Friday, July 12, 2013

What is a Med Tek doing in an O.R.?

Most would probably answer "STAT extraction". Perhaps a possible stat blood transfusion or maybe a stat blood exam such as cbc. But what if I told you that this Med Tek does not work in a lab? This Med tek works inside the operating room. To be exact, this Med Tek works in a cardiovascular operating room. If you were a Med Tek who is working inside an operating room, you would probably tell yourself "What the hell am I doing here?". And those were the exact words I told myself.

To be quite humble and honest, I do not know anything about the operating room. From the basic equipments and supplies to as simple as proper handwashing. I know how to wash my hands (DOH Recommended Proper Handwashing Technique) but it is a bit different from how they do it in the OR. The aseptic techniques I learned from microbiology are also different. In short, I have no idea on what's going on. But as I have been saying throughout my blog, the adaptability of a Med Tek just kicks in. This med tek skill is just handy. Before I go out of topic, I will answer the question at hand: "What is a Med Tek doing in an OR?"

The answer is simple. The Med Tek is working there as a clinical perfusionist. In other countries, there is a specific course, or a degree perhaps, that is offered to be able to become a clinical perfusionist. I have mentioned this job on my recent posts: Job Hunting and Transition. Here in the Philippines, medical technology graduates are trained to become perfusionists. It takes about 6 months of training and study to become certified (based on the training offered at the Philippine Heart Center). But according to seasoned perfusionists themselves, it takes more than a year or so before a heart surgeon and an anesthesiologist give their full confidence on a new perfusionist. Trainings are very extensive. You have to get familiar with all the medicine and drugs. You have to be knowledgeable on the anatomy and physiology of the heart. And as always, normal values for blood gases, blood chemistry, hematocrit, hemoglobin and blood pressure. There is a lot to memorize. And of course the heart-lung machine itself. You have to know how it works.

Coming from a laboratory background, everything is just overwhelming. Especially knowing that your intervention is very direct to the patient. When you release a urinalysis result, you won't worry on what meds or antibiotics you have to give the patient. During perfusion, you are in charge of the patient's meds, his/her heart and lungs function, his/her blood gases, in short, the patient's life.

I wouldn't know much since I'm kinda the new guy but I have to say that this new found job has bigger responsibilities. Let me rephrase that because I think that all Med Teks have big responsibilities. The responsibility is direct and the outcome is more instantaneous. I think that is better. A Med Tek in an OR might not be the same as a Med Tek in a laboratory. But it's still the same. Both has the responsibility as a health professional, both should be dedicated to the preservation of life and both are in service of health for patients. I maybe new to this job and may not be at my comfort zone as in the lab, but I would certainly show my new colleagues that a Med Tek in an OR is as good as a Med Tek in the lab.




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Saturday, July 6, 2013

Marunong ka ba ng BOX OUT?

Kung Med Tek ka, malamang sa malamang oo ang sagot mo. Hindi mo palang siguro alam pero nagawa mo na 'to. Maraming ibig sabihin kasi yung box out e. Sa larong basketbol kasi talaga ginagamit yung salitang yun. Ito ay isang technique na ginagawa ng manlalaro para makakuha siya ng rebound. Para sakin, ang pinakamagaling siguro na rebounder at mang-box out na NBA player ay ang hall of famer at 5-time NBA champion na si Dennis Rodman. Lupet nun e! Kung paano naman 'to nagagawa o nagagamit ng Med Tek e basahin niyo na lang yung mga bagong depinisyon ng box out. Kahit mga hindi med tek makaka-relate dito:

1. Box out - Pandiwa. Pagbakod ng isang lalaki sa ninanais na kababaihan upang hindi na mapormahan o maligawan ng iba pang lalaki. Halimbawa: Pare, box out-in mo na si Camille, baka maunahan ka pa.

Kung may ka-I.S. (internship syndrome) ka e dapat talaga ma-box out na yan. Siguro mas applicable 'to sa mga lalake pero pwede na din siguro gawin ng babae.hehe.


2. Box out - Pandiwa. Paghawi sa ibang pasahero ng bus, dyip, taxi o anumang pampublikong sasakyan upang maunang makasakay.  Halimbawa: Na-late ako kaninang umaga, na-box out ako nung ale sa bus.

Ang dami nito sa EDSA! Yung mga taong mahilig gumawa nito, yun din yung mga tao na hindi marunong pumila. Pero sa totoo lang, pwede mong sabihin na isang skill 'to e. Yung iba kasi parang eksperto sa pag box out. Parang barumbado na nga lang e pero nauuna naman sila makauwi.


3. Box out - Pandiwa. Pag pigil sa ibang tao na makuha ang pagkaing inaasam na nasa hapag-kainan. Pwede ding tumukoy sa pangunguna sa pila ng pagkain basta't ginagawa ang paghawi sa iba (lalo na sa buffet table).
Halimbawa: Hindi ako umabot dun sa lechon, na-box out ako agad ni sir Edward.

Sa mga piesta, kelangan mabilis para makakuha ka ng gusto mong pagkain. Sa lab, dapat mas mabilis ka kase sigurado akong mabilis sa pagkain ang mga Med Tek. Pero minsan, lalo na pag mababait yung mga kasama mo, ibo-box out na nila yung ibang pagkain para matirahan ka naman at hindi ka maubusan. Hindi naman patay gutom ang mga med tek, mahilig lang talaga kumain. hehe.


4. Box out - Pandiwa pa din. Pangunguna sa pag pila sa mga libreng bigay (freebies) ng mga Med Rep tuwing convention, seminar, meetings at iba pa. Halimbawa: Naubusan ako ng bag na bigay ng Abbott, hindi kasi ako naka-box out e.

Ito ang skill! Kung skill daw ang phlebotomy, skill din ito na matatawag. Wag man natin aminin pero minsan mas madami pa ang tao na nasa mga pila ng mga booth ng med rep kesa dun sa mga tao sa loob ng mismong convention.hehe.



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