Montag, 12. Januar 2009

another rare case

Today ended up being a really good day. Getting up this morning wasn't extremely hard and since this is the second week at the Trauma Unit things aren't new and I know what I have to get done in the morning. We had walk rounds this morning. Those are really interesting. Each trauma teams presents a few interesting cases they had in the ICU the past week. That is really great for learning purposes. They present interesting cases or rare procedures or complications that one needs to be aware of or just social issues related to patient care. For Example this week my team presented a case where the guy had been in a car accident with his two children. One of the kids had severe head injuries and died last week. It was really a difficult situation, because the Mom didn't want to withdraw care with the Dad having seen the kid once more, but the Dad was in our ICU and had a severe liver injurie and several broken bones. But they still managed to get him over to the children's hospital (required a lot of phone calls and talking...) But I thought it was really great how the solved the problems and that the team took the time to come up with a solution.
After rounds we had a surgery. I didn't get to scrub in, but it was still interesting to watch, because it was a rare hernia that they operated (a spiegelian hernia) Usually they are falsy diagnosed and turn out to be inguinal hernia during surgery, but this was didn't.... So I had to take quite a few pictures during the surgery and this case will be presented next week!
Since today was a post call day for my team I got to go home shortly after noon, but I talked to my resident first and made sure that I will get to see patients tomorrow morning and not just do paper work! So I am really excited about that. Being in the hospital without a lot of patient contact is just not much fun!
I spend the afternoon taking a nap, watching some TV and studying a little. When Tim got home we decided to go to a Sport's bar for dinner to have a real Burger (still had that left on my list of things to do) and watch the first half of UofL vs. Notre Dame. It was an amazing game, fast paced and really close all the way to the end. But UofL won during overtime!
And now after all the excitement I will go to bed and get up tomorrow knowing that I will get to see at least three patients......

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