Today was my first day of Internship at High Tech Middle Chula Vista and at the surgery clinic in Tijuana. I had a lot of fun in both but I am first going to talk about what I did in my internship at High Tech Middle. When I first go there I was really nervous because of the fact that I was working with 7th graders, but I was really positive. I was there really early so I talked about myself to Kyle and he told me what he liked about High Tech High teaching method and what was different about other schools. Then the students came in and it was really funny because I felt like as if I was an animal at the zoo, everyone was staring at me and asking each other who I was. Of course no one knew. The teacher went again and said that i was going to be here and he let me introduce myself. I explained to them what I was doing and that if they had any questions they could ask me. After I introduced myself Mr. Linnik told them that I was like a teacher and that: “ I expect you to treat her like such”. When he said that I felt really confident because I think that there should be mutual respect everywhere in order to keep things working good. A little boy said if he could ask me a question and I said yes and he asked me “ Well if you are like our teacher would we have to call you Miss Paola, and I laugh it was nice but I just told them to call me Paola. It was a really nice experience and I am really excited about everything.
The second thing I want to talk about is my internship in Clinica Buenrostro at Tijuana. When I first came I was a little nervous and the Dr. Carlos came out and guided me he told me that I was free to be wherever I wanted, either in the spa at the lobby at the rooms upstairs. But since surgeries often start really early there where no more scheduled for the day. What I did was organizing important documents with each patient’s information, filing, being at patient’s revisions and I was also at the lobby where I met a lot of people. The first person I met was Maria Cruz she is new and she actually mad me feel confident because she explained me what she knew and told me that I will eventually learn it. Dr. Buenrostro invited me tomorrow to a surgery scheduled at 5:00 am with duration of 3 hours and another one that will supposedly start at 8:45 am and last about one hour. I am really looking forward on going and I think it’s a great experience especially because I am going to know if I like it.
Journal 2
Today was an amazing day I am definitely into Surgery. I did not go to High Tech Middle because Mr. Linnik told me that he was not going to be that day there. He said that he was going to be teaching at some other school so he told me he expected to see me on Wednesday. I took advantage of the opportunity and I was able to spend the whole day at the clinic. I left my clothes ready a night before and then i put my alarm at 4:00 am. I woke up many times as night because I was really anxious and then finally it was 4:00 o clock I woke up changed my clothes washed my face, tie my hair up because you can’t have your hair down at a surgery and I also had a small breakfast. I got to the clinic at 4:40 am 15 minutes before the surgeon and the anesthesiologist. When they saw me there all dressed up with my proper uniform they were really impressed that I actually woke up early in order to be at the surgery. Dr. Buenrostro told me you are going to be a very successful and dedicated person. He told me a quote and told me to write it but I just memorized it, “ Success begins where the comfort zone ends”. I cleaned myself and wore a mask a gown and a cap all those were sterilized. They brought the patient in ant they were going to make her a Lipectomy. The procedure first started with a local anesthetic that would put her whole body to sleep. The anesthesiologist told me that they had to make some laboratory tests to see if she was capable of having surgery since she was anemic. I didn’t know that anesthetics shad different substances inside. I learned many things and I am impressed that I wasn’t scared at all I was really curious while they were preforming the surgery I had a long conversation with the anesthesiologist, which is a really nice person that knows millions of things. I thought he explained me what the big machine was, it controls your breathing your heart rate your muscles and brain function. It also lets you know when something is not working the proper way and that is when the anesthesiologist gives some more anesthetic or more oxygen levels etc. After the surgery ended which lasted about 2.5 hours they completely cleaned the room and another surgery started. The patient wanted breast implants. It was amazing how precise and delicate are the Doctor’s hands. I was there the whole time and I love it. I was in the operating room for a total of 5 hours and to me it seemed as if they were just 2.
