Murtha

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It's a sad and unfortunate reality. I feel for the poor SOB that has to present that M&M.
 
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I hope a resident wasn't involved in that case! I know Georgetown rotates there.
 
http://www.cnn.com/2010/POLITICS/02/08/john.murtha.obit/index.html?hpt=T1

Complications always seems to happen on high profile cases (ie Tom Brady's post op knee infection)

Complications that the public hears about "always seem(s) to happen on high profile cases". If you do this job on humans, there will be complications avoidable and unavoidable. That's the subject of M & M and why we strive to learn from them and keep people safe but make no mistake, they are going to happen and if your patient base includes "high profile" type patients, the public and the news media will scrutinize your work.

Laparoscopic gall bladder removal is simple right up to the point where your patient presents with some anatomical variation that you haven't seen or can't figure out. You do your best but there can be a bad outcome even under those and any other circumstances. As all of us know but one of the "perks" of being a resident is that while you may get a "grilling" during M & M, it's better than being the attending in one of these "high profile" cases where your face gets spread across the evening news for awhile.
 
Well said....🙂
 
i thought that the whole case was bowel injury during lap chole.
Complications don't happen only in those who do not operate
 
So, I had a lecturer today comment on the Murtha case, during which he briefly mentioned a phenomenon he called "soft belly peritonitis". He listed a few factors (age, corticosteroids, post-op status) that may influence this presentation, but he didn't go into further detail.

I was wondering if anyone could comment on why peritonitis in some patients may not present typically.

Thanks.
 
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