It’s been a
long time since I’ve posted about Isaac. He’s normally too tired when he gets
home to share about his day. But you are in luck. Last night he shared with me
about his week so far. Please enjoy, I tried to keep it less medical and not
too gross, although living with a doctor I’m getting more used to the stories
that come during dinner time conversation. ;)
For Isaac and
I our least favorite part of the week would be when Isaac is scheduled to be “on
call”. A typical “on call” means that from 8am one day to 8am the next he is
the doctor who is in charge of his surgery department at the hospital. On a
normal work day though the “working hours”, 8am-5pm Mon-Fri, the hospitals is
full of staff to care for things as they arise. This is very different when the
“on call” lands on a weekend.
This Sunday
Isaac was “on call”. He got to work at 8am Sunday morning to start work.
Traveling through the 72 bed ward Isaac checked on all the patients that were
there, reading their charts, discussing with nurses and talking with the
patients and caregivers about how things were going. As things came up with
those in the beds he took care of this or that, ordered what was needed and so
on.
Being a hospital
known for good care and placed in the capital city many people come in with
emergency cases. This Sunday was no different. Isaac was called away many times
from the bedside of a patient to take care of emergency cases. Road traffic
accidents are common and so patients came in with trauma, others with fractured
limbs and all needed cuts stitching up and wounds cleaned. He had one patient
who came in with a clot in the brain. Isaac worked together with the neuro
surgeon to evacuate the clot, as he calls it.
Then in the
night he is allowed to go to a room to sleep and they will call him when he is
needed. Well Sunday night he didn’t get the privilege of getting to bed. At 10pm
they called him to come and care for a 7 month old. This baby’s intestines were
causing pain. Medically they call it a intestinal obstruction which
specifically is called intussusception. Isaac explains most types of procedures
with me and he explained that one part of the intestines went into another
part. In the case of this baby one part of the intestine had gone gangrene and
he had to cut that part out. Then he had to sew the two tubes of the intestine,
now open, back together to allow for normal use of the intestine. I just think
this is amazing!!! He finally finished with the baby at 1am! Can you imagine
starting one task at work at 10pm and not finishing until 1am! I’m glad Isaac has
that stamina and I’m sure the child’s parents do too.
Sometime Monday
morning, before the day staff had arrived for their day’s work Isaac was called
in for a road traffic accident. Part of this man’s chin bone was broken and
there were lacerations that needed to be stitched up. Isaac stabilized the bone
and did the sewing that was needed.
On the
program for Monday was a goiter to be removed from a patient’s neck. While Isaac
was finishing up with the chin accident and the patient scheduled for Monday
was brought in. After that surgery Isaac was able to leave the Operating Room
and went back through the hospital on “rounds” making sure that all his
patients who were in the “in patient” ward beds were doing well. Now we know
why Isaac comes home tired after his “on call”.
Tuesday
started early with class. After he attended class he went to visit his patients
in the ward. Then off to prepare his new patient for their scheduled surgery.
This was a major surgery that needed to be done. The patient needed a hernia
taken care of. The hernia was part of the stomach going into the chest. He got
to work with the cardio thoracic surgeon to open the chest, find the bottom of
the esophagus that meets the stomach and repair the hole. Oh and then put it
all back again. This started at noon and didn’t finish until 2:30pm.
And this is
only the first half of the week! Isaac is grateful that he is at a hospital
where he gets to work on a variety of types of cases and that there are senior
doctors to guide and instruct where needed. Living in the capital city is not
our ideal but we are happy for all the things that are being accomplished
during this season of our lives.