What exactly are they doing the entirety of those hours? Are they literally just cutting and stitching and suctioning the entire time? Do they have breaks?
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We (the surgeons) take breaks. 10-15 minutes here and there for the longer operations. Enough time to pee and grab coffee and a snack. Anesthesia are very good about giving each other breaks during EVERY operation, and the techs and circulators also rotate in and out.
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