Document NGDeqDkXM6zZoMRxjLwRZRkd8

1 Q I see you holding your thumb up. Page 944 2 What did Mr. Vandergucht's umbilical region 3 look like when you examined him? 4 A He had a bulge about the size of a walnut, 5 two or three centimeters in diameter. 6 Q When you examined Mr. Vandergucht, what was 7 your plan? 8 What is it that you do to an incarcerated 9 umbilical hernia to treat it? 10 A By incarceration, it means the hernia is 11 out, fixed and can't reduce it. 12 Some hernias will slip in and out. When you 13 push them, it goes back in. And his was out and fixed 14 and could not be reduced which is why he had the 15 discomfort. 16 The plan was to take him to the hospital, 17 make an incision, reduce that hernia and remove, if 18 necessary, any contents in the hernia sac and close 19 the defect. 20 Q Prior to operating on Mr. Vandergucht, I 21 would assume that you tried to obtain some type of --------------- ,