Ghosts in the Parenchyma: Managing AV Fistulas and Pseudoaneurysms After Liver Trauma
Because sometimes, the liver heals, but not without leaving a few traps behind. The Quiet Trouble After the Storm The bleeding stops, the packs are … Read more
Remember Who’s on the Table
A reflection on why the patient is never just “the patient.” The Numbers Never Tell the Story We talk in numbers all the time age, … Read more
The Persistent Bile Drain: When the Liver Won’t Let Go
A reflection on those maddening post-trauma bile leaks, the slow, sticky reminders that the liver heals on its own time, not ours. You Know the … Read more
The Atrio-Caval Shunt Myth: Why the “Heroic” Move Was Never the Hero
In the chaos of a shattered liver and a bleeding retrohepatic vena cava, the atrio-caval shunt has always been the stuff of legend, but legends, … Read more
The Spleen Always Gets the Last Word: Lessons from the Trauma Table
The Unexpected Invitation to Chaos No one ever schedules a splenectomy. It’s never on the calendar, never part of the plan.It happens when a car … Read more
“The Liver Has a Temper: Reflections from the Trauma Bay”
It always starts the same way. The trauma pager goes off, some garbled voice shouting about a “stab to the right upper quadrant” or “high-speed … Read more