I'm THANKFUL to be given the opportunity to do MEDICAL OBSERVATION ! =) I'll try my best to share most of it alrite??
WedNesDay, 23rd December 2009....
Time : 2.30 pm - 4.30 pm
Location : Autopsy ( Bedah Siasat ) , Pusat Perubatan Universiti Malaya
Frankly, i was nervous.... Takowt sgt t'passed out kat ctu... Cuz all da doctors were MR.. Apparently, no Ms Mrs during that session.... It was cold in that Dewan Bedah Siasat... n strong smell of Formalin ( used as tissue fixative & antiseptics )
Background Info regarding Autopsy :
1- Divided into two..... Forensic and Clinic
2- Forensic.... Also called Medicolegal... Arahan from the POLICE.... Divided lagi into two, jenayah n non-jenayah.....
3- Clinical post mortem... Due to death in the ward under doctor's supervision tapi xtahu sebab kematian... Example, that patient masuk ward cuz patah kaki, but then died in the ward.... Xthu exact punca kematian rite...?
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Scrubs Suit... =P
Cap, Face Mask, Plastic Apron n Phua Chu Kang Boots...
Do spray some perfume on da face mask, alrite?
Well, when i entered the Dewan Bedah Siasat, there were three deceased.... One was cancer patient... ( Liver cancer.... ) I've got to see the differences between cancerous organs with the normal organs....
Procedure :
1- Observe general description such as sex, weight, height, hair length, hair n eye colour, skin n other physical features (tattoo, birthmark, freckles) every single thing that u observed, kne catat n draw on the special form given.... Even, scar or wound scalp need to be drawn plus with length measured....
2- Y shaped incision (cut) from shoulder to upper chest and extend all da way down to the part where the pelvic girdle is....
3- Using scalpel, dissect the skin n muscle from the ribcage ...... Meaning separate kan flesh wit tulang rib cage.... =P
4- Make 2 cuts at both sides of the ribcage... Then keluar kan, so that the thorax organs exposed...
5- To make it easier, Dr Norizal said that, they'll tie the first part of small intestine n the end of large intestine.... Then, they'll cut out the bowel (other name for intestine)... Kiranya, keluarkan intestine dulu....
6- Next, from lidah sampai the first part of small intestine yg dah ikat tadi.... =) tongue, esophagus, larynx, bronchus, bronchiole, lungs, heart, liver.... Lets recall bio! ngee* everything need to be pulled out...
7- Using scalpel, cut across from one ear to another... Pulled away scalp (kulit kepala) from skull in two flaps... Meaning, front flap towards face n back flap towards back....
8- Cut skull wit electric saw..... Brain exposed... =)
9- Severed (cut) brain-spinal cord connection.... Nerve la rite... Lifted out the brain... Biarkan brain "harden" in the open air kejap....
10- Weight all the organs....
11- Now examine EVERY part of the ORGANS.....
12- Slice organs samples... To be observed under microscope....
13- Selesai sudah..... All organs need to be placed back into the body...
14- Chest flap n sewn..... Skull cap is put back in place.... Scalp closed n sewn.....
p/s : To me, watching autopsy on screen is scarier than watching it LIVE... Alhamdulillah, i was fine throughout the dissection... Btw, i had deja-vu (rasa mcm dah penah mimpi writing tis post... Hehe...)
TO BE CONTINUED............
( Shadowing Clinical Doctor )
-DuR-
( Shadowing Clinical Doctor )
