(no subject)
Oh the craziness continues....
Yesterday I helped do a basilic vein transposition = which means we dissected this big vein out from the inside of the arm, placed it superficial so dialysis can have easy access to it and then sewed it to an artery. And my senior resident let me close up the deep fascia!! So I got to sew up the inside of the arm. It was sweet.
Today we got a consult for this lady who is an IVDA (IV drug abuser) and who, while shooting up heroin, got part of a needle stuck in her arm. Now she's all septic and her entire arm was infected and she had this thing called compartment syndrome = which means that the pressures within your arm get really high and if you don't cut the fascia, you get ischemia and can lose your arm. So we had to do an emergency fasciotomy (to cut the fascia and release the pressure) in her arm and she also had an abscess deep within her arm that we needed to incise and drain. Turns out it was a whole muscle in her arm that was all infected and full of pus so we had to take that out. For a fasciotomy, you don't close up what you cut bc the pressures need to go down so she had to go back to the OR in a few days so we can close it up.
I love love surgery. I just don't think I can be a surgeon. They work SO FRICKING HARD, its nuts. I run up and down the hospital all day (unless I'm in a surgery). Its crazy. And now I have to study....
Yesterday I helped do a basilic vein transposition = which means we dissected this big vein out from the inside of the arm, placed it superficial so dialysis can have easy access to it and then sewed it to an artery. And my senior resident let me close up the deep fascia!! So I got to sew up the inside of the arm. It was sweet.
Today we got a consult for this lady who is an IVDA (IV drug abuser) and who, while shooting up heroin, got part of a needle stuck in her arm. Now she's all septic and her entire arm was infected and she had this thing called compartment syndrome = which means that the pressures within your arm get really high and if you don't cut the fascia, you get ischemia and can lose your arm. So we had to do an emergency fasciotomy (to cut the fascia and release the pressure) in her arm and she also had an abscess deep within her arm that we needed to incise and drain. Turns out it was a whole muscle in her arm that was all infected and full of pus so we had to take that out. For a fasciotomy, you don't close up what you cut bc the pressures need to go down so she had to go back to the OR in a few days so we can close it up.
I love love surgery. I just don't think I can be a surgeon. They work SO FRICKING HARD, its nuts. I run up and down the hospital all day (unless I'm in a surgery). Its crazy. And now I have to study....