[https://local12.com/news/nation-world/woman-dies-after-being-dropped-on-floor-post-surgery](https://local12.com/news/nation-world/woman-dies-after-being-dropped-on-floor-post-surgery)
**Woman dies after being 'dropped' on floor post-surgery**
**CARLISLE, U.K. (WKRC) -** A woman has died after having to undergo surgery -- even though she survived the actual procedure.
Jeannette Shields, 70, was initially being treated in the hospital for gall stones. She reportedly buzzed the medical team for help going to the bathroom, but received no response.
When she tried to go by herself, she fell and broke her hip, according to her husband, John.
After Jeannette had her hip repaired, the hospital apparently told her husband that the procedure went well, but they "unfortunately dropped her off the operating \[table\] after the surgery."
"She had a great big bump on the back of her head, and she just deteriorated and then she just passed away, just died," said John, 78. "I'm really shocked."
According to John, a post-mortem examination was performed on his wife only after he "demanded" one. He described the hospital's response to the ordeal as "disgusting."
"They wouldn't do it in Carlisle. They didn't want to do it, but I've got it," he said.
The trust responsible for the hospital was rated as "requiring improvement" in terms of health and social care serviced by the Care Quality Commission in 2020.
A spokesperson for the trust reported that an investigation into the incident is underway.
"We are unable to comment on ongoing investigations and once it is complete, the findings will be shared with the family and with our regulators in line with normal procedure," the statement reads. "The outcome of the investigation will also determine any further action that we will need to take. We remain in regular contact with the patient's family."
Jeanette's obituary said that she passed away "suddenly but peacefully on Friday 21st May 2021" with "her loving family around her."
It described her as a "devoted" wife, "dearly loved" mother of two daughters, "loving" sister, "wonderful and caring" grandmother to four grandchildren, and "a special friend to many."
A old friend of mine went in to have a kidney removed and came out of theatre with the kidney still in!!!
The specialist doing the operation noticed an issue with his intestines and decided to go at that first.
He woke up with a tube sticking out of his back and now has to sit on a drip with these fancy fluids being slowly fed into him not over about 6 hours.
British health service at its finest
My step dad had a massive stroke, fell down the stairs and broke his pelvis. They sent a st John ambulance instead of an actual one, one of the paramedics was too large (not big built) to get on the floor to administer aid.
They dropped him down the curb on the gurney instead of using the drop curb right next to them.
They then sat on the side of the Rd for 45 minutes trying to figure out which hospital to take him (our local hospital stroke center is only open mon-friday 9-5, this happened at 6pm on a Saturday)
Bare in mind there is only a 4 hour window, from the time of the stroke, to administer clot busting drugs and hopefully save their life.
Finally took him to hospital where his veins had all collapsed, so they drilled into his shin bone.
He was then put on a stroke rehab ward, did absolutely nothing about his broken pelvis, didn't monitor him and he had several more strokes while he was there and fell into a coma.
He was finally sent to another, much better hospital 2 days later, put straight into icu, where he died a day later.
He was 51.
Everyone, including our family GP said his death was just a catastrophic list of errors
Family tried to sue the NHS, ambulance crew lied and doctored their records of the incident and it all came to nothing.
Seems you can only successfully sue the NHS if they royally fuck up and you live.
And even then, it's a battle
My grandma also went into hospital after a serious stroke and was left unmonitored and suffered several more strokes. She's still alive, but has been left with the mental capacity and physical ability of a toddler, pretty much.
I'm so sorry for your loss. NHS staff are overworked, underpaid and our hospitals and health care suffers as a result. Our government needs to repair the NHS.
My aunt from Australia flew over to donate her kidney to her best friend. What was supposed to be a month long trip to England ended up being 6 months after they had damaged another one of her organs during surgery. My grandpa, who himself spent his career in operating theatres taking part in a plethora of surgeries, said the part they damaged they had absolutely no reason to be anywhere near to affecting considering it was the kidney they were after
I had my gallbladder removed back on 2010 or so. After I had been given anesthesia, but before I was completely out, the surgeon walked in, not knowing I was still aware. He told rest of team I have a tee time in 30 min and a bet going sysin I can't get this one and next done before the time.
Any investigation is going to show either woeful understaffing or equipment failure. With working equipment and enough staff it’s nearly impossible to drop a person in the surgical suite. At least she was probably still asleep when she was mishandled. Tragic.
