Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

The memories of my first hospital job remain fresh

Bruce Campbell, MD
Physician
October 31, 2013
Share
Tweet
Share

You cannot connect the dots looking forward; you can only connect them looking backwards.
-Steve Jobs

“Doesn’t that window open any wider? Bring in another fan!” the surgeon demands.

Beads of sweat gather at the edge of his cloth cap and the circulating nurse steps up periodically to wipe them away. Heat and city noise roll through the open windows and into the operating room. The brief morning rain shower has left the shiny, green floor nearest the windows glistening and wet. A few levels below the OR, people are talking and laughing at the bus stop in front of the hospital. The diesel fumes from the bus and the cigarettes of the passersby blend and waft through the screens. A car honks on the boulevard. Pigeons land on the window sill and peer in. It is summer in Chicago in the early 1970s. Air conditioning won’t be installed in the hospital for a few more years.

“Sorry, Doctor. We don’t have any more fans.”

He scowls. “Can you at least get me a sterile cup of ice water?”

I am home from college on break and working as a hospital orderly. Whenever I return for a few days, the hospital hires me back and offers me the opportunity to peek behind the curtain of medicine. I am allowed to visit a place few people ever see except as a patient. It is a chance that, at the time, I take for granted.

For this particular stint, I am assigned to the OR — cleaning rooms, restocking supplies, transporting patients, setting up cases, folding linens, making coffee, running errands, finding X-rays, mopping hallways, scrubbing locker rooms…whatever is needed. Occasionally, when one of the OR staff is at lunch, I am pressed into duty as a surgical assistant. As a pre-med student, I am in heaven.

Today, I am assisting one of the orthopedic surgeons. He looks at me from across the table. “Remind me your name again, son…Bruce? … Okay, here, Bruce,” he says. “Hold her leg steady. I need to fix the hip fracture and it will go a lot more smoothly if all of the parts stay still.” He is a folksy, hardworking surgeon.

He grabs my hand and wrist and shows me exactly how he wants things to line up. He sets to work.

These are the days before CT scans and pre-fabricated femoral prostheses. The repair will be based on the physical exam and a couple of plain x-rays. The surgeon learned many of his trauma skills as a military doctor in Vietnam. He will figure out how to best use the available metal plates, screws, wires, pins and plaster, drilling the holes with a power drill like the one my dad keeps on his workbench in the garage.

“Back when I was in school, these sorts of fractures were treated with casts, traction, and bed rest,” he tells me. “These days, we fix ‘em.”

It isn’t an easy fracture and he has to be creative. I want to help but I know little of surgery and am ignorant of the approach. I try to hold still as best I can. Eventually, we find a rhythm. Things move along and I get the hang of how he wants the leg stabilized. Soon, he is humming an aria as he lines up the fragments.

We move her to the recovery room and, soon, I am back in the OR holding a mop handle rather than the patient’s leg. I realize how much I enjoy being in surgery — at the table — helping.

ADVERTISEMENT

A few days later, I am called to one of the floors to transport a patient. “Take the woman in room 15 bed 4 to x-ray,” the nurse tells me. “Be careful with transfers on-and-off the cart. She had hip surgery last week.” I walk into the room. Sure enough, it is the patient from the OR. She braces herself as she is moved from her bed to the cart. “Still really sore,” she tells me.

We talk as I take her down to radiology. She doesn’t recognize me and I don’t tell her that I was the assistant for her surgery. She tells me about her family and her plans for going home.

She is recovering. Her hopefulness will stay with me for years.

Decades later, the memories of my first hospital job remain fresh. I can hear the hum of our original Bovie electrosurgical machines. I feel the conductive strips tucked inside my shoes to prevent sparks, although the use of explosive anesthetic agents like cyclopropane and ether had, by then, been abandoned. I sense the warmth of an open abdomen, retracting the liver as the surgeon removes a gall bladder through a large incision.

