Friday, October 14, 2011

The Doctor Hurts You

but it's all for your own good.
Did I tell you that for the few first surgery practical, I'm under a neurosurgeon?If I didn't now I do.
Anyway, we went around the operating rooms in our scrub and then went for central catherization procedure.
A young man had a motorcycle accident which destroy his brachial plexus and a certain part of spinal cord, so he has paraplegia (paralysis of downhalf of the body) and loss of function of the whole right arm.
Central catherisation is done so that they can put some nutrition and drugs for his treatment.
Basically we prick a ~7cm long needle in between your clavicle and neck muscle, very carefully avoiding from puncturing the lung, straight into your subclavian vein, basically a major blood vessel.
Then we take our the syringe, but not the hollow needle before we guide a flexible wire into the vein.
Then we take out the needle, leaving the wire half dunk inside your vein and half length is on midair.
We then punch a larger hole on the same site so that we can insert the cathether into the vein. So now you get the wire inside the cathether inside the vein. You with me?
So then we take out the wire and left the cathether fastened over there.
In conclusion, it's a painful procedure, of which can bring about protruding eyeball (sign of pain) from an otherwise macho man (as an example of preserverance)
But this particular man, with his left hand, took out the cathether.
I don't know why he did that, but bottom line is he pulled that thing out.
But hurting patient isn't the verb for doctor's action. It's always healing, not hurting. Procedures hurt you. Doctor doing the proedures doesn't.
You take whatever plactic/wire the doctor put inside you. Conscious or not. The doctor will put that back in. For you.
How irony.
And that patient's hand is fastened and when the doctor put a new cathether in, he made sure it will stay put.
On how he did that?
He sew the cathether to the skin.
And then before he let us students go, he said,
next week, only underwear under your scrub
O_o

Saturday, October 1, 2011

Simpul

Urusan yang penting (the main concern) ialah bagaimana kita melalui perjalanan itu, bukan siapa yang mula dahulu.

Gambar ihsan Zue.