I felt weak in the knees learning that our patient whom I wrote about in November last year, died after undergoing another operation to close her infected chest wound.
In December of last year, she underwent coronary artery bypass graft to cure the blocked three vessels in her heart. Her peritoneal dialysis was temporarily put on hold on the day of the operation but was resumed the following day in the recovery room.
The patient was uneventful in the recovery room and in the surgical ICU. She was even transferred to our ward, in the same room about three days post operation. She was about to be discharged after a few more days and they have settled everything until on the day of her discharge, the nurses noticed heavy amount of serosanguinous fluid oozing from her operation site. The discharge order was deferred.
She was cut open again to let the tissues granulate. She was also referred to the Infectious Disease Service and wound gram stain culture and sensitivity revealed heavy growth of e. Coli (Escherichia coli). After a couple of weeks of wound dressing by the surgeons and antibiotic treatments, she was scheduled for wound re-closure. It also went well. She was transferred to surgical ICU and the unthinkable happened. Her blood pressure dropped and she crashed. There was nothing they could do to revive her . The relatives requested DNR.
I felt chills down to my spine hearing the bad news. One cannot defy fate.