The day started a little more busy than usual at Dept of Surgery; I normally would have a few dog/cat bite patients, and that's it, but yesterday, we had trauma patients, most need suturing; ENT patients; and many more variety of patients. I knew it would be a hectic day. How right I was.
Well, before the patient, that would ultimately become what I believe is the coup de grâce of my 24 hour tour of duty, I was lucky enough to drop by my resident's 2nd born's 1st birthday. I had a lot to eat, and enjoyed myself watching the kids participate in the many games. I was particularly at awe with the bubble show, where my bestfriend of a co-intern, wreaked a bit of mayhem by saying our oohs and aahs more than the kids in front did.
Upon returning from my short stay at the party, I was greeted by a patient that had an occupational injury that nearly severed his whole left forearm; his anterior forearm muscles were nearly all transected (only the Flexor Digitorum Superficialis, Flexor Digitorum Profondus, were noted to be transected) along with a severed median nerve and both the ulnar and radial arteries also severed. So you can imagine how bloody it was, and we had to pack so much OS and tightly wrapped the forearm with multiple elastic bandages just to control the active bleeding. The patient ultimately was admitted and sent to the OR where I was the 1st assist to Dra. Dychingco, who by the way, didn't make me feel tense at all... no difficult question and answer portions. There were a few, but not a lot that I wished I never took med in the first place.
Anyways, I have this knack of attracting direct OR patients, as this was my 3rd direct OR patient I had to assist, and in fact, I am the only one that has direct OR's in the group of interns. Go figure.
It took 5 hours, but thankfully, since it's the left forearm we are dealing with, the operation was not completely done standing up; there were a few moments where we had to sit down, so my legs were not feeling numb by the end of the operation. Plus being with the nice OR nurses and Dra. Malonzo, our kind anesthesiologist, the operation was well worth the 5 hours it took to repair the injury.
After that operation, like I said, it was the coup de grâce of my 24 hour tour of duty... thus he was the last patient I have seen, and was blessed with 3 hours of sleep. It doesn't sound much, but being able to sleep for 2-3 hours in the hospital, with my notoriety of being toxic, let alone being a in the field of medicine, is a truly a blessing.
Thank goodness, that tomorrow is a holiday so I need not enter the hospital, thus having what is another 2 day week. Such happiness.
That's it for now.