Another Day in Hell

I am one of those people who always look up to each day afresh. I never allowed events of previous days to bog me down. I believe that every day is pregnant with its own events and you can never tell what the day would deliver. For the first time in my life, I woke up feeling apprehensive about today. I had hardly had any sleep in the night but that was not the reason I felt the way I felt. Being up all night when on call was nothing new to me. It was part of surgical training. I was not grumbling about that.

I woke up regretting bringing my issue of the Gut to the theatre yesterday. If I hadn’t brought this journal Dr Braver probably would not have read about the paper on day-case cholecystectomies. And he would not have discharged the patients that he discharged yesterday evening.

Although I wasn’t officially on call I was involved in sorting out the patients that were readmitted. Three of the patients were readmitted. The registrar on call called me as he was unable to contact Dr Braver. He discussed all the patients. I too tried to contact Dr Braver and left several messages on his answerphone.

The old man with oesophageal perforation was not doing well in the high dependency unit. Like the other patients, I tried unsuccessfully to contact Dr Braver about this patient whose condition had deteriorated. I almost gave up trying to contact him after leaving numerous messages. The time was about two in the night when I got a call from the theatre that Dr Braver wanted me immediately. I almost told the caller that I was not on call, but on second thought, I didn’t as no doubt, Dr Braver knew that I was not on call.

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“Hello Dr Braver,” I said, after knocking at the opened door.

“I am opening up our friend,” he said, without looking at me.

I wasn’t sure who he was referring to as “our friend.” In reality, there were many patients on the ward that he could be referring to. All of them with one complication or another. The old man with perforated oesophagus in the high dependency unit. The elderly patient with perforated colon during colonoscopy; the one that Dr Bigfellow had helped with corrective surgery. The three patients who had been readmitted following discharge for statistical reasons after cholecystectomy. The young lady who had ended up with a colostomy following an exploratory laparotomy. The fourteen-year old boy who had suffered damaged bowel from laparoscopic appendicectomy. The middle aged woman who had had her womb removed when undergoing bowel resection. And the man who suffered clipping of his iliac vein when undergoing laparoscopic hernia repair. So, talking about “opening up our friend” could be any one of these or those that had not been mentioned. I dared not ask which patient he was referring to. I simply nodded and went to change into my theatre gown.

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