This happened to me at work one day. I had a patient with a very large abdominal wound with tunnels. I spent nearly an hour carefully packing the wound and dressing it, and it looked beautiful. An hour later, the surgeons come in, rip the dressing out, look at the wound, and stuff new packing in with their gloves fingers - no q-tips, no careful packing, no meds to premedicate for pain. I was so mad.