i should be putting my knowledge to better use...
Okay, so I'm a little calmer now, but only because I've put on the doctor face. (You know, the samurai face. Walk away, Katsushiro. You're a samurai. Things happen. Deal with it and move on.)
If any of you still have the nerve to read the (semi-layman) case presentation between myself and jote_jote, and want to understand why I was so sucker-punched, I copy it here under the cut.
Before you read, do understand that I tend to overthink and overanalyze.
...hypovolemic shock secondary to multiple stab wounds to whole abdomen; possible traumatic aortic dissection; currently ongoing emergency exploratory laparotomy.
(loss of blood leading to loss of consciousness, currently having a major opening-up surgery, further explained below)
It's a little hard to break down in layman terms since we got so deep into it, but basically:
- It's a scary-enough situation that they are operating at the emergency room. They don't do this if they can do it in the operating-room theater floor, since they can control more factors there. If they are doing it at ER it means the patient is too unstable (vital signs such as blood pressure, breathing and heart rate are erratic, too much lost blood one of the reasons) to bring up to the OR floor.
- Jote says that from the looks of it they had to open up the whole abdomen under the ribcage. It's likely he will lose a kidney and/or a spleen and have part of the intestines cut out.
I wasn't able to add: so many mosquito forceps and an ER-level operation probably means the abdominal aorta or its major branches, in other words important arteries, are involved (cringe...). Aortic dissection is a scary thing.
- I was saying he's 15, so he's not 'adult' yet, and this will somewhat affect computations for things needed to make an operation possible (blood transfusions, anesthesia, and dextrose). This makes the situation just slightly more difficult for everyone involved.
- When all this is done (exploratory laparotomy is seldom finished in less than 4 hours), he'll be brought to ICU, no doubt about it.
- When all is over, he will be left with a long scar down the middle of his abdomen. This cut down the middle will weaken his abdominal muscles (the six-pack area, the rectus abdomini, jote, primarily), and will forever affect his fighting ability.
Yes, we deduce this from two panels worth of information, and we panic. This is why it sucker-punched us both so hard, while everyone else moved on to what Tsuna was going through.
If it says anything, I still can't go through the chapter a second time, can't go to IEM's site because they used page 6 as the plug.
All this said...yay for good author research. It is appreciated.
EK 8 )
If any of you still have the nerve to read the (semi-layman) case presentation between myself and jote_jote, and want to understand why I was so sucker-punched, I copy it here under the cut.
Before you read, do understand that I tend to overthink and overanalyze.
...hypovolemic shock secondary to multiple stab wounds to whole abdomen; possible traumatic aortic dissection; currently ongoing emergency exploratory laparotomy.
(loss of blood leading to loss of consciousness, currently having a major opening-up surgery, further explained below)
It's a little hard to break down in layman terms since we got so deep into it, but basically:
- It's a scary-enough situation that they are operating at the emergency room. They don't do this if they can do it in the operating-room theater floor, since they can control more factors there. If they are doing it at ER it means the patient is too unstable (vital signs such as blood pressure, breathing and heart rate are erratic, too much lost blood one of the reasons) to bring up to the OR floor.
- Jote says that from the looks of it they had to open up the whole abdomen under the ribcage. It's likely he will lose a kidney and/or a spleen and have part of the intestines cut out.
I wasn't able to add: so many mosquito forceps and an ER-level operation probably means the abdominal aorta or its major branches, in other words important arteries, are involved (cringe...). Aortic dissection is a scary thing.
- I was saying he's 15, so he's not 'adult' yet, and this will somewhat affect computations for things needed to make an operation possible (blood transfusions, anesthesia, and dextrose). This makes the situation just slightly more difficult for everyone involved.
- When all this is done (exploratory laparotomy is seldom finished in less than 4 hours), he'll be brought to ICU, no doubt about it.
- When all is over, he will be left with a long scar down the middle of his abdomen. This cut down the middle will weaken his abdominal muscles (the six-pack area, the rectus abdomini, jote, primarily), and will forever affect his fighting ability.
Yes, we deduce this from two panels worth of information, and we panic. This is why it sucker-punched us both so hard, while everyone else moved on to what Tsuna was going through.
If it says anything, I still can't go through the chapter a second time, can't go to IEM's site because they used page 6 as the plug.
All this said...yay for good author research. It is appreciated.
EK 8 )