Sunday, 4 March 2007

Busy Week!

It has been an absolutely busy crazy week!!
that was also because I have started my attachment at GHKL.
On Monday, I went to GH really early. so unit PASCA wasn't open yet. so I was sitting around with nothing to do. listening to my ipod and flipping through oxford handbook.
then I met with some of the semester 3 who had just finished their exams and were doing their electives there, so I followed them to unit PASCA, and then Puan Sherly who is working there told me I needed to write a letter to do my attachment!! I was thinking OH NOOO!! as I don't have any letter, and it would further delay my time of attachment, since I already have to leave like 22nd of march, and coming today was a waste of time! also I thought that I did not need to write a letter since KB told me that I only need a letter from IMU to say that I'm an IMU student. and Puan Sherly, asked me when I would like to start my elective, so I had to write down starting on Wednesday, and she said that she would give me a call. Anyway not to fret, hahaha lady luck is always smiling down on me :)
I met up with the rest of the ppl in semester 3 also doing their electives there, and then I asked them if I could tag along, so selambar tag along with them, this was also due to the fact that one of their group members had gone on to join another hospital . and Puan Sherly could not recognize me, so I just submitted in my application for the name tag along with the rest.
so we then went down to surgical outpatient and waited. After some time, Mr Rahman came along, and briefed us about the surgical department. I told him that both me and KW haven't had a formal letter yet to say that we are attached to the surgical department. then Mr Rahman was like it's alright, you can tag along with the rest of them. haha such a nice surgeon rite?? :)
Anyway we were split into 2 groups which is ward 12 and ward 13, and the next week we had to switch between the wards. so we hung around ward 12 and interviewed the patients. There's this poor lady there with thoracic aortic anuerysm scheduled for a surgery, but then her stent has not arrived yet therefore she can't do her surgery so she was damn pissed off, coz she thinks her life is in danger. In the afternoon, her family came, and the guard downstairs did not allow her child who was 10 to come up to the ward. I dunno why they have this stupid ruling whereby kids are not allowed up in the afternoon visiting hours, they're only allowed up after 4.30pm. so I was thinking poor kid! all alone downstairs. and poor lady, she thinks she might not survive the surgery, so she wants to see the kid for the perhaps last time. therefore me being all mischievious and full of bright ideas, decided to smuggle the kid up. ahhaha of course we asked the doctor for permission first if we could bring the kid up for a short while. the doctor was like okay, but the doctor was just afraid that the kid might contract diseases. so me and E went downstairs, and we were looking high and low for the kid, and E was so unsure, she was like maybe we should brought the dad down to identify etc etc. because the only identification we had was that the kid was wearing a blue shirt, and he was kinda big size. haha suddenly E spotted the kid! and we brought him together with us and asked the guard whether we could bring the kid up, and we told the guard that his mum was going to have surgery tomorrow, and we said the doctor says it's okay if he goes up. but the guard was very ADAMANT, and she kept saying NO, it's against the rules yadda yadda yadda....
so I told E, I know another way! so I brought them using another road up. and E was like soo freaked out, and she kept thinking that we would get caught or whatever. haih some ppl are soo paranoid I swear! and she kept saying if she gets caught, her elective will have a bad remark or whatever. so dramatic. We did brought the kid up safetly in the end. and the mum was soooo HAPPY!! and she kept thanking us. and she even wanted to give us ang pow. so PAI SEH okay! I told them that none of them should take ang pow from her. oh yeah she and her husband are only rubber tappers.
oh yeah, we also follow ward rounds every morning which starts at 8am. something all the big shot surgeons come, sometimes only 1-2 surgeons are around.
wow this is getting to be a freaking long post! and that's only day 1!!!
okay will post up about the rest of the days soon!!
doing my attachment at GH is really interesting!
anyway my highlight of the day on Monday, was being able to scrub into surgery for AV fistulae!
haha I saw this patient, I knew she was going into for an AV fistule operation, so KW said quickly follow her in so we can see the surgery, so we waited there, and we asked the nurse whether we could see the operation or not, then the nurse said she had to ask the head nurse, and she helped asked for us, and they gave us the green light, and told us to change into scrubs. ahah so we quickly went in to change, and then we went and look for the patient. and the patient was in the waiting room before surgery, she was kinda freaked out, so we had a nice chat with her, and she said that she felt more brave to go into surgery, and I kept reassuring her that it was only a small procedure, haha and when the surgeon came into the waiting room, the patient told him that our presence there gave her strength to go for surgery!
hehhe so bangga!
anyway the surgeon Mr Lee, is very very nice!!! He pointed out all the arteries and veins for me, haha my own fault coz I was standing so close, I could see everything very clearly. I know I'm not supposed to stand so close, but if you don't stand so close you can't see nuts. haha seriously arteries and veins and nerves all looking very different compared to netters, it's kinda difficult to tell them apart, and I asked Mr Lee, how to tell them apart, and he told me. haha so nice rite, layan me during operation. aiyoh!
and he like explain everything! and explained to me how to suture the would. and he was like explaining to the other doctor how to anastomose the artery and the vein together. Wow he's really good at suturing since the artery and vein is so tiny!
oh yeah surgery is really not very simple!
it was difficult looking for the artery and vein in the first place, and after that need to determine the size of the vein, if the vein is too small, there is no point in performing surgery.
also we stood there for more than 2 hours, which was the duration of the surgery. surgery is really need a lot of patience and for one to be really meticulous. It is definitely not that grey's anatomy makes it out to be.
end of story, at the end of the day I was exhausted!

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