The Pain Woke Me At 3

The surgical suite was clean, well lit, and very organized. All of the tools and

Ben-Or, S., Nifong, W., & Chitwood, W. (2013). Robotic Surgical Training. The Cancer Journal, 19(2), 120-123.

The first rule of becoming a surgical technologist is to have nerves of steel, not actually steel, but close. One of the best things a surgical technician can do is stay cool in the operating room, and not getting overwhelmed at all the unpleasant things in sight. According to Nicole Gumke, a surgical technologist, “You need to remain calm in the operating room.” “When you are tense, everyone else in the room becomes tense too.” (Will Erstad).

Through various experiences I have had the opportunity to use some of these skills in order to completely fulfill patients’ needs. One occasion I clearly recall was during a time I worked in an

Al). This includes the increase in dexterity, the restore of proper hand-eye coordination, and improvement of visualization (Meyers et al.). In Cameron Scott’s article from the Healthline News, “Is da Vinci Robotic Surgery a Revolution or a Ripoff?,” he states that robotic devices including the da Vinci surgical device succeeds well in urology and the removal of prostate. Prostate removal is extremely difficult for open surgery practice, however the da Vinci made is easier with about 90 percent of these kinds of surgeries are now done robotically (Scott). Some evidence even suggest that with robotics used in prostatectomy, there is less blood loss, faster recovery, and fewer internal scarring (Scott.). There are many other examples from hospitals and manufactures that support the uses of robotic surgery and its benefits. However, even though these new technologies of robotic devices are supposedly be helping patients and making surgeries less invasive, they are still many concerns of how they should be properly regulated.

Fig (31): Twinkle artifact (red arrow) behind a stone at the ureterovesicular junction. The stone was not visible on gray-scale ultrasound, and visualization of the twinkle artifact made the diagnosing of urolithiasis possible (Chen Q, Zagzebski J A., 2004).

During High School there are many possible ways to prepare for being an orthopedic surgeon. It is important to take advanced math and science classes during high school. Their are not really any jobs that a high school student can do to prepare themselves for becoming an orthopedic surgeon, but they can do volunteer work. In order to show that they have pre medical interests, many people interested in entering the medical field will volunteer at a hospital and do things that are in a medical setting. It is important to work on certain skills in high school. One such skill is working well under pressure. This is essential, as it is necessary to stay calm while performing a surgery, as they do not want to make a mistake. In addition to being calm under pressure, it is also important to remain emotionally stable for the same reason. Also they don’t want to scare a patient or their family by being overly emotional about something. It is also very important to stay self motivated. “They must not only be prepared to spend many years at school preparing for a career as a surgeon, but also to spend long hours on the job once they have their medical degree” (“Orthopedic Surgeon”). Another skill that is needed is having strong communication skills. Orthopedic surgeons have to be able to communicate with the rest of the hospital staff about their patient. Finally, they have to be able to

“I walked into my first operating room, rotating on orthopedic surgery, and my world changed,” she said. “I was really good at surgery. I could operate. I had great hand-eye (coordination). I loved everything about it.”

Computed tomography (CT) as the most frequently used imaging method in identifying pre-PCNL stones, plays a very important role in preoperative evaluations in terms of characterization of stones, renal caliceal anatomy and the identification of anatomic proximity. In addition, it is possible to carry out systematic and quantitative evaluations with the help of Guy's stone scoring system that is acquired based on preoperative CT findings (Thomas et al,

Upper urinary tract calculi should always be considered in the differential diagnosis of abdominal pain. The classic presentation of calculi is excruciating unilateral flank or lower abdominal pain of sudden onset that is not related to any precipitating event (Fig 7). The pain often begins as vague flank pain. Patients frequently dismiss this pain until it evolves into waves of severe pain. It is generally believed that a stone must at least partially obstruct the ureter to cause pain. The pain is commonly referred to the lower abdomen and to the ipsilateral groin. As the stone progresses down the ureter, the pain tends to migrate caudally and medially. Calyceal stones are asymptomatic

The morbidity of upper urinary tract calculi is primarily due to obstruction with its associated pain, although non obstructing calculi can still produce considerable discomfort. Conversely, patients with obstructing calculi may be asymptomatic, which is the usual scenario in patients who experience loss of renal function due to chronic untreated obstruction. Ureteral stones usually not causing acute complications. Stone-induced hematuria is frightening to the patient but is rarely dangerous by itself. Serious complications of upper urinary tract stone disease include the following (Table3)

Ms. [Name] is a very pleasure 56-year-old female who has a complicated urologic history. Briefly, more recently she has had recurrent flank pain, and hydronephrosis, as well as a yeast urinary tract infection. She is currently without a stent. She underwent a CT urogram, and brought in her nuclear medicine renal scan for me to review. She continues to have intermittent right-sided flank pain, not severe. No nausea, vomiting, or fevers.

The Da Vinci Surgical System is a large purpose-built robot controlled by a surgeon that performs minimally invasive surgical procedures on patients. The system incorporates an ergonomically designed surgeon's console, a patient-side module with four interactive robotic arms, each with interchangeable surgical instruments and a 3-dimensional endoscopic vision system. Powered by high-tech supercomputers, the surgeon's hand movements are scaled, filtered and then converted into precise movements of the surgical attachments. The designers of the system are a team of doctors, engineers and biomedical engineers at a company called Intuitive Surgical.

Abstract Objective: To assess the safety and efficacy of using a stone cone and an

Technology is transforming the medical field with the design of robotic devices and multifaceted imaging. Even though these developments have made operations much less invasive, robotic systems have their own disadvantages that prevent them from replacing surgeons all together. Minimally Invasive Surgery (MIS) is a broad notion encompassing a lot of common procedures that existed prior to the introduction of robots. It refers to general procedures that keep away from long cuts by entering the body through small, usually about 1cm, entry incisions, through which surgeons use long-handled instruments to operate on tissue inside the body. Such operations are directed by viewing equipment and, therefore, do not automatically need the use of a robot. Yet, it is not incorrect to say that computer-assisted and robotic surgeries are categories that fall under minimally invasive surgery (Robotic Surgery, n.d.).