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jasonglh,
the primary problem may have been the adhesion from the appendectomy but the symptom that gets the patient to the surgeon is the obstruction. Adhesions themselves are painless....it's the chaos they cause that brings on the pain....
timeline: adhesions form, bowel gets caught doing a dance to get free, bowel gets more 'tangled' or kinked, pain, nausea, vomiting begin, go to surgeon for relief or rupture bowel, get peritonitis and be a sick puppy wishing you saw a surgeon earlier!!!!!
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'Revel in action, translate perceptions into instant judgements, and these into actions that are irrevocable, monumentous and dreadful - all this with lightning speed, in conditions of great stress and in an environment of high tension:what is expected of "us" is the impossible, yet we deliver just that.
(adapted from: Sherwin B. Nuland, MD, surgeon and author: The Wisdom of the Body, 1997 )
Education is the anti-ignorance we all need to better treat our patients. ss, 2008.
The blade is so sharp that the incision is perfect. They don't realize they've been cut until they're out of the fight: A Surgeon Warrior. I use a knife to defend life and to save it. ss (aka traumadoc)
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