Nov. 14, WED
(You anxious?)
My dad's surgery is scheduled this day. I instructed Manang that my dad was on NPO (nothing per orem) from 12mn. The damn surgeon Dr. V, started the surgery around 2:30 pm the next day which is my shift! We were told that the surgery will start at 10 am. My anxiety level was on the roof the whole time I was there in the O.R. There's this "Extension Syndrome" that the O.R. nurses believe.. It means, although the patient is sedated, there's tension between the patient and the surgeons. And there's this belief of the surgeons that, when a relative is inside the O.R., the patient will bleed. So, I just scrubbed in for the minor surgery and made myself busy. After the surgery, I called my mom and asked for the prognosis. I couldn't believe how good I am at calming myself when everything's not right. It's like I've mastered the art of looking okay when I feel so bad. I'm actually thinking I could be a good actress! err. not me.
Anyway, I followed my dad at the R.R. (recovery room), and chatted with the clerk. He explained to me the procedure as he was there throughout the surgery. Intra-operatively, they did an x-ray with the use of dye, from the liver, it stopped at the CBD (common bile duct) which indicates an obstruction. Supposedly, it will flow until the duodenum. The prognosis was bad. Anyway, we can't do nothing about it. My dad's weak and all. The surgeons anastomosed two parts of the stomach as there was obstructions too. I'm just not so sure if they were stones or masses. Basicallly, the surgery was pallative.
Just right after the surgery, I went in the O.R. 3
LEI: Tatay...
Anesthesiologist: (Nakatingin lang sa 'kin.)
LEI to Anes.: Doktor, tatay ko po 'yan.
Anes.: Ano?
LEI to Anes.: Tatay ko po cya.
Anes.: Estudyante ka ba namin dito?
LEI: Opo.
Then they had to transfer him to the R.R. with an NGT (nasogastric tube) inserted intra-op for lavage purposes because the anastomoses have to heal first before he can eat, external biliary drain, and of course, IFC.
Nov. 15, THURS.
(The Ovum Forcep)
I played the role of circulating nurse throughout the shift! It's cool when your clinical instructor entrusts you to the... yknow... the works! :) The other half of the group had their duty at Fabella O.R. There's only six of us left in the UMC.
Nov. 16, FRI.
(Scrub kung scrub!)
Pinakapamatay sa lahat 'tong araw na 'to.
We're still six in the UMC O.R., so we're kinda toxic. Haha.
[4pm]
MA'AM GENUINO: Sino naka-assign na scrub sa CS?
LEI: Ma'am ako po.
MA'AM GENUINO: Mag-open ka na ng gloves mo tapos mag-scrub ka na.
LEI: Owki.
Syempre kampante ako, scrub 1 ba naman si Sir Elmer! E super bait nun. Andami tinuturo sa 'kin. At kabisado na nya ang CS. So chicken lang talaga para sa kanya.
----------------
[6:30pm, tapos na ang CS, at naghuhugas na 'ko ng instruments]
MA'AM GENUINO: Ms. Garcia, pagkatapos mo d'yan, yayain mo na si Ms. Eduardo sa R.R, mag-break na kayo.
LEI: Cge po, Ma'am.
MA'AM GENUINO: Ms. Garcia, may isa pang service CS, sayang e. Kunin n'yo na ni Mr. Llorca. Hindi naman ako uuwi. Dito lang ako sa O.R. Since, may sasakyan ka naman, kayong dalawa na lang ang mag-scrub. Okay lang ba sa'yo?
LEI: Cge Ma'am, okay lang po.
MA'AM GENUINO: Pero, sa palagay ko, alas-diyes pa magsisimula yun e.
----------------
[7pm]
LEI: Meryl, kain tau dun sa conference hall!
MERYL: Dun tau?
LEI: Oo, pwede sbi ni Ma'am!
LEI:(Kabubukas pa lang ng tupperware...)
MIKO: Lei, andyan na ung CS!
LEI: Andyan na?!
MIKO: Oo! Pero cge kumain ka muna.
Kumain ako ng sobrang bilis...mga 1 minute. Tunay.
LEI: Meryl, painom. Thank you. Babay!
MA'AM GENUINO: Ms. Garcia, magbukas ka na ng 2 gloves nyo ni Mr. Llorca. Mag-scrub na kayo.
LEI: Owki Ma'am... (Waaa.... Lintik na bata. Kelangan ilabas agad...)
----------------
MIKO: Lei, ikaw na scrub 1.
LEI: Ah. E ano ba ginagawa nun?
MIKO: Ikaw sa O.S. (operating sponge) count at instrument count.
LEI: (Waaaa....) Cge, bahala na. Experience na din!
Bottomline is... Tapos na kami ni Miko sa CS. Tig-dalawang case na kami ng CS. Yea!
[Okray Mode]
Si Doktora na OB, ung head part ng gown malapit na sa floor. Baliktad ung bukas nya. Syempre ang kapal ng mukha ko pero syempre kelangan sabihin.. Sabi ko, "Doktora, baliktad po." Aba, dinedma ako. Intern pa lang naman?! Dinaig pa ang mga residente na nagte-thank you sa amin! Batukan ko siya e! Mag-anesthesiology na lang siya kung gown pa lang, hindi na marunong. Wahaha.
Back to reality on Monday...
