How, How?

Friday, January 26, 2007

3 weeks

3 weeks of surgery in endocrine surgery and i really love the team!
Patient load is not that heavy, changes are not that many and most of the time i could follow the team to OTs/clinics
Best of all everyone in the team is nice from consultant to fellows to regs and MO

OTs are usually full of thyroid cases, if you wonder why they are so elusive from you in med school, it's because they do same day admissions.. come in straight to OT then back to ward... without the thyroid, so how to catch?
Still having difficulty stitching well and efficiently, still struggling with hand tie and also where to retract for my main surgeon's optimal vision.. Lots more to learn.

Clinics are fun cos the whole team is packed in 2 clinic rooms.. We look more like police officers interrogating suspects.. 3 persons at one end of the table and the patient on the other.. But it get things done much faster.. Everyone learns at the same time too..

Enjoying what is left of the endocrine team... Not really looking forward to next month though.

Some bizarre happenings:
1) Patient has impacted stools: solution? Manual evacuation in OT under GA!!! Post operatively put on PCA!!!
2) New private patient during night call: Reg calls for 1XMO, 2XHOs and 1Xreg (he himself) to gather to clerk patient.. In the end? Reg asks questions, 1XHO scribes, the other 2 persons wonder what they are there for..

Sunday, January 07, 2007

New Life, more life

End of medicine, on to surgery..
Been waiting for the past 4 months for this day to come..
Though i wasn't let off call on the last day of medicine and patients chose to 'dong' their illness until the end of the long holidays before coming in.. MO was complaining that she had the most number of admissions in her medicine career..

started off in the endocrine team in GS.. met my MO in the day surg OT and immediately assisted in a lipoma excision.. he told me not to worry about the patients in the ward because we don't have many..

finshed day OT and we went to review our patients. (2 of them!! i almost dun need to add an 's' behind patient!!)

anyway.. life might not be so good after this week.. more operations and patients coming next week, after the long holiday season.. hope my engine not rusty by then..
more awake in surgery than in medicine though i need to climb out of bed half an hour earlier each day.. hope this awake symptom stays long.