who'd thought that a large nose would be a point of contention?
this patient, Mr E, was to undergo a major back operation, which means he has to be positioned face downwards during the surgery.
as standard operating procedure, a soft gel support was placed below his face as cushion. the surgery was successfully completed in over 6 hours. however, 2 days later, Mr E mentioned that his nose was dark red & i explained to him that was because he had been lying face down for over 6 hours, so that was a result of pressure on his nose. it was then that i noticed he had an exceptionally large nose. still, i reassured him that it will get better with time. unfortunately, it became infected after a few more days & antibiotic injection & cream had to be administered. he had gone home since & i hope all will resolve when he comes back for review.
what Mr E has is a typical case of a pressure sore on his nose, the same type bedridden people get on their backs when they lie too long in one particular position. sometimes, even after we've taken the necessary precautions, unexpected events like this still occur.
which is a real damper, especially so since the major back surgery had gone on well.