Everything is somehow cunning and I'm naive

The day passed with a bang! The patient, whose wound did not heal for a month and whom we just did not help, today gave the first positive dynamics - there were granulations by universal efforts)). Suddenly, a gushing patient managed to immediately perform CT of thoracic organs, the intrapleural effusion volume of 330 ml was clearly visualized on the film. I gladly performed a pleural puncture with it - from the first time I got into exudate (in the 8th intercostal space, slipped along the upper edge of the rib, on the right back axillary line) and "Oh, miracle!")) -all 330 ml serous-hemorrhagic clear liquid I have a pleural evacuator! Please, girl, breathe now deeply and painlessly! And do not fever anymore!

My curator, senior research fellow of the department, began to disassemble the course of our patient's operation with him, scheduled for Thursday. He proposed to expand the scope of surgical intervention by resection of the costal hump. I accepted the offer with pleasure. perfectly understood that this stage I will do myself, under his sensitive guidance))), and for the girl it will be much more aesthetic. She left for us from her city with a deformity of the spine at 160 degrees (in normal human 0 degrees, and here - almost folded spine in half), with the size of the costal hump of 14 !!! And on Thursday, in addition to being slim, will never earn any insufficiency (in other words, internal organs will not be twisted - they will be transmitted and she will never die from insufficiency, for example, blood circulation, which would be caused by her scoliosis !).

Head of the department, professor, MD, assistant professor quietly listened to my gratitude, in general terms, for the non-distribution of the day before yesterday's incident. He shook hands with me, it seemed to me, with respect)))) well, or, I want so that I thought so))). Yes, my humor became idiotic. Where did that naughty baby laugh?

The bypass was worthy. Bleed the necrotizing transplanted 1st finger of the right hand - the blood supply in it improved! I cut a couple of pressing gypsum - people always start to laugh gingerly when they feel that they do not press the plaster. Than it is caused or called (a pathogenesis) to me it is not clear. I think there is no literature on this. - And here is the topic for the article !!!))))

While here I write, the nurse brought hot toasts with cheese and tea!
It was a good day! True, the change is not over yet, but ... let's hope ...)
P.S. While I'm reading here not so many diaries (although I suspect that their number will increase not much). So, those who read, one way or another affect the logic of thinking. And then I want to talk about dreams. I have not seen dreams for 3,5-4 years. At night, if you sleep, it's somehow boring without them. Lyudiyi, even if you do not fly in a dream - appreciate the opportunity to enjoy your own imagination with a "disconnected" resting brain. Many doctors lost this opportunity. Believe on the word, or ask around (doctors at polyclinics and diagnostic centers - an exception).

And here's the mobile phone crackling. Exactly - a challenge! I'll go get it straight and fly. Then to sleep. If there is an interesting case I'll tell you tomorrow.
That's all for today.