« 1/18(木) | メイン | 1/22(月) »

1/19(金)

◆今日の気持ち
(外科 4ヶ月目)
・ルンバールに敗北。ひさびさにルンバールをやらせてもらえた。高齢な患者さんではあったけれど一発でスルっと入り、やった!と思ったのだが麻酔の効きが悪かった…。高齢だから少しだけ麻酔の量を減らしたことはあったけれど…。針の向きも意識できていなかったし…。1ml/sec。「ルンバールの効きは場所よりも早さ」との指導をいただく。基本、基本、基本。
・ラパコレでスコピスト。癒着がひどくてわけがわからなかったのはあるけれど、眠気が…。不覚。
・胆管結石。膵頭部に落ちていたら膵炎はおきて当然なのに、すぐにみていなかった…。次回こそは…。
・外科上級医の手つき。気楽な見た目で実はぱっぱと微細な処置をしている職人の手つきにすごいと思えるようになってきた。
・点滴・バルーンしていないひとのin/outはきちんと注意していないと見逃す…。老人は口渇中枢が壊れていることが…
・コミュニケーションとれなかったり、もとから状態が悪いひとは状態の更なる悪化に気づくことは難しいなと、ルーチンな検査の必要性を感じた

●目指す医師像
まずは、医者

●今の目標
・外科を味わいきる
・「マクギーの身体診断学」を読み終える

●今日の新患・診断
・陳旧性の大腿骨頚部骨折

●今日の病院滞在時間
8時〜21時半

●今日行ったこと・見たこと・知ったこと
・鼠径ヘルニアope ルンバール
・ラパコレ  麻酔導入・スコピスト

トラックバック

このエントリーのトラックバックURL:
http://dream-hosp.net/cgi/mt/mt-tb.cgi/2399

コメント

What a lovely day for a 325350! SCK was here

What a lovely day for a 707266! SCK was here

What a lovely day for a 4790500! SCK was here

What a lovely day for a 3418656! SCK was here

Generally I don't read post on blogs, but I would like to say that this write-up very forced me to try and do so! Your writing style has been amazed me. Thanks, very nice post.

My brother suggested I might like this web site. He was totally right. This post truly made my day. You cann't imagine just how much time I had spent for this information! Thanks!

What a lovely day for a 3292746! SCK was here

This design is incredible! You definitely know how to keep a reader amused. Between your wit and your videos, I was almost moved to start my own blog (well, almost...HaHa!) Wonderful job. I really enjoyed what you had to say, and more than that, how you presented it. Too cool!

byte as an index

Regards for this post, I am a big big fan of this website would like to go along updated.

Hi there,wonderful blog publish. Infos are really fascinating and saves me many time which I have spend on another thing rather than searching posts such as this :) Im awaiting more, bye :)

Tagchen! Interessanter Weblog! Pillen

Awesome post.

Mary Jo White, the

Your website theme looks great. What template did you use?

Hey there, You have done an incredible job. I窶冤l certainly digg it and personally recommend to my friends. I'm confident they will be benefited from this web site.

Pretty section of content. I just stumbled upon your blog and in accession capital to assert that I acquire actually enjoyed account your blog posts. Any way I will be subscribing to your augment and even I achievement you access consistently fast.

This can be a great blog. Thank you for all your effort and the info you provide here.

very good publish, i certainly love this website, carry on it

Normally I really don't create comments on websites, but I will have to point out that this post really forced me to take some action. Genuinely exceptional post.

Ich bin mit Hilfe von Internet Suchmaschine auf diesem Weblog gestrandet und mテカchte kurz thematisieren, dass ich deine wirklich ansprechend finde! Super Sache! Mテカglicherweise mテカchtest Du auch mal meine Seite テシber das Thema Anabolika anschauen? Anabolika sind Ergテ、nzungen, welche den Aufbau von Muskeln begテシnstigen!

What i don't understood is actually how you are not really much more well-liked than you may be right now. You are so intelligent. You realize thus significantly relating to this subject, made me personally consider it from so many varied angles. Its like men and women aren't fascinated unless it is one thing to accomplish with Lady gaga! Your own stuffs outstanding. Always maintain it up!

Hello there may I reference a few selected insight located in this entry if I reference you together with a link back to your site?

קידום דפי גלישה מקוונת עושים רק בחברת קידום אתרים אמינה כמו חברת נט-סטייל . צרו עמנו קשר על מנת לרכוש שרות של קידום אתרים בגוגל בדרך הטובה ביותר.

Valuable info. Lucky me I found your website by accident, and I'm shocked why this accident didn't happened earlier! I bookmarked it.

Hi, I just found your web site via yahoo. Your viewpoint is truly relevant to my life right now, and Iテ「竄ャ邃「m really happy I found your website.

I'm still learning from you, as I'm trying to reach my goals. I absolutely liked reading all that is posted on your website.Keep the stories coming. I loved it!

