Day 1 in la emergencia

Ok this has been quite an interesting day. I was supposed to spend part of the day in surgery, but I never ran into a surgeon (nothing is too pre-planned here), so I just spent the day in the emergency room. By 10 am I had seen an arma blanca wound to the buttocks (side note: it was not explained to me what an arma blanca is. It was just stated to me as the mechanism of injury, as if I was supposed to know what it was. I was foiled in googling it because it´s also the name of a Spanish rap group. I finally had to inquire around the house, and it turns out it´s a long piercing knife-like thing. I guess everyone in the ER knows what this is, and people come in with these wounds all the time, like everyone in the UMass ED knows what a switchblade is.), a cockroach-from-the-ear extraction, and two amputated fingers (on the same person). And I seriously got to put my rusty suturing skills to good use today. And every time I sutured I was surrounded by 3-8 students, who I gather were the Guatemalan equivalent of pre-med (they said they were in high school but were wearing matching uniforms...they were probably 17 years old). At one point the (only) doctor said, "I´m going to a meeting. You can finish suturing this cut then sew up that head wound over there?", and before I could process the fact that she had just annouced she was leaving, I was on my own. (HELLO?!? Imagine leaving a fourth-year in charge of the UMass ED. Disaster couldn´t be far behind.) At the time I felt ok, I could definitely suture these people up in a vaguely competent fashion. But of course in short order there were trauma victims coming in, and paramedics (we´ll call them that...I mean the people that bring patients in on stretchers) were telling me about car and motorcycle accidents, and nurses were coming up to me saying, "Doctora, (something in Spanish I barely understood and even if I understood the question I didn´t know the answer)." One of the nurses located the doctor´s stamp, which she had left behind (with her name; it´s what you need to write orders), so I could write xray orders (hey, it takes hardly any Spanish to elicit C-spine tenderness). And of course, everywhere I went there was a gaggle of white-uniformed students following me, who may or may not have been under the impression that I had any idea what was going on. FUN TIMES. Everyone lived though, and everyone eventually stopped bleeding. (i.e. no harm came to anyone, in case there´s some liability lawyer or med school administrator that´s eventually going to read this.) More later. I took some pretty (I hope, I haven´t seen them yet) pictures yesterday that I want to upload. Besos a todos. :)