Our first day at the hospital was a fairly dramatic start.
After sorting out a few trainee badges for us, Neelofer Abbasi, our main
organizer at the hospital, took us up to ER and literally 30 seconds
after arriving there a woman was rushed in having a heart attack. It was
immediately obvious who the head of the department was as we saw Dr
Navneet walk swiftly over to the woman take a quick look at her and then
start barking commands to all the staff around him. They instantly
responded, each member of the team knowing their place, quickly wheeling
her in to the emergency room and beginning to administer treatment in a
manner which showed that they had dealt with this exact situation
hundreds of times before.
From the first day till now, coming to the end of my
time at the hospital I have seen and learnt a lot, too much to really
write about so I'll just touch base on some of the best experiences I
have had here.
First of all the sheer fact that we are able to jump
into just about any operating theatre at any time of day is astounding.
All that needs be done is check the surgery board for anything that
takes your interest and then ask the head of OT Doctor Uni. He will be
generally accommodating unless there would be a serious issue with you
being there. I have found the Ortho team here is the most incredible to
hang around. They combine the usual surgical precision with big hammers,
chisels, saws, nuts and bolts to repair and restructure bones and
muscles. They will make what seems to be a random hit with a chisel to a
bone and then spend 10 minutes making tiny adjustments. This allows
after a very long time of hammering and cutting for them to fit in some
kind of metal replacement to the area.
The most interesting case I have seen by the ortho team was a runway
engineer whose left leg had been run over by a plane. We saw him from
when he first came in when his calf was totally de-gloved, the muscles
were all over the place and the bone was broken and exposed. Over the 3
weeks since then we have been able to see the leg being painstakingly
reconstructed and it looks like he is well on the way to recovering the
use of his leg after extensive physio.
I think that quite possibly the most incredible thing
that I saw was a pregnant woman who's child was having complications at
25 weeks into the pregnancy. The doctors had to perform an emergency
C-section to save them. Since it was such a high risk surgery we were
not able to be in the OT but we could view it from the outside.
Everything was over extremely quickly, the surgeons working fast to
reduce stress to the mother and child, and the baby was whisked away in
an incubator to paediatrics. Both mother and child survived which is
especially amazing considering that abortions are legal in the UK up to
24 weeks.'
Early on in our first week Tom and I got extremely
lucky. We walked into a kidney transplant just as they were about to
take out the kidney from the donor and move it across to the recipient.
They prepared the kidney for removal laparoscopically (keyhole surgery),
then cut a hole in the donor’s side, whipped it out and moved it
quickly into the room with the recipient. With extraordinary care they
attached the new kidney. They do not in fact remove the old one as there
is less chance for complications if they just leave the old dud kidney
in.
In our final week at the hospital I was again struck by
an inordinately sized piece of luck. We had just jumped into an
operating theatre waiting for a testicular dissection (to test the man's
fertility level) and we got talking to the surgeon there. He was very
amicable and was willing to explain everything that we were seeing and
then just before he made the first incision he turned to us and said,
'So who wants to scrub up and join the surgery'. This was followed by a
short gob-smacked silence before I piped up saying 'Yes please' before
being taken to properly scrub up and get my surgical gown on. Then
nervous and shaking I just went for it, following his every instruction
nervously, not wanting to get anything wrong. He obviously did anything
that required skill and experience but he allowed me to use a cauterizer
to fry a few blood vessels and put in a few stitches when we were
closing up after taking the sample. It was utterly exhilarating and I
think will be the most memorable part of India for me. It has also
welled up a desire within me to become a surgeon, but alas we shall see
what happens when I go to Uni. I may yet be grabbed by an even more
fascinating part of medicine that is unknown to me currently.
John