I had two caesarean section to be done today under the elective list. Both patient weighing over BMI 35. One was for twins (again??? this is the third one this week! where the %£$%! this people get so fertile?) and the other was for failed induction.
First one had a stunning BMI 49! What the..'besar mak ini'! Yes yes...here is this asian chap weighing less than 75 kg doing a c-section on a lady twice the weight of him. Can you imagine? Obesity is definitely becoming a problem this century. Worst of all she is also diabetic on insulin for the last 20 years. Hmm not a great combination. i am sure if i were to ask, it would be not a surprise if she also smokes. To add to that...had two previous scars (c-sections) as well.
C-section was like hell... had to tape her abdomen up using elastoplast making sorta like X mark on her abdomen. And even then had to have two of my courageous assistants to assist me.
Next lady, another staggering BMI 47! Besar mak ini! Another X mark on her abdomen.
After this two c-section...my hand was really aching. I am sure i saw my arm muscles twitching in agony.
Sigh... no rest however... as i am writing this...another patient is being wheeled into the operating theatre for c-section. Wish me luck.
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6 comments:
Good luck!
bernard: thanks very much...i think i have got hernia now from all the additional work out trying to lift patient's front apron
is front apron a medical lingo for a body part?
poor thing! you, i mean.
nicole:the 'apron' is a term we use to describe the subcutaneous fatty tissue that hangs over the abdominal wall/ muscles and hence creating an effect sorta like a true apron. can imagine it? if not later i draw out for you.. hehe
Aiyoyo...satu table enuf ka?..I can imagine the pt 'overflowing' to the sides of the operating table..
eve: heheh...pretty much overflowing yes...and we had to use a special electric table as she is already over the max weight of the normal operating table.
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