(The OR Suite)
Once I have seen my patients, the whole team meets around 0715 for rounds. This includes; hospital commander, all surgeons (me as well as a thoracic surgeon and orthopedic surgeon), medicine doctors (there is an internist that works in the ED, as well as primary care providers), nursing staff, and anesthesia (we have an anesthesiologist and two CRNAs). We talk about the patients and make sure everything is happening to make them well and free up beds. After rounds we will begin the cases for the day. There is a local national’s clinic. People come from miles around to be seen. Once they are appropriately evaluated and prepared they will go to the operating room. Clinic will also be seen at this time.
(Our 8 bed ward; ICU capable)
Since the Taliban and other radical Muslims want to inflict the most possible damage, most of the trauma occurs during the day. This is exactly opposite what happens in the states, where trauma usually occurs at night. Around 1030 or so, we usually start receiving trauma patients. Most suffer from blast injuries from IEDs, or have been shot. Injuries range from mangled extremities to burns, to penetrating injuries of the extremities or torso. One never knows what we are going to see during the day. So we usually evaluate the trauma patients and treat them as needed. This usually means making the clinic patients and or the locals that will be operated on wait. Luckily, we have nothing better to do, so everyone puts in there best effort and we are usually able to finish around 1700 (picture #7). I will usually walk around and see my patients again and make sure they are doing well. After wards, it’s to the hooch or gym, followed by a scrumptious meal at the DFAC. So far, we’ve been watching movies at night in the surgeon lounge of the hospital. By then, I’m usually tired and ready for bed, so it’s lights out, only to repeat it again in the morning. Take care.
(Sunset on the flightline)