Mittwoch, 25. März 2009

first emergency

Today was exciting! Charlie let me scrub in on a shunt surgery and I got to do the abdomal part under his supervision! That was awesome! I got to do the skin incision, incise further down to the muscle through the fat.... then put the end of the catheter in the abdominal cavity and then help him withe closure - some facscia suturing and the skin! I also got to intubate patients and I had to say goodbye to a wounderful team in the theater!!!! I have really enjoyed working with them and spending time outside theater as well. I don't know if it has made a good impression that I have not spend that much time in the public hospital even though I was assigned to a surgeon who is mainly operating there, but I have had so much more fun in the other theater and watching a great surgeon operate is just so much more exciting than watching someone who is just learning themselves without much explanation. Maybe I would have had a few more oportunities to scrub in on cases in the public theater, but the social part of the experience and the teaching would not have been quite as good... In the private I have certainly seen a lot more brian sugeries that I would have in the public and it is all just so much more organized. Today I went to the public, because I needed to get a signature from my supervisor, who I have been trying to get a hold of for the past days of this week and it was just so much different...nurses weren't as nice, surgeon didn't talk as much, no teaching from the anethesiologist..... But if my supervisors did have a problem with me being in the private so much, they could have told me, but they never did.... Anyway I have had a great time there!
After I left today I went to get some dinner and when I was waiting for my food to get ready someone had an epileptic attack! Not good for the guy, but great for me! I was the only person in the room with medical background.... I went to the guy made sure he didn't hurt himself, made sure he was breathing all the time, tried to talk to him.... I may not have done things in the right order, but I was amazed at how little the whole situation freaked me out. There are definetely worse emergencies, but I was a little proud of myself that I felt confident enough that I could handle it. I was glad that someone was there as well to help me figure out which leg to put where when turning him on the side, cause I always get that mixed up.... But it was great to have experienced my first Emergency on the street, because I have always wondered if I could stay calm and what I would do and what it would be. Now I know it was a young guy who had a seizure at KFC and it didn't freak me out. 

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