EXIT - Enter O&G

Post housemanship.

I thought I won't see O&G ever again after I finished the posting during my housemanship.

I was SO wrong.

I was placed to O&G, just a stone throw away from the department of my choice, Peds Surgery. What was initial dread, fear of screwing-up, almost alternate tagging calls, incompetencies, morning prayers and high-octane action, turned out it's not too bad at all. For now.

Anyways, we had a first-ever EXIT (EXtrauterine Intrapartum Treatment) done quite recently, organized by the O&G team involving Peds Anesthesiology, Peds medical, Radiology.

It was a case of a baby diagnosed with a huge neck mass antenatally by our fetomaternal medicine specialist. Then he thought, "Hey, why not organize an EXIT for the the baby so he won't come out gasping from airway obstruction?". So he did. And it was a historical success for Hospital Wanita dan Kanak-kanak Sabah.

Pasar di OT

An LSCS was performed only the baby was only delivered halfway. Continuity of the uteroplacental-fetal circulation is the main objective of the procedure. During that time, I was the cameraman for that monumental moment. The O&G team made way for our anesthetist to secure an airway for the child. At first, attempt to intubate the child failed. Only after aspirating the cyst a bit did the anesth team manage to put in the tube. And the baby was delivered and transfer of care to peds medical team was performed.

The kid is still in level 3 while peds surgery team, attempts to shrink or if possible excise the mass so the kid could be weaned off his tube and ventilator.

While in O&G, I am growing in a way. Mistakes happens but that's how we grow. Sure there are ups and there are downs. Alot of downs. But we just have to keep getting up. Because that's the way to proceed.

In O&G I am learning sonography. I am learning surgery. I am learning mother and child. All requirements for Peds Surgery.

I'll stay for awhile to further grow then perhaps... I will become a better Pediatric Surgeon.

Link:
bcdecker.com/SampleOfChapter/550092359.pdf