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is yelling acceptable?? ever??
Angela angie504 at hotmail.comWed Dec 31 05:25:09 GMT 2008
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> From: trauma-list-request at trauma.org > Subject: trauma-list Digest, Vol 66, Issue 33 > To: trauma-list at trauma.org > Date: Tue, 30 Dec 2008 20:31:02 +0000 > > Send trauma-list mailing list submissions to > trauma-list at trauma.org > > To subscribe or unsubscribe via the World Wide Web, visit > http://list.mistral.net/mailman/listinfo/trauma-list > or, via email, send a message with subject or body 'help' to I am a nurse, I work trauma ICU and ER. I brought this up because I know he reads this lists and would maybe take a hint from his other well respected colleagues. I am no saint myself, I recall yelling-for help- once , however, when I ended up with a pt in the resus room stab wound to the chest and had the "feeling " something was going wrong fast. And it did. All my fellow teamates disappered somewhere for what felt like forever, so it was me trying run the level one, do cpr , check chest tubes , ambu, all while I had a small audience of ems and students watching me in an 85 degree room with 20 lbs ( however much the stuff weighs ) of lead on. I was upset, and still managed to yell for help, not at any person . I was aware enough to know I needed help and my team and surgeon (nice one ) would never leave if this pt showed these signs earlier. He has been spoken to many times and it results in basically a slap on the wrist. Keep the comments coming , I hope he will gain some insight from them. And once he finds I wrote this I'm sure I might even get an earfull!! I'm used to it though, I don't let it affect my day, my work. I believe in God or by a higher power, karma etc. , he will be humbled at some point. And sometimes, I admit I don't help . He asked to for a T-pod once and I told him all I had was my I-pod or I could find a T-pot. Everyone else laughed and after a small tantrum we found one :) Angela RN , BSN trauma-list-request at trauma.org > > You can reach the person managing the list at > trauma-list-owner at trauma.org > > When replying, please edit your Subject line so it is more specific > than "Re: Contents of trauma-list digest..." > > > Today's Topics: > > 1. RE: is yelling acceptable? (Bjorn, Pret) > 2. Re: RE: new text - Essentials of Terror Medicine (Jeffrey Hammond) > 3. RE: is yelling acceptable?? ever?? (Bill Griggs) > 4. Re: is yelling accepatable?? ever?? (KMATTOX at aol.com) > 5. Re: is yelling accepatable?? ever?? (Anthony Caruso ) > 6. RE: is yelling acceptable?? ever?? (Bjorn, Pret) > 7. FW: Dr. John Pryor - Service Arrangements (Gross, Ronald) > 8. Is yelling accepatable?? ever?? (Charlene M Morris) > 9. RE: Is yelling accepatable?? ever?? (Doc Holiday) > 10. Re: Is yelling accepatable?? ever?? (Ross Hofmeyr) > 11. FW: SPECIAL AAST E-NEWS: Dr. John Pryor (Gross, Ronald) > > > ---------------------------------------------------------------------- > > Message: 1 > Date: Tue, 30 Dec 2008 08:14:27 -0500 > From: "Bjorn, Pret" <pbjorn at emh.org> > Subject: RE: is yelling acceptable? > To: "Trauma & Critical Care mailing list" <trauma-list at trauma.org> > Message-ID: > <9CCE32ECAAFDEB4DA01EC771B6AD951B036A7C16 at VALIER.me.emh.org> > Content-Type: text/plain; charset="us-ascii" > > Ken's right of course. This is a simple and discrete human resources > issue, and should be referred to the Program Director, in writing and in > detail, as guided by hospital policy. > > Such would actually be the SECOND step in the process, immediately after > careful verbal de-escalation in real time ("Doctor, let's work on > accomplishing your objectives less dramatically.") -- and hopefully some > days before publishing one's concerns complete with hospital identifiers > on an international list server. Surely the List has not contributed > substantially to any local solutions; if anything, we're perpetuating > the drama. > > That said, the lesson for all of us is that the best trauma providers > (at every level) engage in a subtle and constant competition to be the > coolest player in the room. It's a game that always serves the patient > and the process. > > Pret Bjorn, RN > EMMC Trauma Program > Bangor, ME USA > > -----Original Message----- > From: trauma-list-bounces at trauma.org > [mailto:trauma-list-bounces at trauma.org] On Behalf Of Ken Harrison > Sent: Tuesday, December 30, 2008 7:11 AM > To: trauma-list at trauma.org > Subject: is yelling acceptable? > > > Dear Angela, > > Yelling at anyone, unless your safety is threatened is not going > to achieve anything in the long term. > > Yelling at staff is called bullying and here is Australia > results in formal warnings, and then dismissal. > > It also is a sure sign of an immature and insecure man > > Ken Harrison > > > > > Message: 2 > Date: Tue, 30 Dec 2008 00:06:07 -0500 > From: Angela <angie504 at hotmail.com> > Subject: is yelling accepatable?? ever?? > To: <trauma-list at trauma.org> > Message-ID: <COL104-W421BAD4C4B863279D871279AE70 at phx.gbl> > Content-Type: text/plain; charset="iso-8859-1" > > > I work with a pariticular trauma surgeon and he loses his temper > easily and resorts to yelling and screaming at all staff until hiis > orders are done and things go his way overall . My trauma team are no > amateurs and have a good flow when it' s gets busy. Your walking on egg > shells around him because no one knows what will upset him. And he > never says ," sorry for acting out of line." Thouhghts? > > JMH hospital , MIami > > > Message: 3 > Date: Mon, 29 Dec 2008 23:15:57 -0600 > From: "McSwain, Norman E Jr." <nmcswai at tulane.edu> > Subject: RE: is yelling accepatable?? ever?? > To: "Trauma &" <trauma-list at trauma.org> > Message-ID: > > <B79C02DCC4FA074DB02381DF1C5D60BA01D2814E at EX07.ad.tulane.edu> > Content-Type: text/plain; charset="iso-8859-1" > > Personal opinion .............taught to me by my first surgeon > mentor: > > "A surgeon never yells or throws instruments. It is a sign of > one who has lost control. When you lose control of your self, you have > lost control of the operating room and your patient's welfare" > > Take for what it is worth. I have lived that as my motto and > have never regretted it. > > Norman > > Norman McSwain MD > Trauma Director, Charity Hospital > Professor of Surgery, Tulane University > New Orleans LA > 504 988 5111 > norman.mcswain at tulane.edu <mailto:norman.mcswain at tulane.edu> > > > > > > ------------------------------ > > Message: 2 > Date: Tue, 30 Dec 2008 08:22:06 -0500 > From: Jeffrey Hammond <hammond at umdnj.edu> > Subject: Re: RE: new text - Essentials of Terror Medicine > To: "Trauma & Critical Care mailing list" <trauma-list at trauma.org> > Message-ID: <fc6f9d8fd857.4959da2e at umdnj.edu> > Content-Type: text/plain; charset="us-ascii" > > You buy; I'll sign! Book tour to start any day now! > > Jeff > > ----- Original Message ----- > From: "Gross, Ronald" <Ronald.Gross at bhs.org> > Date: Tuesday, December 30, 2008 7:53 am > Subject: RE: new text - Essentials of Terror Medicine > To: "trauma-list at trauma.org" <trauma-list at trauma.org> > > > OK, so I need to know if you will autograph my copy? I > > would ask the same of th good Dr. Brohi, but my guess is that if > > he says yes, I am going to have to catch him in Las Vegas!! > > > > This is long overdue. Congratulations, gentlemen! > > > > Best wishes, > > Ron > > > > ________________________________ > > From: trauma-list-bounces at trauma.org [trauma-list- > > bounces at trauma.org] On Behalf Of Jeffrey Hammond [hammond at umdnj.edu] > > Sent: Monday, December 29, 2008 5:21 PM > > To: trauma-list at trauma.org > > Subject: new text - Essentials of Terror Medicine > > > > At the risk of appearing seeming totally self-serving, I want to > > announce the publication of a text specific to the science of > > terror medicine. It's pretty good, but then I'm biased because > > I'm one of the co-editors and authors. It's international in > > scope (our own Karim Brohi is a contributor) and comprehensive I > > think. Given the recent events in Mumbai and around the world, > > it is certainly timely. One of the premises of the book is that > > the discipline of caring for victims of terrorsitic acts is > > somewhat different that that involved in disaster medicine or > > conventional trauma management. I welcome any and all feedback > > (already planning 2nd edition!). > > > > See the attached flyer and table of contents for "Essentials of > > Terror Medicine," newly published by Springer-Verlag. It's also > > available from Amazon.com at a 7% discount. > > > > Jeff Hammond > > > > Jeffrey Hammond MD, MPH > > New Jersey > > ----------------------------------------- > > CONFIDENTIALITY NOTICE: This email communication and any > > attachments may contain confidential and privileged information for > > the use of the designated recipients named above. If you are not > > the intended recipient, you are hereby notified that you have > > received this communication in error and that any review, > > disclosure, dissemination, distribution or copying of it or its > > contents is prohibited. If you have received this communication in > > error, please reply to the sender immediately or by telephone at > > (413) 794-0000 and destroy all copies of this communication and any > > attachments. For further information regarding Baystate Health's > > privacy policy, please visit our Internet web site at > > http://www.baystatehealth.com. > > -- > > trauma-list : TRAUMA.ORG > > To change your settings or unsubscribe visit: > > http://www.trauma.org/index.php?/community/ > > ------------------------------ > > Message: 3 > Date: Wed, 31 Dec 2008 00:29:48 +1030 > From: "Bill Griggs" <wgriggs at bigpond.net.au> > Subject: RE: is yelling acceptable?? ever?? > To: "'Trauma & Critical Care mailing list'" > <trauma-list at trauma.org> > Message-ID: <00a601c96a86$e12e4e40$a38aeac0$@net.au> > Content-Type: text/plain; charset="us-ascii" > > A number of people have posted that this sort of behaviour is unacceptable, > potentially unsafe and likely to produce bad outcomes. > > Now what about looking for solutions? It is possible that the surgeon > concerned is unaware that his behaviour is disruptive and believes it is the > "only" way to get the "right" things to happen. If not, maybe there are > some personal or other issues at work? Regardless of the cause it is clear > that he should be offered some counselling and support. > > Unfortunately there is also enough information in the email to suggest the > identity of the facility, perhaps also for local people to identify the > person who posted it, and possibly the surgeon concerned. The cat is now > out of the bag. > > I suggest that the original poster should approach someone that she trusts > who is in a senior position and who will be able to progress this further in > a supportive manner. > > With the right support sometimes tigers do change their stripes. > > Good luck. > > Bill > > A/Prof William Griggs AM > Director Trauma Services > Royal Adelaide Hospital > South Australia > william.griggs at health.sa.gov.au > > > -----Original Message----- > From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] > On Behalf Of Angela > Sent: Tuesday, December 30, 2008 12:06 AM > To: trauma-list at trauma.org > Subject: is yelling accepatable?? ever?? > > > I work with a pariticular trauma surgeon and he loses his temper easily and > resorts to yelling and screaming at all staff until hiis orders are done and > things go his way overall . My trauma team are no amateurs and have a good > flow when it' s gets busy. Your walking on egg shells around him because no > one knows what will upset him. And he never says ," sorry for acting out > of line." Thouhghts? > > JMH hospital , MIami > > > > > > ------------------------------ > > Message: 4 > Date: Tue, 30 Dec 2008 09:24:59 EST > From: KMATTOX at aol.com > Subject: Re: is yelling accepatable?? ever?? > To: trauma-list at trauma.org, angie504 at hotmail.com > Message-ID: <cb7.45e82633.368b893b at aol.com> > Content-Type: text/plain; charset="US-ASCII" > > It is acceptable to "yell" at a person a block away that you see is about to > be hit by an unseen and unheard 18 wheeler about to hit the person. The > yell is to get their attention and to hope that the warning will cause the > imperiled person to get out of the way. > > In an operating room, shock room, ICU, or other areas where critical > patients accumulate, the trained team (and even those in training) look to the > leaders in the room to bring order out of chaos. To be able to walk into a > room and bring calm, bring order, bring organization, and bring confidence to > all members of the treating team is a responsibility, a sign of > professionalism. > > Yelling is a symptom of a number of other diseases: > > - failure to communicate prior to the operation or procedure to those in the > room as to what one will desire to do the jobs. > > - a sign of insecurity on ones own part in knowing just what to do, the > order of when to do it, and how to lead others. > > - a sign that the leader never was in control, or has other unmet needs > which need to be identified and treated. > > - many others > > For the sake of future patients, the yeller should go to charm school. > > For many operations, there is no need for ANY verbal exchange if the > preparation and communications have been done well. Just listen to the classical > (or C&W) music and focus on the job to be done. > > k > > > > > In a message dated 12/30/2008 5:55:56 A.M. Central Standard Time, > gdoig at med.usyd.edu.au writes: > > > No, it is not acceptable to yell at your team. Here in OZ we call that > 'bullying'. Elsewhere it is likely called abuse... > > Gordon > > Quoting Angela <angie504 at hotmail.com>: > > > > > I work with a pariticular trauma surgeon and he loses his temper > > easily and resorts to yelling and screaming at all staff until hiis > > orders are done and things go his way overall . My trauma team are > > no amateurs and have a good flow when it' s gets busy. Your walking > > on egg shells around him because no one knows what will upset him. > > And he never says ," sorry for acting out of line." Thouhghts? > > > > JMH hospital , MIami > > > >> From: trauma-list-request at trauma.org > >> Subject: trauma-list Digest, Vol 66, Issue 29 > >> To: trauma-list at trauma.org > >> Date: Mon, 29 Dec 2008 22:30:08 +0000 > >> > >> Send trauma-list mailing list submissions to > >> trauma-list at trauma.org > >> > >> To subscribe or unsubscribe via the World Wide Web, visit > >> http://list.mistral.net/mailman/listinfo/trauma-list > >> or, via email, send a message with subject or body 'help' to > >> trauma-list-request at trauma.org > >> > >> You can reach the person managing the list at > >> trauma-list-owner at trauma.org > >> > >> When replying, please edit your Subject line so it is more specific > >> than "Re: Contents of trauma-list digest..." > >> > >> > >> Today's Topics: > >> > >> 1. Re: trauma-list Digest, Vol 66, Issue 28 (luisfr28 at gmail.com) > >> 2. Ang: John Pryor, M.D. (Johan Malmgren) > >> 3. new text - Essentials of Terror Medicine (Jeffrey Hammond) > >> > >> > >> ---------------------------------------------------------------------- > >> > >> Message: 1 > >> Date: Mon, 29 Dec 2008 12:47:39 +0000 > >> From: luisfr28 at gmail.com > >> Subject: Re: trauma-list Digest, Vol 66, Issue 28 > >> To: trauma-list at trauma.org > >> Message-ID: > >> > <1741287733-1230554855-cardhu_decombobulator_blackberry.rim.net-466765912- at bxe034.bisx.prod.on.blackberry> > >> > >> Content-Type: text/plain > >> > >> Sadness and violence reflects the enviroment of conflicts like irak > >> does, but Dr Pryor had vissions and reflections about the civilian > >> violence and war, his washington post article shows it, like a > >> surgeon , like a man, from Venezuela ,i present my repect and > >> really sorry your loss.. > >> Enviado desde mi BlackBerry de Movistar > >> > >> -----Original Message----- > >> From: trauma-list-request at trauma.org > >> > >> Date: Mon, 29 Dec 2008 12:00:10 > >> To: <trauma-list at trauma.org> > >> Subject: trauma-list Digest, Vol 66, Issue 28 > >> > >> > >> Send trauma-list mailing list submissions to > >> trauma-list at trauma.org > >> > >> To subscribe or unsubscribe via the World Wide Web, visit > >> http://list.mistral.net/mailman/listinfo/trauma-list > >> or, via email, send a message with subject or body 'help' to > >> trauma-list-request at trauma.org > >> > >> You can reach the person managing the list at > >> trauma-list-owner at trauma.org > >> > >> When replying, please edit your Subject line so it is more specific > >> than "Re: Contents of trauma-list digest..." > >> > >> > >> Today's Topics: > >> > >> 1. Re: John Pryor MD (listasmsd) > >> 2. Re: John Pryor MD (Sohail Muzammil) > >> 3. Re: John Pryor, M.D. (nappio at aol.com) > >> 4. Re: John Pryor, M.D. (Karim Brohi) > >> 5. Re: John Pryor, M.D. (Forrest Robleto) > >> > >> > >> ---------------------------------------------------------------------- > >> > >> Message: 1 > >> Date: Sun, 28 Dec 2008 08:27:10 -0400 > >> From: "listasmsd" <listasmsd at gmail.com> > >> Subject: Re: John Pryor MD > >> To: "Trauma & Critical Care mailing list" <trauma-list at trauma.org> > >> Message-ID: <7472F9B54BAA456096E8F96F0D453419 at compaq> > >> Content-Type: text/plain; charset="iso-8859-1" > >> > >> Meaning what a pity? or very sorry? or it hurts? > >> cordially > >> Manuel Sotelo > >> Caracas D.C. > >> > >> > >> Que lastima!!! > >> > >> Charlene > >> in NC. > >> > >> On Fri, Dec 26, 2008 at 12:12 PM, <moore677 at aol.com> wrote: > >> > >> > >From Pat Reilly at Penn............ > >> > > >> > > >> > -----Original Message----- > >> > From: Patrick M. Reilly <reillyp at uphs.upenn.edu> > >> > To: Forrest O. Moore <moore677 at aol.com> > >> > Sent: Fri, 26 Dec 2008 9:43 am > >> > Subject: EAST Mail: John Pryor MD > >> > > >> > > >> > > >> > I've tried to call many of the Penn Trauma family personally over the > last > >> > several hours. I apologize if I have not gotten through to you. > You're > >> > welcome > >> > to give me call if you would like. > >> > > >> > Sorry to need to forward this email... > >> > > >> > > >> > > >> > It is with profound sadness and an overwhelming sense of loss that we > send > >> > this > >> > communication. Last evening we were notified that Major John Pryor was > >> > killed by > >> > enemy fire in Iraq. John was serving his second tour as a combat > surgeon > >> > with > >> > the United States Army. He deployed on December 6th and had been on > >> > location > >> > with a forward surgical team. > >> > > >> > > >> > > >> > John came to the University of Pennsylvania in 1999 after completing his > >> > surgical training at the State University of New York in Buffalo. After > >> > his > >> > Fellowship in trauma surgery and critical care he joined the faculty of > >> > the > >> > Department of Surgery and currently was serving as the Trauma Program > >> > Director > >> > for the Hospital of the University of Pennsylvania. > >> > > >> > > >> > > >> > "JP" was a magical man, with boundless energy and goodness. He as was a > >> > devoted > >> > son, husband, father, colleague and friend. He was an outstanding > >> > physician, > >> > gifted surgeon, teacher and mentor. At his core were many great values > but > >> > his > >> > passion for service to others and gave back something to each and > everyone > >> > of > >> > us, everyday. His favorite quote, by Albert Schweitzer, hangs in his > >> > office > >> > and > >> > it captures the essence of John Pryor. > >> > > >> > > >> > > >> > ".. Seek always to do some good, somewhere. Every man has to > >> > seek in > >> > his own way to realize his true worth. You must give some time to your > >> > fellow > >> > man. Even if it's a little thing, do something for those who need help, > >> > something for which you get no pay but the privilege of doing it. For > >> > remember, > >> > you don't lie in a world all your own. Your brothers are here, too." > >> > > >> > > >> > > >> > > >> > > >> > > >> > > >> > John's sudden death while serving as a physician on the battlefield, > is a > >> > very > >> > personal loss for the many of us who have worked side by side with him > in > >> > our > >> > Emergency Department, OR's and ICU's, and all the more stark coming > >> > unexpectedly in this h > >> > oliday season. All of us have lost one of our "brothers". > >> > Our thoughts are with his wife Carmella Calvo, their three children and > >> > all > >> > the > >> > family. > >> > > >> > > >> > > >> > We will pass on further information about services and ways in which we > >> > can > >> > help > >> > the Pryor family as they become available. > >> > > >> > > >> > > >> > > >> > > >> > C. William Schwab MD > >> > > >> > Chief, Division of Trauma and Critical Care > >> > > >> > > >> > > >> > James Mullen MD > >> > > >> > Interim Chair, Department of Surgery > >> > > >> > > >> > > >> > > >> > > >> > -- > >> > trauma-list : TRAUMA.ORG <http://trauma.org/> > >> > To change your settings or unsubscribe visit: > >> > http://www.trauma.org/index.php?/community/ > >> > > >> > >> > >> > >> -- > >> Do not follow where the path may lead. > >> Go instead where there is no path and leave a trail. " > >> ~ Ralph Waldo Emerson > >> -- > >> trauma-list : TRAUMA.ORG > >> To change your settings or unsubscribe visit: > >> http://www.trauma.org/index.php?/community/ > >> > >> > >> > >> ------------------------------ > >> > >> Message: 2 > >> Date: Sun, 28 Dec 2008 19:12:24 +0500 > >> From: "Sohail Muzammil" <sohailmuzammil at gmail.com> > >> Subject: Re: John Pryor MD > >> To: trauma-list at trauma.org > >> Message-ID: > >> <17ede7bb0812280612u41a171f6ld9b8d882f9dd3b68 at mail.gmail.com> > >> Content-Type: text/plain; charset=ISO-8859-1 > >> > >> Dear Dr Mattox, > >> > >> A very touching eulogy for a fallen comrade. My prayers go out to all > lives > >> so needlessly lost to this; indeed to all conflicts. It is a sad > reflection > >> on the state of humanity that arguments still need to be settled with > sharp > >> instruments and explosives. It remains our onerous duty to patch up as > best > >> we can the results of man's inhumanity to man; and perhaps raise a voice > >> against this insanity (as you Dr. Mattox often do). > >> > >> Regards > >> S Muzammil, FRCS > >> > >> PS: Eid Al Adha (and the Hajj) passed recently. Ramadan was about a couple > >> of months ago. > >> ..................... > >> ....Third, how so very sad to loose John Pryor during this special time of > >> the > >> year. For all of the major faiths with which we in the United States > are > >> most familiar, their festive and holy times are now: Christianity, > >> Judaism, > >> Islam, Quanza. Yes, even Ramadan is now...... > >> > >> ....We each will rededicate our genetically predetermined professionalism > to > >> be > >> built on the foundations of your work. > >> > >> Kenneth L. Mattox, MD > >> Houston > >> > >> > >> ------------------------------ > >> > >> Message: 3 > >> Date: Sun, 28 Dec 2008 15:19:23 +0000 > >> From: nappio at aol.com > >> Subject: Re: John Pryor, M.D. > >> To: "Trauma & Critical Care mailing list" <trauma-list at trauma.org> > >> Message-ID: > >> > <1526666961-1230477618-cardhu_decombobulator_blackberry.rim.net-2061082293- at bxe293.bisx.prod.on.blackberry> > >> > >> Content-Type: text/plain > >> > >> Karim, although there may be countless individuals throughout the > >> year that may benefit from good will, I feel during this special > >> season many on the trauma.org site would like very much to show > >> their support to the Pryor family thru a scholarship donation for > >> his children. Possibly directly into a 529 savings plan. Is that > >> something the list administration could consider spearheading or > >> any colleagues' of his who are on the list?David Napoliello md facs > >> Sent from my Verizon Wireless BlackBerry > >> > >> -----Original Message----- > >> From: KMATTOX at aol.com > >> > >> Date: Sat, 27 Dec 2008 15:04:47 > >> To: <ccm-l at ccm-l.org>; <trauma-list at trauma.org> > >> Cc: <SURGINET at listserv.utoronto.ca> > >> Subject: John Pryor, M.D. > >> > >> > >> To the many families, friends, and colleagues of Dr. John Pryor. > >> > >> First, John died doing what he and all on these lists are genetically > >> programmed to do - care for their fellow men and women, give them a > >> chance at > >> survival and recovery and to return them as a functional member of > society. > >> John trained in his chosen profession to be the medical adventurer > >> that is an > >> understandable underlying and unquenchable force which is present > >> in each of > >> us. Going to the heart of danger, both in the large inner city > >> hospital as > >> well as in a war in bay off lands, we see the toughest of the > >> tough; the task > >> which others might retreat or shirk from, John found his peace while > >> attempting to piece together the most complex of cases. > >> > >> Second, John understood the illogic of his chosen