I Did It !!!! APPENDECECTOMY

[MAJ]

APPENDECECTOMY

My hands and only

Without any body else

:

:

:

No ,

:

:

:


There was only my specialist

A gentleman doctor

But this time

He was the assistant
:122:

Instead of me

Who (me) was assisting him in every time
:MM:

With only closure of the abdominal wall

I was not satisfied actually with that

And in every time I was asking to do appendecectomy alone

:

:

:


Until I Did It

Yes I Did It

And I am so happy for that

:hp:

A great feeling to see your patient coming from the ER
And notice how much he was in pain
And after that you see the big difference postoperatively
And how much he is improving now

:LL:

And the first one I looked for this morning is my patient

No ,

:

:

:

My real patient

During the round one of my residents said to my consultant

This is the victim of Doctora MAJ

Then I told him
:o:

All patients post operatively getting pain

But my patient

الحمد لله

Does not have any pain

And improved soooo much

So , How it was my victim ????

:

:

:

Of course he was joking

:

:

:

The only trouble i`m within it now is that

I took a long time for this operation

Instead of half an hour

I took about one and half an hour
:122:

There was a lot of other operations should be done on the same room

I.E. I disturbed their OR schedual
:K:

So that the OR staff wanted to punish me for that

Even the anesthetist

He wants to bring a big CAKE for him

And others want a meal full with meat

My specialist too ,

Wants a gift for his waiting and assisting me for this long time
:aa:

I told him :

For you my doctor ,

I`ll write the operative form on the computer

And the others , insisting on their request whenever they are seeing me

I told them . INSHALLAH , i`ll do that

Not now ,

At the end of my rotation

To allow me to do it again
:122:

But I do not think they will accept that

They will see me again in the OR

And they will ask me more and more

:

:

:

Anyway

This was my story on my on call duty yesterday

I hope my talk is not so long

:LL:

Good Night

[DR.WOLF]

مبروك يادكتورة ماج

وعقبال ما نسويها

[H@SSOOM]

سلالالالامات والله




ما تشووووووفي شر ان شاء الله



واجر وعافيه































عن اذنكم يا جماعة لا تروح تفتحلي دماغي دحين







مزوح


تجي وتروح


على قول صاحبنا



في الحقيقه الف مبروك


ومن نجاح لاخر باذن الله

[MAJ]

Dr.Wolf
Thank you very much
والله يبارك فيك
You will do it soon INSHALLAH
Good luck

:sun:

Dr.HASSOOM
Where are you escaping
:?:
Don`t worry
I`ll not open your mind
Far a way from my thinking to go within a brain tissues


سلالالالامات والله
ما تشووووووفي شر ان شاء الله
واجر وعافيه

:o:

As usual
You will not get a change
I `m sick now ha

:l:

Any way
Thank you very much for your congratulation
And Best Of Luck For You Too

:LL:

[Heart Pulse]

السلام عليكم

:hp: :J: :hp: :J:


ساعه ونص يادكتوره

ههههههههههههه

بس اهم شي الحمد لله اني لقيت لي احد اقدر اثق فيه تمام الثقه لو فكرت زايدتي انها تلعب معايا



الف مليون مبروك عليكي

ومبروك على مريضك الله يهنيه الدكتوره ماج بكبرها عملت له العمليه

والله يابخته ان انسانه رائعه زيك تعمل له العلميه

ربنا يوفقك ويسعدك كمان وكمان


وكل عمليه وانتي بخير

:122:

نبض القلب

[reda0007]

Assalmu Alykom

WOOOOOOOOOW

and another BIG

:J: WOOOOOOOW:J:

At last u do it doctor maj ....YES :45:

Really happy for this great Acheivment

You know u might no find this feeling again

Feeling of sliding A Knife in healty skin for 1st fime :l:

well , why dont u do a press conference dr maj for this great deed :ws:

Anyway

really happy to see a saudi female skilled hand treating our patients

and wish u all the best for u and for all our sisters

Hey

although it was hour and half

but iam sure it was good tieing ,, isnt it ?:85:

could imagine that surgeons are petting who can finish it quicker

once , the surgeon was really happy he had acheived a new record

around 22 minutes only :45:

again

wish u all the best

salam

[dr_Lord]

CONGRATULATIONS



Really Doctora, There is no better feelings than seening your own patient "who had been managed and treated on your hand and succeded by Allah الشافي المعافي" and then improving and givin' you lots of prayings...

Thank you Allah for what ever we have learned, and for your success. Hoping to do more operations and manage more patients doctora..


--


By the way can you give those flowers to the patient??



:12: :12: :12: :12: :12: .. coz we can't because of our finals next week.

بالتوفيق دكتورة والى الامام دوما ان شاء الله لكي ولجميع خرجينا


With my best regards;
Dr.Lord

[dr_messo]

great job

dr.maj

really its nice feeling

yesterday i attended my first O.R in my surguery rota

it was around 8 40 pm with head of departmnet on my on call duty

i was soooo tired at that time & it was long operation

but intersting

RTA with blunt Abd. trauma

typical seat bult trauma .




