tag:blogger.com,1999:blog-37286253.post3257231046613736308..comments2024-03-09T11:08:34.910+02:00Comments on other things amanzi: close callBongihttp://www.blogger.com/profile/12918640034313468627noreply@blogger.comBlogger9125tag:blogger.com,1999:blog-37286253.post-18803075357970281662009-12-08T19:39:02.473+02:002009-12-08T19:39:02.473+02:00When in doubt go with your gut (double entèndre in...When in doubt go with your gut (double entèndre intended).<br /><br />:PAlbinoblackbearhttps://www.blogger.com/profile/15222730484450544498noreply@blogger.comtag:blogger.com,1999:blog-37286253.post-33060440765579489332009-12-07T23:55:21.561+02:002009-12-07T23:55:21.561+02:00Hey Bongi
Great post. A learning point in there ...Hey Bongi<br /><br />Great post. A learning point in there for all of us. Always stick with what you believe, although an open ear to listen to other ways is commendable. I'm glad the surgery turned out well and you walked away all the better a person.<br /><br />By the way, I liked your use of horses outside the stable. Here in the US where I live, we say "don't overlook the horses for a zebra." Same thing...<br /><br />Thanks again.StorytellERdochttps://www.blogger.com/profile/14371229500424449124noreply@blogger.comtag:blogger.com,1999:blog-37286253.post-2864152908843764532009-12-04T21:34:22.272+02:002009-12-04T21:34:22.272+02:00Yeah, favors are tricky things. I am fond of doin...Yeah, favors are tricky things. I am fond of doing favors for people, but they're mostly people who I am close to and trust. The good thing about favors for certain people is that you can then ask for a favor in return! They "owe you one" in a sense. Which may or may not come in handy in the future.Maryhttps://www.blogger.com/profile/04470155768211892164noreply@blogger.comtag:blogger.com,1999:blog-37286253.post-76937351605863116332009-12-04T07:58:11.913+02:002009-12-04T07:58:11.913+02:00point of order. my name is both spelled and pronou...point of order. my name is both spelled and pronounced bongi and not bonji.Bongihttps://www.blogger.com/profile/12918640034313468627noreply@blogger.comtag:blogger.com,1999:blog-37286253.post-34176268282068595872009-12-03T23:37:18.043+02:002009-12-03T23:37:18.043+02:00thanks Bonji..........nothing like an artery in sp...thanks Bonji..........nothing like an artery in spasm to make surgeons think everything is o.k!!!!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-37286253.post-43236885552950233412009-12-03T20:54:38.892+02:002009-12-03T20:54:38.892+02:00sammy, laparoscopic colectomies are the way to go....sammy, laparoscopic colectomies are the way to go. in this case, because of the generalised peritonitis it was not an option.<br /><br />bleeding can happen in any operation and is not so much a result of laparoscopic surgery as a result of surgery. it is one of the things you need to be able to deal with as a surgeon. complications happen. do enough operations and you'll get one.<br /><br />drains is a whole other topic. i don't think it is wrong not to put in a drain after a lap colectomy. obviously in retrospect in this case it looks like it might have been helpful but retrospecively everything is easy. there is even evidence that drains increase anastomotic leakage, so your surgeon was well within present conventional thinking.<br /><br />transfusion is also not cut and dried. standard thinking is that hb under 7,4 needs transfusion, but if surgery is going to happen something much closer to 10 is acceptable. but the actual point it the case you describe is he probably needs reoperation rather than transfusion. blood is not going to stop bleeding.Bongihttps://www.blogger.com/profile/12918640034313468627noreply@blogger.comtag:blogger.com,1999:blog-37286253.post-28617664833099217512009-12-03T18:49:29.364+02:002009-12-03T18:49:29.364+02:00what do you think of these surgeons who do Hemicol...what do you think of these surgeons who do Hemicolectomies and anterior resections or whatever by laparoscope? this guy came to the ward the other day after having a laprascopic bowel resection and yes he felt fine! by that evening he was up in a chair, sipping high protein drinks and swallowing paracetamol. however next day after a walk around the ward and everything was fine: then his HB dropped to 4. he didnt even have a drain. Also how low would you let your HB go if you needed a blood transfusion in Africa? <br />MR boerwors: i am glad you are having such a lovely holiday: steak, sex, beer and broganvillia and the singing of birds...............meanwhile back in uk: swine flu pandemic and lots of rain.sammynoreply@blogger.comtag:blogger.com,1999:blog-37286253.post-38093967944678071162009-12-03T14:56:39.351+02:002009-12-03T14:56:39.351+02:00Hard learned lessons.Hard learned lessons.rlbateshttps://www.blogger.com/profile/15236331355857884458noreply@blogger.comtag:blogger.com,1999:blog-37286253.post-44489453302481886142009-12-03T14:53:29.328+02:002009-12-03T14:53:29.328+02:00Recently I was chatting with a friend who said of ...Recently I was chatting with a friend who said of operating, "If I am asked, I will not say no." <br />I was reminded of this as I read the post, because if I am asked to do a favour, if I <i>can</i> do it, I will not say no...which tends to make me very busy doing other people's stuff with not so much time for my own. I doubt I shall ever learn the lesson not to do favours.Jabulanihttps://www.blogger.com/profile/12847825459654555235noreply@blogger.com