Journal 3
Today was also an amazing day I really loved it and I am super happy because I had this amazing opportunity. I woke up at 4:00 and by 4:50 I arrived to the clinic was I got dressed up with the appropriate clothing washed my hands and went into the surgery by 5:00 am. Once there my mentor taught me how to intubate a patient after she or he is asleep. Today’s surgery was liposuction and a nose job. It was amazing. I learned that the only thing I know is that I don’t know anything. I am impressed of how much the anesthesiologist knows about everything. He is about 54 years old and i really like him because he reminds me of my grandfather. He was asking me a lot of questions the whole time and I was able to answer some of them but not all. He told me he was impressed of how much I knew and I told him that I wasn’t answering most of the questions. Then he said that those were questions he normally asks students who are studying medicine and that sometimes they are not able to answer the questions. So I felt really proud to know that I know few things but still there’s plenty to know. He also asked me a lot of leading questions that I was really honest and told him I didn’t know. He told me that it was great to say I don’t know but he said “It is alright to say I don’t know when you don’t know but instead respond with a I don’t know but what I think it means is ...” Then after the liposuction was over he did a nose job and it was amazing, this time i actually had the opportunity to be right at the side because this surgery is not as sterile as the others since the nose is a part were germs and microbes are always present. It was super fun and it’s amazing how they fracture the bone take part of it and remodel the nose. Then the fracture all the sides to make it finer and that’s about it. It is impressing that this surgery is the one that has more blood.
Journal 4
Today I woke up at 4:00 am again and I was at the clinic by 5:00 am and there was no surgery. I had to go back to my house and since I was really tired I slept till 8:00 am then I went to High Tech Middle Chula Vista and started my day there. First what Kyle and I had them do was the food analysis. Basically they had to finish writing on a document their food intake and answering a survey. Then they had to finish up their designs because they were building a hydroponics system. It was kind of hard because the kids had these amazing but really complex designs that they wanted to make but they were going to be very hard. So basically what I did was have them explain their designs to me and then I gave them feedback and some of them changed their designs with the main idea but they changed it so that they could be easier to make. I had lots of fun because they are really funny and some of them when I went to them and asked them about their design they just didn’t know and they were like mmm well I don’t know my teammates are doing all the work. Then I left just before lunch and I went to Tijuana to the clinic and did some paperwork organized files and met with some patients who were back after two weeks of their surgery to be checked. It was cool and interesting that day was full of patients and one of them that had gotten liposuction went to get checked and when she was inside the room the nurse Claudia was going to inject medicine so Claudia told her to take of her clothes and that she was going to be there just a minute. By that time I was at the entrance with Mari Cruz receiving people and giving them appointments and Claudia was also with us, she was waiting for the patient to take of her clothes. Suddenly we heard a big noise as if something fell and she ran into the room and the patient fainted so they turned on the air conditioner and waked her up with some alcohol but we got scared because she somehow was lying on the bed and fell and she hit the wall. So apparently was because it was really sunny outside and the ac was really low so her blood pressure went down and she was scared because of the needle. Those entire factors contributed. It was fun but scary. I learned about a lot of things I went to the SPA because the doctor has the huge clinic and has a SPA inside and it super cool. I just went and saw some massages I think I am going on summer to get a massage.
Journal 5
Since I arranged my schedule so that I could be the whole day in each of my internships. So I am Monday/Wednesday at High Tech Middle and Tuesday/ Thursday/ Friday at the Plastic Surgery Clinic down in TJ. So this day was even funnier because I got the opportunity to meet some of the students and get to know them better. Also I helped them put together some pieces of wood and I was in charge of the students that were inside the classroom. I had to make sure that they were getting some good work done and not just procrastinating. I had no idea how hard it was to be a teacher, especially teaching 7th graders because they are still a little immature (I am not saying that I am super mature). Most of the time they think that everything is a joke, when it’s not. But I hope they learn not to waste their work time because once they are in high school it’s going to be much harder for them to stay on task. It is also really hard for them to stay on task when they have computers even harder than it is for us, but i mean they will get better as time goes by, or at least I hope they will. As I said before I am having lots of fun they are really funny I am impressed that they are really intelligent and they came with pretty cool designs. I like it a lot but it’s really tiring and as the end of the day gets closer time starts going by slower. One thing I don’t like is that they have lunch till 12:45 and they are not aloud to eat in class, and I get really hungry because we are aloud to eat during class and because our lunch is 45 minutes early. I am amazed of how much time they can be without food in their stomach. I can’t, actually I had a really bad stomachache that lasted the whole day. Then sometimes it is also to get students to work. I learned that there are days that they cant be productive, also students in 7th grade tend to get distracted really easily. For example when they are using the computer they are tempted to get into Google and search for random stuff and then you go and tell them to stay on task and they start working but as soon as you leave they start goofing around and they can be like that the whole day. Then another thing was that they used tools for the first or second time I think and Kyle told them to be safe and it seemed as if Kyle told them “ok guys goof around and don’t be safe”. They used hammers and they hammered everything they saw till Kyle or I told them not to, but still I am really proud and exited about what their final product is going to look like.