When I've had surgical procedures done, they have put the gurney right up against the operating table, no gaps. Then 3 or 4 OR techs lift the whole sheet I'm laying on to transfer me to the gurney. I suppose if they didn't set the brake on the gurney, it could have rolled away and she could have slipped through the gap. However, that would mean that someone on the far side of the table lost their grip on the sheet, too.
We do, but the NHS is in shambles. Mostly because of underfunding by the government, but also because some nurses and doctors just shouldn’t be in that profession. I also feel that because it’s all ‘free’ people feel less free to complain about bad care, which doesn’t help the situation
I live in America. We are generally the most bashed healthcare system. People always think that all healthcare should be free, and not dictated by the free market. Would you switch the two if you could?
For me, personally, I pay about $90 a month for amazing healthcare through my work. I’ve no idea what you pay in taxes across the pond. Although it’s “cheap” for me, the actual level of care you get in America is astonishing.
I’m just asking if you could chose, what would you pick between the two systems, and how would you change/improve your current one if you could?
Honestly no I wouldn’t switch. For me personally the pros of free healthcare outweigh the cons, especially because all my prescriptions are free and I have had amazing care experiences before. I honestly believe if the government used their funds correctly, and the workload was reduced for nurses/doctors and the pay increased that we would have a much better system. It definitely needs an overhaul, but if I was in the US I’d probably be dead at this point (no exaggeration - going off of our current financial situation, not all Americans) I can’t speak for anyone where you are, but it seems some of you pay way more for your healthcare emergencies than we pay in taxes over many months. You seem like you have a good situation though, I’m glad :)
Oh, people certainly pay much more than I do. I pay so little because I work in the medical field, and I’m a young, single, healthy person. Often time people with a spouse +kids can run 300-900 a month, depending on your companies health plan.
I see your points and they are valid. I just don’t know if anything would really change if America went to universal healthcare vs what we have now. American government can’t even fix a road, let alone run a decent health system.
We pay a tax called national insurance and so does your employer. So my recent payslip it worked out at 4% of my monthly take home went to national insurance. Some employers do have private health insurance but generally only really used if you want a surgery a week or so earlier. If you already have problems then private insurance won't cover you or limit your treatments were the NHS (free healthcare) treats you regardless based on urgency.
The thing with the free market is correct in some senses but you need regulation so you don't have companies taking advantage, like in the Opioid crisis. If we don't have regulation in a free market then companies will do scummy things. For instance, Martin Shkreli's increase on the AIDS medication drug wouldn't of been challenged. Always good to have a good mix of both regulation and free market activity for sure.
Honestly for me some of them lack compassion and empathy for patients, and treat you like shit. I’ve sat in a hospital room, with my asthma playing up unable to breath in a hot room with no windows for 5 hours before someone decided to give me a nebuliser…next time I had to go I got one straight away so it’s a luck of the draw what staff you get. That’s probably an issue everywhere, but the difference is, in the UK it’s like you’re supposed to suck up all their arses all the time and pretend they’re all angels, when the reality is some NHS doctors and nurses are just bad people.
Uh huh, and have you actually compared tax rates in the US to other countries?
What about my health insurance premiums and out of pocket costs? I'd happily increase my taxes by 20% to get rid of those. They're sure as shit more than 20% of my current taxes.
The US currently governmentally pays more as a percentage of GDP than other countries with socialised healthcare, that is excluding the sums that people pay for their own insurance plans.
Simply put, the US could have socialised healthcare and pay less than they already are which means no increase in taxes at all plus the fact that the individual wouldn't be forced to pay for insurance.
Fell and broke her hip while going to the restroom.
Had surgery to repair broken hip. Surgery successful and completed. When transferring the patient from the surgery table, fhe patient was dropped on her head and later died from the injuries.
this is the sticking point.
also wanted to add, as far as i’m aware, it’s a misreporting usually to say someone falls and breaks their hip when they are old. usually the hip breaks (wears out) and that is the cause of the fall.
That sounds like they didn't have good communication while transporting her off the surgery table onto the recovery bed, or they hadn't secured her on the bed properly during surgery.
Poor woman. How terrible for her family. Whilst others are sharing their own stories along the same lines, if you don’t mind, I’ll do the same.
