It seems the old cliche of surgeons not being very communicative is not a thousand miles from the truth on the odd occasion. Having spurned our suggestions that the option of palliative surgery might be worth discussing for our frail octogenarian today, we were still somewhat surprised to discover, after a rather precipitous drop in blood pressure, that he’d suddenly dumped a litre of blood in the suction – at which point the surgeons whispered quietly to me over the drapes that they rather thought the bleeding had stopped now. Shortly afterwards we noted a really quite large amount of colon in the specimen bucket, but it was only at sign out that we found out that they had also managed to remove the spleen without us noticing. Will keep a closer eye next time.
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