field of trauma > surgery. > >> He understood that the streets of Philadelphia were just as > >> dangerous as the > >> venues of hostility in a country at war. He understood that he was > >> predestined to be in the heat of the battle, whether it be > >> Philadelphia or Mosal. > >> It was his fate to patch up the secondary effects of man's inhumanity > to > >> man. Yes, in an ideal world preventive strategies would completely > >> eliminate the area of surgical skill where John was most skilled > >> and comfortable, the > >> need for John Pryor's in the future will never be eliminated. > >> Now and for > >> the long foreseeable future, the acute care trauma critical care surgeon > >> will at the pinnacle of physicians in demand and needed in > >> communities around > >> the world, especially the United States. > >> > >> Third, how so very sad to loose John Pryor during this special time of the > >> year. For all of the major faiths with which we in the United States > are > >> most familiar, their festive and holy times are now: > >> Christianity, Judaism, > >> Islam, Quanza. Yes, even Ramadan is now. > >> > >> Some on these list knew John Pryor very well and their loss is most > severe. > >> Our hearts, prayers, support, and understanding are extended to them. > >> Some knew John peripherally or were just learning of his developing > career > >> trajectory. Still others only suffer as they know John > >> represents the kind of > >> surgical spirit that all surgeons possess. Yes, John Pryor has the > trauma > >> surgeon's genome. There is no need for question or discussion. > >> We each in our > >> own way know exactly why John was in Iraq. On another day, the loss > could > >> have been any one of us. > >> > >> John: as a soldier, we respect and salute you. > >> as a teacher, we seek to emulate you. > >> as a visionary, we support you. > >> as a surgeon we recognize your master skills > >> as a human, we applaud and memorialize your unique and lasting > >> contributions. > >> > >> We each will rededicate our genetically predetermined professionalism to > be > >> built on the foundations of your work. > >> > >> Kenneth L. Mattox, MD > >> Houston > >> > >> > >> > >> > >> > >> **************One site keeps you connected to all your email: AOL Mail, > >> Gmail, and Yahoo Mail. Try it now. > >> > (http://www.aol.com/?optin=new-dp&icid=aolcom40vanity&ncid=emlcntaolcom00000025) > >> -- > >> trauma-list : TRAUMA.ORG > >> To change your settings or unsubscribe visit: > >> http://www.trauma.org/index.php?/community/ > >> > >> ------------------------------ > >> > >> Message: 4 > >> Date: Sun, 28 Dec 2008 20:52:07 +0000 > >> From: "Karim Brohi" <karimbrohi at gmail.com> > >> Subject: Re: John Pryor, M.D. > >> To: "Trauma &, Critical Care mailing list" <trauma-list at trauma.org> > >> Message-ID: > >> <b8b351510812281252n3e7637eeucd21a06083a3741e at mail.gmail.com> > >> Content-Type: text/plain; charset=ISO-8859-1 > >> > >> DavidOf course. I'm happy for trauma.org to coordinate this, although > it'll > >> be a little difficult for me to set up from here. If you or someone close > >> to John can set this up we can make donations available through the > website. > >> Otherwise I could set up a Paypal account for people to donate to and > then > >> forward proceeds to his family or an appropriate intermediary. > >> I know John was close to many people on this list, in the US and > >> internationally, and we'll do everything we can to help his family. > >> Karim > >> > >> 2008/12/28 <nappio at aol.com> > >> > >> > Karim, although there may be countless individuals throughout the > >> year that > >> > may benefit from good will, I feel during this special season many on > the > >> > trauma.org site would like very much to show their support to the Pryor > >> > family thru a scholarship donation for his children. Possibly > >> directly into > >> > a 529 savings plan. Is that something the list administration could > >> > consider spearheading or any colleagues' of his who are on the > list?David > >> > Napoliello md facs > >> > Sent from my Verizon Wireless BlackBerry > >> > > >> > -----Original Message----- > >> > From: KMATTOX at aol.com > >> > > >> > Date: Sat, 27 Dec 2008 15:04:47 > >> > To: <ccm-l at ccm-l.org>; <trauma-list at trauma.org> > >> > Cc: <SURGINET at listserv.utoronto.ca> > >> > Subject: John Pryor, M.D. > >> > > >> > > >> > To the many families, friends, and colleagues of Dr. John Pryor. > >> > > >> > First, John died doing what he and all on these lists are genetically > >> > programmed to do - care for their fellow men and women, give them a > chance > >> > at > >> > survival and recovery and to return them as a functional member of > >> > society. > >> > John trained in his chosen profession to be the medical > >> adventurer that is > >> > an > >> > understandable underlying and unquenchable force which is present in > each > >> > of > >> > us. Going to the heart of danger, both in the large inner > >> city hospital > >> > as > >> > well as in a war in bay off lands, we see the toughest of the tough; > the > >> > task > >> > which others might retreat or shirk from, John found his peace while > >> > attempting to piece together the most complex of cases. > >> > > >> > Second, John understood the illogic of his chosen field of trauma > >> surgery. > >> > He understood that the streets of Philadelphia were just as dangerous > as > >> > the > >> > venues of hostility in a country at war. He understood that he was > >> > predestined to be in the heat of the battle, whether it be > >> Philadelphia or > >> > Mosal. > >> > It was his fate to patch up the secondary effects of man's inhumanity > to > >> > man. Yes, in an ideal world preventive strategies would completely > >> > eliminate the area of surgical skill where John was most skilled and > >> > comfortable, the > >> > need for John Pryor's in the future will never be eliminated. Now > and > >> > for > >> > the long foreseeable future, the acute care trauma critical care > surgeon > >> > will at the pinnacle of physicians in demand and needed in communities > >> > around > >> > the world, especially the United States. > >> > > >> > Third, how so very sad to loose John Pryor during this special time of > the > >> > year. For all of the major faiths with which we in the United States > >> > are > >> > most familiar, their festive and holy times are now: Christianity, > >> > Judaism, > >> > Islam, Quanza. Yes, even Ramadan is now. > >> > > >> > Some on these list knew John Pryor very well and their loss is most > >> > severe. > >> > Our hearts, prayers, support, and understanding are extended to them. > >> > Some knew John peripherally or were just learning of his > >> developing career > >> > trajectory. Still others only suffer as they know John represents the > >> > kind of > >> > surgical spirit that all surgeons possess. Yes, John Pryor has > >> the trauma > >> > surgeon's genome. There is no need for question or discussion. > >> We each > >> > in our > >> > own way know exactly why John was in Iraq. On another day, the loss > >> > could > >> > have been any one of us. > >> > > >> > John: as a soldier, we respect and salute you. > >> > as a teacher, we seek to emulate you. > >> > as a visionary, we support you. > >> > as a surgeon we recognize your master skills > >> > as a human, we applaud and memorialize your unique and lasting > >> > contributions. > >> > > >> > We each will rededicate our genetically predetermined > >> professionalism to be > >> > built on the foundations of your work. > >> > > >> > Kenneth L. Mattox, MD > >> > Houston > >> > > >> > > >> > > >> > > >> > > >> > **************One site keeps you connected to all your email: AOL Mail, > >> > Gmail, and Yahoo Mail. Try it now. > >> > ( > >> > > >> > http://www.aol.com/?optin=new-dp&icid=aolcom40vanity&ncid=emlcntaolcom00000025 > >> > ) > >> > -- > >> > trauma-list : TRAUMA.ORG > >> > To change your settings or unsubscribe visit: > >> > http://www.trauma.org/index.php?/community/ > >> > -- > >> > trauma-list : TRAUMA.ORG > >> > To change your settings or unsubscribe visit: > >> > http://www.trauma.org/index.php?