The little kid did great! He is one of two, a twin, his sister stayed home - her head is normal! He was not pleased to see me in the morning, i was not upset - it was his feeding time, but we had to keep him hungry. There was some delay and confusion with his presurgical blood work - another proof of inefficiency of the current system, where anesthesiologist meets his/her patient in the morning of surgery; a short phone conversation with me would have been enough to avoid all that stuff, plus, the Mom was understandably anxious, so I had to take some time dealing with all that. But the case went great! Of course, we lost about half of his blood volume in the first hour or so, i was ready - two large IVs and an arterial line, so it was pretty easy to keep up. My fellow surgeons kept me on my toes, but that was expected. These are very special cases, it is easy to fall behind, and then it becomes nothing but trouble. We took him to the Intensive care still intubated, but he was awake and pretty comfortable 2 hours later. I did enjoy that.
Tomorrow a couple of big shoulders - scopes, rotator cuffs, etc..should be fun, I love doing those nerve blocks.
www.surgerytomorrow.com
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