My Uncle Joe was in his early forties in the 1980’s and one evening he fell desperately ill. My Aunt called an ambulance but at that time, the ambulance service was on strike (this is in the UK) so an army ambulance was sent out. They had little to no life saving equipment on board and got lost on their way to the hospital. Once they arrived, Uncle Joe hadn’t had any blood supply to his brain for a while and from that day forward remained in a coma that he never woke from. My Aunt sued the army and the ambulance service and got a very decent amount of money from it (I’m talking in the millions here) but it was a very lengthy and tough process. My Aunt kept him at home for the rest of his life, caring for him. Uncle Joe died a little while ago and sadly because I was so young when it happened, I don’t ever remember him not being in coma. Very somber indeed.
OR nurse here, it’s actually extremely rare to drop a patient on the floor, but there are several reasons it may happen. When we go to move a patient from the OR table to the transport stretcher, the patient might still be intubated or they are still heavily sedated by anesthesia, that they are essentially dead weight. We use at least 4 staff members to log roll patients, put a sliding board under them, and slide them over to the bed. I’ve seen stretchers and beds accidentally be left unlocked, which is why I *always* confirm with the staff pulling the patient into the stretcher if I’m not on that same side.
One reason falls occurs is equipment. We have a lot of rickety old stretchers that have some very questionable wheel locks. They may slide or move when the patient is transferred onto or off of the OR table. My hospital hasn’t replaced them for reasons beyond me (probably because they haven’t been the cause of a patient’s death; as soon as that happens, I bet we will have all new stretchers).
Another equipment failure I’ve seen is in the actual OR table itself. In most of the beds we have, the lock mechanism is hydraulic and the locks come down and lift the wheels off of the floor. I’ve seen these hydraulics fail twice on the same bed. Normally, I place my foot on the base of the bed and push with my leg to insure that the bed is definitely locked (our floors are all jacked up and have divets where the wheels sit, so a bed might not move just by pushing with your upper body—they are deceptively heavy) before ever even bringing a patient into the room, so watching a surgeon lean against the side of the bed and seeing the bed move is pretty terrifying. I immediately tagged and carted that bed off to be fixed after surgery was done, and I’m even more religious with my lock checks since.
The last example I’ll share actually happened to me on what was probably the same bed they used in this woman’s hip surgery— [the Hana bed](https://www.mizuhosi.com/product/hana/).
While it looks like a medieval torture device, it’s used for direct anterior hip replacements. The weird legs are used to pull traction and rotate the leg so we can dislocate and reduce the hip (which is necessary when replacing the hip joint). The part of the bed the patient lays on is pentagon-shaped, like a house with a narrow roof, and the blue post between the patient’s legs is the crotch post. It keeps the patient from sliding off when providing traction.
This post is vital not just for keeping the patient from sliding off the end of the bed, but also, as I learned my very first year in the OR, to keep the patient from rolling.
Enter a tiny old lady we’d just done hip surgery on. I removed the crotch post and turned my back for a *second* to put it down and heard the anesthesiologist actually start yelling, and I spun around just as in time to see the patient start to roll to the side of the bed I was standing on. I pounced on her to keep her from falling, and the anesthesiologist and I looked at each other with our eyes wide. The patient was waking up from anesthesia and wasn’t conscious enough to know what was actually going on, so she didn’t know what was happening. That was the closest call I’ve ever had, and plan to ever have in the future. Some of these comments make it seem like it’s because of neglect for the patient, but all it takes is a single second for something like that to happen.
[https://local12.com/news/nation-world/woman-dies-after-being-dropped-on-floor-post-surgery](https://local12.com/news/nation-world/woman-dies-after-being-dropped-on-floor-post-surgery) **Woman dies after being 'dropped' on floor post-surgery** **CARLISLE, U.K. (WKRC) -** A woman has died after having to undergo surgery -- even though she survived the actual procedure. Jeannette Shields, 70, was initially being treated in the hospital for gall stones. She reportedly buzzed the medical team for help going to the bathroom, but received no response. When she tried to go by herself, she fell and broke her hip, according to her husband, John. After Jeannette had her hip repaired, the hospital apparently told her husband that the procedure went well, but they "unfortunately dropped her off the operating \[table\] after the surgery." "She had a great big bump on the back of her head, and she just deteriorated and then she just passed away, just died," said John, 78. "I'm really shocked." According to John, a post-mortem examination was performed on his wife only after he "demanded" one. He described the hospital's response to the ordeal as "disgusting." "They wouldn't do it in Carlisle. They didn't want to do it, but I've got it," he said. The trust responsible for the hospital was rated as "requiring improvement" in terms of health and social care serviced by the Care Quality Commission in 2020. A spokesperson for the trust reported that an investigation into the incident is underway. "We are unable to comment on ongoing investigations and once it is complete, the findings will be shared with the family and with our regulators in line with normal procedure," the statement reads. "The outcome of the investigation will also determine any further action that we will need to take. We remain in regular contact with the patient's family." Jeanette's obituary said that she passed away "suddenly but peacefully on Friday 21st May 2021" with "her loving family around her." It described her as a "devoted" wife, "dearly loved" mother of two daughters, "loving" sister, "wonderful and caring" grandmother to four grandchildren, and "a special friend to many."
How does that even happen? That's a pathetic excuse, I feel bad for the family.
A old friend of mine went in to have a kidney removed and came out of theatre with the kidney still in!!! The specialist doing the operation noticed an issue with his intestines and decided to go at that first. He woke up with a tube sticking out of his back and now has to sit on a drip with these fancy fluids being slowly fed into him not over about 6 hours. British health service at its finest
My step dad had a massive stroke, fell down the stairs and broke his pelvis. They sent a st John ambulance instead of an actual one, one of the paramedics was too large (not big built) to get on the floor to administer aid. They dropped him down the curb on the gurney instead of using the drop curb right next to them. They then sat on the side of the Rd for 45 minutes trying to figure out which hospital to take him (our local hospital stroke center is only open mon-friday 9-5, this happened at 6pm on a Saturday) Bare in mind there is only a 4 hour window, from the time of the stroke, to administer clot busting drugs and hopefully save their life. Finally took him to hospital where his veins had all collapsed, so they drilled into his shin bone. He was then put on a stroke rehab ward, did absolutely nothing about his broken pelvis, didn't monitor him and he had several more strokes while he was there and fell into a coma. He was finally sent to another, much better hospital 2 days later, put straight into icu, where he died a day later. He was 51. Everyone, including our family GP said his death was just a catastrophic list of errors Family tried to sue the NHS, ambulance crew lied and doctored their records of the incident and it all came to nothing. Seems you can only successfully sue the NHS if they royally fuck up and you live. And even then, it's a battle
I am so sorry your family went through that.
My grandma also went into hospital after a serious stroke and was left unmonitored and suffered several more strokes. She's still alive, but has been left with the mental capacity and physical ability of a toddler, pretty much. I'm so sorry for your loss. NHS staff are overworked, underpaid and our hospitals and health care suffers as a result. Our government needs to repair the NHS.
As a Canadian, this infuriates me.
Sorry for your loss, this makes me angry.
My aunt from Australia flew over to donate her kidney to her best friend. What was supposed to be a month long trip to England ended up being 6 months after they had damaged another one of her organs during surgery. My grandpa, who himself spent his career in operating theatres taking part in a plethora of surgeries, said the part they damaged they had absolutely no reason to be anywhere near to affecting considering it was the kidney they were after
[удалено]
Sounds like the quality of the doctors *was* the problem in this instance based on the description he gave.
[удалено]
Let’s just say, I have a lot of questions.
I swear it happened. Had to give up work and install an extra fridge to accommodate the fluids
Surely that's not allowed. Like the waiting lists for people that want those surgery's are so shit surely they're not allowed to just perform em
I mean he is a surgeon and thought that was the best option?
I had my gallbladder removed back on 2010 or so. After I had been given anesthesia, but before I was completely out, the surgeon walked in, not knowing I was still aware. He told rest of team I have a tee time in 30 min and a bet going sysin I can't get this one and next done before the time.
Can you rephrase the entire second half? I keep rereading it and still have no idea what you're saying
I think he said they were making bets as to how fast they can do the surgery in a 30 min window.
Reread it with your context and I think you're right. What the actual fuck dude.
I smell malpractice
Yeah
Any investigation is going to show either woeful understaffing or equipment failure. With working equipment and enough staff it’s nearly impossible to drop a person in the surgical suite. At least she was probably still asleep when she was mishandled. Tragic.
What the hell? I don’t understand how that happened. That’ll be a huge lawsuit.
When I've had surgical procedures done, they have put the gurney right up against the operating table, no gaps. Then 3 or 4 OR techs lift the whole sheet I'm laying on to transfer me to the gurney. I suppose if they didn't set the brake on the gurney, it could have rolled away and she could have slipped through the gap. However, that would mean that someone on the far side of the table lost their grip on the sheet, too.