:sun:

god bless all of us

[MAJ]

Heart Pulse
Yes
Exactly
One and half an hour
I know it is too much
On one call , we can have a 5 cases of appendicitis
So , imagine if i`m doing the whole
My doctors will send me home
:
Ok
:
No problem
Much better to have a duty
:122:

بس اهم شي الحمد لله اني لقيت لي احد اقدر اثق فيه تمام الثقه لو فكرت زايدتي انها تلعب معايا
No
INSHALLAH you will not need for us at all
Or to enter a hospital
بتفاولي على نفسك ليه يا نبض ؟
Thank you very much for your great feeling my dear
Too much to say that for me
:12:

Dr.Reda
Yah , it`s a great feeling to hold a knife
But I was handle it smoothly
Because it is a human body
And not as if i`m cutting an apple in the kitchen


but iam sure it was good tieing ,, isnt it ?

Actually , my specialist was shouting on me
:waa:
Because at the beginning , he was saying
Doctora , tie it more strongly
Are you not eating ?
But after that I was satisfied
So that I took a long time
Thank you dr.Reda
And wish you the best for you too

Dr.Lord
Unfortunately my patient discharged today
But , i`ll take the flowers to give it to him
On his OPD appointment next week INSHALLAH
:LL:
Thank you
And best of luck in your exam



Dr.Waseem
I hope you did not come back from the OR at 2.00 a.m since starting
:aa:
Especially with an RTAs major operations
Realy it is an exhausting sometimes
But at the end
Very interesting
especially LAPROTOMY
:d:
I was on call yesterday too
But
الحمد لله
Was a quite call
One admission only
And appendicitis again
:J:
Good Bless You Too

[Whisper]

مســــــــــــاء الورد

مبروووووووووك يادكتوره

عقبال كل العلميات ان شالله

ونشوفك احسن دكتوره يارب

الله يوفق الجميع يارب

ونشوفكم كلكم احسن دكاتره ودكتورات

تحيــــــــــــــــــاتي

[WaLeeD]

Assaamu3LaiKuM

Mabrooook dear sister Doctorah MAJ
really Alf Mabroook from my little heart
Allah bring all the success to you throughout your life

Well
you've written it in very cute history
Oopss !! I mean story
:t:
Sorry this is the 4th year syndrome
Haaaaah


I've read this topic yesterday
But I couldn't have the chance to reply
Coz we wrote our theory medicine final exam today
It was pharma.. Not medicie
even they say that management will be a 6th year course
But lots of Q were all about ttt
:waa:
Yallah it has GONE now
No need to remember it

Since yeaterday
And I'm tring to put myself in your position
Really it is a great feeling
All what you've mentioned.. Really veery great

Tell you my little story
:15:

UmmmmMm
during the last summer
I've got a summer training in Makkah center
مركز مكة الطبي حاليا بخش

I had a chance there to meet Dr Sameer Suftah
Really a veeeery keen doctor
the same day
there was a perforated peptic ulcer case
but they were in a doubt that it might be appedecitis
they prepared the pt for an open sugery
I asked Dr Sameer if I can join him
and he ACCEPTED that

WOOOOOOW
it was a veeeeery haapy tmie for me
since it is my first time to be in the OR
:wooow:

they first checked out the appendix
it was healthy
then they pointed the perforated ulcer
it was in the first part of the duodemun
I was sooo surprized
Really what a live organs are differ from those in the dissection hall

Dr Sameer was very cooooool
he tought me how be prepared for a surgery
wearing special dress, washing hands, and the way to do so

He also warrend me
THAT TO TOUCH ANY THING
:waa:
I was only watching

He covered the preforated part with the mesentery
then he ligated all

after he has finished
it was the time to suture
I asked the dr to do it

He told me
I asked you what is pathophysiology of peptic ulcer
and you didnt know
How come that you want to suture

I told him that I've joined a suturing workshop and I know little
after maaany requests.. He permitted me to do

Tell you a secrete
I dont know any technique in suturing exept ONE
that is
the horizontal mattress technique
:122:
I used some absorbable synthetic sutures and tied the wound
I took for about 20 minutes
veeeeery long time
But I was not eating hahahahahaha
He helped me and was happy to see that

I came back home
I was soooo happy
as if I did the surgery Haaaaaahh

Really it was a great feeling
I loved sugery since that time

Oooops
I forgot myself
Sorry veeeeeery sorry doctorah for this GarGarah
But any how.. I'm INDIAN
:o:

Once again
الف مبروووك دكتورة ماج
والله فرحتللك كتييييير
ربي يسعدك ويحفظك ويوفقك
وآسف عالاطالة
ودمتي دااااااااايما بخير

تحياتي

[MAJ]

