The road ahead
It took me the whole weekend to recover.
The week that just passed - its been awesome.
Besides Monday, when i basically spent the whole day reading harry potter, the other days were excitment filled.
I managed to scrub in Tues, Weds, Thurs, Fri.
Thats 4 outta 5 days.
On Tuesday i even got to go to dinner with my regs - and they were so nice - paid for my meal too!! feel a bit guilty for turning up - i was kinda expecting more pple but it turned out to be both my reg and another romanian reg from another team.
It was also tuesday that i got to see ischaemic gut in a laparotomy case. Now i'll remember the image and smell forever.
Wed was clinic day - maybe the regs were bullshitting, but he said he preferred to take me along than the house officers...anyways, i gave my team cake (me baked chocolate cake) that morning, and that afternoon we weren't supposed to have anything on - but instead my reg decided to help out with the long long acute list - in the end, i scrubbed in on a laparoscopic appendicectomy (with the more junior reg, who did the operation more slowly and so i can understand more) and i scrubbed into another laparotomy (which ended up as a appendicectomy cos no pathology was found) with 2 regs from different teams. Hm. So much for afternoon when nothing was scheduled.
Thurs my reg was oncall. So i stayed ard. In the morning I scrubbed in with the bosses in a Laparoscopic Sigmoid colectomy. Quite scary actually - this was both my consultants and me. But what actually happened was that there were some reps there and they just chatted- didn't really pay attention to me. All i did was little retracting here and there for like 3 hrs. Right after that I was told my h/o was looking for me to go to preadmit for her - but my reg warned me and told me to tell her i was needed in theatre (hehe, thanks!) - which was way more interesting than preadmit clinic. Anyways i ended up scrubbing for another 2 laparoscopic appendicectomy - both of which were normal. We also inserted this flatus tube into a bilaterally amputated man with sigmoid volvulus (coffeebean sign on the abdominal xray). It was...appetite suppressing to see the gas and diarrhoea gushing out after the sigmoidoscope was inserted... Anyways the whole day i got free food from my regs - so cool =P I dun even hav to ask anymore, ya know? The other reg was so nice that last week - when i was oncall with him and i left my wallet at home - he gave me $10 to go buy dinner for myself and TOLD ME TO KEEP THE CHANGE?! what the hell...i felt a bit bad!!! like - not just a voucher - but actual money. Feel like a scab. but thats just how nice they are!
Anyways - after the last lap appe, we had dinner till like 8 something, and went around the wards reviewing consults. After that we went back to ward 2, saw this patient who had a right hemicolectomy who was unwell. Reg decided to take her back to theatre and look in her tummy again - so that was organised, however theatre wasn't free and we waited till abount 11ish pm before we got into theatre. The time in btwn, my reg gave me all this talk and advice about how to plan out my career from now on, gave me teaching on fluids, questioned me on this and that (lots of which i couldn't answer).
The part i found the hardest to sit still was when he went on about how crap the current house officers are. One of the house officers was oncall with him over last weekend, and there was this patient who became unconscious for 10hrs. And she failed to inform him about it, even tho she talked about that patient regarding some other matter. Understandably, the reg was blamed for not picking it up, so he was pissed that the h/o didn't tell him! And also disgusted that the patient was unconscious and not even picked up.
However this was complicated by the fact that the patient was drowsy most of the time already anyways - and the h/o simply thought the patient was asleep, and thus didn't really check. And also she was really busy with all sorts of other work - and therefore missed out on those details.
What scares me is that...these are all mistakes that I can see myself making - due to the pressure of the moment - like not waking the patient up to check, not doing a thorough job...taking shortcuts. And pple notice these things, and it doesn't look good.
Like the other reg was telling this story of another house officer, who was called to see a patient without a pulse who is not breathing. That h/o's reaction was to start CPR on the patient, after checking in the notes that there is no instruction for not-in-resus. But the patient is obviously dead...
Listening to these stories - i can't laugh: since i mite do the same thing,
I can't agree - cos i'm prone to make mistakes later on and i dun want pple to laugh at me
i can't shake my head in disgusy - cos i can't promise that i won't make such mistakes.
Anyways, come friday, we did our ward round and my reg called me to go to theatre with him. I initially lost him and then found him again - phew - and i got to scrub in.
You know, its so cool knowing that i can scrub in on watever he's doing if i want to - sometimes i dun even have to ask, i just get told to scrub in, you know?
There is so much to learn. He was planning on making me the scrub nurse for a day so i can get to know the instruments.
I got to stitch a few times, and i swear i'm getting better =P (i still can't remember how to start/finish that stitch)
I got to handtie a few times too - i tied a drain, with lots of help of cus (again need practice)
But mostly i got to watch, hold the camera, push the skin together, retract.
I get to see how things are done - so i know how operations are done.
Once you understand, things become more interesting.
What surprised me was that my reg even said a good word to my consultant about me. Made me so happy that he did that. Just a simple sentence.
Hope i get a good reference....
