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“The surgeon and assistant must establish expectations and methods before operating together, agreeing upon verbal and non-verbal cues. Clarification should be requested when in doubt. Cross-training of surgical staff is encouraged to avoid novice assistants when a primary assistant is absent. Give feedback after a procedure where an assistant or surgeon performed problematically. Do not let frustrations build, rather, discuss them as soon as discretely possible. The surgeon’s and assistant’s hands should not be in the field simultaneously without prior explicit direction by the surgeon. Surgeons and assistants should always visualize instruments and tissue that they manipulate. Distracting conversation should be avoided, comforting the patient when necessary. Soft music is often an acceptable alternative.”It seemed to be the same standards he had learned during his initial surgical training. He felt the document was Dr. McLemore’s means of putting him on notice that she expected him. I could see a light on in the living room, and I knocked on the kitchen door. Soon Sandy appeared, opened the door, and rushed into my arms, exclaiming "I'm so glad that you are finally here! I was beginning to worry!" Dear love, I'm happy just to be here! It was a horrible trip, and I don't ever want to travel on a day like this again!" Poor dear, you look tired! I bet you're hungry - for food, that is!" Yes, traffic was crawling for hours, and then there was an accident on the Taconic that held me up for more than a half hour! I'd love a bite to eat, whatever is easy. Whose car is that?"Sandy replied, as she started rustling around in the kitchen, "My sister Mary and her two young children are in Mom's room. Mom's over at Walt's. She's going to cook the turkey over there and we'll all go over tomorrow."I said, "Well, I'm looking forward to meeting her. Right now, I need this" as I gave her another kiss, "and this!" as I picked up the sandwich she had just finished making.I finished.
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