Yesterday wasn't all to exciting. The highlight was playing pool with Dave at the Dallas Fox and Hound. We played 25-cent games, double or nothing. No one won any money. And that's about it. I also called Cory to wish Nikki a happy wedding and congratulations. I hopethings go well for her and her new husband.
Today has a nice pace to it so far. Call started at 0900. I saw all of my patients and then had some time to work on my personal statement. Right after lunch, a trauma case went up to the OR. Apparently a guy got into a fight with a few of his "friends" and had a beer bottle smashed into his right forearm. Some of the fragments became lodged in his arm, so we explored the wound. Dr. Foreman (the Chief of Trauma at Baylor) was the attending. He handed me the instruments and walked me through the procedure. So really, this was my first case from start to finish as a "surgeon". It was pretty awesome. I found the glass fragments (which were pretty big and deeply embedded into the muscle), irrigated the wound out, and made a nice closure. Dr. Foreman is pretty cool. I look forward to working with him again (probably tonight when it gets busy). The next case was a woman with a small bowel obstruction. We opened her up and found a 5 mm adhesion which we cut and relieved the obstruction. Then Dr. Westmoreland (who is also very cool) handed me the instruments and allowed me to close the fasical plane deep to the subcutaneous fat. Remember kids, the 3 most common causes of bowel obstruction are
1. Previous abdominal surgery causing adhesions of the bowel wall
2. Bowel cancer
3. Hernia
And the 4 most common clinical signs of obstruction are
1. Fever
2. Tachycardia
3. Abdominal pain
4. Leukocytosis
(can you tell I was asked a few questions during the surgery?) I think I'm going to add to this as the day goes on. (I brought my laptop, and the hospital has wireless internet, which is pretty sweet.)
Today has a nice pace to it so far. Call started at 0900. I saw all of my patients and then had some time to work on my personal statement. Right after lunch, a trauma case went up to the OR. Apparently a guy got into a fight with a few of his "friends" and had a beer bottle smashed into his right forearm. Some of the fragments became lodged in his arm, so we explored the wound. Dr. Foreman (the Chief of Trauma at Baylor) was the attending. He handed me the instruments and walked me through the procedure. So really, this was my first case from start to finish as a "surgeon". It was pretty awesome. I found the glass fragments (which were pretty big and deeply embedded into the muscle), irrigated the wound out, and made a nice closure. Dr. Foreman is pretty cool. I look forward to working with him again (probably tonight when it gets busy). The next case was a woman with a small bowel obstruction. We opened her up and found a 5 mm adhesion which we cut and relieved the obstruction. Then Dr. Westmoreland (who is also very cool) handed me the instruments and allowed me to close the fasical plane deep to the subcutaneous fat. Remember kids, the 3 most common causes of bowel obstruction are
1. Previous abdominal surgery causing adhesions of the bowel wall
2. Bowel cancer
3. Hernia
And the 4 most common clinical signs of obstruction are
1. Fever
2. Tachycardia
3. Abdominal pain
4. Leukocytosis
(can you tell I was asked a few questions during the surgery?) I think I'm going to add to this as the day goes on. (I brought my laptop, and the hospital has wireless internet, which is pretty sweet.)
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