today's study

i attended the study course of "ultrasound guided peripheral nerve block".
Dr. Sakura(Shimane university) lectured us how it was useful for patient's pain relief and how it was easy to achieve.
But i struggled with direction of a needle(with right arm) under echo guidance(with left arm) .
It seems hard for me to use for actual patients. But i wanna make an effort that being my strong point.

全て考え方次第

今週はかなり過重労働だったが、学びの意欲はまだまだあるようだ。
少し休んでまた前に進もう。

hypourine output during OPCAB

今日はOff Pump CABG。
2型DMによるCKDを合併した2枝バイパス患者さんだったのだが、
クレアチニンが2.8ともなると腎症はstage Ⅳであり、麻酔時間が長時間になると当然尿量も減る。
術直後のCHDFは避けられたが、いろいろと考えさせられる一日だった。

so sleepy

i slept for 10 hours today.
i cooked 5 menus for dinner. all of those were so delicious.
i'd been written a paper about "a case report of CRPS compicated movement disorder".
but it's so slow progress in my job, i'm getting so tired and bored.
good night

It's a special week!

i've experienced a lot of valuable things this week.
i anesthetized three cardiovascular patients, and all of them were under severe conditions.
But all patients had been in a good clinical course.
i'm so happy because i can feel to be a help to others.

Kanazawa trip

加賀に来るのはおそらく9年ぶりくらい。駅前があまりにも整備されていたので驚愕した。

なんだか街全体が暖かい雰囲気でとても居心地が良かった。