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Perforations and emergencies -- my week

I'm still out at our (very) small suburban hospital where I am seemingly always on call. The past week yielded 4 emergent cases:

Tuesday 3am : called in for an acute appendicitis, OR at 6am for laparscopic appendectomy

Wednesday 1am: called in for an acute appendicitis, OR at 7:30am for laparscopic appendectomy
infect_appendix.jpg

Friday 3pm: called for colonic perforation, OR (finally) at 7pm where we performed an exploratory laparotomy, lysis of adhesions, bowel resection, ileostomy, mucous fistula.
ileostomyInWound.jpg
We finished about 11pm (her belly looked much better than the picture). I went home about 1am, ate slept for approximately 90 minutes when I was paged that this lady was not doing well.

Saturday 4:30am
: sped back to the hospital to "fix" this lady.

Saturday 9:30am (? I think?): drove home. Call ICU nurse hourly to check on things.

At some point got out of bed and convinced Ben I should order pizza for lunch. I also showered, did my hair and make-up for Benoc's Linden Lab (aka Second Life) Holiday party at the Museum of Science.

museumofscience.jpg

Saturday 4:30pm: Drove back to hospital to see sick lady. Came home at 6:30, quickly changed and we left for said party.

Saturday 8pm -- after meeting many people who don't believe I exist given that I never make these functions, get called in for perforated diverticulitis. Stop at home first to take off the high healed boots and skirt. OR at 12m for an exploratory laparotomy, sigmoid colectomy, Hartman's procedure. Finish at 3:30am Sunday.

Bowel.gif

Sunday 4am: I finally crash in an ICU bed, only get woken once before 7:30a.

Sunday 7:30a: Round, talk with family of perforated colon lady (who is quite ill in the ICU), try to get second patient's pain under better control which includes harrassing the nurse alot.

Sunday 10a: drive back home. Crawl into bed, setting an alarm for 45 minutes later to call at see how second patient is doing -- better. Go back to sleep without need to get up for several hours.

Sunday 1:45p: get out of bed, shower, head to Burton's Grill for Brunch -- VERY yummy french toast and bacon. Ben had some of the best pancakes I've tasted in a very long time.

Sunday 4:30p: drive back to hospital to make my afternoon rounds.

Sunday 6:30p: arrive back home, stopping to get Benoc from mystery hunt. Eat microwave food for dinner.

Sunday 7:15p: PRAY like I've never prayed before that I don't get called in tonight.


The only perk of not really ever sleeping is that 24 hours later my hair still looks almost as good as when I straightened it yesterday afternoon.

(Forgive the constant changing tense -- I've not really slept in several days.)

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