Journal 6
Today I woke up at 6:30 and I was at the clinic by 8:00 am. I entered to my mentors’ office and he told me to sit down but he was on the phone talking to another Surgeon. They were talking about how it was better when they did a liposuction and half a lipectomy because long time ago he did a liposuction and under the belly it was full of necrosis so when he cut the skin it was better. So know to their patients if they have a lot of weight what they do is do the liposuction and then half lipectomy that way they get better faster. Then we started talking about how everything was going and about how he wanted to go diving with my dad and I told him that I wanted to learn. We talked for about 15 minutes then he took me to the reception and told me to stay thee and receive some clients so I stayed there with Mari Cruz and Claudia. What I first did was organize the pictures from some patients’ before/after front view side view and whole punch them put it in a binder. If the pictures where of lipectomy they went into the binder of lipectomy if it was of implants it went in the implants binder and so on. I also had to organize files of surgery by year and alphabetical order. It took me a lot of time because some files were missing so i had to go to the fourth floor and look for them. When I was done I went upstairs and helped Alejandra clean the patients from the day before and help them with food. Then I stayed in the room were the hyperbaric unit was and I was skimming through a book of what the hyperbaric unit does. When there is a liposuction the skin suffers from an inflammatory response because they inject xylocaine which is a fluid to clog the blood vessels so that when they are doing the liposuction they are only taking out fat instead of blood. Once the surgery is over as hours go by it starts getting huge bruises. Since the xylocaine clogs the blood vessels it stops the oxygen in the blood and that is when the body starts getting bruises, and to extremes the patient might get gangrene. We at our atmosphere pressure receive 21% of oxygen meaning that our blood has 21% of oxygen. When he skin is so damaged the oxygen that each body part receives is not enough so the hyperbaric unit has a different atmospheric pressure it gives oxygen to a 100% so now if you are giving that much oxygen to a wound or a damaged skin even though the blood vessels are hurt and partially closed the few blood that is passing through contains a much more larger quantity of oxygen leading to a faster and better recovery of the patient.
Journal 7
Today my internship was at High Tech Middle and I love it because the kids love me they are really cool and funny. Basically today they had project work time for the hydroponics project. Kyle made them read a packet I gave him with great information about hydroponics and it was great that he actually was interested on what I gave him and actually have the kids use it for their project. I helped with the structure as well as with the building. It was really funny because there was a team that could not put in one single nail in and when they gave me the hammer I nailed it really fast and all the kids were like wow that’s awesome. Then they were super amazed about the power tools and they were like if I can’t even use a hammer how am i going to use a power tool. I told them that they should start learning how to use a hammer because once they are at High Tech High Chula Vista all they are using are power tools. Then what was most important about the day was that I did my interview. I got to know my mentor better everything went great. I was really nervous at first because I only prepared 25 questions and I thought well what if he doesn’t want to answer some of them and what if the interview is not long enough and also I didn’t know how was I going to do the transition from one question to another. Once I started everything flowed easily he was very descriptive and I didn’t have to worry about the transitions because everything as I said flowed easily, and I learned a lot of things from him for example how he met his wife and were he got married. He said he loves surfing and that he got married surfing, that he loves being a teacher and he told me that being a teacher was really difficult because controlling kids seventh
Is hard “ Controlling kids especially seventh graders is hard because I mean kids test you all the time to see how far can they go or how far you are going to let them”. And it is actually true in every case, all kids see how far they can go to see what can they do and what can’t they do. He also told me that all his way through middle school and high school he said he was going to be a Doctor once he graduated he entered to medicine school and once there he found out that medicine wasn’t for him then he went to business and he didn’t really like is “... I tried business but I didn’t like it, that was about the time when I met my wife and she was preparing to be a teacher...” so basically her wife told him to give it a shot to teaching.
