tag:blogger.com,1999:blog-2760353953251845523.post5116294695623428819..comments2024-02-10T02:14:39.898-05:00Comments on Buckeye Surgeon: BluntJeffrey Parks MD FACShttp://www.blogger.com/profile/15650563299849196122noreply@blogger.comBlogger17125tag:blogger.com,1999:blog-2760353953251845523.post-32145560364238595772012-08-21T09:57:41.535-04:002012-08-21T09:57:41.535-04:00You must have had a great feeling after that surge...You must have had a great feeling after that surgery. Great job!!Vergoedinghttp://www.ooglaserenamsterdam.com/vergoeding-ooglaseren/noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-69397027766897201042012-06-29T16:59:31.700-04:002012-06-29T16:59:31.700-04:00Where are you? Just logged on to see what you had...Where are you? Just logged on to see what you had to say about the scotus decision yesterday. You're sorely missed in th blogosphere.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-68077950562944463172012-05-17T20:12:31.355-04:002012-05-17T20:12:31.355-04:00What passes for serial abdominal exams in many pla...What passes for serial abdominal exams in many places would not have caught this until much later.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-79801433006957091372012-05-15T13:59:01.978-04:002012-05-15T13:59:01.978-04:00Great story and serial exams.. Where are your new ...Great story and serial exams.. Where are your new posts? Hope you can return to them.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-90575472429452384632012-03-19T05:16:08.926-04:002012-03-19T05:16:08.926-04:00Nice account Buckeye. Thanks. It goes to show that...Nice account Buckeye. Thanks. It goes to show that gut feel and experience is as important as technology in very many situations. Lucky patient.ENT Specialist Sydneyhttp://www.entspecialist-sydney.com.aunoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-44515882596775473152011-09-10T11:25:18.213-04:002011-09-10T11:25:18.213-04:00Hoping that you are just enjoying a breather, spen...Hoping that you are just enjoying a breather, spending time with family, saving the odd life... and not giving up on your great blog! How about a review of Cheney's latest contribution to historical fiction?Bianca Castafiore?https://www.blogger.com/profile/07088130255223709497noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-4761302616291209562011-09-10T06:21:50.998-04:002011-09-10T06:21:50.998-04:00It's a good thing that you remind people to be...It's a good thing that you remind people to be patient when making assessments. It might take quite some time to diagnose a patient. Interesting case, thanks for sharing it.Panic Attackshttp://www.panicaway.com/noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-22751819863747910812011-09-04T00:46:48.814-04:002011-09-04T00:46:48.814-04:00Nice. I hope if I'm ever on the table, you'...Nice. I hope if I'm ever on the table, you're the guy standing over me.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-18160669280346903702011-08-17T09:24:23.386-04:002011-08-17T09:24:23.386-04:00Yes, I agree completely. Sometimes a seemingly uni...Yes, I agree completely. Sometimes a seemingly unimportant aspect become vital in treating an patient. <br />Good job done.Jupitor Chakmahttp://healthyone.org/noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-67159528602303191252011-08-07T18:16:16.388-04:002011-08-07T18:16:16.388-04:00Pretty classic case you describe. Serial exams alw...Pretty classic case you describe. Serial exams always benefit trauma surgery patients. Usually you get lucky with cases like this and see a little free fluid on the scan. We over rely on technology. Probably because it is so much easier to look at the scan than reexamine the patient/admit/observe etc... I could fill this page with abdominal catastrophes w/ negative or nearly negative CT imaging but almost none without physical exam findings. Your case is an example of experience that makes good surgeons great surgeons. Great case.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-22502013245572933342011-08-02T09:39:40.954-04:002011-08-02T09:39:40.954-04:00This is a perfect example of clinical judgement tr...This is a perfect example of clinical judgement trumping technology. (also one of the reasons why I still believe CT scans for appendicitis are way overused, especially in males)Kellie (General Surgeon)noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-42146196082700551632011-07-24T11:56:17.173-04:002011-07-24T11:56:17.173-04:00Not to imply laparoscopic heroics was appropriate ...Not to imply laparoscopic heroics was appropriate here. Sounds like she was committed to the full trauma lap anyways from what you describe from the clinical picture. Had a similar case last year - a guy rollerblading, hit one of those waist-high concrete posts - peritonitis -> trauma lap -> complete jejunal transection!Jensenhttps://www.blogger.com/profile/11872800312929005164noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-23956005422323588172011-07-24T09:25:52.225-04:002011-07-24T09:25:52.225-04:00NO. Blunt trauma makes me nervous. I didn't ...NO. Blunt trauma makes me nervous. I didn't just address the jejunal perf. I looked in the lesser sac, examined the duodenum, mobilized the right colon (because the cecum looked "odd", ended up just being reactive serositis.) I think you can't just assume there is one injury when youre dealing with blunt intestinal trauma. Old fashioned, maybe, but I just think it's the safest course of action. Not a time for laparoscopic heroics.Jeffrey Parks MD FACShttps://www.blogger.com/profile/15650563299849196122noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-65898657045737783462011-07-24T09:13:51.126-04:002011-07-24T09:13:51.126-04:00did you stick a scope in first?did you stick a scope in first?Jensenhttps://www.blogger.com/profile/11872800312929005164noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-11576467158047821202011-07-24T04:22:45.178-04:002011-07-24T04:22:45.178-04:00Wow Im moving to Cleveland.. Great save!!Wow Im moving to Cleveland.. Great save!!Gia's Spothttps://www.blogger.com/profile/09482742283418885642noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-83314219900412300732011-07-23T13:35:59.963-04:002011-07-23T13:35:59.963-04:00Great catch! And a very lucky patient! =)Great catch! And a very lucky patient! =)Rishihttp://rk.mdnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-64406072454613952072011-07-23T09:49:50.846-04:002011-07-23T09:49:50.846-04:00Nice example of how repeat examination of a patien...Nice example of how repeat examination of a patient is helpful. Can't simply rely on technology. Great job, Buckeye!rlbateshttps://www.blogger.com/profile/15236331355857884458noreply@blogger.com