Even more than the technology and the procedures, though, I remember the people. There is one general surgeon who is comfortable performing essentially any operation and another surgeon everyone avoids whenever possible. There are specific patients and their families who stand out. And, even though almost all of the people with whom I worked in that OR years ago have retired or died, I hear the voices and see the mannerisms of the nurses, assistants and secretaries.

These are the people who will inspire me to pursue a career which will allow me to spend much of my professional life in the operating room.

Of course, surgical technology and practices have evolved dramatically. The rooms themselves are now twice the size they were in the 1970s to accommodate all of the computers, endoscopic equipment, monitors, microscopes, and robots. The only windows we have now are Microsoft Windows. Almost everything about surgery has changed although surgeons still scowl, on occasion.

The people, though, and the sense of the operating room as a place set apart for a purpose — those things have not changed. I still love my work and feel as though I am coming home every time I enter an operating room. When I started, crossing that threshold always felt like stepping into an inner sanctum. Even after forty years, it still feels that way.

Bruce Campbell is an otolaryngologist who blogs at Reflections in a Head Mirror.

Prev

What we can learn about weight loss from Al Sharpton

October 30, 2013 Kevin 22
…
Next

Plastic surgery is about more than cosmetic procedures

October 31, 2013 Kevin 0
…

Tagged as: Surgery

Post navigation

< Previous Post
What we can learn about weight loss from Al Sharpton
Next Post >
Plastic surgery is about more than cosmetic procedures

ADVERTISEMENT

More by Bruce Campbell, MD

  • Mom’s new pacemaker: a story

    Bruce Campbell, MD
  • The environmental impact of anesthesia

    Bruce Campbell, MD
  • Why this physician wanted to be a head and neck surgeon

    Bruce Campbell, MD

More in Physician

  • a desk with keyboard and ipad with the kevinmd logo

    How to advance workforce development through research mentorship and evidence-based management

    Olumuyiwa Bamgbade, MD
  • The truth about perfection and identity in health care

    Ryan Nadelson, MD
  • Civil discourse as a leadership competency: the case for curiosity in medicine

    All Levels Leadership
  • When a medical office sublease turns into a legal nightmare

    Ralph Messo, DO
  • Why the heart of medicine is more than science

    Ryan Nadelson, MD
  • How Ukrainian doctors kept diabetes care alive during the war

    Dr. Daryna Bahriy
  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
    • FDA delays could end vital treatment for rare disease patients

      GJ van Londen, MD | Meds
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
  • Recent Posts

    • Addressing menstrual health inequities in adolescents

      Callia Georgoulis | Conditions
    • How to advance workforce development through research mentorship and evidence-based management

      Olumuyiwa Bamgbade, MD | Physician
    • The truth about perfection and identity in health care

      Ryan Nadelson, MD | Physician
    • Civil discourse as a leadership competency: the case for curiosity in medicine

      All Levels Leadership | Physician
    • Healing beyond the surface: Why proper chronic wound care matters

      Alvin May, MD | Conditions
    • Why specialist pain clinics and addiction treatment services require strong primary care

      Olumuyiwa Bamgbade, MD | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 1 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
    • FDA delays could end vital treatment for rare disease patients

      GJ van Londen, MD | Meds
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
  • Recent Posts

    • Addressing menstrual health inequities in adolescents

      Callia Georgoulis | Conditions
    • How to advance workforce development through research mentorship and evidence-based management

      Olumuyiwa Bamgbade, MD | Physician
    • The truth about perfection and identity in health care

      Ryan Nadelson, MD | Physician
    • Civil discourse as a leadership competency: the case for curiosity in medicine

      All Levels Leadership | Physician
    • Healing beyond the surface: Why proper chronic wound care matters

      Alvin May, MD | Conditions
    • Why specialist pain clinics and addiction treatment services require strong primary care

      Olumuyiwa Bamgbade, MD | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

The memories of my first hospital job remain fresh
1 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...