tap that

One of my patients in General Surgery Clinic today has chylous ascites of unknown etiology. She has a history of a desmoid ovarian tumor, elevated umor markers CEA, CA19-9, and CA-125, and she's had both a PET-CT and MRi. Med Onc can't find a primary, so they want Surgery to do an exploratory laparotomy searching for a primary cancer. Instead, we did a diagnostic paracentesis on her practically preggo belly, hoping against hope it might be tuberculosis. I bring it up only because my attending asked after we were finished in the room:

Did you tap that?

After giggling for a minute, thereby losing all my credibility, I replied, hell yes "I did." I tapped that until I got sore.


I'm listening to:
The Dismemberment Plan: !