Adventures with the C-Arm

Week of:
2007-05-21

Abstract:
OR Rotation Begins

Mood:
Upbeat

What went well:
I did my first solo OR case.

What needs work:
As usual, assertive behavior is key to success.

Elucidation:
As I was leaving at the end of the week, the lead tech clapped me on the shoulder and said, “You need to lighten up. This place can eat you alive if you take it too heavy.”

The OR is very stressful. But one thing you notice is how close knit the people are. That includes X-ray of course. Talk is very relaxed.

My first solo case was a scaphoid fx. Not a lot to it most of the experienced people might say. I forgot that with c-arms are basically fancy fluoroscopy machines. So when I was asked by the surgeon to lighten the image on the monitor I couldn't figure it out. “The KV is at the bottom of the scale,” I said.

What I forgot is that every thing is backward with c-arms and fluoro. The tube is under the table with fluoro and increasing kv makes the image lighter! Surprise, the doc was very gracious about it. He referred to me by first name through out the case.

When I mentioned this to the lead tech he said, “Why did you think I put you in there; he's very good with first year students.”

By the way. In three weeks my first year will be over. In five weeks I'll begin my second year with an 8x5 eleven week clinical experience.

Goals for next week:
Be more assertive.
Ask for experiences.
Complete an exam from start to finish: solo.