A day in the life of reconstructive surgery
My name is Kate, I'm 26 years old, I live in Moscow. On a specialty I maxillofacial and plastic surgeon, intern of the second year of the Department of Oral and Maxillofacial Surgery. I would like to show you one of his working days, which I'm really proud of.
After the reconstructive surgery, there are two fundamentally different facets: on the one hand come to you, patients who want to get rid of the aesthetic defects caused by individual ideas about beauty and age, on the other - the people who have suffered as a result of injuries, accidents, incidents and patients with birth defects. so the concept of plastic surgeon about the beauty is very versatile, I personally never judge a person by his appearance!
The continuation of photos from the operating room, so all those who have the sight of blood fall into a swoon, I advise my day to watch, although no special scary moments will not be! The others see Reconstructive surgery on the cheeks, nasal-orbital complex and the small remainder of my day.
Morning starts at 5.50 for the first 9 years of study, I had grown accustomed to the fact that this is the time to start the day. After the wake-up call, I go to the bathroom. In the photo the main attribute my good hairstyles - hair iron.
I have time to have breakfast not always, but today I did it! Big mug of morning coffee - is a mandatory attribute of the start of the day. As part of the breakfast - sandwiches with tuna pate, eggs and cheese.
Then I bring myself up. In most cases, I use only powder and a little blush. Red lipstick on a photo - just the way I have it only for special occasions!
For a long time I started a tradition - to hang out all the things you wear most often, on a hanger, deliberately picking up shoes and accessories, because it not only saves time, but also allows us not forget what is stored in the cabinet interior.
I usually pick up the bag in the evening, because otherwise always something to forget in the morning! Books are now widely used in view of writing in one of the hereditary syndromes.
At work, I drive a car, and since I leave at 7.20 am, I can not show you pictures of their way, because at that time Moscow was still almost empty and in traffic jams stand is not necessary, at work, I at 7.45, parked near the hospital .
Now the clinic is being renovated, so it does not look respectable, but it is one of the leading centers in Moscow on maxillofacial surgery and surgical dentistry.
In the clinic, each intern, intern and graduate student has a locker in which to store our belongings. Here is my closet, which is to enhance the mood is decorated with photographs, mostly, my sister and dog. Yellow suit I wear is rare, it hangs in the cupboard in case if an ordinary form of stained during dressings or operations.
until the morning of the conference it is necessary to run into the office and check whether the patient is ready for surgery, as well as include the history of the anesthesiologist. This is one of the floors on which the Department and the office.
staffroom at 8.15 am, an hour later there will not be crowded!
from 8.30 to 9.00 in the morning we held a medical conference, which discussed the upcoming operations, and to report the results of the past yesterday. After the conference, it is necessary to have time to tie up the postoperative patients, because at 9.30 it is necessary to already be in the operating room. This dressing.
The first Girl LS, which as a result of a hereditary syndrome are no moves left to tear, so she had witnessed continued tearing. The girl was restored outflow of tears using silicone tubing (in the inner corner of the eye, Circled). Below is computed tomography L., where it is seen that she underwent reconstructive surgery plurality of (in the cheeks porous silicon implants are visible)
I. The second patient suffered as a result of injury at work, he has no left eye, before it has operated, but due to lack of the bottom wall of the orbit (the cavity where it should be placed the eyeball) eye prosthesis is omitted and sinks. We have made fence autograft (patient's own bone portion of the parietal region of the skull), which was set in a cavity of the orbit, to create a support for an ocular prosthesis. Computed Tomography visible on titanium mesh structure and by which bone fixed.
After bandaging we are still some time discussing the upcoming operation. It skulls stereolithography models that facilitate planning.
9.30, the patient is already in the operating theater. Washing hands.
C. The patient is injured, he has multiple fractures of the midface, the inner wall and bottom of the eye sockets shattered. It is planned to move the fragments, fix their titanium plates and defects in the eye socket with transplants to replace the patient's skull vault. On CT images are perfectly visible fractures in his left cheekbone.
After the hands are washed, scrub nurse helps to wear sterile gloves.
Some of the tools for the surgery
And this is my immediate supervisor and teacher, professor, MD, plastic and reconstructive surgery Davydov Dmitry Viktorovich. I admire his surgical talent, the ability to teach and help people.
The teacher and the student. My face mask prevents blood eyes and bone chips, which is very likely can occur when drilling for bone graft fence.
Again discussing estimated tactics envisage cuts - they will be 3: one along the lower edge of the lid to fix the fragments of the zygomatic bone, the second - in the oral cavity for the restoration of the maxilla integrity, and third - in the parietal region for collecting bone grafts.
Since the clinic we study, the operation is transmitted to the monitor. Next - CD player, today operated by radio "Jazz"
A team is actively working in the area of the lower eyelid
The access area is marked profuse bleeding, look at the monitor to clarify blood pressure
In the course are more serious tools!
The professor is watching how his pupil
Step fence grafts from the skull
Very often, we are working together with an oral surgeon, at this time it is possible to take a break. Time - 15.00. On my right, X-ray viewer, which placed the X-rays if necessary.
At 15.40 I leave the operating! Everything went according to plan. The patient was transferred to the intensive care unit, where will stay till the morning.
After the operation is completed, and written sheet assignments executed operations protocol. Once again I go to the office and check if everything is in order in patients.
At 17.00 I leave the clinic
Leaving a hospital parking lot, we go to my colleague finally eat lunch or have dinner soon
Upon arrival, I was lying down menu expect, because today I am a little tired! At 18.15 hours
I sit and think about the wonderful :)
Finally did it
At 20.20 finally I come home, choose a recipe to prepare dinner. I really like the book by Jamie Oliver
I chose seafood soup, buckwheat soba noodles and coconut milk
By 9 pm the soup is ready, but there it is, of course, will have tomorrow!
And late dinner looks like this: a glass of cider and a little fruit. At about 12 o'clock at night I go to sleep, because we love the work requires to get up every day at 5.50!
I hope that you are interesting to look at my day! And thank you very much for your time and consideration!