Wednesday, March 31, 2010

Bread and Butter




I found an intact bread and butter pickle chip in a resection of cecum today. It was snuggled inside a diverticulum. Damn, that must have been painful. And to think a little pickle could cause someone to need a bowel resection. You never know what you will find in pathology on a grossing day.

And yes, I submitted a segment of pickle in a cassette for processing. Tomorrow it will appear under the microscope. My attending has a good sense of humor, so I think he will enjoy it. The PA told me today that she once submitted a piece of sausage for processing and sectioning to see what kind of meat was really in it. They put it under the scope and saw kidney, liver, and some unidentifiable tissue. She said she really has not eaten much sausage after that. I guess the moral of that story is do not ask questions if you are not prepared to deal with the answer.

1 comment:

patricia said...

I just got back from vacation and saw that you had matched in Peds. I am happy for you. I knew from your last blog that you were struggling.

BTW, about a year ago I met up with Shelly S. from Sacto; I was a long time colleague of hers in the FNP/PA Program. I said I had been reading a blog that met her description of renting to some med students and she blushed. So the degrees of separation are very close. I left California in 1992 and had not seen her much since, but I loved reading your old blog because you sometimes obliquely referred to people and places that I knew.

Anyway, I hope that you have a good time in your new residency.

pat