PREAMBLE
Welcome here again…
This has been a ride and our bus may soon stop….
Before it does, let us have more story telling.
Ready?
Let’s ride in…
DREAM FULFILLED
Remember I told you that I wished to do many episorrhaphies.
I was able to do until my hearts content.
This was my first attempt: The registrar on ground was handling other emergencies and a mother had gotten an episiotomy (a surgical cut to help deliver a baby), and she need to have an episorrhapy (the repair of an episiotomy using sutures). He saw my eagerness and after showing me the steps he had taken, he allowed me to tie the knot.
Now, I had assisted twice in the past not with episorrhapies but with other suturing procedures.
On my next call, after a long night of staying awake, I had an opportunity to do another. I was unable to complete it because I got stuck at a point due to the pool of blood at the site, so I waited for my registrar to come before I handed over and watched him complete it.
The next two times, I did it confidently and I was proud of my final look. It was neat and well done.
The next time I sutured, I did three within the same day and the last two I did were done when I was quite exhausted but gratefully they all went well.
Now, this was what I did during my surgical procedure, after explaining to the patient and getting their consent, I administered local anesthesia to help with the pain then I maintained a friendly rapport with them to distract them from the procedure. I could understand that it was uncomfortable and I wanted them to feel at ease as possible. With some patients, I discussed different topics and even got ourselves laughing at some parts discussed. They were patient with me and after I was done, they were grateful. I was never in a haste and made sure that I did not leave any surface to be sutured open.
I was happy that my seniors were confident allowing me suture without supervision and at the end of my posting, I got the highest grade in that section for the procedure.
C.S ASSISTANT
Caesarean section is a surgical procedure that is aimed at helping a pregnant woman deliver a baby. It is not the recommended way to deliver a child, however it is a life saving procedure for a pregnant woman who is at risk of complications with vaginal delivery. For some women, it is safer to have a caesarean section than to go into labour.
It was my dream to assist during this rotation. I had assisted in the past but not in this facility I was in. It was an opportunity that was not easily accessible in my unit as a house officer.
The first opportunity I thought I got was lost die to a misunderstanding with my senior and the next came and I was almost not going to do it.
Like I was the one who prepped patient and to get the opportunity to still assist was not easy to have. Finally, I was given the opportunity and it was one of the most breathtaking experience I had. I loved that I assisted for this particular caesarean section was unique and it was not as smooth as the other ones I had observed. The baby was in an abnormal position and we had to employ our hands to deliver him safely. I loved that I assisted and that it turned out successful. The patient who was initially afraid to have the procedure went home happy and sound.
The remaining opportunities I would have had were halted by a strike.
THE END OF THE ROTATION
I did not have any other exciting experience afterwards and the strike dragged until I was done.
I was still coming to work but the patients to be seen were few until they were no longer coming. The strike was held by the medical professionals that were neither doctors or nurses and then by the non-medical professionals. Aside from the extra procedures I missed, I was satisfied by my experience. It had been bearable and I was able to learn the things I wanted to learn.
THE END?
Nah….
I will share one more part with you and then I’ll wrap up this series.
If you’ve been enjoying this then you’ll like the next thing I’ll share to wrap up this series.
Until next post, stay safe and God bless.
#W.O.L.A.P