Journal 8
Today was pretty cool because I was taking care of the patients who have had surgery. I saw a ear surgery and it is amazing how they first inject the xylocaine to clog the blood vessels temporarily so that when the start cutting there is not a lot of blood coming out. I learned that when they use the cautery in parts such as the head ears and eyes it is really dangerous because we have a lot of nerves there and the less you use it the better. But sometimes it’s necessary because the part were there is more blood is the head. A small cut in the ear has much more blood than when you do the breast implant. The process looks like this; first they injected a local anesthetic and gave the patient a sedative so that he could be relaxed and fall asleep (general anesthetic was not necessary). Then they cleaned the area with cold water and iodine and injected the xylocaine to stop bleeding and they started cutting the skin. Once they were done cutting the skin the cut the cartilage from the middle and they got rid of a part of it and then put the stitches. It was really cool because the surgery lasted a lot not because it was a complex surgery but because there is a lot of blood and they can’t cauterize as much so they have to be cleaning every about 3 seconds. So the process is really slow. I learned a lot of things and I like this internship a lot I am really exited especially because the doctors like me so much because they say that i am a really punctual and dedicated students that makes sacrifices and wakes up early. That is why they let me intubate because I earned it they thought me how and I earned it. Dr. Granados told me that there are students that don’t try to wake up early to be at the surgery so he doesn’t let them intubate but they let me do it (of course guided by him). Each time I’m in a surgery I learn a lot of things and it makes me more convinced about being a plastic surgeon. The doctors get really impressed because they say that I am one of the few people that when they go their first time to see a surgery they don’t fait. Most of the people even medicine students when it’s like a nose or ear surgery since there is a lot of blood they faint but I didn’t, I didn’t even got dizzy.
Journal 9
Today was a really cool day there were two breast implants, a liposuction and mini lip surgery. The lip surgery was all about talking a fat abscess due to a scar. So the doctor looked at it went out of the operating room to clean his hands and came inside a wore the sterilized gloves and he got the bistoury and started cutting. The abscess was in big and he told Claudia to put me sterilized gloves on and I was the one cleaning all the blood that came out and it was amazing the doctor told me if you feel like your going to faint or if you start feeling dizzy because of the blood just tell us and we will take you outside. But I didn’t feel anything even though I was actually cleaning the blood that came out of the cut with sterile gauze.
Dr. Buenrostro: Put the gloves on
Claudia: Ok
Paola: Me?
Claudia: Yes you (smiled)
Dr. Buenrostro: You are going to clean the blood while I’m cutting, If you start getting dizzy or feel like fainting tell us and we will take you out of the room.
Paola: Ok you tell me when to do it
Dr. Buenrostro: No, you know when to do it.
Paola: (super nervous and freaking out) Ok
Everything went great it was not a big deal I wasn’t dizzy at all and I loved the experience, also when they were done removing the abscess and it was time to close the wound he told me that I was going to hold the lip while Edgar putted the stitches so my hands hand had blood and it was hard to hold the lip because of the saliva and of the blood it was very slippery but it was amazing.
Journal 10
Today since the doctor was not in Tijuana he went to México to a congress I arrived there at 8:00am and I helped Mari Cruz in the reception, receiving patients and organizing more files. I had to figure out if those were patients who had come for the first time and go to the fourth floor to see if their files were there and if not o had to go to the third floor and look for them. Then I had to arrange some pictures that they took write the image number and who took the picture and then I had too cut and arrange them and also delete the ones that were not taken correctly. Then I was labeling them by name etc. When I was looking through the pictures I saw a very impressing picture, I got the chills by just looking at it. The picture was of a young man about 23 years old with a completely deformed face due to a dog attack. Mari Cruz told me that he is a man with no money who works as a gardener to support his mother and brothers and he went to a house to cut the trees and garden and the dog that lived in the house attacked him and the family was not willing to pay anything for him. He didn’t have a nose, you could see the inside, his lip did not look like a lip and his face looked as if he has had a third degree burn it was horrible. The picture I was really impressing and he already have had a previous surgery done. He went to Dr. Buenrostro Clinic to see if he could help him and the doctor was looking for a way to do it because he had no money and he told me that he would probably need a nose implant because as I said he had no nose. He also went there because he figured out that the hyperbaric chamber works really well in regenerating the skin and healing it. Then after that I went upstairs and helped Alejandra sterilize the equipment and we packaged a pair of gloves and gauze in a special kind of paper that was going to go to the huge machine that sterilizes them with vapor and once sterilized they were going to use them in the revisions. Alejandra taught me how to know when something is sterile. All the bags have a label that when the equipment is sterile it turns purple and when time passes and its time to sterilize them again it turn blue. Each bag has an expiration date and once it expires you MUST package and sterilize them again. If you wants to sterilize cotton or gauze you wrap them in a pink paper and then you wrap a special tape (it looks like white duck tape) and once it’s sterile black stripes appear on the tape and as well it has an expiration date you must write the date you sterilized them. It lasts a month.
