среда, 18 июня 2014 г.

17, June.
 I spent the first part of my day with Dr. Sturgeon in operation room. He operated female with hyperparathyroidism and the second one with thyroid tumor (atypia  of undetermined significance). The procedure of preparing and surgery were usual, but I could watch more attentively for pleasant details, which  improve and make more convenient surgeons job.  
For example I saw original wound retractor, 
neuron-monitoring device, 
which has some differences, that I saw before, mini-clipator etc. 
Daria has a great impression from Dr. Koop's consultations (it continued for seven hours),
 and we had a hot discussion about some positions. For example Dr. Koop treats some patients with Grave's disease lifelong with methimazole if the patients has good toleration to small doses  and doesn't have enlarging goiter.    Dr. Koop means that adverse effects of this treatment depend on dose, and treatment is relatively safe. It's so different from our approach! 
The second part of my day I enjoyed biking with Cord.


He is great bicyclist and we did near 30 miles! (comparing with  the length of Moscow Boarding Ring which has 52 miles and required 1 hour to completing high-speed car driving). Just after biking I guess I will pass away, but after two hours I fill good, better then before walking. 

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