/community/ > >> > > >> > >> > >> ------------------------------ > >> > >> Message: 5 > >> Date: Sun, 28 Dec 2008 18:19:37 -0500 > >> From: "Forrest Robleto" <farcpr at gmail.com> > >> Subject: Re: John Pryor, M.D. > >> To: "Trauma &, Critical Care mailing list" <trauma-list at trauma.org> > >> Message-ID: > >> <2277979f0812281519o5df09733j10ea26715d89d88d at mail.gmail.com> > >> Content-Type: text/plain; charset=ISO-8859-1 > >> > >> I'm not too far away, I check tomorrow to see what it would take to set > >> this up. > >> > >> > >> V/R > >> > >> Forrest Robleto > >> R House Health & Safety > >> www.RHouseTraining.com > >> FRobleto at RhouseTraining.com > >> 609-792-9047 > >> > >> > >> > >> > >> Fran Lebowitz - "My favorite animal is steak." > >> > >> On Sun, Dec 28, 2008 at 3:52 PM, Karim Brohi <karimbrohi at gmail.com> > wrote: > >> > >> > DavidOf course. I'm happy for trauma.org to coordinate this, although > >> > it'll > >> > be a little difficult for me to set up from here. If you or someone > close > >> > to John can set this up we can make donations available through the > >> > website. > >> > Otherwise I could set up a Paypal account for people to donate > >> to and then > >> > forward proceeds to his family or an appropriate intermediary. > >> > I know John was close to many people on this list, in the US and > >> > internationally, and we'll do everything we can to help his family. > >> > Karim > >> > > >> > 2008/12/28 <nappio at aol.com> > >> > > >> > > Karim, although there may be countless individuals throughout the > year > >> > that > >> > > may benefit from good will, I feel during this special season > >> many on the > >> > > trauma.org site would like very much to show their support to the > Pryor > >> > > family thru a scholarship donation for his children. Possibly directly > >> > into > >> > > a 529 savings plan. Is that something the list administration could > >> > > consider spearheading or any colleagues' of his who are on the > >> list?David > >> > > Napoliello md facs > >> > > Sent from my Verizon Wireless BlackBerry > >> > > > >> > > -----Original Message----- > >> > > From: KMATTOX at aol.com > >> > > > >> > > Date: Sat, 27 Dec 2008 15:04:47 > >> > > To: <ccm-l at ccm-l.org>; <trauma-list at trauma.org> > >> > > Cc: <SURGINET at listserv.utoronto.ca> > >> > > Subject: John Pryor, M.D. > >> > > > >> > > > >> > > To the many families, friends, and colleagues of Dr. John Pryor. > >> > > > >> > > First, John died doing what he and all on these lists are genetically > >> > > programmed to do - care for their fellow men and women, give them a > >> > chance > >> > > at > >> > > survival and recovery and to return them as a functional member of > >> > > society. > >> > > John trained in his chosen profession to be the medical adventurer > that > >> > is > >> > > an > >> > > understandable underlying and unquenchable force which is present in > >> > each > >> > > of > >> > > us. Going to the heart of danger, both in the large inner city > >> > hospital > >> > > as > >> > > well as in a war in bay off lands, we see the toughest of the > >> tough; the > >> > > task > >> > > which others might retreat or shirk from, John found his peace while > >> > > attempting to piece together the most complex of cases. > >> > > > >> > > Second, John understood the illogic of his chosen field of trauma > >> > surgery. > >> > > He understood that the streets of Philadelphia were just as > >> dangerous as > >> > > the > >> > > venues of hostility in a country at war. He understood that he was > >> > > predestined to be in the heat of the battle, whether it be > Philadelphia > >> > or > >> > > Mosal. > >> > > It was his fate to patch up the secondary effects of man's > inhumanity > >> > to > >> > > man. Yes, in an ideal world preventive strategies would > completely > >> > > eliminate the area of surgical skill where John was most skilled and > >> > > comfortable, the > >> > > need for John Pryor's in the future will never be eliminated. > >> Now and > >> > > for > >> > > the long foreseeable future, the acute care trauma critical > >> care surgeon > >> > > will at the pinnacle of physicians in demand and needed in > communities > >> > > around > >> > > the world, especially the United States. > >> > > > >> > > Third, how so very sad to loose John Pryor during this special time > of > >> > the > >> > > year. For all of the major faiths with which we in the United > States > >> > > are > >> > > most familiar, their festive and holy times are now: Christianity, > >> > > Judaism, > >> > > Islam, Quanza. Yes, even Ramadan is now. > >> > > > >> > > Some on these list knew John Pryor very well and their loss is most > >> > > severe. > >> > > Our hearts, prayers, support, and understanding are extended to > them. > >> > > Some knew John peripherally or were just learning of his developing > >> > career > >> > > trajectory. Still others only suffer as they know John represents > the > >> > > kind of > >> > > surgical spirit that all surgeons possess. Yes, John Pryor has the > >> > trauma > >> > > surgeon's genome. There is no need for question or discussion. > We > >> > each > >> > > in our > >> > > own way know exactly why John was in Iraq. On another day, the loss > >> > > could > >> > > have been any one of us. > >> > > > >> > > John: as a soldier, we respect and salute you. > >> > > as a teacher, we seek to emulate you. > >> > > as a visionary, we support you. > >> > > as a surgeon we recognize your master skills > >> > > as a human, we applaud and memorialize your unique and > lasting > >> > > contributions. > >> > > > >> > > We each will rededicate our genetically predetermined professionalism > to > >> > be > >> > > built on the foundations of your work. > >> > > > >> > > Kenneth L. Mattox, MD > >> > > Houston > >> > > > >> > > > >> > > > >> > > > >> > > > >> > > **************One site keeps you connected to all your email: AOL > Mail, > >> > > Gmail, and Yahoo Mail. Try it now. > >> > > ( > >> > > > >> > > >> > http://www.aol.com/?optin=new-dp&icid=aolcom40vanity&ncid=emlcntaolcom00000025 > >> > > ) > >> > > -- > >> > > trauma-list : TRAUMA.ORG <http://trauma.org/> > >> > > To change your settings or unsubscribe visit: > >> > > http://www.trauma.org/index.php?/community/ > >> > > -- > >> > > trauma-list : TRAUMA.ORG <http://trauma.org/> > >> > > To change your settings or unsubscribe visit: > >> > > http://www.trauma.org/index.php?/community/ > >> > > > >> > -- > >> > trauma-list : TRAUMA.ORG <http://trauma.org/> > >> > To change your settings or unsubscribe visit: > >> > http://www.trauma.org/index.php?/community/ > >> > > >> > >> > >> ------------------------------ > >> > >> -- > >> trauma-list : TRAUMA.ORG > >> To change your settings or unsubscribe visit: > >> http://www.trauma.org/index.php?/community/ > >> > >> End of trauma-list Digest, Vol 66, Issue 28 > >> ******************************************* > >> > >> ------------------------------ > >> > >> Message: 2 > >> Date: Mon, 29 Dec 2008 18:01:54 +0100 > >> From: Johan Malmgren <johan.malmgren at vgregion.se> > >> Subject: Ang: John Pryor, M.D. > >> To: <trauma-list at trauma.org> > >> Message-ID: > >> > <OF886468BA.F309BE54-ONC125752E.005D8F20-C125752E.005D8F22 at vgregion.se> > >> > >> Content-Type: text/plain; charset="us-ascii" > >> > >> An HTML attachment was scrubbed... > >> URL: > >> > <http://list.mistral.net/pipermail/trauma-list/attachments/20081229/567e7658/attachment-0001.html> > >> > >> ------------------------------ > >> > >> Message: 3 > >> Date: Mon, 29 Dec 2008 17:21:54 -0500 > >> From: Jeffrey Hammond <hammond at umdnj.edu> > >> Subject: new text - Essentials of Terror Medicine > >> To: "trauma-list at trauma.org" <trauma-list at trauma.org> > >> Message-ID: <fc421c0385a1.49590732 at umdnj.edu> > >> Content-Type: text/plain; charset="us-ascii" > >> > >> An HTML attachment was scrubbed... > >> URL: > >> > <http://list.mistral.net/pipermail/trauma-list/attachments/20081229/38890c0d/attachment.html> > >> -------------- next part -------------- > >> A non-text attachment was scrubbed... > >> Name: TerrorTextBookFlyer.pdf > >> Type: application/pdf > >> Size: 1167968 bytes > >> Desc: not available > >> URL: > >> > <http://list.mistral.net/pipermail/trauma-list/attachments/20081229/38890c0d/attachment.pdf> > >> -------------- next part -------------- > >> A non-text attachment was scrubbed... > >> Name: TerrorText.TableContents.pdf > >> Type: application/pdf > >> Size: 63700 bytes > >> Desc: not available > >> URL: > >> > <http://list.mistral.net/pipermail/trauma-list/attachments/20081229/38890c0d/attachment-0001.pdf> > >> > >> ------------------------------ > >> > >> -- > >> trauma-list : TRAUMA.ORG > >> To change your settings or unsubscribe visit: > >> http://www.trauma.org/index.php?