Journal 11
Today I arrived to High Tech Middle at 8:45 am and as soon as all the students arrived they were taken downstairs because it was their health day. The two seventh grade teams were downstairs. They first started with the stretching and then they divided a team in 5 stations while the other team was running the mile. I was in the station with Kyle and our station was about elasticity/stretching we had to make them sit on the floor and there was a box with a ruler and they had to stretch their arms as far they could go to see how elastic they were and then I was in charge of the arm stretch they were supposed to see if they could touch the other hand. It was really funny because we had to make them do it over and over again because they bent their legs or they were not straight. Also during break I was talking to Ivan, Isaac, Valerie and Nicole and they were asking me a lot of questions about high school, junior year and also about internships. They asked me if I had another choice rather than being at the middle school and I told them that I had to internships one here and the other one with a plastic surgeon they started asking me if I was in the surgery and I told them that yes I was in every surgery and they were grossed out. The health day lasted for the first half of the day from 8:50- 12:20 and then they just chilled for about 20 minutes till lunch. Then was lunch and since it was a super hot day I went and got an ice cream and when we came back we started working on the hydroponics project I was helping and making sure that the kids were doing their work because it gets really crazy when the two teams are working together, it’s just really hard to control and be watching so many kids at a time. I was downstairs checking on the students that were downstairs, Kyle was at upstairs outside checking on the table saw and making sure that no one touched it and Ms. McAfee was in the checking on both classrooms to see if they were doing what they were supposed to do n the computers.
Journal 12
Today since the Doctor was still in his congress I helped with the cleaning of the fourth floor. Alejandra and I cleaned the hyperbaric unit she helped me get inside it because she feels like she is going to die if she enters and I don’t blame her I felt claustrophobic and then the sound in the inside is disturbing. We had a long conversation about a lot of things she first told me what could and what could not be inside of the hyperbaric unit for example everything that comes from petroleum is strictly prohibited. Materials such as: rubber bands, nail polish and acrylic nails, oil, lotion, jewels, cigarettes, water bottles, clothes, cell phones, lighters etc. Previously to entering the chamber you have to take a bath at the installations to make sure that you don’t have soap remains or oil in the skin or hair. You can enter with nail polish but only if you painted them 4 days before entering (it can be recent) and if you use acetone you have to clean your hands completely. The reason you can’t have anything that comes from petroleum is because since the oxygen pressure is so high it is really easy to start a fire. The robe you use inside has to be 100% cotton and it has to be clean. When you enter it is recommended that you chew gum and that you do some exercises with it so you don’t suffer from severe ear damage. Also when the session is over the nurse has to make sure that the oxygen pressure is normal again before opening the unit because if she opens it the patient may suffer from loss of hearing or internal bleeding that could be fatal in the state in which the patient is. All this safety steps have to be followed carefully to make sure everything is correct. Then we were packaging the sterilized gauzes in a cabinet. Then she told me why she decided to be a nurse. I really like Alejandra she I really nice and I have gotten to know her really well and she doesn’t want me to go. She is a really good friend and I learn a lot from her. She thinks I am really funny and outgoing.
