If you were freaked out by the news in June that an anesthesiologist had talked trash about her patient while he was unconscious on the table in front of her, you'd better brace yourself. There's more and it's ... much worse. In an anonymous essay published in the Annals of Internal Medicine this week, one physician describes - in graphic detail - what happened to two women when they were asleep in operating rooms. The stories are horrifying. "I bet she's enjoying this," one doctor reportedly said while prepping a woman for a vaginal hysterectomy. In another case, an obstetrician performed an obscene dance after saving the life of a woman who was bleeding out after having a baby. In a letter accompanying the essay, the editorial team agonized over whether to publish the piece. Everyone agreed that [it] was "disgusting and scandalous" and could damage the profession's reputation. But some argued that this was why they shouldn't publish it while others felt that was why they should publish it. In the end they said they decided to do so in order to "expose medicine's dark underbelly." They said the first incident "reeked of misogyny and disrespect - the second reeked of all that plus heavy overtones of sexual assault and racism." The journal's editors ... hope that medical educators and others will use the essay as a "jumping-off point for discussions that explore the reasons why physicians sometimes behave badly. If the essay squelches such behavior even once, then it was well worth publishing," they wrote.