/community/ > >> > >> End of trauma-list Digest, Vol 66, Issue 29 > >> ******************************************* > > > > _________________________________________________________________ > > Send e-mail anywhere. No map, no compass. > > > http://windowslive.com/oneline/hotmail?ocid=TXT_TAGLM_WL_hotmail_acq_anywhere_122008 > > -- > > trauma-list : TRAUMA.ORG > > To change your settings or unsubscribe visit: > > http://www.trauma.org/index.php?/community/ > > > > > -- > trauma-list : TRAUMA.ORG > To change your settings or unsubscribe visit: > http://www.trauma.org/index.php?/community/ > > > **************One site keeps you connected to all your email: AOL Mail, > Gmail, and Yahoo Mail. Try it now. > (http://www.aol.com/?optin=new-dp&icid=aolcom40vanity&ncid=emlcntaolcom00000025) > > > ------------------------------ > > Message: 5 > Date: Tue, 30 Dec 2008 14:32:21 +0000 > From: "Anthony Caruso " <medic541 at hotmail.com> > Subject: Re: is yelling accepatable?? ever?? > To: "trauma-list at trauma.org " <trauma-list at trauma.org> > Message-ID: <BAY121-DS227D2B8549CB10B2C126699E70 at phx.gbl> > Content-Type: text/plain; charset="iso-8859-15" > > > Ken, not to mention that the patient is already scared. I'm sure they don't need to have the person saving there life, yelling at other staff members. > Sent from my Verizon Wireless BlackBerry > > > > ------------------------------ > > Message: 6 > Date: Tue, 30 Dec 2008 09:41:40 -0500 > From: "Bjorn, Pret" <pbjorn at emh.org> > Subject: RE: is yelling acceptable?? ever?? > To: "Trauma & Critical Care mailing list" <trauma-list at trauma.org> > Message-ID: > <9CCE32ECAAFDEB4DA01EC771B6AD951B036A7C18 at VALIER.me.emh.org> > Content-Type: text/plain; charset="us-ascii" > > Beware empathy for the sake of empathy. If the report is truthful, the > behaviors are unacceptable and the history and motivations are > irrelevant. The issue demands systematic correction. If there are no > hospital or medical staff policies for disruptive / abusive behaviors, > it falls to the responsibility and discretion of supervisors -- which > should in itself inspire the prompt development of reasonable and > enforceable policies. > > Properly documenting the circumstance is essential either way: it holds > both the complainant and the clinician responsible to the facts, and > provides a foundation for correction and tracking. > > These solutions should be obvious. > > Pret > > > -----Original Message----- > From: trauma-list-bounces at trauma.org > [mailto:trauma-list-bounces at trauma.org] On Behalf Of Bill Griggs > Sent: Tuesday, December 30, 2008 9:00 AM > To: 'Trauma & Critical Care mailing list' > Subject: RE: is yelling acceptable?? ever?? > > > A number of people have posted that this sort of behaviour is > unacceptable, > potentially unsafe and likely to produce bad outcomes. > > Now what about looking for solutions? It is possible that the surgeon > concerned is unaware that his behaviour is disruptive and believes it is > the > "only" way to get the "right" things to happen. If not, maybe there are > some personal or other issues at work? Regardless of the cause it is > clear > that he should be offered some counselling and support. > > Unfortunately there is also enough information in the email to suggest > the > identity of the facility, perhaps also for local people to identify the > person who posted it, and possibly the surgeon concerned. The cat is > now > out of the bag. > > I suggest that the original poster should approach someone that she > trusts > who is in a senior position and who will be able to progress this > further in > a supportive manner. > > With the right support sometimes tigers do change their stripes. > > Good luck. > > Bill > > A/Prof William Griggs AM > Director Trauma Services > Royal Adelaide Hospital > South Australia > william.griggs at health.sa.gov.au > > > -----Original Message----- > From: trauma-list-bounces at trauma.org > [mailto:trauma-list-bounces at trauma.org] > On Behalf Of Angela > Sent: Tuesday, December 30, 2008 12:06 AM > To: trauma-list at trauma.org > Subject: is yelling accepatable?? ever?? > > > I work with a pariticular trauma surgeon and he loses his temper easily > and > resorts to yelling and screaming at all staff until hiis orders are done > and > things go his way overall . My trauma team are no amateurs and have a > good > flow when it' s gets busy. Your walking on egg shells around him > because no > one knows what will upset him. And he never says ," sorry for acting > out > of line." Thouhghts? > > JMH hospital , MIami > > > > -- > trauma-list : TRAUMA.ORG > To change your settings or unsubscribe visit: > http://www.trauma.org/index.php?/community/ > > > > > ------------------------------ > > Message: 7 > Date: Tue, 30 Dec 2008 11:43:44 -0500 > From: "Gross, Ronald" <Ronald.Gross at bhs.org> > Subject: FW: Dr. John Pryor - Service Arrangements > To: "trauma-list at trauma.org" <trauma-list at trauma.org> > Message-ID: > <FD2BE6867A90F543AAD02E429F878633012E5E03343C at bhsexc11.bhs.org> > Content-Type: text/plain; charset="us-ascii" > > > > Ronald I. Gross, MD, FACS > Chief of Trauma & Emergency Surgery Services > Baystate Medical Center > 759 Chestnut Street > Springfield, MA 01199 > 413-794-4022 phone > 413-794-0142 fax > ronald.gross at bhs.org<mailto:ronald.gross at bhs.org> > > ________________________________ > From: Rincon-Choles, Gloria [mailto:rinconcholesgi at upmc.edu] > Sent: Tuesday, December 30, 2008 11:31 AM > To: Rincon-Choles, Gloria > Cc: Peitzman, Andrew; Puyana, Juan > Subject: FW: Dr. John Pryor - Service Arrangements > Importance: High > > Dear SPT Members, > > Dr. Andrew B. Peitzman would like to share with you the messages below. > > Thanks and have a Blessed New Year! > > Andrew B. Peitzman, MD > Executive Director > Panamerican Trauma Society > > -----Original Message----- > From: Peitzman, Andrew > Sent: Tuesday, December 30, 2008 10:25 AM > To: Rincon-Choles, Gloria > Cc: Puyana, Juan > Subject: FW: Dr. John Pryor - service arrangements > Gloria, > please forward to SPT members. Gracias. > > Andrew B. Peitzman, MD > Mark M. Ravitch Professor and Vice-Chairman, Department of Surgery > Chief, General Surgery and UPMC Trauma Services > University of Pittsburgh School of Medicine > F-1281, UPMC-Presbyterian > Pittsburgh, Pa 15213 > 412-647-0635 > 412-647-3247 (FAX) > > ________________________________ > From: Mullen, Angela [Angela.Mullen at uphs.upenn.edu] > Sent: Tuesday, December 30, 2008 9:55 AM > To: sgautschy at aast.org; Peitzman, Andrew; Eastman.Brent at scrippshealth.org; Reilly, Patrick M. > Subject: RE: Dr. John Pryor - service arrangements > We have just received the fund information for the Pryor family for inclusion of the posting if possible. > > The Fund for Dr. John Pryor has been established to help his wife Carmela and their 3 small children. Donations can be made as follows: > > UPHS- Dr. John Pryor Fund > Suite 750 > 3535 Market Street > Philadelphia, PA 19104-3309 > > > > Angela Mullen > > Practice Manager > > Division of Traumatology & > > Surgical Critical Care > > 3440 Market Street > > Phila Pa 19104 > mullena at uphs.upenn.edu > 215-662-7323 > 215-662-7902 > > ________________________________ > From: Mullen, Angela > Sent: Tuesday, December 30, 2008 9:39 AM > To: 'sgautschy at aast.org'; 'peitzmanab at upmc.edu'; 'Eastman.Brent at scrippshealth.org'; Reilly, Patrick M. > Subject: Dr. John Pryor - service arrangements > > Hello. > > Dr. Schwab asked me to forward Dr. Pryor's service arrangements to be shared with all organizations for posting on each respective site. In addition, the picture below is attached for inclusion. We are awaiting information regarding family contributions / donations that are being finalized today and will share with all of you upon receipt. > > Thank you for your kind sentiments and support. > > Best regards, > > Angela > > > Angela Mullen > > Practice Manager > > Division of Traumatology & > > Surgical Critical Care > > 3440 Market Street > > Phila Pa 19104 > mullena at uphs.upenn.edu > 215-662-7323 > 215-662-7902 > > > > [cid:image001.jpg at 01C96A73.DF458BB0] > > > In loving remembrance of Dr. John P. Pryor, > > > A Public Wake will be held the following dates and times: > > Moorestown Memorial Home > (Lankenau Funeral Homes - http://www.webfh.com/fh/home/home.cfm?