Sunday, February 8, 2009
In medical blogging, I've found that patience is usually rewarded. I had a craving to write about pneumothorax and when Gerald Wallace was crunched by by Andrew Bynum, I jumped all over it. But it turns out that all I had to do was wait a week and a situation would develop in my own practice. I was covering for another surgeon who had a patient in the ICU on the vent. The patient had severe COPD and seemed to suddenly decompensate; low BP, dropping oxygen saturations, etc. So I ordered the usual workup, i.e. CXR, ABG, cardiac enzymes, et al. And the above picture showed up on my home computer. So I hustled into the hospital, slammed in a chest tube and the subsequent CXR made everyone feel more better. (Special thanks to the state trooper who inexplicably didn't pull me over as I zoomed by at 90 MPH on I-271).