tag:blogger.com,1999:blog-7390143371399216733.post1888252458811237343..comments2022-02-21T12:55:26.030-08:00Comments on Heard in the OR: Surgery GodsDavid Gelber MDhttp://www.blogger.com/profile/09204825961979794522noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-7390143371399216733.post-80921251708967915942012-12-26T10:36:13.178-08:002012-12-26T10:36:13.178-08:00I am a nurse and someone with recurrent SBO, each ...I am a nurse and someone with recurrent SBO, each episode of which has resolved with NG tube, dilaudid (during the acute phase), and liberal use of Zofran. (One ED nurse commented that it must be bad if I am begging for an NG tube.) Each attack has been worse than the last with the last attack occurring about 2 yrs ago - Elevated temp, elevated WBC, metabolic alkalosis, and with very watchful waiting by the surgeon to see if I would turn. Like your patient, I have had multiple abdominal and pelvic surgeries and am loaded with scar tissue. Unlike your patient (I assume), in the ICU, I have watched SBO turn really bad really quickly pre-op, post-op, and no op. Nothing scares me more than feeling that familiar pain followed by vomiting so severe that I cannot catch my breath. I know each time that this one might not work out so well. Luckily, I am in the Greater Boston area and have sought out a colo-rectal surgeon for whom I have great respect and, with his permission, I keep his number at the ready in my cell phone. Keep up the good work, Dr. G. and may the surgery gods smile on you throughout the new year. Tricia Anonymousnoreply@blogger.com