Today was such an adventure mainly because of how lost I get every time I shadow the OR at Memorial. I shadowed two gastroenterology related surgeries. The first surgery was with Dr. Jones operating on a patient who was experiencing reflux issues as well as abdominal pain. The patient had a partial cholecystectomy a few years back, however, the physician who operated noted that when doing so, part of the gallbladder could not be taken out which was causing the pain. During that same surgery, the physician also noted that part of the duodenum was punctured. So, today’s surgery was to take the leftover part of the gallbladder out as well as close out the duodenum. I got to see this surgery from start to finish which was so astonishing. I noticed that no other place does teamwork better than in the OR. It is incredible how much everyone depends on each other in atmospheres like this. The OR technicians, nurses, medical students, residents, and surgeons each have a vital role in the room that one wouldn't be possible without the other. I saw how the OR technicians prepared the room before Dr. Jones even made it and how they were a great assist for the duration of the entire surgery. I was also so impressed by the OR nurses documenting everything used and that takes place. The nurses are the ones to assist everyone scrub in as well as keep them scrubbed in by getting them whatever they need throughout the surgery. Seeing Dr. Jones work hand in hand with the resident was also very moving. He was willing to let the resident do parts that she needed more training on. In order to do that he had to take the role of a very trusting and patient teacher in addition to his role as a surgeon. This was a great way to see directly how Resilience and Adaptability works in the medical field. As a future physician myself, I will have to be okay with carrying out my role as well as divide up the responsibility with those around me.
Although it is important for the residents and medical students to learn from these experiences, the second surgery I shadowed was not one that welcomed learning something new. Something that stood out to me was how efficient but patient the second physician was. This surgery was a Robotic Laparoscopic Cholecystectomy that usually lasts approximately seven hours if done successfully. Understandably, the physician wanted to do everything he could to make this surgery not take any longer than it needs to. When the resident asked to train on the robot during this surgery, the surgeon denied her request and told her to “practice on her own time.” Although I was taken back by his comment, I understand where he is coming from. This surgeon was also very clear with his communication from the minute he walked in the OR. He explained very well the patient's background, what the operation will look like, as well as asked if anyone had any concerns to voice. Throughout the surgery he asked if everything looked good from each end to make sure everyone was on the same page. The surgeon doing this as well as telling the resident to practice another time exhibited clear Oral Communication. In the OR there are no hard feelings and no place to put others' emotions over the patient.
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