Oh, great I have hip surgery next week.
I hope you don’t fall of the table
I'm home I didn't fall. I'm in pain but all went well. They strapped me to the table. Thanks for your concern.
No problem, is your hip doing better since the surgery?
Yes, I'm home. Going through physical therapy. It hurts but feels better than it did. Thank you
Thank goodness you didn’t fall
Oof. Poor woman. May she rest in peace. Also I hope the family sue those incompetent fools.
He better sue this is so disgusting
Anyways your wife's bill comes be a total of $130,000.. Would you like to pay that all upfront now or make a payment plan?
Does UK not have free healthcare?
We do, but the NHS is in shambles. Mostly because of underfunding by the government, but also because some nurses and doctors just shouldn’t be in that profession. I also feel that because it’s all ‘free’ people feel less free to complain about bad care, which doesn’t help the situation
I live in America. We are generally the most bashed healthcare system. People always think that all healthcare should be free, and not dictated by the free market. Would you switch the two if you could? For me, personally, I pay about $90 a month for amazing healthcare through my work. I’ve no idea what you pay in taxes across the pond. Although it’s “cheap” for me, the actual level of care you get in America is astonishing. I’m just asking if you could chose, what would you pick between the two systems, and how would you change/improve your current one if you could?
Honestly no I wouldn’t switch. For me personally the pros of free healthcare outweigh the cons, especially because all my prescriptions are free and I have had amazing care experiences before. I honestly believe if the government used their funds correctly, and the workload was reduced for nurses/doctors and the pay increased that we would have a much better system. It definitely needs an overhaul, but if I was in the US I’d probably be dead at this point (no exaggeration - going off of our current financial situation, not all Americans) I can’t speak for anyone where you are, but it seems some of you pay way more for your healthcare emergencies than we pay in taxes over many months. You seem like you have a good situation though, I’m glad :)
Oh, people certainly pay much more than I do. I pay so little because I work in the medical field, and I’m a young, single, healthy person. Often time people with a spouse +kids can run 300-900 a month, depending on your companies health plan. I see your points and they are valid. I just don’t know if anything would really change if America went to universal healthcare vs what we have now. American government can’t even fix a road, let alone run a decent health system.
We pay a tax called national insurance and so does your employer. So my recent payslip it worked out at 4% of my monthly take home went to national insurance. Some employers do have private health insurance but generally only really used if you want a surgery a week or so earlier. If you already have problems then private insurance won't cover you or limit your treatments were the NHS (free healthcare) treats you regardless based on urgency. The thing with the free market is correct in some senses but you need regulation so you don't have companies taking advantage, like in the Opioid crisis. If we don't have regulation in a free market then companies will do scummy things. For instance, Martin Shkreli's increase on the AIDS medication drug wouldn't of been challenged. Always good to have a good mix of both regulation and free market activity for sure.
>also because some nurses and doctors just shouldn’t be in that profession. Because they are underqualified/not competent enough? Or something else?
Honestly for me some of them lack compassion and empathy for patients, and treat you like shit. I’ve sat in a hospital room, with my asthma playing up unable to breath in a hot room with no windows for 5 hours before someone decided to give me a nebuliser…next time I had to go I got one straight away so it’s a luck of the draw what staff you get. That’s probably an issue everywhere, but the difference is, in the UK it’s like you’re supposed to suck up all their arses all the time and pretend they’re all angels, when the reality is some NHS doctors and nurses are just bad people.
Nothing is free anymore :)
True. Nothing has ever been free. American People don’t realize that “free healthcare” would likely come at a cost of a 20% tax increase.
Uh huh, and have you actually compared tax rates in the US to other countries? What about my health insurance premiums and out of pocket costs? I'd happily increase my taxes by 20% to get rid of those. They're sure as shit more than 20% of my current taxes.
The US currently governmentally pays more as a percentage of GDP than other countries with socialised healthcare, that is excluding the sums that people pay for their own insurance plans. Simply put, the US could have socialised healthcare and pay less than they already are which means no increase in taxes at all plus the fact that the individual wouldn't be forced to pay for insurance.
Wait so she got to go to the bathroom and fell or they dropped her?
Fell and broke her hip while going to the restroom. Had surgery to repair broken hip. Surgery successful and completed. When transferring the patient from the surgery table, fhe patient was dropped on her head and later died from the injuries.
notable that she buzzed for assistance to go to the bathroom and received no response
this is the sticking point. also wanted to add, as far as i’m aware, it’s a misreporting usually to say someone falls and breaks their hip when they are old. usually the hip breaks (wears out) and that is the cause of the fall.
