Re: You've done enough surgery when...
From: R. Daniel Braun (rd.braun@gmail.com)
Mon Feb 26 05:16:41 2007
Ureter????????
IVP?
Dan
On 2/26/07, Elrod, Darryl G Maj 48 MDOS/SGOBO <
Darryl.elrod@lakenheath.af.mil> wrote:
>
> Funny you should mention that about the foley. I did an LAVH about 2
> weeks ago. Now, granted, I haven't done anything more than take the
> ovaries before, so this case I went ahead and made a bladder flap,
> exposed the uterine arteries just to see if I could. The vaginal part
> went very easily. I took a final look with the scope and then closed
> up.
>
> The urine in the foley had been clear and the bag 'normal' up until this
> point. I should mention that I forgot to remove all the gas before
> hurrying and removing my trocars so I tried to squeeze out any excess
> gas through the incisions.
>
> By the time we moved her to the recovery bed, the foley bag looked like
> a Jiffy Pop Popcorn bag. It was the oddest thing I've ever seen. The
> bladder was completely deflated when I looked with the scope.
>
> She has done well since without any sign of bladder injury (hematuria,
> pain)
>
> Odd?
>
> Glen
>
> //SIGNED//
>
> D. Glen Elrod, Maj., USAF, MC
>
> Obstetrician/Gynecologist
>
> Chief of Obstetrics
>
> 48 MDOS/SGOBO
>
> RAF Lakenheath, England
>
> Telephone DSN: 314-226-8130
>
> Comm: +44 (0) 1638 52 8130
>
> Notice of Confidentiality
> Under the Privacy Act of 1974, you must safeguard all information
> reflected on this e-mail and, if applicable, all attachments.
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> 37-132, AFI 33-219, and PL 93-579"
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>
> -----Original Message-----
> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Andrew
> Folley
> Sent: Sunday, February 25, 2007 2:15 PM
> To: Multiple recipients of list OB-GYN-L
> Subject: Re: You've done enough surgery when...
>
> You know you have done enough...
> When tha anesthesiologist asks "why is the foley bag filling up with
> air?'
> (cystotomy on lavh
> When you pull out the varies needle and there is stool on its tip.
> When When the path report comes back on a D&C showing ureter (my 65
> year
> old partner)
> If you have been out long enough you have been there
> "The best doctors have the best judgement, the best judgement comes from
> the
> worst experiences" or something like that..." agf
>
> >From: "R. Daniel Braun" <rd.braun@gmail.com>
> >Reply-To: ob-gyn-l@obgyn.net
> >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
> >Subject: Re: You've done enough surgery when...
> >Date: Fri, 23 Feb 2007 07:32:23 -0600
> >
> >When you put the trochar *through* the Rt. Common Iliac artery.
> >
> >When you insert the scope through the trochar and see the preanesthetic
> >antacid lining the stomach.
> >
> >When you see urine coming out the end of the tubular structure you just
> cut
> >across.
> >
> >When your first hyst, a 39 y/o G13 P13, on PO day 6(5 minutes prior to
> >discharge) flips a saddle embolus and dies.
> >
> >Those are the big ones that come to the front of my head.
> >
> >Dan
> >
> >On 2/23/07, Elrod, Darryl G Maj 48 MDOS/SGOBO <
> >Darryl.elrod@lakenheath.af.mil> wrote:
> >>
> >> You can fill in the blanks, but for me this week it is
> >>
> >>...when you nick the peritoneum overlying the aorta with your
> umbilical
> >>trocar insertion, causing a hematoma that looks concerning, having to
> call
> >>the general surgery brigade in to evaluate. Now THAT is a sinking
> >>feeling.
> >>
> >>Thankfully the patient did well and was sent home a few days later
> after I
> >>finally got the nerve to let her go.
> >>
> >>Glen
> >>
> >>//SIGNED//
> >>
> >>D. Glen Elrod, Maj., USAF, MC
> >>
> >>Obstetrician/Gynecologist
> >>
> >>Chief of Obstetrics
> >>
> >>48 MDOS/SGOBO
> >>
> >>RAF Lakenheath, England
> >>
> >>Telephone DSN: 314-226-8130
> >>
> >> Comm: +44 (0) 1638 52 8130
> >>
> >>Notice of Confidentiality
> >>Under the Privacy Act of 1974, you must safeguard all information
> >>reflected on this e-mail and, if applicable, all attachments.
> Disclosure
> >>of
> >>information is IAW AFI 33-119, AFI 33-127, AFI 37-131, AFI 37-132, AFI
> >>33-219, and PL 93-579"
> >>This e-mail message including any attachments is for the sole use of
> the
> >>intended recipient(s) and may contain confidential and privileged
> >>information. Any unauthorized review, use, disclosure or distribution
> is
> >>prohibited. If you are not the intended recipient, please contact the
> >>sender by reply e-mail and destroy all copies of the original message.
>
> >>Any
> >>questions pertaining to disclosure should be directed to the privacy
> >>officer.
> >>
> >
> >--
> >R. Daniel Braun, MD FACOG(L) CMT
> >Professor Emeritus
> >Dept. of Obstetrics and Gynecology
> >Indiana U. School of Medicine
> >
> >R. Daniel Braun
> >
> > "The way to health is an aromatic bath and scented massage
> >everyday".
> > Hippocrates
>
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--
R. Daniel Braun, MD FACOG(L) CMT
Professor Emeritus
Dept. of Obstetrics and Gynecology
Indiana U. School of Medicine
R. Daniel Braun
"The way to health is an aromatic bath and scented massage everyday".
Hippocrates
