trio

mrs b had her gallbladder out the other day. she had a really big stone and so they did an open procedure. post-operatively her drain tube fell out but bile continued to pour out of the defect. her surgeon referred her to our team, and we did a hepatico-jejunostomy with access limb.

i can appreciate that technically it was a very interesting procedure. but truthfully, i found the whole thing rather dull. instead, i find writing up insulin regimens more exciting. call me strange or something.

*

mrs p had a laparotomy to explore her abdomen ten days ago. her small bowel obstruction was attributed to internal hernias. she had been improving until the weekend and there had been talk of transferring her back to the local hospital to recover. last night she started vomiting again and a contrast study showed another small intestine blockage. with her poor heart and lung function, will she survive another trip to the operating theatre?

*

mrs r has even more extensive heart and lung disease. she has a raised white cell count that we cannot find a cause for. she becomes more disoriented and tired every day. she is going to die. i will miss her.