The greatest surgery SURGEONS perform!!

[@psinclairjr]

As a retired ff/paramedic I was able to meet and discuss cases with trauma surgeons. You are the type that would spend a few minutes teaching and discussing my small part in patient care in order to make me better and smarter. You have my respect Doc

[@RingJames330]

I'll be applying to medical school in a few months and taking the MCAT in a few weeks. Aspiring surgeon. Your videos motivate me to keep pushing, thank you. I've been watching med youtubers for over 5 years and you've quickly become one of my favorites. You produce high quality videos that are not only informative, but entertaining. Just wanted to let you know I appreciate the time and effort you put into your channel and I look forward to seeing your growth on this platform.

[@RichHilsden]

Thank you for the comment. That means a lot to me. Its this type of engagement that keeps me posting!

[@donnacurrie7360]

I love the start of this video with the glimpse into your world. Thank you for sharing that!

[@RichHilsden]

Glad you enjoyed it! I hope to keep doing that from time to time.

[@halomast799]

Applying this cycle. Watching your videos keeps motivation at an all time high! Being able to vicariously learn about real world problems and solutions is amazing. Especially since some of us only experience entry level echelons of healthcare, seeing how higher level care manages cases gives great perspective on the bigger picture and long term solutions for our patients. Excited for clinical rotations and the future...

[@CoronaryArteryDisease.]

Super fascinating! It is incredible humans can perform this surgery with such a high success rate!

[@happygabe496]

Dr. Hilsden. I value your videos and appreciate the details you provide.

[@RichHilsden]

Glad you like them!

[@alisyed5865]

Great video, I sincerely appreciate how you always include a "medical student/resident" friendly portion.

[@RichHilsden]

Thanks for the continued support! I try to provide a bit for everyone.

[@psmith2026]

My son is in medical school. Today, he stood back and observed a clamshell thoracotomy. Residents were there also. A patient came in with several gun shot wounds. The patient unfortunately died. After the patient died, the trauma surgeon taught my son how to clamp and massage the heart. My son told me to look up clamshell thoracotomy. Thank you for your video.

[@Drew-qs2wk]

Hey, I’m an M3 at an American osteopathic school starting my elective rotation in surgery. It’s my 9th official week in the OR, and I’m super excited. Thanks for your tidbits and pearls. It helps me keep up with things.

[@RichHilsden]

Glad you like the content. Hope to keep the videos coming

[@Abdul_JaculBuratsadorSalsalani]

I've been an Operating Room Nurse for about 8 years before... I'm so drowned with a lot of Caesarian Section delivery & lots of OB-Gyne cases/procedure. Another procedure that I was intoxicated of is Appendectomy & lots of other General Surgery Cases / procedure. As well as the newer approach they were practicing now called "Minimally Invasive Surgery" like Advance Laparoscopic Surgery. As a nurse before... we consider Emergency Exploratory Laparotomy of Trauma cases Like stabbing or Gun Shot Wounds.. as pretty much toxic... hours of hours to stabilize patient... bowel run... repair... & a lot more... not to mention the what we scrub Nurses calls First & Second Sponge, Instrument, and Needle/ Sharps Counting prior to closure of surgical site. 😭 Then the immediate Post Operative Care ....plus the swift carrying out of Post operative orders coming from Surgeons & Anesthesiologist. Another toxic case for me is Neuro Cases like Craniectomy with/without clipping of Aneurysm/ Bleeders. OB-GYNE also has Emergency Laparotomy procedure for cases such as Hemorrhagic Twisted Ovarian New Growth and Ruptured Ectopic Pregnancy.

[@RichHilsden]

Lots of great operations out there for sure. I love surgery because of how much of a positive impact you can have on your patients.

[@Michgal2189]

Any advice for a scrub tech in clinicals? Thanks for the enlightening channel!

[@debobratasaha6170]

Hi sir great video. I have a question please answer me . How did you deal with negative thoughts and anxiety and depration while preparing for medical entrance exam . 🙏🙏 .

[@RichHilsden]

First, know that everyone feels that way. I thought I had zero chance of getting into medical school, and I still consider myself quite lucky.

[@emphasis20]

This was a very engaging video and the intro was done very well. It was interesting learning in depth why the trauma laparotomy can be considered the greatest surgical procedure. Opening the discussion with acknowledging the c-section I thought was a very valid point. Along the topic of why surgeons love operating, and how they use their hands to accomplish this task, I was wondering what could be done if the ability to do so was taken away from them. I have a situational question out of curiosity, that may seem gloomy, but I'm assuming others across many specialties have dealt with it. In an odd but relevant way, with the new Doctor Strange movie being out in theaters, I remembered in the first movie how Dr. Strange was involved in an accident that had both of his hands crushed. As a consequence, he was no longer able to perform his job as a neurosurgeon. If a similar unfortunate circumstance happened to a surgeon in your specialty, what options would you say they have to continue earning meaningful and fulfilling income?

[@RichHilsden]

Well, that is a great question. A couple of things. You can’t operate without the use of your hands. We had a trauma surgeon who died a few years ago, who did lose the meaningful use of his hands. He was able to contribute to trauma care in many many ways. We have teaching opportunities, research opportunities and administrative opportunities. Most of us move in that direction if something happens that prevents us from operating. In many ways those are the biggest impacts we can make

[@bmo14lax]

What operation makes you like "excited" *beforehand* if there is such a feeling? Like "YES! I get to do "x" today, awesome!"

[@RichHilsden]

The Trauma Laparotomy!!!

[@aoifewest]

Nice!

[@RichHilsden]

Thank you! Cheers!

[@giuseppinavolpe2873]

What drama!