How History Can Change The Surgical Steps

After a busy yesterday, it was fresh new day to start. For today, only one patient had been posted. Yesterday we had performed a Mitral Valve Replacement with LA clot removal. I was not scrubbed in the case; nor i had any idea how the surgery had went. Nobody has spoken a word about the patient. When I wished my professor, Namaskar, he looked at me and queried, ” you have taken history of that lady?”

I looked strangely. He added, ” The lady who had undergone MVR yesterday.”

“yes Sir” I said and was curious to know what happened.

He added with a smile, ” That lady had undergone CMV not BMV 17 years back.”

I said, ” I did not know, She had no previous report and she did not told anything and was getting agreed along with her family members as she had undergone BMV.”

“But she had a scar” my professor fired at me. ” And you did not check”

I had nothing to say as I have not examined the patient. Specifically I was not feeling comfortable to examine in the area below breast. I quickly added, ” I will change it to CMV, sorry sir”

Sir told with a tone of hesitation, “Because of your wrong history taking we had a mess during surgery. We had lot of adhesions and we did not know why.”

My professor left me as i was standing dumb and speechless. I rushed into the recovery room to check the scar mark and realised what a big mistake i had done.  I was blaming myself, ” How can i manage to take such a fake history.”



Author: what2talk

Myself, Dr. Sibashankar Kar, doing my Cardiothoracic Surgery in Sir Ganga Ram Hospital. The purpose I have made this website is to discuss on the topics of cardiology and cardiac surgery as a whole with their complexities.

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