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Fall 2003

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A Surgery Success Story

Fall 2003

Rosa V. was on her way to pick up a friend to go shopping on a busy Wednesday afternoon. It was the day before Thanksgiving 2001. She was unaware it would be the start of a long and difficult journey - with a remarkably successful outcome.

“I got out to put something in the car. I thought it (the car) was in park. The car started to roll back, the door was open and it hit me to the ground,” Rosa said. The car rolled over her side and lacerated her liver.

Rosa, 65, of Atlantic City, was conscious as she was transported to the emergency room of a nearby hospital. “I could hear people talking and see faces,” she said. “I remember saying ‘no blood, no blood,’ Rosa recalled. As a Jehovah’s Witness, Rosa will not accept blood transfusions or blood products.

Her family faced a dilemma. Rosa, who has six children and 13 grandchildren, had serious internal bleeding and was slipping into a coma. The local hospital refused to perform surgery without giving a blood transfusion.

“I was very, very sick. They told my son-in-law that I wasn’t going to make it. My son-in-law started calling other hospitals. It was Thanksgiving Day when he reached Dr. Kirkland.” Dr. Matthew Kirkland, part of Pennsylvania Hospital’s surgical staff, agreed to perform the surgery.

“My family said that Dr. Kirkland was waiting for me when we arrived, he told my family I had probably about a 15% chance to live ” Rosa said. Dr. Kirkland recalled the severity of Rosa’s condition upon arrival at Pennsylvania Hospital. “With her type of injuries,” he said, “most people die even if they accept blood.”

She had Grade V laceration of the liver. She was profoundly anemic and required urgent surgery to stop the ongoing bleeding. In addition to the liver, she also sustained a crushed bile duct injury. “Most injuries of this type”, Dr. Kirkland said, “would have a 75% - 95% mortality rate.”

Rosa spent over two months recovering at Pennsylvania Hospital. She was discharged to a rehabilitation hospital in New Jersey for another month. However, by the following June, she was doing much better. “ I was fine by then from the accident,” she said.

Today, Rosa, a retired nurse’s aide, has fully resumed her normal activities. She is actively involved in her congregation, enjoys cooking and spending time with her family. “I am driving again,” she added, “but not the same car. I wouldn’t drive that car again, so my husband bought me a nice, new one!”

 


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