Enjoyed the last two weeks rotating in Orthopedics.
Learned a lot, mostly about assessing fractures. And how to properly evaluate suspected fractures (mobilizing is a NO-NO!). Got dirty with the cement and helped out in the actual casting of patients. And practiced sleeping in bouts only to be awakened by tasks to do (then back to sleep afterwards.)
Went on two ER duties. Saw a variety of cases - on adults, mostly fractures secondary to vehicular accidents, on children, mostly fractures secondary to play. Saw a handful of spine patients too, a compression fracture secondary to fall and a vertebral subluxation secondary to a tumor. Most of the time ER duty was benign with spurts of action once we get a consult / referral (or when the beast of a guy this resident was goes on rounds and asks a lot of questions). And I love our spot at the ER - it’s in the air-conditioned corner unlike the rest of it and we share it with ORL, Ophtha and Dentistry, so I got to witness some interesting cases from their services as well.
Went on ward duty with my fun, perky interns. (Actually, their block of interns was smart, helpful, and as loud and happy as we were, so for that we’re thankful!), and was able to do my share of procedures. Here’s to gaining more confidence with my blood extractions and IV line / Foley catheter insertions.
Scrubbed in on a hand surgery (ray amputation of the index finger). Quick OR, but learned a lot about hand anatomy and function, thanks to the surgeon quizzing me.
Daily SGDs with fair, wizened consultants. Free lunch (buffet!) every Mondays and Fridays when we attend the pre-op/post-op conferences. More snacks during conferences throughout the week. Teaching rounds with residents every evening, in preparation for SGDs the next day.
Handled a total of seven ward patients. Four were either tibial or forearm fractures secondary to vehicular crash (reminding everyone: DON’T DRINK AND DRIVE and WEAR A HELMET WHILE ON A BIKE). A case of vertebral subluxation secondary to Pott’s disease (spinal TB), a case of chronic osteomyelitis, and a case of chondrosarcoma of the hip. Referrals and wound cleaning galore, but learned a lot about their management on the side.
Had my first two codes. I don’t particularly enjoy being in one, but I’m proud and amazed by how everyone do their job efficiently and reliably while in one. Makes me grateful I get to work with these amazing health professionals.
I’m gonna miss Orthopedics, if only for the interesting cases, the friendly and reliable nurses, our fun batch of interns, and the smart and accommodating albeit somewhat beastly, machismo-laden residents.
Tomorrow we start with ORL, for which I’m pretty excited. Here’s me to check out my (possibly) future career!