3/8(木)
◆今日の気持ち
(脳外科 2週目)
・なにやら嫌な雰囲気を周囲に感じる。予定がないなと整形の手術に入りすぎたかな? まあ、焦りすぎたなとふりかえり、ちょうど体もつらくなってたしのんびり体制を整えよう。ちょっと、つぶれかけているかんじ。
・整形のopeはダイナミックな機能解剖が見えて面白い
・病院て、職員それぞれの美学がばらばらになりやすいからこそ、理念が重要、なのだろうな
・opeのあとは、集中しすぎて気が抜けて他の患者があたまから離れてしまいがち…
・抗生剤のためのおまけの輸液って考え損ねることがある…
●目指す医師像
まずは、医者
●今の目標
・脳外科を味わいきる
●今日の新患・診断
・脳幹出血
・2〜3分の意識消失発作。脳梗塞の既往あり
●今日の病院滞在時間
7時〜18時
●今日行ったこと・見たこと・知ったこと
・意識なくても座ったり他動的に動かしたり、リハはできる
・短時間の意識消失のみの主訴。継続する麻痺などなければTIAは考えられない
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