Monday, 8 September 2008

First week finished

Placement going well (I think) got 1 row for having hands in pockets, and bonus point for uniform check, hair off collar in bun and working V.Hard. Thats how I like it.

Mentor is lovely, takes no nonsense kind of woman, tells you what she expects and when she wants it done by. And indeed how she wants it done. Its almost like working with the big Yin again. But not as good

Saw a surgery Tuesday. Fixing an Incarcerated Inguinal Hernia. This is where the intestines protrude from an area of weak muscle, If the intestines bulge through the hernia defect and become trapped, this is called an incarcerated hernia. If the blood supply to an incarcerated hernia is shut off, the hernia is called a strangulated hernia. Strangulated hernias can result in gangrene.

Inguinal hernias are near the inguinal canal, the spot where the testes descend from the body into the scrotum. This type of hernia occurs in about two percent of adult males.

Both incarcerated and strangulated hernias are medical emergencies and require emergency surgery to correct.In Inguinal hernia repair the surgeon must be alert not to injure the spermatic cord, the testes, or the blood supply to the testes

So after fixing the hernia, they had to also resection the mans bowel as part of it was gangrenous, due to the cut off blood supply.

Took him down to theatre, watched him undergo anaesthetic, talked through procedure, watched it and then took him to recovery.

BRILLIANT. The book running upstairs on whether I would pass out or not, and if so how far in was an epic fail, no passing out involved at all. Epic fail for the pro-fainters.

That was the highlight of my first week.

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