Journal 13
Today I also helped Alejandra, Marichuy and Edgar sterilizing material and arranging preparing gloves for revisions. First we were in the sterile room that is where the sterilization takes place and they were teaching me how it was very important too following all the steps. And Edgar was explaining to me the different kinds of implants and how you clean them and how when it comes to surgical material the responsibility is on him because if he does not follow the steps correctly the patient might be infected or the association that makes sure that everything is being done properly can come in at every minute without letting them know and that can cause a huge demand. Then I went to the room were the hyperbaric unit is and I was talking to Alejandra about random stuff because there was nothing to do and we were playing the movies to see if they were working properly and I told her that every time I come home after being at the clinic my mom tells me i smell like medicine and that I change clothes but I still smell because your hair absorbs the smell and she told me that she used to have a boyfriend and that he would tell him that she smelled like medicine and she told him that he smelled like metal because he was in the army and he worked with guns so he smelled like metal. And that was about it was a short day in which I just had short conversations with everybody, I really like all of the staff there everyone is really nice, except for the lady that is in charge of the cleaning she is really mean to me I don’t think she likes me really much, but well I am really nice to her and there’s nothing I can do.
Journal 14
Today I helped kids get work done in their hydroponic system which some teams are really behind. I was helping inside and make sure the kids were doing what they were assigned but it was really hard especially because kids try to fool you and they think they are doing it when they’re really not. I learned that when they have computers its much more easier for them to get distracted because I was constantly walking and checking to check what they were doing and they were playing games and on Google images and it was supper stressing because I had to be telling them to get to work, and they started but once I left they started playing again so it was super annoying and then they didn’t do what I told them because they see me so young and sort of chill but i really meant GET TO WORK! Then there’s this kid Austin and he is a really nice boy, his face seems as if he was sad but he is a really pretty kid but he is sort of a wallflower and today he came up to me and told me that three other kids told him that he hated him and he was about to cry he got really sad and i didn’t know what to do so i just talked to him and told him to ignore them that they were just being immature and that they really didn’t hate him and he understood but he was still upset because they called him words so i told him to tell Mr. Linnik and he did, and the teacher talked to the other boys. I also helped a group paint their frame for the hydroponics. Then a fun anecdote they when asking each other how old they were and then a girl asked how old I was and I said 17 and they were all amazed and a girl said what seventeen no wonder she laughs about some of our jokes she hasn’t totally lost it if you guys know what I mean, hen she said wait so then why did they hire you? Why are you working if you are still a teenager? And I explained them what I was doing and what internships were all about. I asked her how old she taught I was and she said she thought I was 13 and everyone was like 14, 13 and they were like you look like us you look really young. Then when I started explaining what internships were all about they got scared and they asked me wait everyone has to be at a school and i told them that you could be wherever you want and they said so you wanted to be with annoying seventh graders like us and I told them you are not annoying guys you are just immature sometimes and they were like no we are brats. It was a really cool and stressing day but I had fun.
Journal 15
Today I woke up again at 4:00 and arrived there at 4:50 and there was no surgery so I went to my grandparents’ house in Tijuana and slept until 7:30 am. I arrived to the clinic at 8:00 am and I got dressed with the appropriate clothing. Then I helped gather all the equipment and waited in the operating room with the anesthesiologist Dr. Granados. Once he was done preparing everything we waited for Dr. Buenrostro and the patient to come in. Today’s surgery was breast implants and once everyone was in the operating room (Claudia, Norma, Edgar, the patient of course, Dr. Buenrostro, Dr. Granados and I) the surgery began. It surprised me because Dr. Buenrostro told Claudia clean her and I was really paying attention to the surgery and then she told me come here and we stepped out of the room and she said I am going to show you how to wash you hands and arms. The first step is to open the water faucet with you leg and use surgical soap and a little brush, then clean the palm of your left hand with the soap and brush and then clean each finger and your nails, then you can proceed to the next hand. Rinse it and then clean the hand again but this time clean till exactly between the elbow and the wrist for both hands then rinse. And at last clean hands again, then follow step two and then wash the whole arm and rinse. After that close the water faucet with your leg because your hands are completely clean the dry them with a machine like the ones we have at school but bigger and once clean you can’t put your arms below your waist anything that goes below your waits is considered contaminated. Once we entered the operating room Edgar and Claudia putted me the sterilized gown and gloves and the Doctor told me to stay by his side and he told me to touch the inside of the breast and feel the ribs and the pectoral muscle. Then he told me to insert the implant through a whole to see which size would fit better and it was really hard to put it in. Then he told me that that was the perfect size and then they opened the real implants once they were in the doctor started to stitch the opening and he told me to cut whatever remained of the stitch. It was a super cool experience I never thought I was going to be able to do that and he told me to take advantage because he said that when he was a high school kid, he would have died for an experience like this one.