&fh_id=11428 ) > 334 Chester Avenue > Moorestown, NJ > 856-235-0007 > > Saturday, January 3, 2009 > 6:00-9:00 PM > > Sunday, January 4, 2009 > 2:00-4:00PM > 6:00-9:00PM > > Funeral Services will be held on Monday, January 5, 2009 > Cathedral Basilica of St. Peter and Paul > (http://www.sspeterpaulcathedral.catholicweb.com<http://www.sspeterpaulcathedral.catholicweb.com/> ) > 18th Street & Benjamin Franklin Parkway > Philadelphia, PA 19103 > 10:00 AM > > The family has erected a website, http://www.drjohnpryor.com/index.html > to share thoughts and memories of John. > > > > The information contained in this e-mail message is intended only for the personal and confidential use of the recipient(s) named above. If the reader of this message is not the intended recipient or an agent responsible for delivering it to the intended recipient, you are hereby notified that you have received this document in error and that any review, dissemination, distribution, or copying of this message is strictly prohibited. If you have received this communication in error, please notify us immediately by e-mail, and delete the original message. > > > ----------------------------------------- > CONFIDENTIALITY NOTICE: This email communication and any > attachments may contain confidential and privileged information for > the use of the designated recipients named above. If you are not > the intended recipient, you are hereby notified that you have > received this communication in error and that any review, > disclosure, dissemination, distribution or copying of it or its > contents is prohibited. If you have received this communication in > error, please reply to the sender immediately or by telephone at > (413) 794-0000 and destroy all copies of this communication and any > attachments. For further information regarding Baystate Health's > privacy policy, please visit our Internet web site at > http://www.baystatehealth.com. > -------------- next part -------------- > A non-text attachment was scrubbed... > Name: image001.jpg > Type: image/jpeg > Size: 10679 bytes > Desc: image001.jpg > URL: <http://list.mistral.net/pipermail/trauma-list/attachments/20081230/31122f71/attachment-0001.jpg> > > ------------------------------ > > Message: 8 > Date: Tue, 30 Dec 2008 12:57:15 -0500 > From: "Charlene M Morris" <cvmmorris at gmail.com> > Subject: Is yelling accepatable?? ever?? > To: "Trauma &, Critical Care mailing list" <trauma-list at trauma.org> > Message-ID: > <ca095570812300957g3ffc6045l60c0af4d182ca8dd at mail.gmail.com> > Content-Type: text/plain; charset=ISO-8859-1 > > Dr. Maddox and the others who stated personnel action is necessary are > correct of course. > > As a PA, in medicine since 1971, I can attest that we were told "if the Dr. > wants something, s/he gets it" "if they misbehave, we tolerate it". Reasons > varied, but included that they were the boss and that they bring the big > money into the facility. > > STILL, my nurse who has been out 10 years was given this same information in > Nursing School. A friend, who is also a nursing instructor I know, now > teaches otherwise. > > Respectfully to the stressful situations, I know one very incredible doctor > with whom I worked years ago-- who blew up when maxxed-- losing a patient, > equipment didn't work-- threw things, yelled.. It was not a good situation. > > I hope this is being discussed in medical schools today. > > CMM > > On Tue, Dec 30, 2008 at 9:32 AM, Anthony Caruso <medic541 at hotmail.com>wrote: > > > > > Ken, not to mention that the patient is already scared. I'm sure they > > don't need to have the person saving there life, yelling at other staff > > members. > > Sent from my Verizon Wireless BlackBerry > > > > -- > > trauma-list : TRAUMA.ORG <http://trauma.org/> > > To change your settings or unsubscribe visit: > > http://www.trauma.org/index.php?/community/ > > > > > > -- > Do not follow where the path may lead. > Go instead where there is no path and leave a trail. " > ~ Ralph Waldo Emerson > > > ------------------------------ > > Message: 9 > Date: Tue, 30 Dec 2008 19:14:28 +0000 > From: Doc Holiday <drydok at hotmail.com> > Subject: RE: Is yelling accepatable?? ever?? > To: ".Trauma List" <trauma-list at trauma.org> > Message-ID: <BLU138-W5329D7C4F00E216642892FC0E70 at phx.gbl> > Content-Type: text/plain; charset="Windows-1252" > > > From: Angela (angie504 at hotmail.com) > I work with a particular trauma surgeon... loses his temper easily... yelling and screaming... until his orders are done... walking on egg shells... no one knows what will upset him > > --> I assume from your e-mail, reading between the lines, especially when you refer to "my" trauma team, that this is something you and your team have significant experience with. It also seems to be clear that this is ONE surgeon who stands out from among others for, unfortunately, negative reasons. > > Although I agree fully that having the topic raised on this list is not anonymous enough and that this may well get back to that surgeon. > > My first thought, therefore, is that you should bear this in mind and probably do your absolute best to discuss this issue URGENTLY with your top senior (or whatever you call the person to whom you answer and with whom the buck lies) and alert him/her to the possibility. I seriously doubt that any solutions you read here should involve you coping with this alone! > > Regardless of whether the cat is now out of the bag, I doubt further discussion will make this issue any worse... > > > And he never says ,"sorry for acting out of line." > > --> So I will choose now to assume that he is not aware that he should apologise. I assume this because I would consider this a problems of IGNORANCE and that's the easier stuff to fix. I am an optimist and always would rather give a fellow professional the benefit of the doubt. Having seen EXACTLY this sort of situation with a previous colleague (a senior ED nurse) in whom the yelling appeared and was "tolerated" until she attempted to take her own life, I will choose to assume ignorance until proven otherwise. > > As has been stated by others, if the surgeon IS aware, then this is no longer ignorance. Bullying and intimidation in the workplace which are NOT through ignorance are an offence. That's less easy to fix... > > From: McSwain, Norman E Jr. (nmcswai at tulane.edu) > "A surgeon never yells or throws instruments... > > --> I hope no-one throws instruments! > > > It is a sign of one who has lost control > > --> Bearing in mind the potential for injury to others, damage to property not owned by the surgeon, the risk of droplet spread and problems with infection control, this is also a sign of worse things i.e. assault (with a weapon?) > > From: Ross Hofmeyr (wildmedic at gmail.com) > There is one time that yelling (actually, I prefer 'raising your voice') is acceptable... > > --> Hey, Ross. The other time is when you are all the way out in Antarctica, trying to make yourself heard in the blizzards ;-) > > From: Gordon Doig (gdoig at med.usyd.edu.au) > in OZ we call that 'bullying' > > --> Same langage here in the UK. > > From: Ken Harrison (Kenh at careflight.org) > It also is a sure sign of an immature and insecure man > > --> It MIGHT be. On the assumption that a surgeon would not make it through whatever training system y'all have out there in the USA without someone noticing this before, I'd say it's a sign of > 1. Immaturity/insecurity AS WELL AS a gross failure of training and selection systems > > OR, more likely, > > 2. A recent (?when) CHANGE and/or alteration in previously normal behaviour & social interaction. These may be brought on possibly by psychological issues, paranoia, stress, substance issues, etc... All of these need investigtion and possibly treatment. Here in the UK, the employer owes the surgeon employee all the care required for this condition... > > I have worked with surgeons (and also other professionals, but not as many as surgeons) who have, at some time or another, done a bit of yelling in my ED... Some stress is generally discovered at the root of this and I am aware of not a single episode where this was appropriately addressed and NOT resolved! > > From: Gross, Ronald (Ronald.Gross at bhs.org) > I have seen physicians