### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi, my appendix perforated/ruptured on Jan. 10/14 and I was put on a course of antibiotics in hospital for 1 week, (pipercillon), after discharge I was given amoxicillan/claviculon for 10 days, and found that was not working so family doctor changed me to cipr/micro-flagil (10days) and that seemed to do the trick. An U/S on  Feb. 3/14 shows 9mm left of my appendix and I am wondering if I still need surgery to remove that piece.  I have not got my energy back, but every day is a little better, but I am so tired after 8pm at night I cannot keep my eyes open.  I was supposed to see the surgeon Friday, Feb. 14th but he cancelled due to an emergency.  I have had to take a considerable time off of work and lost another day Friday, so I am trying to decide if maybe I should just forego the surgery, however this tiredness makes me wonder if I am still recovering from the appendicitis or does this indicate that I should have it removed, or is this common to still be so tired.  Prior to this happening, I never went to bed until 12-1 in the am and 5 hours sleep was plenty for me.  I work as a lab tech in a busy Family Health Team for the last 7 years, full time on the go, so this is very out of the norm for me.  Any thoughts? I would appreciate your opinion even though my doctors at work keep assuring me that is normal, I am still recovering, etc., no one has actually said if I still need surgery.  I really dont want to take more time off work to see the surgeon and maybe have him cancel again.  thank you for any advice you can offer.

### output:

Hello have gone through the description you have provided. Your fatigue and lack of energy is due to the recent infection and is a common occurrence during recovery. Regarding your question on surgery the answer is yes you need a surgery for the appendix. And it should have done as early as possible. Please set up an appointment with your surgeon to set up an appointment Hope this helps do get back in case you have further queriesRegards Chat Doctor. 