A doozy of a night
My rotation in Pediatric General Surgeryis now officially over. I did my last call shift yesterday and overnight and man, was it a doozy! We were in the operating room until about 2am, and then I was so wound up, I couldn't get to sleep! In the past 24 hours I:
1) did rounds with my resident on our 20 some-odd patients already in hospital
2)was consulted for a girl with an infect lymph node in her neck (surgery not required yet)
3) was consulted for 2 kids with new diagnoses of leukemia that needed central lines put in for their chemo treatment
4) was consulted for a baby that had a partial intestinal obstruction (surgery not required yet)
5) was consulted for a teen with a rectal abscess (surgery scheduled today)
6) participated on a multiple trauma: 3 young teen 'gangsters' who were jumped by McStabby and his merry group of buddies with 4 inch knives. It was all very "ER"! One guy had a big gash on his arm and went into shock because of blood loss (he went to the OR STAT). One guy had blood in his chest cavity and needed a chest tube, and the third had wounds to his spleen and kidneys (they are watching him like a hawk right now to see if he needs surgery). There was a fourth involved, but apparently he was taken to another hospital but died after having surgery to repair wounds to his heart.
7) and the saddest of all: a premie baby who was doing well in another hospital in the province up until yesterday when suddenly it got really sick. They flew the baby here to be seen by us. We rushed the baby into the OR only to find that the baby's entire GI tract was either dead or dying with something called necrotizing enterocolitis. The intestine burst open so the baby had a massive infection. During the operation, the baby's heart stopped and the surgeons had to do chest compressions and the anesthesiologists scrambled to get a rhythm back, which thankfully they did. The surgeons took out a portion of the small intestine that was dead and closed the baby up. I woke up this morning to the news that the baby didn't make it through the night. Poor thing. Didn't really even have a chance. I feel so sorry for the parents.
So today, I am trying not to drown in this horrible weather we have here. I will maybe see a movie tonight and sleep in tomorrow (sigh...heaven). At some point I should do some studying...but I'll do that later...I promise!
1) did rounds with my resident on our 20 some-odd patients already in hospital
2)was consulted for a girl with an infect lymph node in her neck (surgery not required yet)
3) was consulted for 2 kids with new diagnoses of leukemia that needed central lines put in for their chemo treatment
4) was consulted for a baby that had a partial intestinal obstruction (surgery not required yet)
5) was consulted for a teen with a rectal abscess (surgery scheduled today)
6) participated on a multiple trauma: 3 young teen 'gangsters' who were jumped by McStabby and his merry group of buddies with 4 inch knives. It was all very "ER"! One guy had a big gash on his arm and went into shock because of blood loss (he went to the OR STAT). One guy had blood in his chest cavity and needed a chest tube, and the third had wounds to his spleen and kidneys (they are watching him like a hawk right now to see if he needs surgery). There was a fourth involved, but apparently he was taken to another hospital but died after having surgery to repair wounds to his heart.
7) and the saddest of all: a premie baby who was doing well in another hospital in the province up until yesterday when suddenly it got really sick. They flew the baby here to be seen by us. We rushed the baby into the OR only to find that the baby's entire GI tract was either dead or dying with something called necrotizing enterocolitis. The intestine burst open so the baby had a massive infection. During the operation, the baby's heart stopped and the surgeons had to do chest compressions and the anesthesiologists scrambled to get a rhythm back, which thankfully they did. The surgeons took out a portion of the small intestine that was dead and closed the baby up. I woke up this morning to the news that the baby didn't make it through the night. Poor thing. Didn't really even have a chance. I feel so sorry for the parents.
So today, I am trying not to drown in this horrible weather we have here. I will maybe see a movie tonight and sleep in tomorrow (sigh...heaven). At some point I should do some studying...but I'll do that later...I promise!
posted by MSI (Med Student Intern) @ 4:59 PM
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