Dienstag, 13. Januar 2009

First PEG

Today I got to place my first PEG (tube trough the skin into the stomach for people who can't swallow). It wasn't a clean, easy case. My resident had some trouble getting the camera into the stomach and the patient tried everything possible to fight the tube..... Since there was so much going on and everybody was busy I didn't get really great instructions and even though it worked out fine I felt as if it all could have been a little more oranized. But hopefully there will be a next time. The resident is really great. I have already worked with him before at the childrens' hospital and asked the senior resident today if I could do something during the procedure. I didn't expect the something to be the whole thing, but he basically made sure that I didn't just have to watch!!!!
In the morning I also had had the chance to examine three patients and that was a totally different start to the day. It just makes a difference if I actually get to have some patient contact or just collect data. I am trying to follow those three patients over the next days, just to get a better understanding of what is done to intensively take care of them and get the whole picture about a few instead of pieces of all of them.
Later in the OR I once again only got to watch, but I guess I can't have everything. I am not the only student anymore like I had been at Kosair, where I got to pick whatever I wanted to see or do..... Now I have to share again......
Overall it was a quiet day and I had a lot of time to get some reading done. I have no idea how much is actually going to stick, but it does feel good, getting home after 12hours knowing that I have gotten something done (some studying as well as some practical experience)!

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