Comments on: Hazards of Massage & The Lethal Rupture http://www.gcgeorge.net/2007/01/30/hazards-of-massage-the-lethal-rupture/ As life cruises along; vita non est vivere sed valere Wed, 07 Jan 2009 13:14:35 +0000 http://wordpress.org/?v=2.1.3 By: Shah http://www.gcgeorge.net/2007/01/30/hazards-of-massage-the-lethal-rupture/#comment-934 Shah Wed, 31 Jan 2007 04:15:23 +0000 http://www.gcgeorge.net/2007/01/30/hazards-of-massage-the-lethal-rupture/#comment-934 A sure way to get an Adrenaline rush is by finding out that there's a leaking or ruptured AAA coming in for surgery whenever I'm on call. As difficult as it is for surgeons to operate on these, the anaesthetic management too is a huge challenge keeping you on your toes for the whole duration of the surgery. The new hospital I'm in doesn't handle AAAs so I'm going to miss handling the GA side of these operations. A sure way to get an Adrenaline rush is by finding out that there’s a leaking or ruptured AAA coming in for surgery whenever I’m on call. As difficult as it is for surgeons to operate on these, the anaesthetic management too is a huge challenge keeping you on your toes for the whole duration of the surgery. The new hospital I’m in doesn’t handle AAAs so I’m going to miss handling the GA side of these operations.

]]> By: Bernard http://www.gcgeorge.net/2007/01/30/hazards-of-massage-the-lethal-rupture/#comment-935 Bernard Wed, 31 Jan 2007 04:28:16 +0000 http://www.gcgeorge.net/2007/01/30/hazards-of-massage-the-lethal-rupture/#comment-935 Ya... get the message across: DON'T massage these... even medical students were not allowed to examine the abdomen... remember the signboard at the foot of the bed? "No examination by medical students" Ya… get the message across:

DON’T massage these… even medical students were not allowed to examine the abdomen… remember the signboard at the foot of the bed? “No examination by medical students”

]]> By: George http://www.gcgeorge.net/2007/01/30/hazards-of-massage-the-lethal-rupture/#comment-960 George Wed, 31 Jan 2007 15:48:28 +0000 http://www.gcgeorge.net/2007/01/30/hazards-of-massage-the-lethal-rupture/#comment-960 Yo I remember those signboards! Shah I have to agree with you. This is also very challenging for the anaesthetist and it really depends on them once the bleeding is under control. How was the mortality rate in your previous hospital for emergency cases? Yo I remember those signboards!

Shah I have to agree with you. This is also very challenging for the anaesthetist and it really depends on them once the bleeding is under control. How was the mortality rate in your previous hospital for emergency cases?

]]> By: Shireen http://www.gcgeorge.net/2007/01/30/hazards-of-massage-the-lethal-rupture/#comment-983 Shireen Fri, 02 Feb 2007 03:13:19 +0000 http://www.gcgeorge.net/2007/01/30/hazards-of-massage-the-lethal-rupture/#comment-983 So what happened to the patient? So what happened to the patient?

]]> By: YP http://www.gcgeorge.net/2007/01/30/hazards-of-massage-the-lethal-rupture/#comment-990 YP Fri, 02 Feb 2007 21:44:29 +0000 http://www.gcgeorge.net/2007/01/30/hazards-of-massage-the-lethal-rupture/#comment-990 I remember during my surgery posting last semester, we're constantly told "be careful, make sure you're really gentle!!!" while examining a patient with AAA. There was an incident though... when the patient concern had dementia and was really amused by the mass in his abdomen, he told us "look!! feel it!!! it moves!!!" We were so worried he'll be the one rupturing it before his surgery that afternoon. I remember during my surgery posting last semester, we’re constantly told “be careful, make sure you’re really gentle!!!” while examining a patient with AAA. There was an incident though… when the patient concern had dementia and was really amused by the mass in his abdomen, he told us “look!! feel it!!! it moves!!!” We were so worried he’ll be the one rupturing it before his surgery that afternoon.

]]> By: george http://www.gcgeorge.net/2007/01/30/hazards-of-massage-the-lethal-rupture/#comment-1015 george Sat, 03 Feb 2007 18:28:24 +0000 http://www.gcgeorge.net/2007/01/30/hazards-of-massage-the-lethal-rupture/#comment-1015 Hi Shireen how are you? Oh! Little did I realise that I forgot to mention about the patient. There was an acute shortage of blood as the blod bank could only give us 6pints of blood. The anaesthetist had difficulty getting more blood and as a result they had to rush it from PDN. By the time we clamped the aorta and the iliacs, he failed to respond to fluid resuscitation, unlike the first case and unlike most of them. He was in irreversible shock. He was not bleeding blood anymore but all the colloids and crystalloids tainted with blood. Well after all that it would be a miracle for him to be alive. So have you started a blog? It will be fun to see how your life is there! YP luckily he did try the "succussion splash" technique! or even better got one of those really blur students who felt that he or she had made an international discovery to knead it like dough. "Now you see it, yikes... Prof, the swelling has gone and.... , I think,....so has the patient!??!" Hi Shireen how are you? Oh! Little did I realise that I forgot to mention about the patient. There was an acute shortage of blood as the blod bank could only give us 6pints of blood. The anaesthetist had difficulty getting more blood and as a result they had to rush it from PDN. By the time we clamped the aorta and the iliacs, he failed to respond to fluid resuscitation, unlike the first case and unlike most of them. He was in irreversible shock. He was not bleeding blood anymore but all the colloids and crystalloids tainted with blood. Well after all that it would be a miracle for him to be alive. So have you started a blog? It will be fun to see how your life is there!

YP luckily he did try the “succussion splash” technique! or even better got one of those really blur students who felt that he or she had made an international discovery to knead it like dough. “Now you see it, yikes… Prof, the swelling has gone and…. , I think,….so has the patient!??!”

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