Another stone bit the dust today. I did a pyelolithotomy with Dr. Singleton today on a 34yo woman who had a stone for over three years. All went pretty well. The rest of the day was TURPs, which thankfully, so far have been pretty uneventful. But today it seems as though something was in the water. One of the patients went into bronchospasm on the table, requiring quick conversion from spinal anesthesia to intubation. His sats didn´t get better, and he suddenly tanked. So the ET tube was pulled and an LMA was placed even more quickly and he settled out nicely after that. Afternoon rounds were fairly benign except for one patient who went into retention and was febrile. Hopefully he´ll be ok.
Tomorrow we have only cysto/TURP cases so I hope to get some more TURPs under my belt.
Yesterday´s nice weather was an aberration, as I suspected.
I haven´t had a better trip in years.
More later.
~Kmoses
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