I know that some of you don't like hearing about the gross medical 
stuff, so those of weaker stomachs should probably skip onto the next 
entry.  The hospital has undergone some big changes recently, with the 
arrival of a generalist from New Zealand who feels comfortable in the 
theater and a second surgeon from the states who is here for a little 
while to help us all get training better in our surgical experience.  So 
all of us have been trying to spend some time in the theater to improve 
our skills, and my big case this week was an interesting woman who I had 
seen earlier in my time here with a baby and a large extra-uterine mass, 
which was easily the size of the uterus, if not larger.  At the time 
that I saw her before, she was too early to do much about the mass, but 
now with surgical backup we elected to do a C-section and then remove 
the mass.  Her stomach was so huge that she could only get up by rolling 
to the edge of the bed, swinging her legs over the edge, and then 
pulling herself up to a sitting position from the side. 
Fortunately, the baby did well, and I managed to scoop out a huge tumor 
from her left ovary that was the size of two basketballs and filled with 
greenish-brown fluid, as I discovered to my dismay when one of the cysts 
popped and spilled all over my shoes.  Amazingly, there doesn't seem to 
be any spread of this thing to anywhere else, and her post-op course has 
been fairly smooth, so maybe we were able to help her.  And the baby was 
named after the RN who did the anesthesia, too!
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