Ack what a week! And I wasn't even on call. Lots of work drama issues, to be continued next week. I brought a book I started last Saturday, in vain it turns out, because there was no time to read it. Hopefully this weekend. Monday morning, I overheard Tina fielding a phone call from Lindsey - the gross room PA in NLR. I heard museum, I heard leg, I had to get the scoop.
Lindsey called Tina because a guy had called asking to get his leg. He wanted to display it in a museum. Tina appropriately referred the request to risk management - this was unprecedented. I asked Tina for the scoop. He wants to display it in a museum he is building in his backyard. With a UV light. Surrounded by his wife's collection of Uranium. I hope he knows it will need to be embalmed, I said.
Later in the afternoon I was doing a frozen and Jessica filled me in on more of the scoop. Apparently while he was clearing brush on his property for this museum (he also has a life sized statue of Elvis and Marilyn Monroe) he suffered a compound fracture of his ankle with much exposed bone. There was an attempt to save it with lots of screws involved but he was in so much pain he decided to have it amputated. He thinks the UV light might highlight the screws. Lindsey said in a fourteen minute conversation he discussed WWI, WWII, motorcycles, Military grade tires, Chet Atkins (who?), Elvis, Marilyn M, American pickers, Rockabilly, Uranium, UV lights, California and Monkeys.
At the end of the day Lindsey called me. Have you signed out so and so's leg? That guy was my amputation, I asked? We've had so many lately, toes, transmetatarsals, BKA's, AKA's. Why do you ask? I do recognize that name. You have to sign it out, so we can release it to him. That happened? I asked? Yup, it went all the way to the top of the food chain and they approved. I remember now, I told her, about a leg that was edematous but normal? So I got into the chart and read about the trauma history. Most legs have gangrenous necrosis from calcified atherosclerosis or diabetic peripheral neuropathy but this was strangely more normal.
The next day during frozens we were animatedly talking about it and turns out the museum is by invitation only. We were saying we would never go to a place like that alone. Laurie, who was painting the margins of a breast excision, deadpanned if you went to that museum you might never make it out. What if he gets the body part bug, I wondered. People are being prosecuted for selling those. Savanna held up her arm and said like the Big Bad Wolf, I like the way your arm looks, my dear, and we all rolled laughing. Is he charging, we wondered.
The wife came to get it Thursday and we got more of the dish. She seemed nice and normal, said Lindsey. She had a cooler in her trunk to get it to the funeral home ASAP. I carried it to her car for her. I was hoping to learn more about the appearance of the guy but since he was still post op, I guessed, he's not hopping yet. Savanna's laugh made me happy. We are horribly non PC. Lindsey got the coveted invite to the museum when it opens from the wife. We warned her against going alone.
Tuesday I had to google bifurcated gallbladders because I got one and had never gotten or heard of one. Turns out from Google they are very rare. I called Laurie and she was so excited she sent me a pic. A gallbladder duplication, it is called. A quick review of the chart told me they did not suspect this radiologically. One side had stones, the other didn't. Could they put the other side back? Melody and I wondered, but since it doesn't matter really it is not a rational thought.
Some other docs wondered the same thing when I saw Trip, the surgeon, in the Dr. lounge one morning. He was sitting at the breakfast table with three other docs I recognized, but didn't know. I told them all the story and showed them the pic and Trip was so excited. Can you send me the pic? I'll share with my partners and resident. Of course, I told him. Such a cool case.
So imagine my surprise when I got a didelphys uterus yesterday. Like a once in ten year specimen, but at least you have heard of it. Fused double uteri. She had evidence of a C-section, and it was in the charts. So lucky they can bear kids, it seems like a deal breaker in that arena. Did you take a pic, I asked Jessica? No. Got other pics of that. You don't see it much, but you do see it.
It's so hot, but nice to have cool nights and a weekend off. Christy rented out Kemuri West for her wedding party tomorrow night. C is still hopping around Europe (we talk on WhatsApp daily), but Jack is coming with a friend there is a cocktail hour from 5:30 to 6 ish and we got to pick from four entrees that look amazing. Jack and I are planning Dillard's Sunday to get some new dress clothes for him and try to find an outfit for the birthday party for me. Tomorrow, a much needed pedi. Sinead, can't speak. Her music saved me. Happy Friday, much love, Elizabeth