Marathon surgery

There are fast surgeons and there are slow surgeons.  Fast surgeons like to think they are super skilled but when their complication rate is higher, it nullifies their speed records.  But slow surgeons can be killers… risks go up considerably when procedures exceed 6 hours.  With proper protection and protocols, 6 hours can safely be exceeded.  But when you get up to 10 hours or more, and worse, sending patients home because it was ‘out patient’, you are no longer looking out for the best interests of your patient and putting your patients health and results at risk for catastrophic outcomes.  I don’t understand why a surgeon would do that but they exist… and obviously do not care.