my right index finger got some action yesterday. action in the form of DREs!
:D
afterwards our preceptor offered us drinks and sandwiches. we graciously declined.
saw some laparoscopic gastric banding today.
i was very impressed with the surgeon's laparoscopic suturing skills. your brain has to convert the 2D image that's being shown on the TV and work in a 3D plane. easier said than done.
i think that's more impressive than the suturing involved in a nerve graft or a carotid endarterectomy.
quick rant.
the melbourne cup was on tuesday.
i don't quite understand what the big deal is. it's JUST a horse race.
furthermore, at the beginning of the race, as part of the festivities, they introduce all the jockeys. picture something like the introduction of players before a baseball all-star game. all the players standing in a straight line. stepping forward to tip their hats or wave to the crowd as their name is called. but remember, these are the JOCKEYS. i'm not here to argue whether jockeys are true athletes or not. it's whether they deserve that kind of recognition. to me, that's like steve williams getting this warm introduction just before tiger is about to hit off the first tee. what a joke.
Thursday, November 5, 2009
Tuesday, October 27, 2009
what a joke.
oh boy.
"for the first time since game 1 of the season, the maple leafs own the lead..."
"it's the first win since april 11th... 109 days ago"
EDIT: my brother just told me this one - "what's the difference between the leafs and a square? a square has four points."
"for the first time since game 1 of the season, the maple leafs own the lead..."
"it's the first win since april 11th... 109 days ago"
EDIT: my brother just told me this one - "what's the difference between the leafs and a square? a square has four points."
pathologists are special.
today was my first day with the urology team.
ward rounds started at 7am.
and then there was a histopathology meeting at 7:30. needless to say, it was not the most interesting part of my day.
BUT... the pathologist was quite interesting. and not necessarily in a good way.
inbetween each patient/case presentation, she would include a picture of these 'lolcatz'. i personally don't like 'lolcatz' and think they're pretty stupid.
as a matter of fact, i would go so far as to say that people who like these 'lolcatz' pictures are... special. socially special.
ward rounds started at 7am.
and then there was a histopathology meeting at 7:30. needless to say, it was not the most interesting part of my day.
BUT... the pathologist was quite interesting. and not necessarily in a good way.
inbetween each patient/case presentation, she would include a picture of these 'lolcatz'. i personally don't like 'lolcatz' and think they're pretty stupid.
as a matter of fact, i would go so far as to say that people who like these 'lolcatz' pictures are... special. socially special.
Monday, October 26, 2009
a REAL blue man.
met a man during my 'burns' rotation that likes to drink colloidal silver.
the deposition of silver within the skin and eventual reaction with sunlight leads to a blue discoloration of the skin. this condition is called argyria.
how interesting...
the deposition of silver within the skin and eventual reaction with sunlight leads to a blue discoloration of the skin. this condition is called argyria.
how interesting...
Saturday, October 17, 2009
2 weeks in ortho.
sorry for the lack of posts.
surgery rotation thus far has been pretty intense. 7:30am ortho meetings, lightning ward rounds, 4+ hour operations and clinic duty to fill in all the gaps.
i can't say that my 2 weeks with the orthopedics unit has brought me any closer to wanting to become a surgeon. it's been fun, but not tantalizing.
ward rounds in internal med took ages to get through. you'd stand at the foot of the bed, look at the patient, look at their chart, exam the patient, evaluate their meds, look up their bloods & other investigations, TALK to the patient...
but in ortho, it's pretty much: "are you alive?" and if the answer is yes, that's it. next patient!
the coolest operation i got to scrub up for was a nerve graft.
a 30-something year old male had been in a motorbike accident (MBA) and injured while riding in a sidecar.
he was a professional side-car racer. never knew such a thing existed? neither did i.
his primary injury was to his left shoulder and arm. turns out he had a complete plexus avulsion. that's where the nerve roots pull straight out of the spinal cord. he had virtually no control, no power and no sensation down the whole of his left arm. so in an effort to salvage some function of his left arm/shoulder, they took a nerve graft from a distal section of the arm, identified the phrenic nerve (which normally controls your breathing), and attached the graft to connect the phrenic nerve with the injured musculocutaneous nerve.
it was pretty awesome. the sutures they were using for this graft were incredible. they were practically invisible to the naked eye.
i thought something like this would normally be the domain of say neurosurgeons but i was quite impressed that orthopods were able to do something so delicate and fine. :p
after 2 weeks in ortho, i sort of don't want to get back on a motorcycle anymore.
it seems like every other patient is a post-MBA. it just seems like such a dumb thing to do...
the rest of my surg rotation looks like this.
1 week in burns.
1 week in urology.
2 weeks in vascular.
2 weeks in heptaobiliary.
6 more weeks!!!
surgery rotation thus far has been pretty intense. 7:30am ortho meetings, lightning ward rounds, 4+ hour operations and clinic duty to fill in all the gaps.
i can't say that my 2 weeks with the orthopedics unit has brought me any closer to wanting to become a surgeon. it's been fun, but not tantalizing.
ward rounds in internal med took ages to get through. you'd stand at the foot of the bed, look at the patient, look at their chart, exam the patient, evaluate their meds, look up their bloods & other investigations, TALK to the patient...
but in ortho, it's pretty much: "are you alive?" and if the answer is yes, that's it. next patient!
the coolest operation i got to scrub up for was a nerve graft.
a 30-something year old male had been in a motorbike accident (MBA) and injured while riding in a sidecar.
he was a professional side-car racer. never knew such a thing existed? neither did i.
his primary injury was to his left shoulder and arm. turns out he had a complete plexus avulsion. that's where the nerve roots pull straight out of the spinal cord. he had virtually no control, no power and no sensation down the whole of his left arm. so in an effort to salvage some function of his left arm/shoulder, they took a nerve graft from a distal section of the arm, identified the phrenic nerve (which normally controls your breathing), and attached the graft to connect the phrenic nerve with the injured musculocutaneous nerve.
it was pretty awesome. the sutures they were using for this graft were incredible. they were practically invisible to the naked eye.
i thought something like this would normally be the domain of say neurosurgeons but i was quite impressed that orthopods were able to do something so delicate and fine. :p
after 2 weeks in ortho, i sort of don't want to get back on a motorcycle anymore.
it seems like every other patient is a post-MBA. it just seems like such a dumb thing to do...
the rest of my surg rotation looks like this.
1 week in burns.
1 week in urology.
2 weeks in vascular.
2 weeks in heptaobiliary.
6 more weeks!!!
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