Tiny little hands and feet! Puckered mouths as they fell into sleep. And the scariest part is seeing their tiny lifeless bodies on the table once they are under.
I always enjoyed cuddling up to my little one when he was an infant. I could feel the warmth of the body, his breath on my neck, his little sigh as he turned in his sleep. As I was working today, it brought back those tender moments.
The parents bring the children into the room when they have surgery so they are not frightened. I wish I had my parent there today with me so I could feel that same comfort. I was scared to assist today. Most of the children today were under 1 year old.
The youngest today was 2 months old! Cute as a button but very sick. He was jaundiced and we almost cancelled the case. He was scheduled for laparoscopic surgery. Imagine a scope/camera no thicker than a refill for a stick pen! The instruments are very small and fragile, just like the baby. This baby had biliary atresia, which means the duct from the liver to the gallbladder is very small or closed and we must open it or the liver becomes backed up and sick. We could see the back up on the screen. Usually the liver is a ruddy reddish purple color. This one had a green hue to it.
These cases are very popular among the staff. We had 2 surgeons, 1 medical resident, and 1 surgical tech scrubbed in but we also had 1 attending surgeon, 1 fellow surgeon, 1 nurse, and 1 tech in the room for help. In addition, we had 2 anesthesia persons and x-ray in the room. It was definitely crowded!
The surgeons decided it would be best to do an open procedure, which means we get rid of the scope and make a larger incision. The baby's belly was no bigger than my hand! How were they going to do this? These babies become unstable very quickly and putting that much trauma on this little one scared me.
I didn't get to finish the case but I won't forget that brave little cutie. I hope he gets better soon. There is a big beautiful world waiting for him!



