Indexing Title: MASuñaz’ Medical Anecdotal Report [07-07]
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Indexing Title: MASuñaz’ Medical Anecdotal Report [07-07] MAR Title: Déjà vu Date of Medical Observation: July 2007. NARRATION.

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Indexing Title: MASuñaz’ Medical Anecdotal Report [07-07]MAR Title: Déjà vu Date of Medical Observation: July 2007


I usually get up at around “five-ish” every morning. I usually start slow and groggy until I manage to work my way to the shower to give me a jumpstart for the day ahead. But this particular morning was different. A text message from my co–resident that was sent 4 hours earlier, which I just read, was enough to kick me into high gear.


The message stated that a patient I did an appendectomy on about a week earlier came to the ER showing signs of obstruction and was admitted. I was in disbelief. I had barely gotten over my first mortality about 2 weeks earlier and now this -- exactly the same case!


So many things kept running through my mind. I kept wondering what I did wrong again. I was so lost in my thoughts that I had a few close calls while driving to the hospital.


Upon getting to hospital, I immediately attended to my patient. I was so thankful he did not look as bad as my previous mortality and that he took my advice and immediately rushed to the hospital once he showed signs of obstruction.


Over the next 2 days I kept close watch over him. I was determined not to let history repeat itself… well not this soon at least.


I was hoping he could be managed conservatively. But after 2 days of no improvement, we finally had to operate on him again.


He recovered after the operation and was sent home improved. I was so thankful to God things did not turn out for the worst.

Insight physical psychosocial ethical discovery stimulus reinforcement

Insight: (Physical, Psychosocial, Ethical) (Discovery, Stimulus, Reinforcement)

In my previous MAR I mentioned that I would not wallow in thinking where I went wrong and that I would just have to accept mortalities and morbidities as a fact of a surgeon’s life. This experience goes to show that it’s “easier said than done”.

I guess what made it hard for me to accept was the similarity of this case with my earlier mortality. The only difference was that this time I was more assertive when I advised the patient before sending him home. That was what made all the difference.