I just returned from the call. Called for appendicitis. The surgeon called at half past seven. That's "three white horses."
The patient is infected with HIV. The third day is sick. The abdomen is a soft, periodic pain over the groin and frequent desires for defecation without apparent success (but with audible). They mashed, listened, turned and left until the morning. The morning is wiser than the evening. The doctor on duty brought a medical history. I read:
The stab wound of the anterior abdominal wall." Delivered by the "green" at one o'clock in the morning today. In an outpatient card: "... hurt the skin of the abdomen when climbing over the fence." Great, I think to myself, this is where he climbed at one in the morning (even at 12), and even in a colony of strict regime. And where is the patient? Come on, quickly! The ambulance escaped and five minutes later, in the ordinarian room, they brought the victim, who had been crooked by the letter Z.
Well, tell me: where did you go and why?"
Yes to the library.
"Is it at one o'clock in the morning?"
"No, at two in the afternoon."
"What yesterday?"
Day before yesterday.
Belly is a board. The face is the facies of Hippocrates. Tachycardia for a hundred. Lips are blue. In the iliac region to the left, a stab wound 1 inch.
Have sent on a roentgen. In the abdomen, clear signs of peritonitis. They took it on the table. Wound penetrating with damage to the small intestine. In the abdomen with a half-liter of blood and clots. And the blood goes on all the time. And the smell. This smell with nothing you will not confuse.
And then fought for three hours with bleeding = DVS. Wow appendicitis!
I arrived home at half past two. The doors are open. The house is guarded by a cat. Well at least I cleaned my teeth - the paste is also open.
