OzOne wrote in message ...
On Wed, 10 May 2006 23:14:02 GMT, "Maxprop"
scribbled thusly:


"Peter Wiley" wrote in message
m...

Matter of opinion. The surgeon didn't have much to do with me after the
op except a couple checkups. My physiotherapist, OTOH, spent a lot of
time up close & personal. She's not a doctor. He wasn't a therapist in
the sense I'm using.

I don't know how things are done there, but here the doctor plans and
orders
the therapy. He just doesn't peform it. That's what physical therapists
are for.

Bit different here,
The doc orders the therapy, the therapist plans and executes it.

If he weren't those things, your anaesthetic-induced arythmias
might prove fatal during your total hip replacement.


Different specialty. Doctors are rarely extensively cross trained once
they've become senior specialists IME. We employ such doctors (cross
trained ones) because we send them places where there's no possibility
of backup and the surgical nurses, anesthetists etc are people like -
me. As I said one trip, you better not get badly hurt because I'll be
operating the anaesthetic while the doc does the work :-)

The surgeon is the skipper in charge of the patient's welfare during
surgery
here. Even if the anaesthesiologist disagrees with him over a point of
procedure, the surgeon has the final say in the matter. And that is the
way
it should be, because it's the surgeon who will be named the primary
recipient of litigation of something goes awry.
Interesting,
Here, the anethetist is number one, inconsultation with the surgeon.
He has the patient hovering, at times, close to death and will tell a
surgeon that he has to complete to whatever point he can so the
patient can be revived.

Actually the gas passer has some control here, too, much as you describe.
He can put a halt to the surgery if the patient is becoming sentient or
going critical, but it's still the surgeon's game. He's in charge.

Max