I just returned from the showers where Spc. Troxel used up all of the hot water and I and Spc. Eldridge had to take cold showers. I will proceed with court martial charges against Spc. Troxel in the morning. Hey, for those of you who have been in the military or been to summer camp, will testify to the high crime of using the last of the hot water.
Here I have closed the incision and am finished...or am I?
Here's the rest of the story. After I finished with this procedure, I went to the gym to workout. When I returned from the gym, I went to my room grabbed my clothes and showered. Our showers are in the clinic. When I finished, I was leaving the clinic when one of the medics grabbed me and said that my patient had returned and that his incision was leaking blood. I went into the procedure room and there was Bryan and Mike with the patients wound open and blood everywhere. What happened was the patient had left the clinic and went to a meeting. After the meeting he was walking back to his office when he started to bleed from the wound.
So, Bryan and Mike were trying to find the vessel that had rupture. As soon as I entered the room I grabbed a pair of gloves and went to work. Mike stepped out as three was too many people for such a small wound, but Bryan stayed on. It tooks us over an hour and a half to get that bleeding under control. What happened was a blood vessel had broken open and retracted up superior to the areola. It is amazing how much blood can come from a small blood vessel.
Well, we finally got the bleeding under control by using epinephrine, ties, and good old fashion direct pressure. Bryan stayed the entire time to help me out and I am so thankful to him.
It is always a providers nightmare when someone else has to repair your work. But Bryan has been kind and hasn't made fun of me or anything. Which is nicer than I would have been. If it were his patient, I would make him pay me 12 dollars to keep my mouth shut. ;-)
It is always great to have friends who can cover your backside.