Louisville Medicine Volume 61, Issue 10 | Page 25

“Come back here a little bit. Feel good? OK, go.” A few minutes later, Williams has taken over the stitching but keeps teaching. “Without this mesh, the recurrence rate for hernias is 20 percent,” he says. “With it, it’s 1 to 2 percent.” What kind of thread do you use? I ask. To which the nurse standing next to me advises, “Say suture, not thread. You’ll sound more like a doctor.” “Cat gut,” answers Williams. A few seconds later, he adds: “Tell them to put the next patient to sleep.” 11:51 a.m. I’ve written “linguine hernia” in my rushed notes. Later, Williams sets me straight. It’s an inguinal hernia, aka a hernia in the groin. Poor guy on the table. He’s in his 50s and otherwise in fine