you know it's bad when...

started a surgery yesterday afternoon that ended in the wee hours of this am. you know it's bad when the surgeon makes the initial cut, pokes around a bit, sighs and says, "this is going to take all night"...followed an hour later by "oh man, i think i might have just killed her"....

the pt thought she was going in to the OR so someone could fix her small bowel obstruction....which we did, only....there was a 12 x 18 cm piece of mesh completely adhered to her bowel from a previous surgery to repair a couple of hernias after a surgery for endometrial CA....so....yeah. 9 hours of tedious, horrible meticulous clips of adhesions later....there was a solution. and only ONE bowel perforation. amazing.

i left around 9pm because i couldn't feel my feet anymore. but the pt was well in ICU today, considering. fingers remained crossed.

in other slightly more uplifting news, i got to admit a pt today based on my recommendation, not the opposing resident's recommendation. (small victories, people)

this week's hernia count: 10 and counting

oh, and the malnutrition and dehydration diet is going GREAT.
blegh.