Wednesday, February 10, 2010

A call of wrong diagnoses...

So i was on call again yesterday...yea, my housemen kept commenting that i'm on call too often...so do the OT staffs...and i couldn't agree more...but that was only my 4th consecutive EODs...i still have another call tomorrow before i can go home and enjoy my Chinese New Year hols...

Anyway, there weren't too many cases yesterday...in fact, there were only 2 surgery cases...one was supposedly an acute appendicitis....the girl had quite a thick abdominal wall...and i had quite a hard time just trying to get to her peritoneum....and when i finally did, i had problem locating the appendix... so i had to SOS Chan for help...finally we found the tiny little appendix drowned in the sea of peritoneal fat...and...it was white!!! dang!!! quite embarrassing...couldn't even find a white appendix...bah!!!

Then at night, there was another supposedly perforated appendix....i opened up at 11pm...the guy was thin so i reached the peritoneum easily...but somehow i couldn't seem to breach the peritoneum...or so i thought...so Chan ended up coming in...he also had problem so we converted to a midline incision...and we realized why we couldn't seem to breach the peritoneum...we had actually breached the peritoneum...but the whole abdomen was covered with dense adhesion...why? that was beyond us...but it was definitely not the appendix's fault...and we had a hard time doing adhesiolysis...we finally finished about 230am...

We ta pau-ed another appendix...coz we weren't gonna risk another wrong diagnosis...2 for the day was more than enough....and all the while i thought my appendicectomy skill was getting from bad to worse...first cannot find a white appendix...then cannot even breach the peritoneum...i was telling my houseman i felt so discouraged...:(...but i guess we learn new things everyday huh? Lord, just help me to survive my next call tomorrow...and i'll be coming back home...to KL that is...

No comments:

Post a Comment