last week

On Monday

I couldn’t sleep last night. So sleepy! Today I didn’t have any operation, I did ward work (took some nap ! )I saw the all patients responsible for me. That was the first job in hospital after vacation. After that I went to part time job(night shift). I woke up 6o’clock , being still sleepy, went to the hospital and had AAA surgery, It was so hard to do because of adhesion. I wonder what makes that adhesion. She only had a history of myomectomy of uterine. It seemed that it localized around the colon, I was sure that she has some inflammation of the colon before surgery. On? My plan of this operation, I was going to do Y graft ,but indeed straight graft. Bleeding is not so much; she seems to be fine right now. After this operation I did ward work and did night shift. On 2 o’clock I had a call that the lady has bradycardia. I checked electrolytes and echo, but no remarkable change. So I decide to keep conservation. Another patient also had bradycardia. As for him it is not unusual because he has sepsis and had biggest operation. So I decided to continue observation. After that I had an emergent call . The patient who had a AAA opration on Monday had abdominal pain and bleeding I checked APTT but nothing was particular.After that I had emergency who was discharged on Monday. He complained of dizziness I checked Blood Pressure and it was 60 on systolic ! So low ! I gave him volume and after that BP got over 80. After that conference was held for the operation plan of the next week. I made a presentation of CABG patient and TAA patient. But the patient in charge was totally different LOL!! After conference I had emergency and also did shunt operation、and also did the outpatient clinic and patient care on the ward at the same time ! It was amazing that I couldn’t deal with it. It was difficult to do that. Too hard. On Thursday I did PTA and out patient clinic and also did CABG as assistant. I went home midnight. ON Friday I went to part time job of the outpatient clinic it was relaxing time for me. No need to care the ward.

We had two observer who will apply this hospital. I didn’t do anything but drinking with them . Yesterday I went to transplant congress And went to funeral event of my coworker’s father. After that I went to have a drink with my friend of GAS member.

This week was too hard for me to deal with it !