Wednesday, January 12, 2011
So in my previous posts one of the cases I talked about was an aortic dissection. I have done some fun stuff lately at work, but this case I am very proud about (and I really didn't do much).
Aortic dissection are not common. When you do find one, it is usually too late and the patient dies. This patient was relatively young (40s), and did not have the classic symptoms of a dissection. The only reason I looked for it was because he had a new murmur. I very easily could have not gotten the cat scan (almost didn't), and he would have died.
So when I found it, I was thinking this guy might actually survive this b/c we caught it early. When I called the thoracic surgeon at midnight, he did not share my enthusiasm. He was PISSED b/c he had a big day scheduled and did not want to be operating.
He even asked if I could transfer him to another hospital! Of course I said NO I am sure other hospitals thoracic surgeons have big days planned as well.
So after yelling at me for finding this dissecting aorta in a young man, he was forced to take him to the OR. He huffed and puffed and said what a waste of time this guy is going to die.
Guess what....less than a week later, the guy went home today. He WALKED OUT of the hospital and should be fine.
Great save indeed, despite grumpy f***ing surgeons.
Posted by SerenityNow at 5:43 PM