meatball sub appendix

Breaking: Surgeon Removes Perforated Appendix from Textbook

  • 348
    Shares

NASHVILLE, TN – A general surgeon at Vanderbilt University, Dr. James Cavalier, has successfully removed an inflamed and perforated appendix from his copy of Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice (18th Edition).  His textbook is currently in stable condition.

“I was flipping through the textbook, but realized it was looking acutely ill,” explained Cavalier, relieved that the laparoscopic appendectomy went smoothly.  “It had impressive tenderness in the right lower quadrant with rebound and guarding, so I knew something was wrong.”

With the help of Radiology, several critically-ill patients were bumped from the queue so Sabiston could get a stat CT, which ultimately revealed a contained perforation, confirming initial suspicions.  The textbook’s vital signs were becoming unstable, forcing Cavalier to make a decision.

“It was becoming septic,” he said.  “I had no choice but to go in there and remove the appendix.”  Thanks to the help of Hospital Medicine, the textbook was immediately cleared for surgery.  With the exception of a few adhesions due mostly to ketchup stains, the operation went without a hitch.

Cavalier is both relieved and saddened by today’s events.

“I’m relieved because I get to keep my current copy of Sabiston, which I love, instead of ordering another one off of Amazon,” he explained.  “But I’m sad because it doesn’t have an appendix now.  It was a great appendix.  One of the great joys of a textbook and in particular this textbook was reading all the additional information contained in the appendix.  But let’s be real: all that appendix contained now was a giant phlegmon.  That wouldn’t be fun to read.”

Pathology confirmed that most of the pages in the appendix had a hole in it, even a few tears.  There was also a lot of purulent material.

Sabiston is expected to be extubated later today.  By tomorrow, Cavalier hopes to remove the Foley, start incentive spirometry, and encourage Sabiston to walk several laps around the floor so it doesn’t catch a blood clot.

“Hopefully it doesn’t need placement,” added Cavalier.

image_pdfimage_print
  • Dr. 99

    First there was Dr. 01, the first robot physician, created to withstand toxic levels of burnout in an increasingly mechanistic and impossibly demanding healthcare field. Dr. 99 builds upon the advances of its ninety-eight predecessors by phasing out all human emotion, innovation, and creativity completely, and focusing solely on pre-programmed protocols and volume-based productivity. In its spare time, Dr. 99 enjoys writing for Gomerblog and listening to Taylor Swift.

  • Show Comments

Your email address will not be published. Required fields are marked *

comment *

  • name *

  • email *

  • website *

You May Also Like

anatomy, Independence Day

Patriotic Call Lights, Pagers to Play National Anthem

131SharesWASHINGTON, DC – For those patients and providers in the nation’s hospitals today, new ...

blood

Patient Bleeds to Death, Blood Bank Paperwork Completed Without Errors

9.7KSharesMADISON, WI – GomerBlog regrettable reports about another surgical patient bleeding to death at Community Hospital yesterday. ...

orthopedic resident

Orthopedic Resident Suspended for Not Logging Romantic Endeavors

1.6KSharesNEW YORK, NY – Richard Steel, a PGY-4 orthopaedic resident in New York City, ...

politicians

Numerous Elected Officials Suffering From Bizarre Triad of Abdominal Jaundice, Gelatinous Vertebrae, & Microorchidism‏

171SharesWASHINGTON, DC – Capitol doctors, thanks to information-sharing initiatives promoted by the Affordable Care ...