Surgeon: A Year in the Life of an Inner City Doctor 在线电子书 pdf 下载 txt下载 epub 下载 mobi 下载 2024

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发表于2024-11-14

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Surgeon: A Year in the Life of an Inner City Doctor 在线电子书 epub 下载 mobi 下载 pdf 下载 txt 下载 2024

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I The First of July First knife." It was slapped into my hand. I pressed the io-cm scalpel lightly into the stub- bly skin just above the pubic bone and drew it smoothly across t~e prominent bulge in the patient s groin. The bright blood boiled up along the line of incision. Bill DeLeoï¼Œ my residentï¼Œ d~bed it awa~ I continued cutting to expose the protruding bowel. As I suspectedï¼Œ we had a real problem. Instead of being pink and glisteningï¼Œ the bowel was black and dead. "Gangreneï¼Œ" Bill said. "We ll have to do a resection." "I m afraid so." The mask muffled my wordsï¼Œ but it couldn t hide the apprehension in my voice. It meant at least another hour on the tableï¼Œ an hour that might easily kill this patient. His name was John M.ï¼Œ a seventy-four-year-old black man who had arrived in the Emergency Room several hours be- foreï¼Œ complaining of abdominal pains. He was feverish and in great agony. His groin was swollen and tender; his abdomen distended. I listened for bowel soundsï¼Œ but all I heard was an ominous silence. There was little doubt about the diagnosis: he had a bowel blockage of some kind. The problem was to determine if I

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