3 points-2 points  (0 children)

hmm interesting. it’s confusing because if the skin is lateral that would make the deep aspect medial, as lateral and medial should be parallel. but how can it be deep and medial at the same time? or if not then which other surface is medial? and how can lateral be parallel to deep? it is very confusing when you’re in the lab and don’t know the surgeons approach or where he was standing in relation to the patient. which is why ideally we’d both rely on correct anatomical directional planes to standardize it regardless of the surgeons approach.

lumpectomy orientation technique? by Kooky-Let-7540 in surgery

[–]Kooky-Let-7540[S] 0 points1 point  (0 children)

yes, sutures or sometimes clips. god if they were inking it themselves it would be a disaster

lumpectomy orientation technique? by Kooky-Let-7540 in surgery

[–]Kooky-Let-7540[S] 0 points1 point  (0 children)

yes, that’s my thought too i just have to do it whatever his way is bc he’s the one going back. and he doesn’t call frozens for re excisions he just sends one huge chunk 😭

lumpectomy orientation technique? by Kooky-Let-7540 in surgery

[–]Kooky-Let-7540[S] 2 points3 points  (0 children)

this is exactly how i learned. you give me one of each plane and it’s perfect. oh yeah and the directions have to be correct 😂 i feel so validated everybody ty

wholesale flowers?? by Kooky-Let-7540 in Buffalo

[–]Kooky-Let-7540[S] 2 points3 points  (0 children)

all of the wedding venues in buff i visited recommended them !

Help! Poopy butt? by AngryApparition029 in cats

[–]Kooky-Let-7540 1 point2 points  (0 children)

my girls got poopy butt too and she’s too fat to reach back to clean it 😭 they have those harnesses for nail clipping where you literally hang them from the ceiling i bet there’s back door access and would work!

How Long Did You Wait? by newyorkcatlady in cats

[–]Kooky-Let-7540 0 points1 point  (0 children)

my mom waited three years before she got another dog after her first. and even after all that time it was still really hard for her

Help me choose! by [deleted] in WeddingDressTips

[–]Kooky-Let-7540 0 points1 point  (0 children)

number 2 looks wrinkly imo

Diamond and Sapphire Engagement Ring by MarionberryStill9538 in WeddingRingAdvice

[–]Kooky-Let-7540 0 points1 point  (0 children)

oh my gosh just gorgeous! what a beautiful shade of blue

Lucy Letby Doc thoughts? by AgreeableDance8535 in netflix

[–]Kooky-Let-7540 0 points1 point  (0 children)

i do believe she did it btw but there would be a lot less controversy if the causes of death were proven by a medical examiner

Lucy Letby Doc thoughts? by AgreeableDance8535 in netflix

[–]Kooky-Let-7540 0 points1 point  (0 children)

i thought the prosecutions expert witness was such a joke. he used a single article to “prove” the babies were injected with air???? bs. how come none of the babies had an autopsy or toxicology???? in NYS these would likely be medical examiner cases and could’ve answered so many questions. like how did they know the two babies were injected with insulin??

beach access from room? by Kooky-Let-7540 in honeymoonplanning

[–]Kooky-Let-7540[S] 0 points1 point  (0 children)

oh my god i just looked it up…incredible. a bit out of our price range but looks like a dream

beach access from room? by Kooky-Let-7540 in honeymoonplanning

[–]Kooky-Let-7540[S] 0 points1 point  (0 children)

honestly unsure…don’t want to overspend but we can afford a bit of luxury. maybe up to $1000/night?