Multitasking....

I practically spent my whole call in the OT yesterday....i only came out of it about 4am this morning.... we had 3 appendicectomies, a wound exploration and T & S, a laparotomy with bowel resection and primary anastomosis and a diagnostic laparoscopy and proceed...i was also assisting the urology surgeon in another surgery...

And there were quite a few admissions...one of which my 2nd MO had to settle and send to ICU... coz the patient had a perforated gastric ulcer and she was in sepsis...so anyway, my HO and i did the last 2 appendicectomies from 1230am till about 4am....yea i know...damn slow...coz i haven't been doing many appendicectomies...coz i have to let the hoardes of HOs do appendicectomies...as it is i'm not even proficient in my own appendicectomy, i still have to 'supervise' the HOs...it's like the blind leading the blind...

One of the appendicectomy patient had pus in her pelvis...most probably PID...so had to washout...so took some time...then the last appendicectomy, the GA MO on call already went to sleep...so the GA MA asked me to help him induce the patient...and so i did...i let the HO intubate but he kept intubating the oesophagus until the patient's saturation dropped to about 56%...so i had to take over and bagged him till the saturation picked up...it wasn't a difficult intubation...i guess i haven't lost my GA touch :P....the nurses said it's like private style...induce by yourself, operate by yourself...and earn all the money for yourself...hahahaha....

I let the HO openf the patient...took us some time to find the appendix but i managed to...then i let the HO clamp and cut the appendix...unfortunately, he almost torn off the base coz it was friable...so i had to try to bury the stump coz i was afraid it would leak... but i hadn't buried a stump before...took me 2 tries before i succeeded...phew!! hopefully it won't leak lah...

This morning i still had to settle the OT list for Monday...everything just doesn't seem to be going right...i just don't understand why when i'm doing the OT list then things doesn't go according to plan...if cases get cancelled tomorrow, i'm gonna look damn bad in front of the bosses...it'll look like i can't seem to do anything right...urgh!!! then i had to tell the lady whom we cancelled to go home coz we didn't have time for her case to be slot in for tomorrow...good thing she didn't scold me this time...coz i was tired enough not to care about other people's feeling and would have shouted back at her if she scolded me again...

Sigh...i didn't join surgery to do these things...but apparently it's part of the job criteria...tomorrow's gonna be another long day...