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What's good, everyone? Welcome to another episode of Docs Outside the Box.

Half of us is on the road. I'm living in a hotel, as you can tell about my background.

I am Dr. Knee, the Doc outside the Box, the Hotel, man, the Points, man.

I got mad points, yo.

Mad hotel points. What? The points man? I'm the points guy. They got the, well, the points guy has all of the points or he talks about all of his traveling points and all this stuff.

Oh, that's an actual person? Yeah. I'm the points man. I'm the point son. I'm the point G. You know what I mean? No. Well, I'm Dr. Renee. What's up, Dr. Renee? How you doing? I'm good. I'm tired. You're tired. I'm tired. I just, what do you call it? I just, I'm post-call right now. I was operating.

Yeah, I was overnight. So everybody, I do shift work with trauma surgery. That means I come in at 7 p.m.

And then I work until 7 a.m. I cover all surgical emergencies as well as critical care and trauma that comes in. And your boy was operating. So I operated around like 9 o'clock in the evening. I had, oh no, I operated around midnight. I saw this lady. She came in. She was elderly and had abdominal pain. They did a CT scan, and she had basically

bubbles of air all through her small intestine and large intestine. And it got so bad, here's a little

hint. So for all the medical students, the PA students, everybody else who understands

anatomy, she had a bunch of air in her liver, which is a really, really, really bad sign. And Dr. Renee, do you know why that's a bad sign? No, tell us, Dr. Neen. No, no, no. You are a surgeon, right? You are a surgeon. Tell us why that's a bad sign. Oh, really? I'm calling you out. No. As I have my chitee. Listen, you're not going to pin me today.

Listen, you're not going to pimp me today. First of all, I wasn't attending before you were. Okay? Okay. So that means you were a surgeon before I was. So go ahead. Proceed. No, you're not going to pimp me today. So anyway, guys

She's like, I don't know what that means

So anyway, as everybody knows

But you're not going to pimp me today. So anyway, guys, she's like, I don't know what that means. So anyway, as everybody knows. But you're not going to pimp me today. I just, but I am pimping you. No, but you're not. You can only pimp me if I allow you to pimp me. All right, all right. So everyone, so air and the liver means that basically the drainage of the small intestine as well as the large intestine is what? The inferior mesenteric vein as well as the superior mesenteric vein and they come together and form the portal vein. So if there's air in the large bowel, there's air in a small bowel, all that stuff is going to come together into the portal vein. You're going to get what? Num numobilia and that's usually a really bad sign

ladies lactic acid was high as hell nutrophil count was really high um clinical wise though

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