Whisper
الله يبارك فيك
The next one i`m thinking about it , is
:?:
To do a hernial repair
:LL:
A lone
With my specialist
Who ( my specialist ) will be the assistant again
:
:
:
Ok
:
:
:
Let me dream again
Until I get it
Exactly like the previous one
Just pray for me


The Big Hearted Member
Dr.Ledo

Dr Sameer was very cooooool
he tought me how be prepared for a surgery
wearing special dress, washing hands, and the way to do so
He also warrend me
THAT TO TOUCH ANY THING

Good exposure
That exactly the first thing I did it for the first OR to me
It was about 4 years back
These are precautions to protect your self before the patient
And very important to find some one teaching you how to do it

Tell you a secrete
I dont know any technique in suturing exept ONE
that is
the horizontal mattress technique

Mashallah
:o:
So you escaped the simple knots
And went to more complicated one

Really it was a great feeling
I loved sugery since that time

So ,
Will see you a big surgeon at one day INSHALLAH
Good Luck
:sun:

Thank You Very Much For Your Congratulation
Study hard in your exam
A little is remaining
Best Of Luck For The Whole Students

[WaLeeD]

AssaLaaaaMu3LaiKuM

Welcome back Dr MAJ
thanx for nice words

HummmmmmMm
the workshop was in Al Ain

They toght us many skills
the knots as well
but as you know
FORGOTTON
:waa:

Exept this one
Horizontal mattress tech
I'm still remembering
but of course the doctor helped me soo much


So ,
Will see you a big surgeon at one day INSHALLAH
Good Luck
thank you dear sister
من قلب طاهر لباب السما ياااااارب
شكرا دكتورة ماج
:LL:


By the way
I've some Qs about appendicectomy

They usually do it either by open surgery
or they go for laproscopy

* which one is more easy ?? and safe ??
* are they specific for some pt rather than others ??

Could you pleez explain it to me ??
Thanx veery much

SaLaM

[MAJ]

Welcome Back Dr.Waleed
Sorry To Be Late In My Replies
:waa:
An Exhausting On Calls
الله المستعان

Any way
About your questions
You know !!
They were interesting to me also to know more about them
And to refresh my knowledge again by reading
Because usually we are not discussing appendix in our sessions >>
Regarding round or meeting wise
Considering it very light surgery
But you see !!
You raised a question here !!
Which is very interesting to know more about it

I`ll try to answer your questions >>
From my little experience in the surgical field

They usually do it either by open surgery
or they go for laproscopy
Well ,
Actually usually they are doing it by open
Although the studies showed that >>
There is no significant differences have been found >>
Between lap & open one exist >>
Regards to complications , length of hospital stay
Or regard the time recovery

Only I saw one of my doctors doing it
He is a staff university
:LL:
He took a course specific for training on how to practice a lap
Otherwise i`ve never seen any body else

which one is more easy ?? and safe ??
I think the lap one is more safe & easy >>
Because the open appendecectomy >>
Sometimes can injure the bowel or even a hollow organ near to
In term of using a sharp instruments , knife & a diathermy >>
And also the lap one can minimize the incidence of wound infection
Which can we see it commonly if it is done by open
But of course the operative time costs are higher in >>
Laparoscopic Appendectomies

are they specific for some pt rather than others ??
No ,
The indication for lap is the same as for open appendectomy
Although it offers some advantage e.g.
Evaluation of the whole abdomen & pelvis by the lap >>
Smaller incision , minimize the wound infection & also >>
Better exposure in obese patients


I hope I helped you answering the questions

Best Of Luck

:sun:

[WaLeeD]

SaLaaAm
Thanx dear for your response

they do Lap at Ba7'sh hospital
I've seen Dr. Mohd Faiz doing that

Thanx doctorah
Allah bless you
:LL:

Wishes

[Dr.wrood2004]

dr.Maj

i am so happy that u did the thing that u dreamed of for long long time ..

wish to see a very famouse sergeon

good luck my dear

[MAJ]

Very Sooooon INSHALLAH


Steps In Which How To Perform Appendecectomy >>





I hope that the whole interns have got a chance to do it in their surgical rotation ..


:sun:

[magic]

Thank You ...

[Arow]

i was enjoying reading your story Dr

It's nice when the doctors really trust you

If I were you , I will bring the breakfast everyday, the lunch and dunkin donuts for all the OR doctors just to make me do surgeries and know more information

I'm a student in the 6th year , I hope I can do like you in the future (intership) , It's really exciting

an appendectomy , a WoW Dr :)

Mashallah :)

My largest event was only a 2nd assisstant who stayed watching and then allowed to do suturing of the surgical wound :(

I don't know , maybe it's wrong to be over excited because we might harm patients, but really the rule of learning step by step is sometimes boring

Anyway , I am so happy for You Dr and sorry for the long post

Arow

[homy2003]

thanxxxxx
this the best way to learn

good luck for all