Journal 16
Hi, today my internship was at High Tech Middle it was a half day and I arrived ten minutes early so I stayed in the office with Mrs. Watson talking about random things and then class started. Mr. Linnik gathered the two teams in his classroom to make some announcements, he seemed a little stressed out because people were being really messy when cleaning the brushes and the wall the sink and the floor had a lot of paint splatters all over so he told them that if they were not being careful he would keep them inside working on a packet. So he assigned jobs and he told them that he wanted everyone on task and that if he saw someone wasting time he would make them to clean the room. I told him that there was a team that constantly were playing games on the computer and he had a private talk with them and he told me to keep an eye on them so I stayed in their table to make sure they were working. I am pretty sure they hate me because I was there the whole time to check but since I was already annoyed by them doing whatever they wanted I didn’t really care. And the whole day was like that it was an exhausting day everyone just doing what they wanted but Kyle did punish 4 of the kids. They stayed for an hour after school cleaning the classroom completely. They were sweeping the floors cleaning the sink, picking up trash counting the tools gathering material cleaning tables but well Kyle told them beforehand so there was no excuse. It was my last day at High Tech Middle and the only thing for me to say is that I admire teachers my respects to all of them I can’t imagine myself being a teacher and not stressing if kids are not doing what they are asked to do. Personally I have no patience and I like everything done my way and if someone is not following what I am ordering (not outside of school) I get stressed really easily. So i admire Kyle so much that he has a lot of patience it was just at the end that he seemed tired and i get him because he woke up at 4:00 am so that explained everything.
Journal 17
Today the surgery started at 4:30 so I woke up super early and when I arrived I changed my clothes and I go ready for the surgery. Today’s surgery was breast implants and the Doctor told Claudia to help me wash my hands and i got the surgical coat and the special gloves and i was literally helping Edgar with the material and he told me that he does not let anyone do that but he said that i learn really fast and that i am a really dedicated and intelligent student and that he see’s a successful future. He let me put the implant but it wasn’t the real one because first he has too see which size is the appropriate so he had this kinds of tester and then he decides which one he is implanting so he let me do that of course with the patients notice and since it does not affect the patient because I’m not using any dangerous equipment it is ok and also because the patient is not at risk of a deformity since he is the one that is going to implant the real ones. He also taught me how to stitch but I was not actually stitching he just told me how to do the knots and how to put the drain device. The drain goes inside each breast so that it can remove the fluids such as blood and water after the surgery and the nurses have to annotate how much fluid comes out. And also when the breasts were ready for the implant he told me so see the ribs and he let me a home work a one page research about the respiratory system and images due tomorrow.
Journal 18
Today was my last day at the Buenrostro’s clinic and I was really sad because i really liked it. Surgery started at 4:30 and I was really excited for seeing that surgery because it cas a lipectomy and I had never seen it so i was really looking forward. At first I showed my homework to the anesthesiologist and he was amazed how presentable it was and he said i did a great job and he started asking me about it. I was able to answer all of his questions and he thought me some more things. Then the surgery started and actually the patient was not fat, but she had a lot of extra skin due to her pregnancy so she wanted to remove it, she wanted breast implants and half lipectomy. The lipectomy involves removing excess skin and fatty tissue of the abdomen, and strengthen the abdominal wall. This is done through an incision above the pubis extending to the hips. Depending on the sagging skin and / or excess fat is the size of the incision but since the patient wasn’t fat it was only half lipectomy. It is amazing how they start cutting with the bistoury and they literally separate the skin from the sack that covers the muscle and then you can see when he measures how much skin he is taking and then he cuts all the skin around the belly button so that when he cuts the excess skin and stitches it with the bottom part he makes a whole were the belly button is supposed to go and he gets it out and stitch it. This surgery takes about 2 hours and a half because he has to be very careful. Then has to the breast implants, which I already talked about in my previous journals. As I said this internship was the best I learned many things and I am sad it ended but when I talked to the doctor and he told me that I was welcome whenever I wanted and at the time I wanted, he told me I could come during summer and everyone told me to come and visit. I am really going to miss seeing them everyday because they all are very nice people.
