Thursday, January 20, 2011

surgery is cool

Hello all,

Another week has gone by and it has honestly been one of the busiest weeks I've had except for maybe finals week last semester. Started out with my first CPP (clinical practice preceptorship) shadowing experience on Monday. Since it was MLK day and we had no school, I went to shadow my doc. He's an ortho hand specialist. We had clinical stuff all morning. We saw about 6 patients all morning, but he said it was a real slow day. His PA had only 2 patients all morning, so it must have been. There wasn't anything too interesting there, just a few broken bones and crazy people. There was one guy who wrote on his history that he was on too many medications to remember and the ones that he could remember were Valium and a few other heavy painkillers. My doc, Dr. Johnson, kept saying that he was a little suspicious of this guy, which is understandable. The guy was a little loopy. He had trigger finger in his thumb, which is where the tendons get stuck on the tendon sheaths that surround them so the fingers get stuck in position. He then told us that it didn't bother him and he didn't really know why he was there at all, meaning the office. So we said goodbye. Then we looked at an old lady's x-rays who had fallen and broken her hip and elbow. Dr. Johnson fixed the elbow and a few weeks prior so she was just in for a checkup. However, we were just looking at the work she had done. When looking at her hip x-rays, there was a large dark spot in the middle. Dr. Johnson informed me that it was simply some "poop and a prefart, nothing to worry about." Haha, it was hilarious. Really nice lady, though. Then at noon we went into surgery mode. He only had 2 surgeries in the afternoon, so it wasn't too busy. The first was removing a benign lump on the thumb metacarpal (thumb bone in the hand). We were literally in surgery for 15 min. He just cut it open, chiseled the bone lump off, sewed it up, and we were done. The second was a lady with a trigger on her thumb, middle and ring fingers. She was also having a carpal tunnel release, all in one procedure. It was pretty cool because the patient was basically laying down with her arm sticking out on a board, more or less. Then he was on one side of the arm and I was on the other. So I held the retractors and repositioned the hand when he needed it. It was cool because he was constantly asking me what tissues he was cutting through and what vessels and nerves he had to watch out for in the regions he was in. Good review of old anatomy for sure.

Then I went home and spent the next 4 hours of my afternoon/night in the anatomy lab cutting up the abdomen. This went on pretty much every day this week. I have spent a minimum of 3 hours in lab every day. Needless to say I have fallen a little behind in some of my classes, but that's what the weekend is for. Unfortunately it is Jenna's birthday this weekend so I have to squeeze in studying when I have time, I guess.

Other than lab and school, nothing really has been going on this week. It snowed about 3 inches before I went to class this morning, so I, of course, rode to class. Took a little longer than usual, but it's so much fun. I also ran a 10k on Tuesday when it had rained all day and then dropped below freezing so the sidewalks were very very slippery. On the last mile or so I was trying to speed up. I was trying as hard as I could to sprint, but my feet would just slip out behind me. Somehow, though, I did beat my old time for the same route by like 7 or so minutes. Last time was in the snow, but still, I was pleased.

That's all I've got for ya'll this week. See ya!

Take a look:
http://www.youtube.com/watch?v=FrQpFy7grtY

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