Friday, July 25, 2008

Nature's Wrath

It was one of those days when you get a patient who is in such a condition that you start to think that why did you take up medicine. You could have taken up any other profession in this world. May be you have the guts to see what others cannot even think.

It was one of those days that you bend your head & prays a silent pray & thank god almighty for the well being of your near & dear.

A paraplegic patient with no sensation over the lower half of the body. No anaesthesia is required to perform surgery on this patient. All the soft tissue eroded from both the hip joints. You curette a little, remove a little bit of the granulation tissue & you are on the bone, the longest bone of the body, femur.

Little bit of more cleaning (debridement in medical lingo) & you are in the hip joint, you can see all the structures of the bone that make up the lower part of the hip joint. It requires a heart of iron to carry on.

Finally, it is over, the wound is closed or should I say partially closed because there is no soft tissue left to cover the bone. Next stage would be the flap cover.

I would not be posting any photographs as some people might get offended.

No comments: