Yesterday was one of the busiest as far as cases, yet, although we only did 5 total. In my room, we did 2 pyelolithotomies, which is about 2 more than most residents in the US do in their enitre training. This is something you only read about or hear about from the older attendings. Both patients did well and I look forward to checking on them in rounds this morning. Those cases took all day, and as we were about to head out, we heard the most dreaded word in the world of Urology uttered by Dr. Rodriguez. ´We have a patient with Fournier´s´ Oh boy! This unfortunate man had been sitting in another hospital for 18days after initial debridement, and he showed up here with a dry gangrenous penis and urethrocutaneous and perineal fistulas with a tenous Foley hanging on for dear life. The hospital administrators seemed to be pretty unhappy that he showed up here, so all we could do for him was put in an SP tube and hope for the best for him.
On the ride home, we encountered a pretty serious car wreck involving a 8mo pregnant lady on the side of the road, and a lady in the car with a pretty good head injury. We stayed with her until the paramedics could arrive.
Our adventurous day ending quite pleasantly, which was nice without rain.
Later
~Kmoses
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