Anesthesiology wasn’t as scary and intimidating as I thought it’d be. It’s quite useful to be honest. We learned first-hand how to handle emergency patients. Time saving is life saving. That’s their ultimate motto. I know I don’t work well under pressure/ in a rush but at least now I know what to do when a patient come in the emergency room. ABCD Airway; by doing LLF (look listen and feel) make sure their airway is free from obstruction such as blood or solid materials-Breathing; again with LLF, make sure the patient has enough oxygen resource, if they don’t give them oxygen therapy-Circulation; look for any schock telltale like cold and wet perfusion, increased heart rate, low blood pressure, etc and give fluids immediately-Disability. It’s all that matters. I didn’t care much about the operating procedure, I know it’s way out of my league- and General Practitioner’s competency. Save the patient first. Take care of the more pressing and deathly issues first. It’s very different from the mindset that’s being taught in any department, internal medicine for example; in each flask of fluid we give we have to think about the side effect, have to consider about the patient’s condition like heart or kidney problems. While in anesthesiology they’re moving in treat first ask later pace.
We had 3 work stations; operating room, resuscitation room, and ICU. We didn’t do much in either operating room & ICU. We’re just a bunch of inexperienced DM, standing in the corner, observing. I hated that helpless, useless feeling. The music was fun though. Lot of PPDS brought mini-speaker and blasted on their spotify playlist –in the middle of an operation procedure. I was quite surprised, from my experience, only a few of PPDS (in DM 1) really into music/ knew today’s hit songs. A year ago I tried to make friendly convos & told them (Neurology PPDS) about my 1D concert experience, I was still in post concert haze so I was squealing & sparkling & full on excitement but I could immediately tell that they genuinely sincerely didn’t have a clue about what / who / why / how 1D was. And that’s why ladies & gentlemen, I don’t socialize.
So yeah. The music helped! 12 hours of night shift just passed by, I sang through the night, bopped my head and such. I didn’t hold back cause you know, oversized sterile gown, mask, nurse cap, glasses, hijab and all, nobody really knew who you were. Unless you’re popular that’s another story. The majority of PPDS inside was actually male, and you know they’re super loud, and talked rudely sometimes. They didn’t take time off (a moment where you state the name of the patient, operators, type of surgery, and say a little prayer) seriously. And I loathed that. Blame my sympathetic soul. That’s pretty much all we did there. Observing. Fetching up things & medicine from the Depo, anytime anyone needed anything. I didn’t really like orthopedic cases, there’s lotta radiation involved. When it came to surgeons and anesthesiologist there wasn’t much of female PPDS and that’s where things got bit awkward. They would blindly talk about girls -DM & PPDS, and I had to endure that for 4-5 hours. In few occasions I was bombarded with tons of questions about my popular-female colleagues. The dos and don’ts. I felt like I could roll my eyes to the back of my head. Men.
We could learn a lot in the resuscitation room. We received any patient with various emergency condition and to my surprise, the PPDS really were calm. Blood was everywhere, the patient had trouble breathing til the skin turned blue, the beds were all occupied, all screamed out CHAOS. But it didn’t affect them at all. Well there was always someone who unnecessarily barked orders, making it dramatic like any medical tv shows. It’s totally unnecessary, cause everyone literally knew what they’re doing, and they’re amazingly working in total sync. When a patient came, the doctor in charge would quickly assess the ABCD problems, in the same time the nurses were all ready with masks, oxygen, infusion set, and blood sampling tools. We sometimes helped setting up the monitor, giving oxygen therapy & other IV line medicine, putting urin catheter in, nothing fancy, but it felt more useful, and purposeful.
Come to think of it, I don’t understand how most of my friends manage to proudly wear the OK costume, acting like they’re ready for a surgery, pose for a few dramatic shoots, and put that in their display picture. I mean it’s up to them really I have zero business. But for me I feel like, by doing that, I am the biggest con ever. Cause in reality we don’t get to do anything close to fancy in the OK. Except for very few people who are brave enough to ask for a chance to assist some minor ops. The costume is there for procedure and nothing else. There’s really nothing to brag about.
What’s left of it then? Vanity? Or maybe it’s their optimism, happy & carefree soul that I actually envy?