Thursday, November 21, 2013

Of Orthopaedic Operations

I remember a friend of mine asking me the reason why I do not want to become a houseman, and whether I am really serious about not working after I graduate. I didnt reply his message anyway. Its not because I didnt know the answer to his questions, or I didnt wanna tell him - oh wait - I did NOT wanna tell him why! Hahahaha. There are certain stuff that you would want to keep to yourself. No offence ;)

There is only one person who knows about the real reasons. But he lives like thousand miles away from here, see if you can get the answers from him :P Ahh, the good old days. I miss that guy. Don't worry, he has a girlfriend already. And I should keep my distance, I know. But but - oh wait a second - we are nowhere close to each other! How far more do you want me to keep my distance?!

Great. I should write about educational things on here - not rambling on unimportant petty stuff like feelings and all! Haishhh. Now write something useful, will you?

I do like writing! You cannot tell me what to write or what not to write! I write when I am sad. I write when I am happy. I write when I am bored. This is MY post! I would want my children to read about my feelings 20 years from now. My thoughts. My life! If possible, I would want to record every single day of my life in here! With pictures! LOTS of pictures! And when I become a 50-year-old (cute) grandma, I wanna read back about what the 23-year-old-me had written about myself!

Yeah yeahh whatever you sayy.

Wait. Are you talking to yourself??! Seriously! People who dont know you will think that you are crazy! Jeez. Such a drama queen!

Okay okay. Back to reality. Hahaha.

Yesterday, we watched two operations!

First, an operation on simple bone cyst at proximal humerus. The operation was extended curettage and injection of calcium sulphate. I clerked that 15-year-old boy who had history of traumatic injury at his proximal humerus twice in a year.

The exposed bone

XRay after calcium sulphate (cement) insertion

Baking! :D

When you wanna make that cement, you have to mix the liquid and powder into the mixer. And mix them! You will get a paste that you can put into a syringe, then inject into the bone.

I assisted Mr.Goh during the operation. Not really assisting since they were two MOs at that time.
Mr.Goh asked me to present during the operation! Without referring to my book!
Luckily the patient's history was quite a simple one.

*Now I can show this picture to my children saying, 'See? Your Mom assisted the surgeon in operation theatre! Are you proud of me? Hahaha*

Second operation where Ikhwan and Afiq took turns assisting.
With Prof. Kamarul and Mr. Rafael.
DRUJ reconstruction and removal of plate.
They were doing both upper limbs simultaneously.

End of Wednesdayy!

This morning, me and Elle watched SIX operations! There were many cases for day care surgery. Elective and Trauma cases were at the OT at the same time, but since we wanted to fill in our logbook (tomorrow's the last day to submit the book), so we joined Day Care. Quick operations, hehehe.

Firstly, I went into Surgery OT room. Excision of brachial cyst on a 3-year-old kid. I saw Mr.Zamzuri in the Ortho OT doing Carpal tunnel release, but I was too scared to join in, in the middle of the operation. 

When Elle came, we then joined Mr.Chuah's OT. With Dr.Suhana and Dr.Suriana. We watched operations on trigger finger release, removal of K-wires and I&D, WD of middle finger. 

14-year-old twins!! So cute!! :D
Their heights are not the same. And their teeth too.

*I want twins!! Can I have twins??!*

They came in for removal of K-wire.
They both had flexed DIP at little finger.
One had it when he was 6 years old, while the other had it last year.
They didnt know the reason of the abnormalities. No history of trauma to the finger.

The XRay. See that K-wire?

We spent few minutes in Dr.Sazli's OT, while he was doing wound debridement of a lady with right foot abscess, under spinal anaesthesia.

We saw Mr.Shukrimi in the OT too. His operations took long time to finish since they were quite complex. We didnt go inside, but we did clerk one of his patient. The one with underlying neurofibromatosis, presented with pseudoarthrosis of right ankle. 

This is her XRay. Notice the fibula?
They applied '8-plate' there.
Dont ask me what that is, because I didnt see it!

Go ask Mr.Google ;)

Multiple cafe-au-lait spots

An obvious one at her back.

Her father and paternal grandmother have Neurofibromatosis too.
Even her two siblings have similar spots!

When we asked her parents about the disease, they are not well-educated about it.

Tomorrow's gonna be our last day in Orthopaedic posting, I am so gonna miss the OT!

The only posting that encourages students to assist during operation! Love that! :D

Who wants Watermelon Juice?
*those are blood btw*
Ewwww I know. I know. Hahaha

Before I end this post, here's what I found in Facebook:

Not good. Not good at all :(

Gotta write some summaries now. 

You have a good day!


ps. Praying for people in Philippines :( News here and here.

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