You want me to take the omentum off the transverse colin? thats what you do, right.
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>>DR WISNER: The students spend some time on surgical teams and some of that is time spent in the operating room, some of it is time spent on rounds.
>>DR KHATRI: But it is a unique educational environment.
because you have a person actively operating on and taking care of and performing education.
>>DR KHATRI: what are the other important structures in the retro-peritoneum? You said retro-peritoneum? Yeah in the retro-peritoneum
table down please
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>>AMANDA: I was diagnosed with a bilateral sensoral neural hearing loss at three years old
and um it is about a 90 decibel loss which is considered profound
and I wear hearing aids in both ears and i compensate pretty well.
>>DR WISNER: Amanda can pretty much take care of herself in almost every circumstance, she is an accomplished third year student
the operating room poses a special problem though because everybody is wearing masks
so you cant lip read and even if you can hear a little bit there is a lot of mumbling that goes on and if you are mumbling behind a mask it is very difficult to hear.
>>DR KHATRI: A little more towards the colin, yeah [MUMBLING]
>>AMANDA: Oh I was thinking ahead and dreading it at that point not really knowing what kind of um
accommodations I would be able to use in the OR.
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>>DR WISNER: Amanda came up with the idea, she had heard about it from another institution
this notion of being in the operating room and having somebody listen to what the doctor was saying and
write it down so you could read it off a screen.
Then she said well I'm going to do surgery, why cant we do it here?
>>AMANDA: its much like a court reporter.
They have a stenograph and type everything word for word.
>>DR KHATRI ON INTERCOM: Ok now feel for the marginal pulse.
>>AMANDA: We are using the internet as a live communication between where they are and the OR.
>>DR KHATRI: You take that off, then you can see the splenic flecture.
>>AMANDA: The main thing that I use if for is when they are quizzing us
in the middle of the procedure, especially questions about anatomy.
>>DR KHATRI: We sort of asking them questions, you know what is this you know anatomically.
Amanda, they talk about a line on the lateral aspect of the bowel
Do you know what that line is called?
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>>AMANDA: At other points there will be commands like hold this retractor or cut this suture.
>>DR KHATRI: So Amanda what you've got to do is at times open up one of the ports.
See that, air, air one?
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>>DR KHATRI: They are going to be our future physicians or even surgeons so
They need to do certain portions like doing suturing as well.
>>AMANDA: I am able to actively participate in the surgery
which makes it of course more interesting.
I use visual cues.
A lot of times there are posture changes, their hand changes, theres a pause so I'm like well I better look at the screen or I better look at the field.
It's really a visual game.
>>DR KHATRI: What I wanted to do was not think differently so that her experience would be no different than any other student.
>>AMANDA: Deaf people are visual learners by nature
so it is nice to be able to take part in something that kind of uses our strengths.
>>DR KHATRI: If she had the motivation we have to bring in the means.
>>DR WISNER: We have a variety of different medical students with different interests, different backgrounds, different disabilities etc
and the point is to provide them with a roughly similar experience.
Who knows, Amanda may decide she wants to be a surgeon
and if we said well she can't hear so she can't go to the operating room
well then the experience that she'd have would be inferior to the experience that all the other hearing students would have and that is just not right.
>>DR KHATRI: UC Davis is a very diverse institution and what we want to do is make sure that those needs are addressed
and what better example than what we are doing right now
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