just like this receive suspensions and even lose privileges > > --> What about corrective measures and a return to productive work? > > From: Bjorn, Pret (pbjorn at emh.org) > ... should be referred to the Program Director, in writing and in detail, as guided by hospital policy > > --> Sounds good, but I'd BEGIN with a confidential chat with this Director to look for advice even on how to phrase the written statement... > > > careful verbal de-escalation in real time ("Doctor, let's work on accomplishing your objectives less dramatically.") > > --> That's lovely! > > > hopefully some days before publishing one's concerns complete with hospital identifierson an international list server > > --> You mean NEXT TIME... ;-) > > > Surely the List has not contributed substantially to any local solutions > > --> Unless YOUR excellent advice above is followed... In which case the "list" (with you on it) will have helped a lot ;-) > > > the best trauma providers (at every level) engage in a subtle and constant competition to be the coolest player in the room. It's a game that always serves the patient and the process > > --> I doubt anyone would ever accuse me of being "cool", so I think I'd lose the competition... At my ED (only a few dozen miles East of the ORIGINAL Bangor, by the way) the "game" is sort of a team sport, so that any individual's lowering of core temperature is of less significance than the "heat" of the action generated by the whole team... ;-) > > From: KMATTOX at aol.com > acceptable to "yell" at a person a block away that you see is about to be hit by an unseen and unheard 18 wheeler > > --> Acceptable? Sure! > But what's the use of yelling from a whole block away if he can't hear an 18-wheeler about to impact??? > ;-) > > > In an operating room, shock room, ICU... > > --> What's a "shock room"? Google says it's something to do with horror films... > > > Yelling is a symptom of a number of other diseases... a sign that the leader never was in control... > > --> A sign that the person yelling is NOT ACTUALLY the leader. Although he/she might have been expected to be or used to be... While yelling, that person is more of a scarecrow... > > > ...or has other unmet needs which need to be identified and treated > > --> Yes! > > > Just listen to the classical (or C&W) music... > > --> Speaking of which... The one recent time I recall yelling in an operating theatre myself is about 18 months ago (I rarely find myself in operatingtheatres), when I helped push into the theatre a victim of blunt trauma who was wayyy too unstable to deserve to retain the integrity of his abdominal wall. The good news is that the surgeon was right there with the patient, as he helped me push the trolley from the ED. The bad news was that our arrival surprised the staff and there was a radio there, playing some horrible Britney tunes far too loudly (and tastelessly, if you ask me) and we all had to yell to get it turned down. I believe we almost got to yelling again when the debate began about whether Britney was appropriate at all in the first place... ;-) > > From: Bjorn, Pret (pbjorn at emh.org) > Beware empathy for the sake of empathy > > --> It is not mere empathy, but rather the assumption of the presence of an occult cause which requires identification. > > > If the report is truthful, the behaviors are unacceptable and the history and motivations are irrelevant > > --> I would not agree with "irrelevant" - I'd opt for "do not justify bullying", but they ARE relevant if one aims to get to the bottom of the issue and assist the surgon - our colleague - with whatever ails him... > > I'm not giving up on him, yet! > _________________________________________________________________ > Get a bird?s eye view of the world with Multimap > http://clk.atdmt.com/GBL/go/115454059/direct/01/ > > ------------------------------ > > Message: 10 > Date: Tue, 30 Dec 2008 19:42:33 +0000 > From: "Ross Hofmeyr" <wildmedic at gmail.com> > Subject: Re: Is yelling accepatable?? ever?? > To: "Trauma &, Critical Care mailing list" <trauma-list at trauma.org> > Message-ID: > <5e4d794d0812301142y47b4f76clb1b3a661dd1413be at mail.gmail.com> > Content-Type: text/plain; charset=ISO-8859-1 > > 2008/12/30 Doc Holiday <drydok at hotmail.com> > > > > > > > From: Ross Hofmeyr (wildmedic at gmail.com) > There is one time that yelling > > (actually, I prefer 'raising your voice') is acceptable... > > > > --> Hey, Ross. The other time is when you are all the way out in > > Antarctica, trying to make yourself heard in the blizzards ;-) > > > > Heh heh (*wry chuckle*), HoliDoc... down here there is no-one to hear me > call for help... > > Incidentally, (shameless plug alert), there was a brief article in the > latest issue of JuniorDr magazine (a UK print and online publication) on the > work I do here, with a couple of pictures, if anyone is interested. Go to > www.juniordr.com and you can download the PDF of the mag. > > R. > > > ------------------------------ > > Message: 11 > Date: Tue, 30 Dec 2008 15:29:50 -0500 > From: "Gross, Ronald" <Ronald.Gross at bhs.org> > Subject: FW: SPECIAL AAST E-NEWS: Dr. John Pryor > To: "trauma-list at trauma.org" <trauma-list at trauma.org> > Message-ID: > <FD2BE6867A90F543AAD02E429F878633012E5E0410DA at bhsexc11.bhs.org> > Content-Type: text/plain; charset="iso-8859-1" > > > Ronald I. Gross, MD, FACS > Chief of Trauma & Emergency Surgery Services > Baystate Medical Center > 759 Chestnut Street > Springfield, MA 01199 > 413-794-4022 > ronald.gross at bhs.org > ________________________________ > From: aast at aast.mmsend.com [aast at aast.mmsend.com] On Behalf Of aast at aast.org [aast at aast.org] > Sent: Tuesday, December 30, 2008 2:01 PM > To: Gross, Ronald > Subject: SPECIAL AAST E-NEWS: Dr. John Pryor > > [http://templates.commpartners.com/AAST/enews/images/header.jpg] > [http://templates.commpartners.com/AAST/enews/images/sub_header.jpg] > [http://templates.commpartners.com/AAST/enews/images/aast_link.jpg] AAST Website<http://www.magnetmail1.net/ls.cfm?r=171767203&sid=5524242&m=633045&u=AAST&s=http://www.aast.org/> > > > [http://www.magnetmail.net/images/clients/AAST/aast_link.jpg] > > AAST Activities and Resources<http://www.magnetmail1.net/ls.cfm?r=171767203&sid=5524243&m=633045&u=AAST&s=http://www.aast.org/Membership/dynamic.aspx?id=928> > > [http://templates.commpartners.com/AAST/enews/images/journal_link.jpg] Journal of Trauma<http://www.magnetmail1.net/ls.cfm?r=171767203&sid=5524244&m=633045&u=AAST&s=http://www.jtrauma.com/> > > [http://www.magnetmail.net/images/clients/AAST/annual_meeting.jpg] > Annual Meeting Information<http://www.magnetmail1.net/ls.cfm?r=171767203&sid=5524245&m=633045&u=AAST&s=http://www.aast.org/AnnualMeeting/dynamic.aspx?id=866> > > [http://templates.commpartners.com/AAST/enews/images/research_link.jpg] AAST Reseach and Education Foundation<http://www.magnetmail1.net/ls.cfm?r=171767203&sid=5524246&m=633045&u=AAST&s=http://www.aast.org/AASTFoundation/dynamic.aspx?id=950> > > [http://templates.commpartners.com/AAST/enews/images/ftf_link.jpg] Forward This Email<http://www.magnetmail1.net/ls.cfm?r=171767203&sid=5524247&m=633045&u=AAST&s=http://www.magnetmail.net/Actions/new_forward_message.cfm?message_id=633045&FTFId=595&user_id=AAST&recipient_id=171767203> > > > Memorial Service Information for Dr. John Pryor > > A Public Wake will be held the following dates and times: > > Moorestown Memorial Home > Lankenau Funeral Homes<http://www.magnetmail1.net/ls.cfm?r=171767203&sid=5524248&m=633045&u=AAST&s=http://www.webfh.com/fh/home/home.cfm?&fh_id=11428> > 334 Chester Avenue > Moorestown, NJ > 856-235-0007 > > Saturday, January 3, 2009 > 6:00-9:00 PM > > Sunday, January 4, 2009 > 2:00-4:00PM > 6:00-9:00PM > > > > Funeral Services will be held on Monday, January 5, 2009 > Cathedral Basilica of St. Peter and Paul<http://www.magnetmail1.net/ls.cfm?r=171767203&sid=5524249&m=633045&u=AAST&s=http://www.sspeterpaulcathedral.catholicweb.com> > 18th Street & Benjamin Franklin Parkway > Philadelphia, PA 19103 > 10:00 AM > > > > The family has erected a website<http://www.magnetmail1.net/ls.cfm?r=171767203&sid=5524250&m=633045&u=AAST&s=http://www.drjohnpryor.com/index.html> to share thoughts and memories of John. > > Fund for Dr. John Pryor had been established to help his wife Carmela and their 3 small children. 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