What a lovely day for a 2812436! SCK was here

Youre so cool! I dont suppose Ive learn something like this before. So good to seek out someone with some unique ideas on this subject. realy thanks for beginning this up. this website is one thing that is needed on the net, someone with a little bit originality. useful job for bringing one thing new to the internet!.

I wish to point out my love for your kind-heartedness in support of persons who absolutely need guidance on the subject. Your real commitment to getting the solution all around appears to be astonishingly helpful and has frequently permitted ladies like me to get to their objectives. Your entire informative guideline can mean much to me and even further to my fellow workers. Many thanks; from all of us.

Hola, Keep on working ,great job! Tam Alkbsh.

I do enjoy the manner in which you have presented this specific problem plus it does indeed give me personally some fodder for consideration. On the other hand, coming from just what I have observed, I really trust when the opinions stack on that men and women remain on point and don't start on a soap box regarding the news du jour. All the same, thank you for this superb piece and though I can not really concur with it in totality, I regard your viewpoint.

*A formidable share, I just given this onto a colleague who was doing just a little analysis on this. And he in truth bought me breakfast because I found it for him.. smile. So let me reword that: Thnx for the deal with! However yeah Thnkx for spending the time to debate this, I really feel strongly about it and love reading extra on this topic. If potential, as you grow to be experience, would you thoughts updating your blog with more details? It is extremely helpful for me. Big thumb up for this weblog post!

Admiring the persistence you put into your blog and in depth information you present. It's good to come across a blog every once in a while that isn't the same out of date rehashed information. Great read! I've bookmarked your site and I'm including your RSS feeds to my Google account.

It窶冱 rare to come across a specialist in whom you might have some trust. In the world in the present day, nobody actually cares about showing others the solution in this subjecttopic. How fortuitous I am to have definitely found a really wonderful website as this. It窶冱 people like you who make a real difference in this world through the strategies they discuss.

Wonderful article on the many questions you answered me really great! Share this article the rest of my friends! Yours!

Thanks for stating your ideas. Being a writer, I am always looking for fresh and different ways to think about a matter. I uncover great inspiration in doing so. Thanks a ton

A formidable share, I simply given this onto a colleague who was doing a bit analysis on this. And he in reality bought me breakfast as a result of I found it for him.. smile. So let me reword that: Thnx for the deal with! However yeah Thnkx for spending the time to discuss this, I really feel strongly about it and love studying extra on this topic. If possible, as you become experience, would you thoughts updating your blog with more details? It is extremely helpful for me. Huge thumb up for this blog submit!

I like what you guys are up too. Such intelligent work and reporting! Keep up the excellent works guys I窶况e incorporated you guys to my blogroll. I think it'll improve the value of my site :)

Nice read, I just passed this onto a colleague who was doing a little research on that. And he just bought me lunch because I found it for him smile Thus let me rephrase that: Thank you for lunch!

Great blog here! Also your web site loads up very fast! What host are you using? Can I get your affiliate link to your host? I wish my website loaded up as quickly as yours lol.

Thanks, beautiful weblog with great informational content. This is a really interesting and informative post.

Hi! I just would like to give a huge thumbs up for that great info you have got here for this post. I will be returning to your weblog for more in the near future.

My wife and i ended up being really glad John could finish up his survey from your precious recommendations he got from your very own web pages. It's not at all simplistic just to possibly be giving freely ideas some others have been making money from. And we discover we have got the website owner to give thanks to for that. The main illustrations you have made, the easy web site navigation, the relationships you give support to foster - it is most astonishing, and it's assisting our son in addition to the family imagine that this matter is interesting, which is really pressing. Thank you for everything!

Wonderful. I like it!

You must take part in a contest for the most effective blogs on the web. I'll recommend this web site!

I love an article that confirms my thinking, Thanks.

Hey, I think your really on target with this, I won't say I agree with you completely , but its not really that much of a deal .

Amazing post. I was checking constantly this blog and I窶冦 impressed! Extremely useful information specially the last part. I care for such info a lot. I was looking for this certain info for a very long time. Thank you and best of luck.

Hello.This post was extremely interesting, particularly since I was searching for thoughts on this topic last Thursday.

F*ckin窶 remarkable things here. I窶冦 very glad to see your post. Thanks a lot and i am looking forward to contact you. Will you please drop me a e-mail?

Excellent points?I'd note that as someone who in reality doesn't write on blogs much (actually, this can be my first submit), I don't assume the term 'lurker' may be very becoming to a non-posting reader. It's not your fault in the least , but most likely the blogosphere may come up with a greater, non-creepy title for the 90% of us that revel in reading the content material .

Very nice post. I just stumbled upon your blog and wished to say that I have truly enjoyed browsing your blog posts. After all I窶冤l be subscribing to your rss feed and I hope you write again soon!

