Wednesday was our last day of surgery. Ending with a very difficult case. We had a three month old that needed a VP shunt. Unfortunately, she had several congenital anomalies that made her very tough to intubate. Unsuccessful after several attempts, her heart rate dropped and needed chest compressions. She came back but never had spontaneous respirations. She was bagged but still had low O2 sats and the decision was made to place a tracheostomy.
Not how you want to end the last case of a mission.
She is doing well in ICU but will need several procedures due to her underlying syndrome. Trach should be temporary.
I had time to waste waiting for a taxi so I went to the salon across the street for hair wash and blow dry. We have a big night ahead.
We dress in our finest, ok, cleanest clothes and get in the van for a ride to the president's compound. Pass through a lot of security, sit in a couple rooms, and finally meet Palestinian president Mahmoud Abbas.
We drink tea, chat. Doctors ask for a surgical microscope and laparoscopy. He says OK.
Inshallah
Thirty minutes later we are off to dinner.
No comments:
Post a Comment