|The future belongs to those who believe in the beauty of their dreams. -Eleanor Roosevelt||
This week, I was only able to intern for two days because of a Veterans Day assembly that was held on Monday. When I did go into the OR on Tuesday, I was in the neuro department watching a lamenectomy and the beginning of a craniotomy. I found Tuesday to be very interesting, because I met a different neurosurgeon who was pretty easygoing and laid back. Like the other surgeons who I’ve spoken to before him, he asked what specialty that I was looking at. When I explained to him that I wanted to be a neurosurgeon, he was kind enough to explain the process to me. I may have researched the topic many times, but having a firsthand account of medical school and training was pretty interesting for me, and it was one of the highlights of my internship. On Wednesday I was back in the operating room watching more neurosurgeries. I watched a couple of spinal surgeries, and one of the doctors was kind enough to give me a stepping-stool (the table was really high up and it was impossible to see anything on it), and he explained what he was doing and why he was doing it. Towards the end of the surgery, he let me come closer and showed me the spine, and some of the major nerve bundles that are visible. Overall, this week, I met surgeons, nurses, and surgical techs who were all really down-to-earth people, and I honestly did not expect that from people who were working in the OR.
So this week, I was back in the OR. On my first day, I watched the beginnings of a unilateral nephrectomy. This was no ordinary procedure though. It was preformed with a robot. I asked the surgeon why they would use a robot, because of all the difficulty that they were having setting it up, and he told me that the procedure with the robot was minimally invasive, and that the hospital wanted to use minimally invasive techniques for the patients well being. I thought that the procedure was very interesting, although I had to leave in the middle of the procedure.
The next day, I was in the pediatric OR. Before attending the Academy, I wanted to be a pediatrician, so this was like a blast from the past for me. I watched the surgeon repair a perforated eardrum in a young child. I was glad that I went into this surgery, because it made me reconsider doing pediatric surgery again. I want to be a neurosurgeon, but now I am on the fence about it, so I think that having been in that surgery was a good thing.
On the third day, because of my experience in the operating room the other day, I went back to the pediatric section. I was able to get up close and personal as I watched the surgeon perform a tonsillectomy. I thought that the procedure was pretty interesting,and I found myself reconsidering neurosurgery once again. After watching the tonsillectomy, I watched a surgeon perform nasal surgery. Although the procedure itself wasn't interesting, how the surgeon did it was pretty cool. Unlike the other doctors at the hospital, he didn't use the computer screen when he used the scope. he just went right in and did what he had to do with a manual scope.
This week was filled with some pretty exciting procedures and some major revelations, so I cannot wait to see what is going to happen next week.
Sooooo, this week i was in the operating room again!
On Monday I was able to go and watch a neurosurgeon. That was a VERY big deal for me because it is my dream to be a neurosurgeon. I watches spinal surgery where stents were put into the patients back in order to relieve pain when the discs in the back protruded into the nerves in the back. The surgery was very interesting and the surgeon was super skilled. He was able to do the surgery in a space that was no bigger that the size of a quarter, when most other surgeons need to cut open the entire back to preform the procedure. It was very exciting, and after the procedure I spoke to the surgeon, and he said that he would see about getting me into more neuro operations before my internship ended.
On the second day of this week, I watched a hysteroscopy. This surgery was...interesting to say the least. It thoroughly convinced me of not ever wanting to be any kind of gynecologist. I saw the inside of a uterus though, so that was pretty interesting. It just looked like an empty sack of fluid. After the hysterosopy, i saw the people int he OR set up for a fractured hip surgery. I wasn't actually able to see the procedure, but i did watch them prep the patient and do a spinal on her to deaden her pain.
On my final day in the OR this week, I witnessed the miracle of life! I watched two C-sections and witnessed the birth of two healthy babies. even though I don't want to go into that particular field of surgery, I was happy that I was able to witness the two surgeries. watching the parents faces as they get to see their babies for the first time was truly memorable for me, and I really enjoyed the experience.
Alrighty, second week of interning is DONE! This week, I only interned for two days, but those two days were filled with exciting surgical procedures and information. On Monday, I witnessed my first plastic surgery; the plastic surgeon did a bilateral breast reconstruction. The doctor did incredible work with the excess body fat of the patient and then used that fat to completely re-create a breast from the patient. I learned just how important that teamwork and communication is between the anesthesiologist, surgical techs, and the surgeons. On the second day that I interned, I watched two surgeries. The first one was a neck fusion. I was able to watch as the surgeon inserted about three plates into the patients neck. After that, I went to the OR across the hall and watched another full hip replacement. I stood between the surgeon and the surgical tech and was able to stared down into the cavity that was created and i was able to watch as the surgeon placed the new hip into the socket and checked for the range of motion of the new joint. It was very exciting, but I learned that being an orthopedic surgeon is NOT the path that I need to take. I never wanted to be one, but now I know that I have no desire to operate on the bones of people.
I met some really cool people during my internship this week. The first surgeon that i met on my second day this week was a really down-to-earth guy. During the surgery, he explained in detail what he was doing, and we even had a little fun dancing around to the music that was playing in the background. During the other surgery that I saw, the surgeon was also pretty awesome, because he let me stand pretty close to the patient during the operation.
OK!! I completed m first week of internship in the operating room, and it was amazing. I was able to see my first surgery on the 15th, which is also my birthday. For the two days that I was there, I was able to witness a laparoscopy, as an inflamed gallbladder was removed. On my second day, I ventured into the orthopedic surgery department, where I witnessed a full knee replacement and the beginnings of a full hip replacement. I was able to, at times, stand next to the doctors as they preformed whatever medical procedure that they had. It was very interesting. As I watched the doctors perform their surgeries, I noticed that they use medical terminology that I learned in my previous year of school. During the laparoscopy, the nurse that was helping to explain the procedure used the term cholecystitis, and I instantly recognized it as meaning an inflamed gallbladder. That made me pretty excited
Not only did I get to sit in on the surgery and watch the surgeons, I was also able to go on the pre-ops with one of the nurses from the OR. On the first day, I watched as she used her bedside manners and used the skills that I learned last year, such as introducing herself, and reading off of the patient’s wristband as she asked the patient information about herself. On the next day, I was able to help more with the pre-ops. I got to hold the charts, and I helped to read off the case to the nurse in the room with me. It doesn't sound like much, but to someone like me who is very eager to be in healthcare, it mean so much to me to be involved.
In my short time in the OR, I earned just how important that communication is. If there is no communication between the surgeons and the surgical techs, nurses, and the other people in the operating room. Whilst observing the doctors and nurses, I observed a system of spoken communication and a system of body language. They had to communicate in order to ensure a safe environment for both them and the patient that was on the operating table. During the full knee replacement, there was plenty of saws and implants that had to be handed in a certain direction and that had to be turned a certain way so that the doctors wouldn't injure themselves, and so that the surgery could run smoothly. Without the element of communication, the surgical team would have not been nearly as efficient, and there would have definitely been complications during the procedure.
Of course, I saw that communication was not only important for the surgical team; an open line of communication is also important for the people that work to support that team. The nurses who worked for anesthesiology have to have an open line of communication between themselves, the surgeon, the RN who is in the room, and the anesthesiologist who is working between at least four different rooms.