Madder and badder than the 15th

Saturday, 4 November 2006

BMI 36 and falling

2 more kilos down.
BMI 36.

and the bruising is almost all gone, If I can only get Little Benny to stop dive-bombing on my abdomen!

I saw one of my patients today who had a band put in 3 weeks before I did, he also knew I was going for the band.
He presented because his abdominal and back pain was getting worse and there was a 3 cm diameter red swollen patch around the portal site. He is NIDDM and gets acute on chronic pancreatitis.... Bloods WCC 17xE+05 (94% neuts with reactive lymphocytes and a shift to the left), CRP 75 ESR 128 - too bad the surgeon who ordered the bloods 3 days ago didn't actually check them (or bother to cc a copy to me - are you taking notes here my specialist colleagues?) !!!! Reminds me, I had better phone the surgeon on Monday (it is about midnight Saturday at the moment maybe I should phone him now?)* Actually I might wait until I find out of the patient survived the weekend or not.

This means his portal site (where the band gets inflated or deflated) is infected, this means his band probably had to come out, and his morbidity is pretty damn high and that is before the laparoscopic/open surgery to remove everything and then the barrage of antibiotics etc...

It is a stark reminder of what can go wrong with surgery and how bloody lucky I have been!

Thinking of you BJ**


* Q. What is the difference between God and a Surgeon? A. God doesn't think she is a surgeon***

** in a blokey, macho way of course!

*** (actual conversation heard between two cardiothoracic surgeons after a successful CABG without the consultant being there) "Q. What is the difference between God and a Cardiothoracic Surgeon? A. God wishes he was a Cardiothoracic Surgeon"
(I kid you not!)


At 12 November, 2006 06:11, Blogger Foilwoman said...

So exactly when can we look for your underwear model spread in the pages of GQ? Innana and I are waiting. Breathlessly. Well, we're still breathing, but we really do want to see this.

At 13 November, 2006 10:41, Blogger Benedict 16th said...

When that flock of pigs have to wear extra thick thermals cos the flaming brimstone pits have frozen over...
I haven't blogged because I have only gone done one more kilogram since last week, it's bloody difficult to guage as I can vary up to 3 kg in a day and 3 kg in a week depending if BO in the last day or two or not (and you always thought I was full of shit - well up to 3 kg worth apparently)

So Foilest, should we show them your Cosmo centrefold*?


* about 1976 wasn't it (Ow! - in response to the clip behind the ear I just received)

At 14 November, 2006 02:35, Blogger Juanita J. Sanchez said...

Well, well, Benedict, I like your blog! Seems I'm going to have to add you to my list of must-reads. Especially interesting to read about your lap band experience, which I secretly (or maybe not so secretly) envy. Regarding the ECT you and I are debating on another blog, you bring up an excellent point. However, most treatments have a price, wouldn't you agree? If the pain is bad enough, then the price becomes something we're willing to pay. That said, I hope the decision regarding ECT, pro or con, is not something either of us has to confront. Have a great day and wear silly socks often. Please.


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