Mundkrebs, Plattenepithelkarzinom, Neck Dissection in Bildern

Vor ungefähr einem Jahr habe ich einen Artikel mit Videos über die Tracheotomie hier veröffentlicht, welchen ich im Zuge meiner Vorbereitungen auf die praktische Prüfung geschrieben hatte. Die Idee dahinter war, dass wen man bzw. ich eine bildliche Darstellung der diversen Krankheitsbilder und medizinischen Eingriffe habe, das Verständnis darüber und der professionelle Umgang damit deutlich verstärkt wird.

Obwohl ich mein Examen auf einer HNO-Station gemacht habe, dort Patienten mit diversen Karzinomen betreut habe, so war ich doch nie bei einem der Eingriffe wie z.B. der Neck Dissection im OP dabei.

Vor einiger Zeit habe ich das Blog und den flickr-Account von Eric Warman gefunden, in dem er seinen Weg von der Diagnose des Mundkrebses über die Voruntersuchungen bis zur OP und den Tagen danach dokumentiert hat.

Bei den Bildern sind auch Bilder der eigentlichen OP dabei und gerade während der Neck Dissection sind die nicht ganz ohne.

Eric warnt auch vor:

This next part is going to be showing the actual surgery as taken by some of the Dr’s during the procedure.  These are pretty graphic images so all I can say is view at your own risk.   For me I have to discuss and show the truth of the matters as they have happened to me.

On Dec 17th at roughly 5:30 a.m. I entered the hospital with my own home grown jaw for the last time.  I had good spirits going in and was ready to get the show on the road.

Interessant finde ich insgesamt seine Beschreibungen, da sie für mich als Pflegenden auch mal die andere Seite beleuchten und darstellen:

Seine Erfahrung mit den dem transurethralen Blasenkatheters:

Having this removed was odd enough but rather quick. Having to have this put back in because I had a liter of pee and couldn’t go, that sucked ass. The way to describe the insertion of this goes something like this. Imagine driving your car down a curvy road, where on each turn you bang into a tree. Wait maybe that isn’t a good description but I’m not editing it now it’s out there to live in the wild. With each turn of that male area did not feel good, much less at the end when it entered the bladder. Of course after the reactivation of that mechanism I felt allot better, only to have that short lived by it being removed again. Again the nurse just did this like no big deal la la la la dee la dee la dee laaaaa. I don’t get it but very grateful for them being the way they were during this.

Oder die eigene Vorstellung vom Tracheostoma und der Trachealkanüle:

Dr Cannon removed the trach from my neck one day creating allot of anxiety for me. I for some reason pictured a perfect hole in my neck not the horizontal slit that was actually there. So not only the removing of the stitches bothered me but the idea of a wide open perfect circle of a hole in my neck open to the whole outside world. When Dr.Cannon removed this I saw the bloody bits on the underside intensifying my already ” holy hell hurry this up and stop poking at me” mind frame. I could speak with it in after a few days but it was hard to do so. When it was removed my neck was covered with gauss and tape. At the time it unnerved me thinking again of this perfect hole in my neck only covered by some cloth and tape. When I wanted to talk after it’s removal I had to apply pressure to this wound so that the air could effectively activate my voice box for speaking. I never looked at it during my hospital stay there was just something about that I didn’t want to see. Again my imagination getting the better of me on that one.

Link zum Blog: http://hapshaw.com/thelife/?cat=13&paged=5

• Part One – FINDING OUT
• Part Two – THE SURGERY
• Part Three – ICU AND RECOVERY

Link zum flickr-Account