Posting Surgery

As what I've told u,I'm currently in surgical posting.Loads and loads of new topics to be read!Arghh...

I'm currently under Colorectal team.Here in PPUKM,we have only 2 wards for surgery,1 for female and another for male.And all of the surgeons are divided under teams i.e colorectal,hepatobilary,vascular,endocrine and breast and minimally invasive surgery(MIS).

Cases covered under colorectal team include colorectal cancer (of course),inflammatory bowel disease,intestinal obstruction,hemorrhoids,anal cases e.g. fistula-in-ano or anal warts and many more.As the name suggests,we cover all cases related to the bowels,small and large bowels.

So far,I'm in the second week of the posting.I'm so glad to be in the team,really.The surgeons here are too nice to the students,especially the final years.I guess they are treating us like their junior colleagues.

Last week,in the first week,our schedule was filled with a lot of seminars and workshop,phewww..It was so tiring,you know how seminars are handled,do you? All we do was listening to lectures aka seminars which were mostly presented by us.

So,here we are in the 2nd week.On the first day,Monday,we had scope for our team.So we observed colonoscopy and also oesophagogastoduodenoscopy (OGDS).Actually,during our 3rd year,we were also exposed to this scope thingy.The new specialists were so eager to teach us.Luckily,one of them was our super senior,MD UKM :P

And on Tuesday,we had clinic.As what the senior consultant of our team told us,the final year students are required to see follow-up cases and leave the new cases for 3rd year students to clerk.We joined Mr.L in his clinic and were able to get teachings while running the clinic with him.We were given the opportunity to see patients and talked to them just like other doctors did.In the clinic,some of us did the per rectal examination.But my turn did not come.Never mind,maybe next time I can do it again.During my 3rd year,I had only few chances to do that.Thanks Mr.L :)

Then we proceeded with on-call.There were 2 cases coming in that night and one of them was a case of acute appendicitis.So we went in for OT and stayed there till midnight.It was so tiring,we stood there for more than an hour because the appendix was deep seated and located at the pelvic.And I scrubbed in and assisted only during first few minutes of the operation.Then,hands off dah because one registrar came afterwards to assist.

And on Wednesday,we were off ! So off we go for solat sunat hari raya to Alam Damai,Cheras.I'll tell u the story later,in another post.

And on Thursday,we had OT.There were 2 cases for OT yesterday.The first case was enterocutaneous fistula,patient undergone small bowel resection.And the 2nd case was rectal cancer.And the surgeons performed ultra-low anterior resection of the rectum with permanent colostomy.I got more telangiectasia just by prolonged standing during ward rounds and operation hours.The 2nd operation lasted at 8 p.m. and it actually started at 1.50 p.m.Pheww..luckily we went back at 5 p.m.

And today,we had OT too but we also had teaching with Mr.L.So after the teaching session,we went to see the operation.The patient who was tested positive for retroviral disease,had multiple recurrent anal warts due to his homosexual activity.Huhu...

Then,we went in to see the operation.Mr.Z was kind enough to switch on the camera-cum-TV for us to watch from outside.Because the approach was through the anus,it was a little bit difficult for us to see how the operation done.And he showed us the anoscope and anal dilator,in case it comes out in our professional exam later.

All in all,I just want to say,I really love being in colorectal team.I got many chance to get closer to the patient.

p/s : I encountered 2 homosexual patients within 1 week,presented with anal warts and anal fissure.What's happening to the world? Aigoooo...

p/p/s : We are asked to present the updates for our patients everyday,so my time in the hospital is longer than in my own room.Every night,I have to go to the ward to update their progression.Penat owh..