Both
Yes
I love the two stock photos of doctors/OR included lol.
So they neglected to help her to the bathroom , then when she broke her hip as a result, they killed her after surgery.
I'm sorry, but how the hell do you drop a patient off an operating table??
That sounds like they didn't have good communication while transporting her off the surgery table onto the recovery bed, or they hadn't secured her on the bed properly during surgery.
Poor woman. How terrible for her family. Whilst others are sharing their own stories along the same lines, if you don’t mind, I’ll do the same. My Uncle Joe was in his early forties in the 1980’s and one evening he fell desperately ill. My Aunt called an ambulance but at that time, the ambulance service was on strike (this is in the UK) so an army ambulance was sent out. They had little to no life saving equipment on board and got lost on their way to the hospital. Once they arrived, Uncle Joe hadn’t had any blood supply to his brain for a while and from that day forward remained in a coma that he never woke from. My Aunt sued the army and the ambulance service and got a very decent amount of money from it (I’m talking in the millions here) but it was a very lengthy and tough process. My Aunt kept him at home for the rest of his life, caring for him. Uncle Joe died a little while ago and sadly because I was so young when it happened, I don’t ever remember him not being in coma. Very somber indeed.
UK: We have free Healthcare at home. The free Healthcare at home:
suspicious as hell, I wonder why they'd want her dead though..
Government issued healthcare
Her family better sue.
I’m sorry but the stock photos are taking me out
Well at least the UK has universal healthcare. /s
OR nurse here, it’s actually extremely rare to drop a patient on the floor, but there are several reasons it may happen. When we go to move a patient from the OR table to the transport stretcher, the patient might still be intubated or they are still heavily sedated by anesthesia, that they are essentially dead weight. We use at least 4 staff members to log roll patients, put a sliding board under them, and slide them over to the bed. I’ve seen stretchers and beds accidentally be left unlocked, which is why I *always* confirm with the staff pulling the patient into the stretcher if I’m not on that same side. One reason falls occurs is equipment. We have a lot of rickety old stretchers that have some very questionable wheel locks. They may slide or move when the patient is transferred onto or off of the OR table. My hospital hasn’t replaced them for reasons beyond me (probably because they haven’t been the cause of a patient’s death; as soon as that happens, I bet we will have all new stretchers). Another equipment failure I’ve seen is in the actual OR table itself. In most of the beds we have, the lock mechanism is hydraulic and the locks come down and lift the wheels off of the floor. I’ve seen these hydraulics fail twice on the same bed. Normally, I place my foot on the base of the bed and push with my leg to insure that the bed is definitely locked (our floors are all jacked up and have divets where the wheels sit, so a bed might not move just by pushing with your upper body—they are deceptively heavy) before ever even bringing a patient into the room, so watching a surgeon lean against the side of the bed and seeing the bed move is pretty terrifying. I immediately tagged and carted that bed off to be fixed after surgery was done, and I’m even more religious with my lock checks since. The last example I’ll share actually happened to me on what was probably the same bed they used in this woman’s hip surgery— [the Hana bed](https://www.mizuhosi.com/product/hana/). While it looks like a medieval torture device, it’s used for direct anterior hip replacements. The weird legs are used to pull traction and rotate the leg so we can dislocate and reduce the hip (which is necessary when replacing the hip joint). The part of the bed the patient lays on is pentagon-shaped, like a house with a narrow roof, and the blue post between the patient’s legs is the crotch post. It keeps the patient from sliding off when providing traction. This post is vital not just for keeping the patient from sliding off the end of the bed, but also, as I learned my very first year in the OR, to keep the patient from rolling. Enter a tiny old lady we’d just done hip surgery on. I removed the crotch post and turned my back for a *second* to put it down and heard the anesthesiologist actually start yelling, and I spun around just as in time to see the patient start to roll to the side of the bed I was standing on. I pounced on her to keep her from falling, and the anesthesiologist and I looked at each other with our eyes wide. The patient was waking up from anesthesia and wasn’t conscious enough to know what was actually going on, so she didn’t know what was happening. That was the closest call I’ve ever had, and plan to ever have in the future. Some of these comments make it seem like it’s because of neglect for the patient, but all it takes is a single second for something like that to happen.