Showing posts with label surgery. Show all posts
Showing posts with label surgery. Show all posts

Wednesday, April 20, 2011

I'm on the 2-10 Shift

Masaya sana ang 2-10 shift ngayon, dahil mga friends ko ang kasama ko, si Mam Barney at Mam Kim tapos ang HNOD namin ay si Mam TJ pero alam ko rin na imposibleng magkausap-usap kami dahil halos lahat ng kaso nasa hapon at hindi nga ako nagkamali, natapos lang ang mga kaso namin around 9:30pm na so ung bonding moments namin, ayun hindi na natuloy.

Nakakatuwa pa kasi pinaguusapan namin na baka hindi kami makapagusap ng maayos dahil si Sir JA kahit na 6-2 shift e hindi umalis at bantayan itong si Mam Kim.

Anyways, my case for today was the emergency ex-lap of a 2months old baby boy. Hindi ko nga lang alam kung ano ba talaga yung case namin pero yung ang laki kasi ng tiyan nung baby, nagkaroon ata ng intussusception tapos ang weird pa dahil yung intestines nya nakadikit pa talaga sa liver nya. Naawa nga ako sa kanya, ang bata pa pero ganun na yung nangyari sa kanya.

Anyways, okay yung case ko pati nga yugn anesthesiologist ko okay si Dr. Froi kasi ang ayoko lang yung surgeon, hindi naman kasi sya kagalingan pero kung makareklamo parang ewan lang. Ang daming demands tapos sarcastic pa kung mag-comment. Sana nga kay Dr. D or Dr. L na lang napunta yung patient e.

Anyways, hindi pa tapos yung case ko, pinalipat na ako ni Mam TJ ng case, sa URS na daw ako dahil lahat andun na, ako na lang daw ang wala. E sa sobrang bilis ng procedure na yun, wala tuloy akong nasulat sa chart ng patient so lahat yun ginawa ko na lang sa PACU.

After that, pina-relieve na sa akin yung circulating nurse na nasa tympano-mastoidectomy case. Si Mam Kim naman ang nagrelieve dun sa scrub nurse. Buti na nga lang at wala si Sir JA kundi baka magkaroon nanaman kami ng issue.

After that, nagstay ako sa OR at dun natulog per Mam barney's request dahil supposedly iinom kami ng tea sa SB pero dhail parehas kaming dukha bumili na lang kami ng tea sa 7-Eleven.

Wednesday, March 23, 2011

Closer Look: Cochlear Implant Surgery

To avoid being asked to do an overtime and to reserve my energy as well considering I still have 7 days left to work, I asked the HNOD if I could have a 5-1 shift instead and fortunately she granted it to me.

Anyways, my case for today is Cochlear Implant Surgery. It is not a frequent surgery done in our hospital so I'm really lucky to assist in this kind of surgery. Anyways, here's a closer look in this surgery.


COCHLEAR IMPLANT SURGERY

Definition: A cochlear implant is a small, complex electronic device that can help to provide a sense of sound to a person who is profoundly deaf or severely hard-of-hearing. The implant consists of an external portion that sits behind the ear and a second portion that is surgically placed under the skin.


Procedure:
The actual surgical procedure, which takes 2 to 4 hours and uses general anesthesia, involves securing the implant package under the skin and inside the skull, and then threading the wires containing the electrodes into the spirals of the cochlea.

To secure the implant, the surgeon first drills a 3- to 4-millimeter bed in the temporal bone (the skull bone that contains part of the ear canal, the middle ear, and the inner ear). Next the surgeon opens up the mastoid bone behind the ear to allow access to the middle ear. Then, a small hole is drilled in the cochlea and the wires containing the electrodes are inserted. The implant package is then secured and the incision is closed.

Instruments and Supplies:
  • Plastic Set
  • freer/dissector
  • wetlainer
  • periosteal elevator
  • gentian violet
  • cotton applicator
  • cotton balls
  • PNSS 500ml (for irrigating)
  • suction tube
  • NST
  • Leica machine
  • Leica cover
  • rubber band
  • extra bowl
  • iris scissor
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