Hmmm, haven't used this thing in quite a while. One of the attendings here at the hospital reminded me I haven't posted for ages, so I thought I'd put down a few lines.
I'm on call of course. We'll see how the night goes. Most recently, I repaired a ruptured AAA. The guy shows up with a 9cm leaking aneurysm, so we rush him down to the OR. I did the case with the chief resident and attending. His entire blood volume was replaced with donor blood and his own blood which we filter into a thing called "cell saver". Anyway, most people don't survive this sort of thing. 2/3 will die instantly. Of the remaining 1/3, only about half of them who make it to the hospital for an operation will survive. Not only did this guy make it, but he was extubated the day after surgery and was transferred out of the ICU as well. (His breathing tube was removed, and he left the ICU the day after surgery...incredible!) So that's pretty cool. I'll put up pictures of the aneurysm cavity when they are sent to me by the chief.
I repaired a 10 cm non-leaking aneurysm last week. This also was with the chief resident. The lady is 89 years old. She showed up to the ER with back pain, which isn't so good. I think we extubated her in the OR, and she didn't even go to the ICU. Unbelievable. Absolutely unbelievable.
I finished my stint on vascular surgery today, and I start the Emergency Surgery Service tomorrow. Actually I'll be post-call, so I'll start on Monday. It would be great if a lot of surgeries come in, but that hasn't been the trend so far. We shall see.
That's good for now. I have so many more updates, but I have to get to them later. Drag racing is starting next week!
I'm on call of course. We'll see how the night goes. Most recently, I repaired a ruptured AAA. The guy shows up with a 9cm leaking aneurysm, so we rush him down to the OR. I did the case with the chief resident and attending. His entire blood volume was replaced with donor blood and his own blood which we filter into a thing called "cell saver". Anyway, most people don't survive this sort of thing. 2/3 will die instantly. Of the remaining 1/3, only about half of them who make it to the hospital for an operation will survive. Not only did this guy make it, but he was extubated the day after surgery and was transferred out of the ICU as well. (His breathing tube was removed, and he left the ICU the day after surgery...incredible!) So that's pretty cool. I'll put up pictures of the aneurysm cavity when they are sent to me by the chief.
I repaired a 10 cm non-leaking aneurysm last week. This also was with the chief resident. The lady is 89 years old. She showed up to the ER with back pain, which isn't so good. I think we extubated her in the OR, and she didn't even go to the ICU. Unbelievable. Absolutely unbelievable.
I finished my stint on vascular surgery today, and I start the Emergency Surgery Service tomorrow. Actually I'll be post-call, so I'll start on Monday. It would be great if a lot of surgeries come in, but that hasn't been the trend so far. We shall see.
That's good for now. I have so many more updates, but I have to get to them later. Drag racing is starting next week!
