Shame on me if you fool me twice

currently listening to: background music of grey's anatomy 325 ending (kinda melancholic)

It has been a while since I last updated my blog. Generally, it's because of lack of pictures to put in the blog, so... (saje je alasan)

anyway, went to see a surgery this evening... Izani called Husni and me while we were searching for food. Quickly, I dump the idea of my stomach growling and the three of us went to An-Nur instead. While in the car, we suffered a little bit of anxiety attack, so we started to search for the books that might help us when Dr. Razalee asks us something in the OT!! (shit-0) all we could see through, was a pathophysiology book and a clinical examination book. menolong la sgt kan? matilah aku kene bambu ngn Dr. Razalee!! we decided to just walk in anyway (rempoh je) but not before calling Prof. Nasar and asking for help on the histology of the GIT (just in case, desperate siot huhu)

while we were in the changing room, Husni and Izani played around with the scrubs, somehow, they managed to confuse me into wearing a long sleeved scrubs. I only realized it when we were in the OT, I was like shit!! this is the second time!! NOT AGAIN!!! waaaaaaa!! (tapi buat muke selambe, whatever la kan) anyway, the abdomen was already open (laparotomy) when we were in, and the small intestine were already out... (mcm dalam medic tv tuh)
so Dr. Razalee asked us; what's the cause of intestinal obstruction? we timidly said it can be caused by mechanical and physiological obstruction..

"so what's the cause for mechanical?"

"urm.. urr.. urr..." *stutter*

"takkan tak tau kot? ni mesti tido dalam scl." (kene sebijik)

"urm~ tumour??"

"HA, lagik?"

"urm.. constriction, fibrosis of the wall, fusion, unperforation???"

"saye x nak pathophysiology, nak causes? macam kalau congenital causes ape??"

erk! shitto!! ape ek??? all that i could think off was that congenital defect... omphalocele, gastroschiasis,and the fistula thingy which was highly unlikely...urgh...

the answer was a congenital band around the small intestine.

how could i ever forgot about it? (didn't even read it for the finals *sarcastic tone*)

so anyway,

we watched the surgery, while being bombarded by question (which we could answer, sort off) it was quite long... dah la tak makan dpd pagi (coz xde duit) then kene stand for like 2 hours in the OT, naseb baek tak pengsan!!

Prof. Ikram was telling us how he had used the GA for the guy and now is putting him on the second bag of normal saline. the guy is going to be really dehydrated (baru blaja pagi tuh) especially coz his intestine is out in the open for the air to suck it dry (moisture wise, 10 mL/Kg/min) . per minute babey... damn fast, so that's why they put the wet cloth on it.. huhu...

Dr. Razalee was calm, through the operation was difficult as there were many a time when he tried to pull the intestine out, it was stuck all over. somehow the position of the intestine were messed up, good thing nothing got tangled and form a knot (else it would really be a messy job, huhu) while Dr. razalee was meraba-ing inside the abdomen, he found an appendix in the center of the abdominal cavity!!! shoot!! it's supposed to be at your lower right quadrant (terrer tak aku tau anatomy?? wuuu!! bangge siot!) the appendix was cut out even through it didn't pose any threat... yet! Dr. Razalee said that this is an exploratory surgery, where you check everything, if you find something abnormal, just cut it off. if not, just close it back (mcm penah dgr je ayat nie)

everytime the O2/Bp/PP machine (mental note: have to know what it is called) beeps, the three of us would jump up.. ahaha kiteorng yg melebeh.. Prof ikram selambe je. Layan2!!

finally when we have answered (not really) all the question, and the patient was fine, it's time to close up the whole thing. But, even through the band was cut, the small intestine was still dilated (it's like a balloon) so they had to squeeze the contents upwards:

small intestine----> gastric

boy, was that scary... the thing look so fragile and yet it's being squeeze out (takot gile kalo tepecah)!! when it reaches the gastric, Prof. Ikram who had prepared the suction machine, suck it out. But midway along the procedure, the tube got stuck, and we only realised that AFTER the feces/chyme came out through the patient's mouth + nostrils! shit, SHIT gile! Husni got some of it on his toe coz he's the nearest to the fella. Prof Ikram quickly suck the feces out. cleared the mouth and nostrils and all... (dalam ati, only God knows la kan kalo taik ade kat dlm mulut...) after clearing the whole thing, Dr. Razalee put the intestine (now a bit flattened) into the abdomen before closing the wound... (cube teka die suture gune teknik ape??)

we were offered to watch another surgery (ceaserean section) but we were too tired, plus there is no extra scrubs left and Prof. Ikram is going to go back home... (tanak dok ngn doktor2 yg tak dikenali!!)

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there were some things running through my mind this past few weeks. serious things. So, what do you do when you face this situation;

even through you know, but you can't tell,
even if you want to help, you cannot??
and all you can really do, if any, is just


wait...


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this post seriously is full of purple!! semangat kolej!!