The bottom line is a planned laparoscopy at 7:30AM Saturday morning in the OR. However, if the ED has a need for surgery for a life threatening situation, Mary will be bumped until the OR is available. Remember, at Stanford they don't have an Emergency Room, they have an Emergency Department. After all, we all know what ER and ED stand for, don't we?
The diagnosis? Not clear. It could be this or it could be that. In other words, Mary has presented Stanford with a unique situation that they haven't seen before. Dr. Vesser is hopeful that what we have is a common problem masquerading as an uncommon problem. In other words, a sick gall bladder causing a bunch of symptoms such as infection of the hepatic ducts that make it appear much more complex than it really is.
Of course, the doc gave us all the warnings
- It may be a simple gall bladder removal.
- It may not be a simple gall bladder removal.
- If it is not simple, its gonna be complex. Really complex. The could be's went on for a good 10 min or so. I think he covered all the possibilities.
The reason Dr. Vesser is on the team is that his practice addresses complex hepatic and cholangio surgical techniques. He is hopeful that he will find a simple situation--remove the gall bladder and that's it. But, if it is more than that, he has seen and worked on any number of complexities and his skill and experience is just what we need. He said that if it gets complex, he'll interrupt surgery and come out to confer with me--for permissions of course. I don't no nuthing bout curing abdominal problems, Mzz Scarlett.
So, I am going to head out a bit early tonight so that I can be back here long before 7:30AM.
This is likely to be my last posting today.
Pat
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