Yesterday was my 2nd surgery call...Chan and i were in OT from about 10am till 4pm....we were doing a left AKA...then we were operating on this Kudat patient referred by Elaine...this particular case has caused an uproar among the department and our circle of friends in Sabah...quite a soap, if you ask me, hehe...and then there was another lady who had appendicular mass...we ended doing a limited right hemicolectomy for her coz the caecum was all stuck to the mass/abscess...we only went for lunch after that...and i skipped dinner the night before coz of late lunch...hmm, if i keep this one meal a day habit, i might just be able to maintain my weight and not put on weight despite what my bosses 'prophesy' about people who join the surgical department...they say everyone who joins the department will put on weight...i'm adamant to prove them wrong...hehe...
Anyway, after night round with boss, OT called another appendix patient....so i went in with the OT call HO...i managed to find the appendix after some struggle...but when i was ligating the appendix, part of the appendix kind of torn off...i got worried so i called Chan to come in to see if it was ok.... after putting another transfixed suture, he said it should be ok...so i closed up...phew!!! so that was my 1st 'solo' appendicectomy...no babysitting...hehe...but i guess it was only becoz the appendix wasn't adherent to the surrounding structures so i could find it without too much difficulty...if it was stuck, i'd be stuck too...oh well, we learn new things everyday....
After that, i went back to ward to see a new admission...then i thought i'd call it a night and went to sleep...that was about 12am...an hour later, Yap called and informed that there was a polytrauma with intra abdominal injury coming from Queen...need to go straight to OT...urgh!!! by the time the patient reached OT, it was about 245am...don't ask me why it takes so long to send a patient who needs urgent operation to OT...too much logistics and resource limitations....
So we opened up the patient and blood was pouring out from his abdomen....boss and Chan were so fast in identifying the source of bleed...the liver was macerated at segment 7 and 8...estimated blood loss was about 4 litres...since it was the liver, we could only packed it...after checking all the other organs to make sure they were not bleeding, we closed the abdomen...everything was over in 45 mins...and i felt quite redundant since i hardly did anything though i was scrubbed in...so that was my 1st trauma case...
Then i went back to sleep after seeing another new admission...by the time i got up to do my morning round, boss already started round...ish...paiseh only...finally finished seeing my unit's patients...then came home and crashed...thank God it's Sunday today...if not, it would mean i'd still have to continue working...hehe...so there you have it..all in a day's work for a surgical MO...
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