![\"\"](\"https:\/\/i0.wp.com\/accordingtokirsty.com\/wp-content\/uploads\/2018\/10\/5666D623-CE06-4DDE-ABB7-60351F3B211B.jpeg?resize=300%2C225&ssl=1\")
<\/p>\nJust been out for dinner by myself to celebrate a very successful day, and also my liver was getting bored and needed something to do.<\/p>\n
(My Airbnb host just knocked on my door – I thought for sure I was going to get told off for using all their data watching Netflix while on call, but no, she was offering me another duvet because it\u2019s been so cold. Sweet.)<\/p>\n
Awake craniotomy count – 3<\/p>\n
I love brain surgery. Shame so much of what we operate on has a terrible prognosis.<\/p>\n
<\/p>\n
This should impress any anaesthetists amongst you. This is my supervisor reintubating our patient after the awake part of his brain tumour surgery is over.<\/p>\n
Thormbectomy count – 5<\/p>\n
Turns out strokes are like busses – you wait around days for one, and then two come along at once. We were doing one under GA this afternoon when another patient arrived, a delightful 98 year old man. What a waste of resources you may say, but he\u2019s been well and living independently at home up to now. When he arrived he was completely paralyzed down one side. We whisked him into the second angio theatre (sigh), got the second radiology team together (double sigh – and this is a week when half of the radiologists including the Prof are away on holiday), and got started, under LA. 15 minutes later, they suck the clot out of his carotid artery, and when the drapes are off, boom! He can move both sides again. Nifty. This has to be one of the most worthwhile things that we can do in a hospital – way more useful than coronary angioplasty, which is standard of care everywhere now. And that\u2019s all I\u2019m going to say about that.<\/p>\n
I\u2019ve really enjoyed working here the last couple of weeks. I\u2019ve been making myself useful, too. Not in any way that would make MPS nervous (unlike in Addenbrookes), but just simple things like moving patients, attaching monitoring, that sort of thing. Much better than just standing by the wall, watching. It\u2019s odd knowing what\u2019s going on most of the time, but only understanding about 50% of people\u2019s conversations. I imagine it\u2019s what it\u2019s like being very stupid.<\/p>\n
I\u2019m told Arron Cruden is playing rugby here in Montpellier? I\u2019m not going to fact check this, though, as I don\u2019t care enough.<\/p>\n
<\/p>\n","protected":false},"excerpt":{"rendered":"
Just been out for dinner by myself to celebrate a very successful day, and also my liver was getting bored and needed something to do.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[1],"tags":[],"class_list":["post-860","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"jetpack_publicize_connections":[],"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pa8Ukf-dS","jetpack-related-posts":[{"id":8956,"url":"https:\/\/accordingtokirsty.com\/index.php\/2023\/05\/27\/recall\/","url_meta":{"origin":860,"position":0},"title":"Recall","author":"Interloper11","date":"May 27, 2023","format":false,"excerpt":"Popped in to see a post op patient at the hospital today. She had a long, major neurosurgical procedure the other day, during which I had to work hard to keep her blood pressure from getting too high. There are many reasons for this but one that is of particular\u2026","rel":"","context":"Similar post","block_context":{"text":"Similar post","link":""},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/accordingtokirsty.com\/wp-content\/uploads\/2023\/05\/B344F329-8007-47E0-9075-654BC86092A8-219x300.jpeg?resize=350%2C200&ssl=1","width":350,"height":200},"classes":[]},{"id":7312,"url":"https:\/\/accordingtokirsty.com\/index.php\/2021\/12\/20\/__trashed-2\/","url_meta":{"origin":860,"position":1},"title":"Thar she blows!","author":"Interloper11","date":"December 20, 2021","format":false,"excerpt":"At the sign-out briefing at the end of our last operation today, the surgeon said the patient \u201ccan go to the toilet at any time\u201d. I glanced at my still slumbering patient nervously at that. Does he need to have some sort of adult nappy in place before we wake\u2026","rel":"","context":"Similar post","block_context":{"text":"Similar