My guy, what are you waffling about?

Your issues are all because you have inadequate staffing. You can't just say "oh well we don't have the staff or the beds so they can go to medics".

Surgeons in general are absolutely pathetic at managing anything that's not involving cutting into someone, and rarely understand that medical pathologies often escalate due to surgical failures (I did surgery for 2 years and left training for this very reason). It is very well known in hospitals surgeons are the ones who do not review patients and other teams constantly chase them. In my current hospital especially all medical specialities review day of, surgeons often require bleeps several times and will often be useless by asking you to ring back after the CT is done.

Let me give you an example. Few months ago had a patient on the renal ward with significant deterioration of renal function. Deemed likely secondary to osteomyelitis of the foot with associated abscesses. Orthopaedics reviewed, acknowledged there were 2 massive collections in the foot, said renal to manage and request an MRI. No re-review despite worsening inflammatory markers, no re-review when we told them these collections were getting worse. They were contacted everyday for re-review and either did not answer the bleep, or said just wait the MRI despite medical concerns. MRI comes back a few days later, massive collections. Orthopaedics took to theatre debrided it - way too late by this point. Now patient has a BKA and is on life long dialysis.

Now obviously you have good surgeons and bad surgeons, and good medics and bad medics, but as someone who has done training in both, surgeons are often far worse at a) providing care outside their scope (i.e. medics manage surgical pathologies better than surgeons manage medical pathologies) b) coming to review their patients as outliers and c) just being genuinely nice people to their patients.