Thursday, December 15, 2011

Resident Scholar Reflections

Dr. Jessica Casey, MD - Mahuva, India

Through the generous sponsorship provided by the Resident Scholar Alumni, Dr. Jessica Casey traveled to Mahuva, India with mentor Dr. Sakti Das to participate in a free urology camp organized by the local Indian organization Jeev Sewa Sansthan (“Service to the Living”). During the camp, over 130 patients received much-needed urological care.

Reporting on her experience, Dr. Casey stated:

“During my six days in Mahuva at Sadbhavna Trust Hospital, I operated like crazy – running back and forth between the 6 operating beds that filled 2 operating rooms. As I was finishing one case, a patient behind me was getting their spinal anesthesia injected and being prepped by assistants for me to operate on in a few minutes. During those short six days, I participated in 34 operations which ranged from delicate hypospadias work to minimally invasive percutaneous nephrolithotomy to a reconstructive extrophy repair; and this was only a fraction of the work being done while I was there.

“In Mahuva they did not have all of the fancy equipment we have in the states; there was no fancy LigaSure, no argon beam, no laser lithotripsy. They had a scalpel, cautery, suction, a light and a patient who needed surgery. If something is bleeding, quickly put an “artry” (i.e. hemostat) on it and move on. If the suction isn’t turned on, use one of your two laps to stop the bleeding and move on. If they don’t have the needle driver you want, make do with another.

“If I was struggling with a maneuver and blaming everything around me (the lighting, the instruments, the angle, etc), Dr. Das would calmly remind me to focus on my own skills and not blame my surroundings. Dr. Das’s influence made me reflect at my own actions. Often at Northwestern, surgeons complain about not having the right gloves, the right assistant, the best light, etc. in order to make excuses for their own skills. It’s best to just focus at the task at hand, not make excuses, and just get the work done.”

Jessica Casey, MD

Northwestern University

Mahuva, India – November 4-28, 2011

Mentor: Dr. Sakti Das

Sponsored by: The Resident Scholar Alumni

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