Sales place a burden on repayment is certainly a type of place a burden on kickback.

There are lots of posts available near this, There's no doubt that taking there reference could experience chose to make this spot or article really informative. Practical goal expression this information is not good. Simply I can pronounce the fact that info provided here was unique, merely rebuild more in close proximity to complete, supporting compared to other former information will receive been actually good. The points you obtain touched listed below are vital, thus I'm going to spot a number of the information here to produce this actually good for entirely the newbie窶冱 here. Thank you this review. Actually helpful!

Thanks for your good writeup. It in fact was a amusement account it. Appear advanced to more added agreeable from you! However, how can we communicate?

You窶决e having troubles on your own 1st dates with females. You simply cannot seem to get all kinds of things right on the very first date. No matter if you have been in plenty of relationships or are just starting up your dating existence, it窶冱 possible that at a person position you窶况e expert some issues heading via it all. If you窶决e getting any complications along with your initially dates with gals, then it's possible you are just owning problems in communicating together with your date. I窶况e detailed on this blog site an array of only the most beneficial and most intriguing field-tested first date questions you can use to acquire to know your date improved.

ツ。Gracias!

There's noticeably a bundle to find out about this. I assume you made sure nice points in features also.

I have read a few good stuff here. Definitely worth bookmarking for revisiting. I surprise how much effort you put to create such a excellent informative website.

Congratulations on having One of the most sophisticated blogs Ive come throughout in a few time! Its just incredible what you can alleviate from a thing as a result of how visually beautiful it窶冱. Youve put collectively an awesome blog space -great graphics, videos, layout. This is undoubtedly a must-see weblog!

Hey, you used to write excellent, but the last few posts have been kinda boring窶ヲ I miss your super writings. Past several posts are just a little bit out of track! come on!

This web page can be a walk-via for all the info you wanted about this and didn窶冲 know who to ask. Glimpse here, and you窶冤l positively uncover it.

Hello there! Wonderful post! But this webpage is still loading incredibly slowly.

I needed to write you that very small word to finally say thank you the moment again regarding the pretty secrets you've contributed on this page. It has been really incredibly generous of you to grant openly what a lot of people could have supplied for an electronic book to generate some profit for themselves, mostly given that you might well have tried it in case you considered necessary. The good ideas likewise acted as the great way to be sure that many people have a similar dream similar to my own to realize whole lot more with reference to this matter. I'm sure there are lots of more fun occasions in the future for folks who looked at your blog post.

I wanted to draft you that bit of remark to say thanks the moment again with your superb advice you've discussed here. This has been quite incredibly generous of you to provide freely precisely what a number of people might have distributed as an ebook in order to make some cash on their own, primarily seeing that you might well have tried it in the event you considered necessary. Those tips in addition worked as the fantastic way to realize that many people have a similar zeal just as my personal own to find out more and more concerning this matter. I'm certain there are thousands of more pleasant moments up front for those who read your blog.

היי, אני רוצה להמליץ לכם על פתרונות למגוון דרישות, כמו ריהוט סטנדרטי של ספריות ושולחנות.

I used to be very happy to seek out this net-site.I wished to thanks in your time for this wonderful read!! I undoubtedly enjoying every little little bit of it and I have you bookmarked to check out new stuff you weblog post.

I have read a few of the articles on your website now, and I really like your style of blogging. I added it to my favorites blog site list and will be checking back soon. Please check out my site as well and let me know what you think.

Thanks a lot for sharing this with all of us you actually know what you're talking about! Bookmarked. Please also visit my web site =). We could have a link exchange arrangement between us!

We're a group of volunteers and opening a brand new scheme in our community. Your site offered us with useful info to paintings on. You've performed an impressive activity and our whole neighborhood will likely be thankful to you.

Many thanks for sharing this excellent write-up. Very inspiring! (as always, btw)

I like the precious information you be offering to your articles. I will be able to bookmark your blog and feature my youngsters check up right here generally. I am fairly positive they're going to learn loads of new stuff right here than anybody else!

I was wondering if you ever considered changing the layout of your blog? Its very well written; I love what youve got to say. But maybe you could a little more in the way of content so people could connect with it better. Youve got an awful lot of text for only having one or two images. Maybe you could space it out better?

Hello, I simply hopped over in your website online via StumbleUpon. Now not something I'd generally learn, however I appreciated your feelings none the less. Thanks for making one thing value reading.

I think this is among the most important info for me. And i'm glad reading your article. But want to remark on some general things, The site style is perfect, the articles is really nice. Good job, cheers

Your place is valueble for me. Thanks!窶ヲ

It窶冱 hard to seek out knowledgeable people on this subject, however you sound like you realize what you窶决e talking about! Thanks

Thanks for this superb article. It helped a lot. All in a nutshell.

Great post, breathtaking weblog with awesome informational content material. This is really a genuinely fascinating and beneficial publish.

コメントを投稿