(You anxious?)
My dad's surgery is scheduled this day. I instructed Manang that my dad was on NPO (nothing per orem) from 12mn. The damn surgeon Dr. V, started the surgery around 2:30 pm the next day which is my shift! We were told that the surgery will start at 10 am. My anxiety level was on the roof the whole time I was there in the O.R. There's this "Extension Syndrome" that the O.R. nurses believe.. It means, although the patient is sedated, there's tension between the patient and the surgeons. And there's this belief of the surgeons that, when a relative is inside the O.R., the patient will bleed. So, I just scrubbed in for the minor surgery and made myself busy. After the surgery, I called my mom and asked for the prognosis. I couldn't believe how good I am at calming myself when everything's not right. It's like I've mastered the art of looking okay when I feel so bad. I'm actually thinking I could be a good actress! err. not me.
Anyway, I followed my dad at the R.R. (recovery room), and chatted with the clerk. He explained to me the procedure as he was there throughout the surgery. Intra-operatively, they did an x-ray with the use of dye, from the liver, it stopped at the CBD (common bile duct) which indicates an obstruction. Supposedly, it will flow until the duodenum. The prognosis was bad. Anyway, we can't do nothing about it. My dad's weak and all. The surgeons anastomosed two parts of the stomach as there was obstructions too. I'm just not so sure if they were stones or masses. Basicallly, the surgery was pallative.
Just right after the surgery, I went in the O.R. 3
LEI: Tatay...
Anesthesiologist: (Nakatingin lang sa 'kin.)
LEI to Anes.: Doktor, tatay ko po 'yan.
Anes.: Ano?
LEI to Anes.: Tatay ko po cya.
Anes.: Estudyante ka ba namin dito?
LEI: Opo.
Then they had to transfer him to the R.R. with an NGT (nasogastric tube) inserted intra-op for lavage purposes because the anastomoses have to heal first before he can eat, external biliary drain, and of course, IFC.
Nov. 15, THURS.
(The Ovum Forcep)
I played the role of circulating nurse throughout the shift! It's cool when your clinical instructor entrusts you to the... yknow... the works! :) The other half of the group had their duty at Fabella O.R. There's only six of us left in the UMC.
Nov. 16, FRI.
(Scrub kung scrub!)
Pinakapamatay sa lahat 'tong araw na 'to.
We're still six in the UMC O.R., so we're kinda toxic. Haha.
[4pm]
MA'AM GENUINO: Sino naka-assign na scrub sa CS?
LEI: Ma'am ako po.
MA'AM GENUINO: Mag-open ka na ng gloves mo tapos mag-scrub ka na.
LEI: Owki.
Syempre kampante ako, scrub 1 ba naman si Sir Elmer! E super bait nun. Andami tinuturo sa 'kin. At kabisado na nya ang CS. So chicken lang talaga para sa kanya.
----------------
[6:30pm, tapos na ang CS, at naghuhugas na 'ko ng instruments]
MA'AM GENUINO: Ms. Garcia, pagkatapos mo d'yan, yayain mo na si Ms. Eduardo sa R.R, mag-break na kayo.
LEI: Cge po, Ma'am.
MA'AM GENUINO: Ms. Garcia, may isa pang service CS, sayang e. Kunin n'yo na ni Mr. Llorca. Hindi naman ako uuwi. Dito lang ako sa O.R. Since, may sasakyan ka naman, kayong dalawa na lang ang mag-scrub. Okay lang ba sa'yo?
LEI: Cge Ma'am, okay lang po.
MA'AM GENUINO: Pero, sa palagay ko, alas-diyes pa magsisimula yun e.
----------------
[7pm]
LEI: Meryl, kain tau dun sa conference hall!
MERYL: Dun tau?
LEI: Oo, pwede sbi ni Ma'am!
LEI:(Kabubukas pa lang ng tupperware...)
MIKO: Lei, andyan na ung CS!
LEI: Andyan na?!
MIKO: Oo! Pero cge kumain ka muna.
Kumain ako ng sobrang bilis...mga 1 minute. Tunay.
LEI: Meryl, painom. Thank you. Babay!
MA'AM GENUINO: Ms. Garcia, magbukas ka na ng 2 gloves nyo ni Mr. Llorca. Mag-scrub na kayo.
LEI: Owki Ma'am... (Waaa.... Lintik na bata. Kelangan ilabas agad...)
----------------
MIKO: Lei, ikaw na scrub 1.
LEI: Ah. E ano ba ginagawa nun?
MIKO: Ikaw sa O.S. (operating sponge) count at instrument count.
LEI: (Waaaa....) Cge, bahala na. Experience na din!
Bottomline is... Tapos na kami ni Miko sa CS. Tig-dalawang case na kami ng CS. Yea!
[Okray Mode]
Si Doktora na OB, ung head part ng gown malapit na sa floor. Baliktad ung bukas nya. Syempre ang kapal ng mukha ko pero syempre kelangan sabihin.. Sabi ko, "Doktora, baliktad po." Aba, dinedma ako. Intern pa lang naman?! Dinaig pa ang mga residente na nagte-thank you sa amin! Batukan ko siya e! Mag-anesthesiology na lang siya kung gown pa lang, hindi na marunong. Wahaha.
Back to reality on Monday...
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