My current patient had a tree fall on him and had a fracture of one of his thoracic vertebrae (think upper back, just below the neck). The problem is fixing it is that the doctors have to do a frontal and rear approach to fuse this thing. How do you get to the front of the spine when its that high up???? Why do a thorocotomy of course!
This poor guy had a (controlled) thorocotomy and then a spinal fusion. OUCH! After the blood reaccumulated he had to go back to surgery to have a VATS procedure. He is completely awake while intubated, has to lay flat the whole time and is scared shitless.
8 more shifts..... I REALLY don't wanna go to work!