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a surgeon tale!





            Surgeons  may  have  done  tons  of  similar       aching back, scrambled neurons you rehearse
            surgeries in the past. But if you are experienced   the salient points of the surgery to them and
            enough, you would know - not one is identical      reassure  their  loved  ones.  The  warmth,  the
            to the other.                                      affection, the  gratitude you  see  in their  eyes,
            Depending on  the complexity or novelty of         reciprocation  of how  you have  proved  your
            the procedure, surgeons can spend  hours           worthiness of returning their loved ones back
            preparing/rehearsing, sometimes scrolling          in good health…… this is what you have trained
            through  imaging  endlessly  to  get a  feel  of   for all your life to become a surgeon…. Then
            ‘being there before actually being there’. This    explodes a phase of ‘euphoria’…you unleash a
            is the phase of nervous energy that surgeons       hidden reserve of adrenaline (reserve tank)…
            go  through before  and in  the  initial  phases   you are once again ‘invincible’, a little different
            of  the procedure. Most surgeons are able  to      this time around, because you are not faking
            mask  this phase pretty  well and still appear     it. You know you deserve the red carpet. Deep
            ‘invincible’. Consenting a patient with realistic   inside telling yourself ‘enjoy it till it lasts as the
            expectations and  worst possible  outcomes         tank is running in reserve mode’. Soon reality
            while appearing ‘invincible’ and  ‘transparent’    strikes, the body is still aching, your brain is
            is an art every surgeon should strive to master.   still scrambled…do I get to rest? do I have time
                                                               to grab lunch? You look up to to the OR board….
            Once in  the body and  the anatomy is  there       your next patient is ready to roll into OR….
            to be seen and felt,  the nervous energy of
            anticipation  turns slowly  to control mode        You glance at the clock; you have just enough
            where  the surgeon is relaxed and operates         time to grab your loupes and talk to the patient
            at his/her best. Complexity of the procedure       and family before rolling in… may be grab that
            is directly proportional  to  the adrenaline       packet of biscuit lying around too??? you look
            drive. Surgeons  literally undergo a ‘stress       up-to  the heavens  and  tell  yourself…  I have
            test’ every surgery  they do, sometimes            done this before, I can do it again…
            several  times during a procedure.  Towards
            the end of a complex lengthy procedure, the              Your mind can be your best friend or
            adrenaline tank is mostly empty, fatigue sets      “     your worst enemy.
            in the brain as much as in the muscles. There                                                 ”
            is a sense of satisfaction/despair depending             Train it with the right attitude !!!
            on  how well you  have  matched your  own
            expectations.  You scrub out,  thank  your
            colleagues, anesthesia and nursing teams and                           Adarsha
            head to talk to the  patients  family.  With  an


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                        2K1 MBBS, Trivandrum Medical College                                                                                   2K1 MBBS, Trivandrum Medical College
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