post","link":""},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":5015,"url":"https:\/\/accordingtokirsty.com\/index.php\/2020\/06\/26\/maligned\/","url_meta":{"origin":860,"position":2},"title":"Maligned","author":"Interloper11","date":"June 26, 2020","format":false,"excerpt":"Got this message from my surgeon this morning: When I got to the hospital, I explained our hour late start to the patient and his wife by saying the surgeon had had a busy night on call, and I\u2019m sure they\u2019d rather he was well rested before doing his surgery,\u2026","rel":"","context":"Similar post","block_context":{"text":"Similar post","link":""},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/accordingtokirsty.com\/wp-content\/uploads\/2020\/06\/86F74C85-01AE-4C46-A21C-14E323162E7C-300x139.jpeg?resize=350%2C200&ssl=1","width":350,"height":200},"classes":[]},{"id":841,"url":"https:\/\/accordingtokirsty.com\/index.php\/2018\/10\/29\/tell-me-why\/","url_meta":{"origin":860,"position":3},"title":"Tell me why","author":"Interloper11","date":"October 29, 2018","format":false,"excerpt":"Thrombectomy count = 3 Awake craniotomy count = 2 Weather = a wet and cold 7 degrees! When it was mid twenties all last week! 13 people in theatre today observing the surgery, not including anyone who actually had a job to do, or the three people looking in through\u2026","rel":"","context":"Similar post","block_context":{"text":"Similar post","link":""},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/accordingtokirsty.com\/wp-content\/uploads\/2018\/10\/C9758C99-CF63-4AA0-99EE-C12F0C1653E4-300x225.jpeg?resize=350%2C200&ssl=1","width":350,"height":200},"classes":[]},{"id":3863,"url":"https:\/\/accordingtokirsty.com\/index.php\/2019\/12\/23\/christmas-eve-a-report-from-the-trenches\/","url_meta":{"origin":860,"position":4},"title":"Christmas Eve – a report from the trenches","author":"Interloper11","date":"December 23, 2019","format":false,"excerpt":"Live stream! Well, I plan to add to this post during the day unless things really go pear shaped and it gets busy. Am on till 10pm. 0815 - am onto my third coffee. Is this a good idea? Am meant to be in the neurosurgery theatre today, but they\u2026","rel":"","context":"Similar post","block_context":{"text":"Similar post","link":""},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/accordingtokirsty.com\/wp-content\/uploads\/2019\/12\/BF812800-0209-4707-846C-285A56B484D2.jpeg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/accordingtokirsty.com\/wp-content\/uploads\/2019\/12\/BF812800-0209-4707-846C-285A56B484D2.jpeg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/accordingtokirsty.com\/wp-content\/uploads\/2019\/12\/BF812800-0209-4707-846C-285A56B484D2.jpeg?resize=525%2C300&ssl=1 1.5x"},"classes":[]},{"id":180,"url":"https:\/\/accordingtokirsty.com\/index.php\/2018\/08\/13\/ooh\/","url_meta":{"origin":860,"position":5},"title":"Ooh!","author":"Interloper11","date":"August 13, 2018","format":false,"excerpt":"Brain surgery with 3D glasses for the rest of the team to watch on the monitor, that aren\u2019t looking down the microscope. Awesome! Just waiting for the jump-scare, maybe a spray from an arterial bleeder? Hopefully not the patient coughing.","rel":"","context":"Similar post","block_context":{"text":"Similar post","link":""},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]}],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/accordingtokirsty.com\/index.php\/wp-json\/wp\/v2\/posts\/860","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/accordingtokirsty.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/accordingtokirsty.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/accordingtokirsty.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/accordingtokirsty.com\/index.php\/wp-json\/wp\/v2\/comments?post=860"}],"version-history":[{"count":0,"href":"https:\/\/accordingtokirsty.com\/index.php\/wp-json\/wp\/v2\/posts\/860\/revisions"}],"wp:attachment":[{"href":"https:\/\/accordingtokirsty.com\/index.php\/wp-json\/wp\/v2\/media?parent=860"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/accordingtokirsty.com\/index.php\/wp-json\/wp\/v2\/categories?post=860"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/accordingtokirsty.com\/index.php\/wp-json\/wp\/v2\/tags?post=860"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}