finally yeah i have managed to step in one (mind you that this is other's twice- so just imagine what a mess i have became). basically i was entering for anaesthesia class. but to keep your eyes off of the surgeon's hands is another burden. i kept glancing, while partially listening. and lucky enough there were 2 surgeries to be done. joyous, aite?
the first one was a female suffering from paraumbilical hernia. when i entered the OT she had underwent half way of the surgery, or perhaps 3/4th of it. she has been completely anaesthesized generally, the abdomen has been cut opened. our supervisor told us that she was given isoflurane, muscle relaxant and one of the opioid, fentanyl before the opertation. and yes together with spinal anaesthetic, given at the level of L4 and L5, since the operation involved the umbilicus and the area around it and the lower part. when the surgeon was about to suture the wound, or perhaps half way done suturing the wound, the isoflurane administration was stopped and spontaneous breathing is initiated. and the patient started to regain consciousness. a drug was given to antagonized the muscle relaxant effect.the patient started to open her eyes. and guess what i saw this anaesthetist patting hard few times on the patients forehead, which is quite inappropriate an inhuman for me. and after that when they were about to move this patient onto a stretcher to be sent to the ward, they were like dragging this patient onto it rather than putting her properly. so ouch, this hits my nerves!
the second case was a man suffering from haemorrhoids. he was given spinal anaesthesia and diazepam as a sedative. and my second ouch comes when the anaesthetist was just about to administer the spinal anaesthetics. he did not put any local anaesthetics on the skin surface. so the patient had of course suffer a great pain. imagine putting a needle, a long, big one into you spine, and the anaesthetist keep entering to the wrong side 3 times. what a pain. well, the skin was supposed to be anesthesized, but i think because this is a university hospital that the service went that bad. they are egptians by the way.
i think now i love medicine. but i need a strong strength and will to regain the one week i have decided to let myself been left.
p/s: if you are reading this rahmah, i would like to hear your comments on our surgery here, and yours over there. lots of love.