Friday, November 22, 2013

Duty begins with a blast

It's now been 2 months since i have started my Medical internship at UCMS teaching college at Bhairahaawa.
Had a super duper starting - My 1st day was emergency duty & on the very 1st day i was assigned to put sutures on a scalp of a guy who had come in about 3 hours ago after having a big fight at home because of inter familial conflicts.
Well if a man got to do his duty he's just gotta do it. I called upon Mukund my very good friend a final year student back then. He also didn't hold any experience  in this particular art of suturing. After a good boost up from the MO incharge and mukund i entered the male ward. The injured was very well prepared to sleep and was already very comfortable over bed. After getting him to position i started shaving his head over the injured region with an incision blade (no razor was available). My hand shaking & mukund cleaning of bouts of sweats over my forehead. Soon the field was clear and there i was holding the "cutting edge, piercing 3.0 curved non-traumatic needle" (yes it's that long a name) in my hand, with an artery forcep and toothed forcep the other. Oh i almost forgot the injecting Local Anesthesia part. It's actually fun, you inject the periferal skin with 'lignocain' and keep doing that while small spurts of lignocain errupt all over the place. Anyway, now i was half a way through my suture by piercing the poor guys scalp a lot of times and don't know how many times saving my finger from that needle. Now comes the tricky part... what i had learned before was how to suture a straight wound but whats this?!!! This wound was in 'Y' shape, WTH! not which side was i supposed to move?
Now kicked in my common sence, or you can say it was a combined thought from me and mukund that let's stich one side first and we'll come back for the other later (only if i had learned sewing back at home, lol)
The trick did work and at last both of us were very happy that some how we managed to stop the bleeding from that poor fellows head & then MO incharge enters the ward. 'Good Job' he said and i was just wow, patting my self in my imagination which seized with the next word from my MO - "what about the other cut?"
"What other cut?" & then we found out that there was a another linear injury next to the one we have stitched & this one had escaped our eye. 
After a long painful back aching repeate of events finally we got a victory to make that guy medically fit.
And then the events continued for the next 15days throughout my emergency posting, from snake bites to poision suicidal cases and much much more.
Over all it was fun and fun still continues coz everyday in medicine field is a new experience, something new to learn everyday and somethings to make your life more meaningful. My adventure as an intern continues.....

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