

A new passion has surged within my veins. I have a desire to
be the one performing surgeries. My shift continued on the male ward, and we
had many new admissions this morning. Rounds took from 830 to a little after
noon. After lunch we went back to perform minor surgeries. The first one
required a debridement of a burn wound. A young boy had a seizure and fell into
a fire that resulted in third and fourth degree burn on his left upper
extremity. Dr. Stephen talked me through the debridement of this wound, and he
worked on the more distal area as I worked on the proximal area. When you are
in the moment, focused on a task, the gruesomeness of a wound is not as one
would think. My job was to help get this poor boys arm cleaned up to the best
of my ability. He was under ketamine, a short acting general anesthetic. After
this surgery, I was able to assist an African doctor with a man who had been
beaten. There was a gaping wound on his skull that needed cleaned out and
stitched up. I observed the surgeon as he worked on the wound, and then bravely
asked if I could try to suture some. He said of course, you are here for
learning. He handed me the tools and then walked me through the process. I
never realized how tough the skin is, and how much force is needed to make a
stitch. It was a very interesting experience. The knot tying is also harder
than it looks. I understood the technique behind the knot, but it was a matter
of getting the knot as tight as it could be. With more assistance from the doctor we closed up the deep wound and got him back to the male ward. What a wonderful knowledge learning experience. Back in the male ward things had calmed down, and we made sure that everything was taken care of before we headed home for dinner.
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