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Archive for May, 2009

Full Name: Big Black Monokoru Boo

Age: Less than 1 year old

History: Patient initially presented with mild loss of weight with incontinence of stuffing. Previously noted to have a perforation at the dorsal surface of his body causing continuous leakage of stuffing. T+S done under local about 2 month ago. However, in the past 2 weeks, noted that patient persisted to have weight loss and a flattened look. On examination, patient looked ill, spiking fever from wound dehiscence and hemodynamically unstable due to hypostuffinaemia. Patient was then fasted and posted for emergency surgery.

Diagnosis:

1. Cachexia and sagging due to severe hypostuffinaemia

2. Sepsis secondary to wound dehiscence

Surgery: Wound debridement, body lift and re-stuffing

Surgeon: Jellio’ MD

Date of surgery: 26/05/2009

Duration of surgery: 1840 H – 1945 H

Procedure:

1. STO done on old wound.

2. Skin cleaned and drapped.

3. Lignocaine 2% infiltrated at proposed op site.

4. Wound incision extended and edges trimmed.

5. Wound irrigated with saline and hydrogen peroxide.

6. Stuffing consisting of 2 rolls of Otoban shredded, fluffed and optimised.

7. Stuffing inserted into all four quadrants under aseptic technique.

8. Skin closed with interrupted sutures using Silk 3/0.

Post-op orders:

1. Continue IV antibiotics.

2. Strictly light duty for 6 weeks.

3. Not to be squashed or sat on by humans in the near future.

4. Wound inspection Day 3, no need STO.

before

after

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Just breathe

This is the 2nd time I heard Anna Nalick’s “Breathe (2 A.M)” on NTV7 with Grey’s Anatomy scenes playing in the background. I first heard of this song in one of the Grey’s Anatomy episodes in the earlier seasons. Loved this song so much that it’s my ringtone when CN- calls.

2 AM and she calls me ’cause I’m still awake,
“Can you help me unravel my latest mistake?,
I don’t love him. Winter just wasn’t my season”
Yeah we walk through the doors, so accusing their eyes
Like they have any right at all to criticize,
Hypocrites. You’re all here for the very same reason

Cause you can’t jump the track, we’re like cars on a cable
And life’s like an hourglass, glued to the table
No one can find the rewind button, girl.
So cradle your head in your hands
And breathe… just breathe,
Oh breathe, just breathe

May he turned 21 on the base at Fort Bliss
“Just a day” he said down to the flask in his fist,
“Ain’t been sober, since maybe October of last year.”
Here in town you can tell he’s been down for a while,
But, my God, it’s so beautiful when the boy smiles,
Wanna hold him. Maybe I’ll just sing about it.

Cause you can’t jump the track, we’re like cars on a cable,
And life’s like an hourglass, glued to the table.
No one can find the rewind button, boys,
So cradle your head in your hands,
And breathe… just breathe,
Oh breathe, just breathe

There’s a light at each end of this tunnel,
You shout ’cause you’re just as far in as you’ll ever be out
And these mistakes you’ve made, you’ll just make them again
If you only try turning around.

2 AM and I’m still awake, writing a song
If I get it all down on paper, it’s no longer inside of me,
Threatening the life it belongs to
And I feel like I’m naked in front of the crowd
Cause these words are my diary, screaming out loud
And I know that you’ll use them, however you want to

But you can’t jump the track, we’re like cars on a cable,
And life’s like an hourglass, glued to the table
No one can find the rewind button now
Sing it if you understand.
and breathe, just breathe
woah breathe, just breathe,
Oh breathe, just breathe,
Oh breathe, just breathe.

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Banana bag

I heard bout this banana bag thingy in both Grey’s Anatomy and House MD. Curiosity got the better of me. Interesting…

From Wikipedia

A banana bag (or rally pack) is a bag of IV fluids containing vitamins and minerals. The bags typically contain thiamine, folic acid, and 3 grams of magnesium sulfate, and are usually used to replenish nutritional deficiencies or correct a chemical imbalance in the human body. Most often they are used in ICUs and CCUs to correct acute magnesium deficiencies. They are extremely beneficial for the sick and dying (cancer, etc.) because magnesium mitigates nerve pain and muscle pain/cramps and helps detoxify the liver and kidneys (increasing drug benefits and reducing drug adverse effects). They are commonly used for alcoholics who need thiamine to prevent Wernicke-Korsakoff syndrome and magnesium to reverse dementia symptoms.[1][2]

Folic acid is yellow in color — this ingredient makes the fluid yellow, hence the term “banana bag”.[1]

The typical composition of a banana bag is Thiamine 100 mg + Folic acid 1 mg + MVI 1 amp to 1 Liter of Dextrose 5% and Normal Saline + three grams of Magnesium Sulfate. The solution is typically infused over four to eight hours.

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Hmmm…

“Practicing medicine doesn’t lend itself to the making of friends. Maybe because life and mortality are in our faces all the time. Maybe because in staring down death everyday, we’re forced to know that life, every minute is borrowed time. And each person, we let ourselves care about is just one more loss somewhere down the line. For this reason, I know some doctors who just don’t bother making friends at all. But the rest of us, we make it our job to move that line. To push each loss as far away as we can.”

~ Meredith Grey, Grey’s Anatomy

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