tag:blogger.com,1999:blog-30499448.post7576200405506607164..comments2024-02-18T13:53:30.168-08:00Comments on Surgeonsblog: Brittle BeautySid Schwabhttp://www.blogger.com/profile/14182853083503404098noreply@blogger.comBlogger13125tag:blogger.com,1999:blog-30499448.post-17654321978859450422007-10-11T07:28:00.000-07:002007-10-11T07:28:00.000-07:00Great post Dr. Schwab! Thought I would share my p...Great post Dr. Schwab! <BR/><BR/>Thought I would share <A HREF="http://dcmedstudent.blogspot.com/2007/10/reverence.html" REL="nofollow">my post</A> along similar lines.DC Med Studenthttps://www.blogger.com/profile/09536998479604015998noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-47820874646665407692007-10-11T01:06:00.000-07:002007-10-11T01:06:00.000-07:00Our ER had a pt brought in who didn't appear to be...Our ER had a pt brought in who didn't appear to be in any distress from being in an MVC. Pt was laughing and talking, etc. It wasn't until the CT that staff knew the pt had to get flown down to a larger hospital. Pt died on the OR table.<BR/><BR/>The pt's liver was seriously dmaged beyond repair. Hospital and emergency squad sued.<BR/><BR/>All so sad.SeaSprayhttps://www.blogger.com/profile/07906503090688697222noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-74794099088073379432007-10-09T09:17:00.000-07:002007-10-09T09:17:00.000-07:00ramona: thank you. I went to the post and found co...ramona: thank you. I went to the post and found commenting enabled and available, so I don't know what the problem was...Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-22922677174629516572007-10-09T08:55:00.000-07:002007-10-09T08:55:00.000-07:00Dr. Sid, since I can't seem to leave a comment on ...Dr. Sid, since I can't seem to leave a comment on the post referenced by Ground Rounds today. Let me just say here--leaves me in tears. Very well said.<BR/><BR/>http://surgeonsblog.blogspot.com/2007/04/war-story.htmlrlbateshttps://www.blogger.com/profile/15236331355857884458noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-27587461129531437002007-10-09T07:37:00.000-07:002007-10-09T07:37:00.000-07:00me: nicely written. You should have a blog. And ye...me: nicely written. You should have a blog. And yes, letting a handful of bowel slurp its way back into a belly is one of the more sensually and visually gratifying things...<BR/><BR/>eric: for the most part, yes, the liver self-heals. The main goal of liver surgery for trauma is to stop the bleeding. Sewing it neatly back together, other than as a way to stop bleeding, isn't done. For one thing, it doesn't hold a suture all that well. The latest approach to a badly bleeding one is to stuff in a bunch of packs and remove them, carefully, on another day. If there's no bleeding there need not be much effort to re-approximate all the edges.<BR/><BR/>west/ortho: yes, I believe an orthopod, of all people, would see the frailty and be moved<BR/><BR/>oneh/p: amen!Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-83808077936720116162007-10-09T07:30:00.000-07:002007-10-09T07:30:00.000-07:00And if more human beings thought of this glorious,...And if more human beings thought of this glorious, tenuous ride we are on, perhaps kindness and compassion would rule the day.<BR/>OnehealthproAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-83133587936793603172007-10-09T05:29:00.000-07:002007-10-09T05:29:00.000-07:00Sid, I share your moments of paranoia. The feelin...Sid, <BR/>I share your moments of paranoia. The feelings of which seem to wax and wane based upon my previous nights experiences in the trauma bay. <BR/><BR/>I stopped skiing because of all the ACL's I reconstruct... I pay people to clean the gutters on my house because of all the calcaneal and spine fractures we see from roof falls... and I can go on. <BR/><BR/>Another wonderful post.Howard Luks MDhttps://www.blogger.com/profile/03397202839693809691noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-8457472049362258992007-10-08T23:30:00.000-07:002007-10-08T23:30:00.000-07:00I refuse to believe in the existence of this so-ca...I refuse to believe in the existence of this so-called "liver". It just seems like something to get in the way of a good buzz.<BR/><BR/>But, oh, the nephron! I am truly amazed how humans can regulate electrolytes so exquisitely, through such an intricate pas de deux. We rarely eat the same thing two meals in a row, we live in an astonishing array of climates, we have wildly varying activity levels. And yet, for the most part, it all works.<BR/><BR/>Knowing nothing about liver surgery, but knowing a fair amount about poultry liver....if you excise something nasty or poke holes through a human liver, does it just grow back together sans suture?Eric, AKA The Pragmatic Caregiverhttps://www.blogger.com/profile/10006690628166460007noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-21886331333901891182007-10-08T21:45:00.000-07:002007-10-08T21:45:00.000-07:00Man is a galaxy of cells, and a cell in a galaxy.W...Man is a galaxy of cells, and a cell in a galaxy.<BR/><BR/>Which is why I think the abdomen is a really neat cavity - the way each organ packs itself into its designated corner... the way you could throw back a bunch of intestines in the most chaotic and randomised manner, and chances are it will not twirl upon itself.<BR/><BR/>It's beautiful.<BR/><BR/>Yet many people are ignorant of what's lurking beneath the visible. Like a walking timebomb, the body can withstand only that much abuse before giving way. <BR/><BR/>And when it does, it's a sorry sight.<BR/><BR/>Great post!mehttps://www.blogger.com/profile/14038485907713928223noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-7599418545317529902007-10-08T15:24:00.000-07:002007-10-08T15:24:00.000-07:00It strikes me sometimes how much we're like sea cr...It strikes me sometimes how much we're like sea creatures inside. Some of them are more colonies than structure, so they can be put through a sieve and still reconstitute -- maybe a liver is rather like that. They're meant to float, to be cradled, encased, suspended. And yet we fling ourselves around, slam our heads and chests, twist and tear. <BR/><BR/>On the other hand, obsess about it too much and nothing at all will get done.<BR/><BR/>Prairie Marymscriverhttps://www.blogger.com/profile/13567509503405689139noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-8177737950140607712007-10-08T13:43:00.000-07:002007-10-08T13:43:00.000-07:00I'm a massive worry wort. Becoming a parent didn'...I'm a massive worry wort. Becoming a parent didn't help. This post so beautifully summarizes a lot of the reasons why. Even our hard, mineralized bone is no match for the thousands of pounds of steel that we find ourselves vulnerable to daily going at velocities upwards of 30m/s....much less our delicate tissues.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-28581808638843412402007-10-08T11:13:00.000-07:002007-10-08T11:13:00.000-07:00Great post!One of my favorite things about the liv...Great post!<BR/><BR/>One of my favorite things about the liver and the kidneys is how well they come back from fairly massive damage. <BR/><BR/>Almost anybody, if they don't die in the acute injury phase, can recover from destruction of a large majority of their liver.<BR/><BR/>That's really cool.Midwife with a Knifehttps://www.blogger.com/profile/04309579302399381913noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-12130582429500912312007-10-08T10:59:00.000-07:002007-10-08T10:59:00.000-07:00AMEN!AMEN!rlbateshttps://www.blogger.com/profile/15236331355857884458noreply@blogger.com