Day 29: She asked me in a derogatory way

I got to theatre around 10am and I was immediately confronted by the most senior peri-operative nurse; she wanted to know if could handle the case. She asked me in a derogatory way. I of course did not answer her but referred her to the registrar in my unit.

We started the case around 12 noon and by this time, the whole theatre smelt of gangrenous tissue. More than 70% of the right foot is gone while the whole of little toe of left foot was already auto amputated. After removing as much as possible dead tissues, I tried linking all the sinuses together then wash with hydrogen peroxide and copiously irrigate with normal saline. Surprisingly there were bleeders on the exposed deeper tissues. I dressed with gauze and crepe bandage then informed the nurses to commence on daily wound dressing with honey and continue present antibiotics. We also asked the medical team to ensure well control blood sugar.

I spent the remaining part of today working on the net and reading. Sekemi called to apologise and my patient girlfriend, Toyosi called me today to know when she should come to visit me.

I got home around 7pm and I watched star trek, Madagascar, and terminator salvation before I slept. Remember I have an off day tomorrow.