Index: OLEYSON’s Medical Anecdotal Report [05-01]
Title: My first tracheostomy.
Period of Medical observation: December 2004
Narration:
It was one time after Christmas and I am about to spend the rest of the days in the hospital till New Year starts for a perpetual duty. I received a phone call from a cousin asking for my help. She said that her 80-year-old grandmother was confined in a nearby private hospital where she works. Furthermore, she told me that her grandmother has been admitted and was intubated in the intensive care unit for two weeks already.
Upon our conversation, the internist in-charge advised that her grandmother has to undergo an immediate tracheostomy due to inevitable prolonged intubations.
Knowing the prognosis and outcome of her grandmother condition, together with proposed operation, they thought this plan would add up to their existing skyrocketing bills. Because of this, my cousin resort to ask for my assistance if it is possible to transfer her grandmother to Ospital ng Maynila for better practical and financial reasons. I agreed helping her and advised transfer as soon as possible.
When her grandmother was finally admitted in the Department of Medicine Intensive Care Unit, they agreed for the proposed plan of Tracheostomy. However I have to explain to her family how critical the condition of the patient and there is less chance of survival and plan of operation was for hospice care.
I referred the patient to our service consultant who agreed to let me do the case under his guidance. I immediately schedule the patient for operation the same day after her admission at the ICU. Intraoperatively we encountered minor bleeders but the whole operation went on smoothly. It was overwhelming on my part as a surgeon to have my first experience in a tracheostomy case as this.
Insights(Reinforcements, stimulus,discovery)( Ethical, Phsychosocial, Physical)
Helping others is best especially when you benefit from it. Through the help I made I achieved the knowledge of having my first tracheostomy case. In addition, it was flattering to realized how my closest relatives whom I extended my help when I accepted the case showed their thankfulness by continuously giving me including my family lots of gifts as a sign of their appreciation. I gained knowledge and I helped them, that would be one of the best gift I have ever received last Christmas.
Medium head and neck surgeries have always been a great concern in our department since we lack these cases we must find a way to fulfill the requirements set by the accrediting body. We must be diligent to find cases and be able to do one for that matter.
With thorough classification and with so much consideration due to the fact that the case or the patient’s condition was beyond expectation for survival before and after she was transferred to OMMC, the value hospice care was applied.