Ironically even though I'm with a surgical service I somehow missed any time in the OR all of last week. I was hearing stories from classmates in other surgical services about being in the OR everyday and to be completely honest I was getting a bit jealous.
Beginning this week our team got a new attending physician and a couple of new cases that could potentially be managed surgically. Yesterday morning the team saw a woman in her mid-twenties who had a 5 month history of small bowel obstruction. In other words the thought was that something was obstructing the natural pathway of digestion.
Today I got to scrub in on the exploratory laparotomy, which means I had the ability to be in contact with the sterile area during the surgery. Its a whole different mindset when you're wearing a sterile gown. You have to resist the urge to scratch an itch on your face or adjust your glasses. Anything you touch that isn't sterile means you have to re-gown before you can get near the sterile field again. I was in the OR with the surgery attending, the senior resident and one other third year medical student. Since there were fewer people I was able to be really hands by helping hold parts of the bowel as well as suctioning.
The patients small bowel had a lot more motility than normal which gave it a pretty weird appearance. When the bowel was visible the entire small intestine was wiggling a lot more than normal. The surgeon examined the small intestine to look for a potential obstruction and couldn't find one but it soon became apparent that the peristaltic activity of the bowel was not moving any of the stool. To alleviate this problem the surgeon made two incisions in the bowel and inserted a catheter into one and flushed saline into the intestine. He then ran the bowel to force the stool out of the other incision farther down the bowel. According to the attending and the resident the consistency of the stool was abnormal and indicated the patient could have cystic fibrosis.
Since the surgery started so late I had to leave for class before they closed the wound. After spending all that time on the surgery service this one case more than made up for not getting any OR time in the past week. If I'm lucky I might get scrub in on another case later this week. On Monday we start classes and we won't get any clinical experience until next summer so I'm trying to soak up as much as possible because I know I'll need the motivation later on in the year.
I am glad that you are still saving a few lives!
ReplyDeleteHiv disease for the last 3 years and had pain hard to eat and cough are nightmares,especially the first year At this stage, the immune system is severely weakened, and the risk of contracting opportunistic infections is much greater. However, not everyone with HIV will go on to develop AIDS. The earlier you receive treatment, the better your outcome will be.I started taking ARV to avoid early death but I had faith in God that i would be healed someday.As a Hiv patient we are advise to be taking antiretroviral treatments to reduce our chance of transmitting the virus to others , few weeks ago i came on search on the internet if i could get any information on Hiv treatment with herbal medicine, on my search i saw a testimony of someone who has been healed from Hiv her name was Achima Abelard and other Herpes Virus patient Tasha Moore also giving testimony about this same man,Called Dr Itua Herbal treatment.I was moved by the testimony and i contacted him by his Email.drituaherbalcenter@gmail.com . We chatted and he send me a bottle of herbal medicine I drank it as he instructed me to.After drinking it he ask me to go for a test that how i ended my suffering life of Hiv patent,I'm cured and free of Arv Pills.I'm forever grateful to him Doctor Itua Herbal Treatment..He assured me he can cure the following disease..Hiv,Cancer,Herpes Virus,Hpv,Pile,Weak Erection,Lyme Disease,Epilepsy,Glaucoma.,Brain Tumor,psoriasis, Cataracts,Macular degeneration,Cardiovascular disease,Chronic Diarrhea,Lung disease.Enlarged prostate,Osteoporosis.Alzheimer's disease,
ReplyDeleteDementia. ,Bladder Cancer,Autism,Colorectal Cancer,Breast Cancer,Kidney Cancer,Leukemia,Lung Cancer,Tay tach disease,Non Hodgkin Lymphoma,Skin Cancer,Lupus,Uterine Cancer,Prostate Cancer, Seizures, fibromyalgia ,ALS,Hepatitis,Copd,Parkinson disease.Genetic disease,Fibrodysplasia disease,Fibrodysplasia Ossificans Progressiva,Fluoroquinolone Toxicity Syndrome,Stroke,Hpv,Weak Erection,Liver/Kidney Inflammatory,Men/Woman infertility, bowel disease ,Huntington's disease ,Diabetes,Fibroid.