So my first day began bright and early at 5:30am in order to have time to drive all the way to Gastonia and avoid traffic. The first thing they had me do was suit up in a sterilized gown along with a set of stylish glasses and a mask to further garnish my attire.
Thus far I have observed several oral surgeries, most requiring the extraction of multiple teeth. Some poor guy had 30 teeth pulled and due to his complicated medical history (parkinson’s disease) the use of traditional anesthesia had to be applied delicately. One of the first things they said to me was that if I started to feel light-headed I should just sit down and take a breather. I totally thought I would be perfectly fine, and I was after seeing this man get all of his remaining teeth pulled out.
Realizing that I would be okay with witnessing surgery with the whole real person and blood aspect makes me feel more comfortable with considering a medically oriented career path, which is basically the reason I wanted my senior project to include surgical procedures.
But during only my first day, I’ve seen quite a few aspects of this work that make things especially difficult. For example, the weight of the patient can make surgery tricky because the larger the patient is the more anesthesia needs to be used to put them to sleep but at their heavier weight and larger size the larger dosage of anesthesia makes it more likely for them to stop breathing. Also patients who have complicated medical situations makes anesthesia a complicated matter. Dr. Jamison made me aware of a certain situation where a certain patient had been returning frequently for the past two years complaining of pain from the removal of wisdom teeth, but this patient would always come in requesting but more like insisting that Dr. Jamison write her a prescription for percocet (aka oxycodone) so Dr. Jamison did an exploratory surgery on the location she claimed to have pain and found nothing. He explained to me that try’s to give patients the benefit of the doubt but there was no doubt in my mind that this patient was simply trying to get the drugs. But after his exploratory job, this patient will definitely need it. But the second this person woke up he/she began rambling about the drugs and how she wanted us to call it in for her because she had trouble getting it before, which with a prescription it isn’t hard to obtain unless the pharmacy has marked a person as a possible drug abuser and it made this person cry because a drug that is in that level of controlled substances must be physically written on a prescription pad and taken to the pharmacy. It was just so frustrating to watch Dr. Jamison and his assistants put up with this sort of patient as if they were genuine, which I myself would want a doctor to take any complaint I had but the blatant intentions of this couple was ridiculous (at least in the recovery room). But anyway on to a different issue, weight, some patients weight had me nerve racked even though Dr. Jamison and his assistants were completely unphased. Especially because the heavier the patient the more likely it is that the patient will need a heavier dose of anesthesia, which can make it more like that the patient will stop breathing.
Well, here is the website for the office I’m interning at. It has some videos of the basic ideas of how some of the procedures are performed. http://www.gastonoms.com/
9 hours completed so far (I have to record my hours just so I make sure I can make the requirement and not make a mistake–certainly wouldn’t want that to happen)