Like a marsupial ? Craniectomies status post TBI (traumatic brain injury)

I suffer from pervasive and malignant foot in mouth syndrome (IE ~ stream of consciousness speaking without filtration) I just get so excited sometimes and my mind just leaps to places perhaps it shouldn’t go. Well, I had a mild case of “FIMS” this week when speaking to a surgeon about a new patient I was seeing in the SICU (surgical intensive care unit).  Here is how it went down:

Surgeon (I suggest you imagine he has a voice like Vincent Price for fun): “Ms. X suffered a TBI yesterday and we had to preform a craniectomy secondary to the increased amount of swelling in her brain.”

Me: “So, you made a hole to release the pressure?”

Surgeon: “Yes, well, we removed the bone flap and will return it when the swelling goes down.”

Me: “Hmmm, I see…wait where is the bone flap now?”

Surgeon: “We placed it in her abdomen under the adipose tissue to keep it viable “


Surgeon: “Ummm, I suppose.”


OK, so don’t worry “Dr. Price” didn’t think I was a total moron and was very pleased with my work with Ms. X.  I’m happy to say she has steadily been improving will be going back into surgery this week to replace the bone flap.

I spoke with “Dr. Price” later a little more about the procedure and it is interesting that sometimes the bone flap cannot be replaced. In this case prosthetics or artificial bone can be used to reconstruct the skull at a later date.

Isn’t the human body amazing?! Sometimes, I just can’t get over it.

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