Pyrexia of Unknown Origin (P.U.O.)

SILS Sleeve Gastrectomy

Swain Flue

Continuing the Nightmare
In continuation with my previous post, I am glad to inform you all that the patient is doing well. She is still in the ICU but 4 of 8 tubes are out, she's not spiking fevers any more, she is tolerating jejunal feeds (feeds directly into the intestine through a tube) and she has got off the bed and started walking with help.The ryle's tube (through the nose) is out. The abdominal drain was zero so it came out. The neck drain was harldy anything so that came out as well. Neck staples from the skin are also out. Since she is now able to walk a bit we also took out the urinary catheter just to be nice.By no means is she back to normal. She's not even close. She still has

Living a nightmare on a manic monday.
Manic Monday has taken on a new meaning. People have nightmares. We worked through one.I started work on Monday morning at 8 am. I finished work on Tuesday evening at 8 pm. 36 hours! We operated non stop for 12 of those hours. All of which were at night. 10 pm to 10 am. One break around 7 am.I will not discuss the case in detail owing its sensitive nature. What I can tell you is what I went through, how we managed and how I felt.We started Monday with our regular cases which went off smoothly, other than a minor glitch which was solved on table itself. That was a warning. Towards the afternoon, we got to know that we might have to re-operate on a patient

4 for the price of 1.
Scheduled for a lap. sleeve gastrectomy, a patient of ours was given accomodation in day care wards which is basically 4 beds in a room, fair enough for day care where you expect to leave the hospital in a day. The reason for this was that the class he had opted for which was a single room was full and so were the deluxe rooms. He was told that as soon as the room becomes available he would be shifted there. It is now his 3rd day in the hospital and he still lies in the 4 in 1 room. As luck would have it, his bunk mates consisted of the following:The first came for a minor surgery and left the same evening.The second was in for his chemotherapy. His relatives decided

Asses can be stubborn!
Sometimes, I think medicine is just being re learnt and that our ancestors knew everything there was to know, without the genetic testing and millions in research being spent today. All they did was study nature.Take for instance the fact that Asses are the most stubborn creatures out there! Now, I know you're thinking what the hell does this have to do with medicine. I'm getting there...A Pilonidal sinus (a small opening at the cleft of the buttocks which usually results from hair in that area getting into the skin and causing an infection and a break in the skin) is an incredibly intelligent disease which chooses that particular region of the body which would be th

IBD - Inflammatory Bowel Disease / Idiotic Brainless Doctor!
Coming off from my previous post on P.U.O. wherein I fully supported doctors saying they did not know what to do, this week came a rather unpleasent situation wherein a Doctor did not know what to do even though he should have. While P.U.O. is an unknown entity (in relative terms) the fact that so many Doctor's seem to be shying away from their responsibilities when it comes to emergency situations is a trend we need to nip in the bud.Someone's mother is suffering from Ulcerative Colitis ( a part of inflammatory bowel disease) in which there is tremendous suffering caused by numerous ulcers in the intestines causing fair amounts of bleeding and subsequent anemia. This mother was