What’s up, party people? Hey.
In this video, I just wanted to talk about what I did today. A lot of you guys asked me to do a vlog, a daily vlog. I can’t really do that everyday, but today was busy.
So this morning, I had to chair this trauma committee meeting. We have a peer review every month for each hospital has a trauma program in case there’s problems, issues, with the system – problems with the cases and blah blah blah. So I did that. That was 7:00 a.m. to 8:00 a.m., and then I went and rounded 12 patients. 9:00-10:00 I was doing notes and stuff, billing. 10:00-11:00, returning emails, answering questions from you guys. 11:00-12:00 I had to go to the hospital or an operation. 12:00-1:00 I did a gallbladder. 1:00-2:00 I had another meeting, trauma meeting for a different hospital to talk about the systems and all that stuff. 2:00-3:00 did a X-Lab with a small bowel resection with my partner before I drove back to the hospital, and then 4:00-5:00 saw some new patients. 5:00-6:00 I actually waited around for my case to go.
During this whole time, I was coordinating this other operation that I may or may not do today, which was a splenectomy for aspera psychosis. The patient had gastric varices and was bleeding, and they didn’t know…When I say they, it’s the medicine doctor called me and said, “We think the patient’s gonna bleed again, and the gastric hemorrhage is more frequent now. And she’s a little older.” They think that she should have the spleen out sooner than later. Talked to a couple other doctors about it because it was another doctor’s patient I was covering. Talked to the radiologist. The radiologist thought that the patient could have a balloon, so she had a splenorenal shunt and a balloon dilation of that shunt would help. Shunt the blood away from the gastric varices and then embolize the spleen at the same time instead of just taking the spleen out. It’s a really bloody operation if you just try and take the spleen out, and they got a bunch of varices.
So she was older, and so you don’t wanna put her at risk. So if we can stop the blood flow to the spleen so when you’re taking it out it doesn’t bleed as much, and you also do the shunt thing. So it takes the blood away from the spleen. Also takes the blood away from the gastric varices. Gastric varices are just big, enlarged veins. And they bleed really easily and really bad.
Soft tube verises are notoriously dangerous. Usually, alcoholics get them because they have cirrhosis of the liver. And then they get this horrendous upper GI hemmorhage, which is notoriously difficult to treat.
Anyway, this is a different problem but similar. The whole time I’m driving and calling people and trying to coordinate all the care and stuff like that.
6:00, 6:15 I did this laparoscopic lysis of adhesions. 6:15-7:00. And then 7:00 got another trauma patient. Had to see that trauma patient. Looked over some labs and everything else for everyone else. Now I’m driving home. Still on-call. I’m on-call for Friday, Saturday. And then I start on-call at another hospital Sunday, and then I’m on-call for the rest of the week until Friday. I think on Friday I leave for a conference.
So that’s my day. I’m not always that busy. I mean, it doesn’t seem that busy when you just break it into hours like that. I also got my dad an appointment with a cardiologist because they’re like…My mom’s texting me, my dad’s texting me. I need this appointment. We can’t get it. Blah blah blah. So I had to call my friend who’s a cardiologist and say, “Hey, can you see him?” He was nice enough to do that.
Also coordinating care with other doctors. Talked to a few other doctors during the course of the day. Internal medicine, radiologist, neurosurgeon. Of course they had anesthesiologist for my operative patients.
Yeah. So now I’m gonna go home and cross my fingers that I don’t have to come back.
See, you gotta see the trauma patient before you leave. If a trauma comes in you’re not sure that you need to see because not- We don’t see everybody. We only see level ones right away. Level two sometimes the ER guys take care of it, and if it’s not that big of a deal, then they just send them home. But if you go home, a trauma patient- I’m about to go home. A trauma patient comes in. I just go see them because then when I come home, they’re like…We order up all the tests they’re like, “Oh, we got this problem.” And I get admission from there. It’s not that big of a deal.
Okay, that’s it. Quick one. See you in the next one.
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