FemPop
In my 2nd week of surgical posting now :) my 3 main consultants are basically lower GI surgeons. So it's mainly lots and lots of back passages. Interesting? Tried very hard to keep straight face when i see them examining. Especially stuffs like soiled back passage and when the registrar tries to stick the rigid sigmoidoscope up the patient's bottom end while the patient whinges in silence or not so silent. I'll probably get used to it by end of 4th week.
Most of the patients in clinics are follow up cases. Or cases that needs urgent attention via the 2weekrule. I've seen 2 incisional hernia cases today. huge ones. And as i listen to the reg's explanation I kinda get the hang of the management plans. It's interesting :) Ok, well... in a way it is. hehe of course alot of times i tend to tune off a little, and then the patient will mumble something to me and i just smile back cos ops, i didn't know what they were chatting about there. my stomach loves to grumble. i was eyeing Mr. Bev's cookies whole morning >.<
Still, i got to say these clinics are somewhat more interesting than that I attended back in medicine block. Not that i find back passages interesting. 5 out of 6 patients come in with an IBD follow up. Alot of coeliac too, and some IBS. BUT, the wards were certainly more interesting. I see alot of alcoholic liver diseases. A few oesophageal Ca and colorectal ca.. who came in for other complications.
Oh well, it's just the beginning of my surgical block:) Should be getting more interesting now I get to go to theatres. Ah, and this is where FemPop comes in! Yeah so last thursday afternoon we were supposed to follow one of my consultants in OT. So we happily got changed into our scrubs and went into the designated theatre. Turned out the surgeon wasnt there that day and it was a vascular surgery but the guy said sure we could have a look if we'd like to. So we stood in for 3 hours watching a FemPop (femoral-popliteal artery bypass surgery) done, using the long saphenous vein as a graft... It's amazing to watch that initally pale leg turning a healthy pink and to see the graft "dancing" by the end of it. And i forgot to mention, the gentleman who was lying on the table was 93 years old. i'm utterly impressed :)