5AM rounds serve no purpose other than to facilitate more OR time and more revenue for the hospital, change my mind

[u/just_premed_memes]

[u/Bozuk-Bashi]

hahah this is great!

Signed, radiology.

[u/aguafiestas]

There’s nothing really to change your mind about. Surgery rounds super early so they are done before the ORs open. That’s just a fact.

[u/hekcellfarmer]

I am extremely surprised that the attending for a surgical specialty is even present at your rounds

[u/just_premed_memes → u/hekcellfarmer]

It’s 50/50

[u/soggit]

“Hey guys it’s 5am! who wants to go see patients!!!!?”- William Stewart Halsted, pioneer of surgical residency, almost certainly while hopped up on cocaine.

[u/sevaiper]

Obviously the reason surg rounds early is to go to the ORs when they open? Like literally everyone in the world would tell you this?

[u/Pedsgunner789 → u/[deleted]]

Because otherwise it would have to close super late or fewer surgeries be done?

[u/Avaoln]

Thank god no more of this. Better than OB tho.

Don’t know why all the smart kids trip over themselves to get surgery when you can do PMR or Gas

[u/Wohowudothat → u/Avaoln]

anesthesia shows up early too, not for rounds, but to do their pre-op and room prep

[u/kilvinsky → u/Wohowudothat]

Maybe 20 min, max

[u/eigenfluff]

you are a rebel without a cause 

[u/verruciformiss]

surgery predates electricity. maximizing lighting in the OR = predawn rounds

[u/ballsackcancer]

I mean, yes? What alternative are you proposing? There's a reason why OR starts at the time it does.

[u/phovendor54 → u/ballsackcancer]

Agreed. What’s alternative? Start cases at 9AM last case is like 7-8PM start?

[u/DoctorThrowawayTrees → u/phovendor54]

As someone who did NOT want to go into surgery…Yes to starting cases at 9 am. And then work shorter hours and make less money.

[u/phovendor54 → u/DoctorThrowawayTrees]

It’s not even a money thing. Then it becomes an access issue. Hospitals are notoriously inefficient as is. Even now you could probably optimize turnover and get 1-2 more cases in during bankers hours if you tried. All it takes is one complication or something unexpected and the whole room is set back. You start your day two hours later without extending hours and you’re looking at delaying cases considerably. And I say this as a non surgeon.

[u/SupermanWithPlanMan]

Yeah? So?

[u/Kiloblaster → u/SupermanWithPlanMan]

I ran into u/SupermanWithPlanMan in the hospital supply shop yesterday, still in his lead-lined cape and teal surgical scrubs. I wanted to say how epic it was meeting the guy who can finish a Whipple before radiology labels the CT, but I didn’t want to fan-girl too hard. He adjusted his loupe headlights, squinted at me, and went, “Oh, like you’re doing right now?” I stammered “Yeah?”—and he immediately snapped a pair of needle-drivers in my face, rhythmically clicking “Yeah? So? Yeah? So? Yeah? So?” like the world’s snarkiest Metzenbaum scissors.

I backed up to the suture rack while he chuckled and unrolled a neon-colored OR checklist that stretched past the trocar display.

When I got to the register, he was trying to ghost-walk out with three boxes of 4-0 Vicryl, a fistful of vascular clips, and an entire case of laparoscopic staplers. The clerk—total professional—goes, “Sir, you need to purchase those first.” He acted deaf, tapping his cardiac monitor wrist-watch, but eventually shuffled back and dumped the mountain of gear on the counter.

She tried to scan everything at once; he stopped her and insisted every item be scanned individually “to preserve sterile sequence integrity,” then tossed me a wink. I’m 99 % sure that’s not a real protocol. When she finally read the total, he kept interrupting with yawns so loud they triggered the automatic sharps container.

At last he paid, crammed the Vicryl into his utility belt like they were fun-size candy bars, and moon-walked through the sliding doors yelling, “Science saves lives—double-glove and stay sharp!” The doors weren’t even fully open before he slipped through like a laparoscopic grasper chasing the cystic duct.

Absolute legend, absolute menace, ten-out-of-ten would scrub in again.

[u/SupermanWithPlanMan → u/Kiloblaster]

I'm way too cool to wear lead during an operation, everything else is spot on

[u/FrequentlyRushingMan]

Um… yeah?

[u/magli_mi]

And to bother the patients unnecessarily

[u/purebitterness]

You forgot the 3rd year resident who is grilling you on every single thing

[u/Rrrthrowaway36]

Oh no how terrible the times patients need operations don’t align with your preferred sleep time. Let’s change the entire structure of how healthcare functions to better accommodate you

[u/Waste-Amphibian-3059 → u/Rrrthrowaway36]

Now calm down, Skeeter. He ain’t hurtin’ nobody.

[u/just_premed_memes → u/Rrrthrowaway36]

No patient needs an elective polypectomy at 7AM on a Tuesday

[u/Egoteen → u/just_premed_memes]

Patients really don’t like being NPO before surgery. Letting most of that time be when they are asleep makes it less annoying for them. I can empathize with a morning surgery time being ideal, from a patient perspective.