Hope the next run...i won't let myself down.
The week that just passed - its been awesome.
Besides Monday, when i basically spent the whole day reading harry potter, the other days were excitment filled.
I managed to scrub in Tues, Weds, Thurs, Fri.
Thats 4 outta 5 days.
On Tuesday i even got to go to dinner with my regs - and they were so nice - paid for my meal too!! feel a bit guilty for turning up - i was kinda expecting more pple but it turned out to be both my reg and another romanian reg from another team.
It was also tuesday that i got to see ischaemic gut in a laparotomy case. Now i'll remember the image and smell forever.
Wed was clinic day - maybe the regs were bullshitting, but he said he preferred to take me along than the house officers...anyways, i gave my team cake (me baked chocolate cake) that morning, and that afternoon we weren't supposed to have anything on - but instead my reg decided to help out with the long long acute list - in the end, i scrubbed in on a laparoscopic appendicectomy (with the more junior reg, who did the operation more slowly and so i can understand more) and i scrubbed into another laparotomy (which ended up as a appendicectomy cos no pathology was found) with 2 regs from different teams. Hm. So much for afternoon when nothing was scheduled.
Thurs my reg was oncall. So i stayed ard. In the morning I scrubbed in with the bosses in a Laparoscopic Sigmoid colectomy. Quite scary actually - this was both my consultants and me. But what actually happened was that there were some reps there and they just chatted- didn't really pay attention to me. All i did was little retracting here and there for like 3 hrs. Right after that I was told my h/o was looking for me to go to preadmit for her - but my reg warned me and told me to tell her i was needed in theatre (hehe, thanks!) - which was way more interesting than preadmit clinic. Anyways i ended up scrubbing for another 2 laparoscopic appendicectomy - both of which were normal. We also inserted this flatus tube into a bilaterally amputated man with sigmoid volvulus (coffeebean sign on the abdominal xray). It was...appetite suppressing to see the gas and diarrhoea gushing out after the sigmoidoscope was inserted... Anyways the whole day i got free food from my regs - so cool =P I dun even hav to ask anymore, ya know? The other reg was so nice that last week - when i was oncall with him and i left my wallet at home - he gave me $10 to go buy dinner for myself and TOLD ME TO KEEP THE CHANGE?! what the hell...i felt a bit bad!!! like - not just a voucher - but actual money. Feel like a scab. but thats just how nice they are!
Anyways - after the last lap appe, we had dinner till like 8 something, and went around the wards reviewing consults. After that we went back to ward 2, saw this patient who had a right hemicolectomy who was unwell. Reg decided to take her back to theatre and look in her tummy again - so that was organised, however theatre wasn't free and we waited till abount 11ish pm before we got into theatre. The time in btwn, my reg gave me all this talk and advice about how to plan out my career from now on, gave me teaching on fluids, questioned me on this and that (lots of which i couldn't answer).
The part i found the hardest to sit still was when he went on about how crap the current house officers are. One of the house officers was oncall with him over last weekend, and there was this patient who became unconscious for 10hrs. And she failed to inform him about it, even tho she talked about that patient regarding some other matter. Understandably, the reg was blamed for not picking it up, so he was pissed that the h/o didn't tell him! And also disgusted that the patient was unconscious and not even picked up.
However this was complicated by the fact that the patient was drowsy most of the time already anyways - and the h/o simply thought the patient was asleep, and thus didn't really check. And also she was really busy with all sorts of other work - and therefore missed out on those details.
What scares me is that...these are all mistakes that I can see myself making - due to the pressure of the moment - like not waking the patient up to check, not doing a thorough job...taking shortcuts. And pple notice these things, and it doesn't look good.
Like the other reg was telling this story of another house officer, who was called to see a patient without a pulse who is not breathing. That h/o's reaction was to start CPR on the patient, after checking in the notes that there is no instruction for not-in-resus. But the patient is obviously dead...
Listening to these stories - i can't laugh: since i mite do the same thing,
I can't agree - cos i'm prone to make mistakes later on and i dun want pple to laugh at me
i can't shake my head in disgusy - cos i can't promise that i won't make such mistakes.
Anyways, come friday, we did our ward round and my reg called me to go to theatre with him. I initially lost him and then found him again - phew - and i got to scrub in.
You know, its so cool knowing that i can scrub in on watever he's doing if i want to - sometimes i dun even have to ask, i just get told to scrub in, you know?
There is so much to learn. He was planning on making me the scrub nurse for a day so i can get to know the instruments.
I got to stitch a few times, and i swear i'm getting better =P (i still can't remember how to start/finish that stitch)
I got to handtie a few times too - i tied a drain, with lots of help of cus (again need practice)
But mostly i got to watch, hold the camera, push the skin together, retract.
I get to see how things are done - so i know how operations are done.
Once you understand, things become more interesting.
What surprised me was that my reg even said a good word to my consultant about me. Made me so happy that he did that. Just a simple sentence.
Hope i get a good reference....
Hope the next run...i won't let myself down.
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