Thursday, December 08, 2005

Is it my belt?

At lunchtime today, i lined up at the hospital cafe and ordered a toasted Tayla Pide, one of my favourite grilled things.
Whilst standing there, I noticed out of the corner of my eye, a slim asian guy who was packing drinks into the fridge. He glanced over me at a most disconcerting frequency.
Then when i went to pay, he gave it to me for free.
It must be the belt. I'm not going to wear it again.
Looks like i found my bro a christmas present ;o)

Later in theatre, i was assisting my consultant in removing some lady's breasts. This lady had silicon injected into her breasts many years ago, and now her breasts felt like bags of pebbles on a slab of cheddar cheese.
Suddenly i noticed a perforating artery had burst and i deftly put a pad over it. As i lifted up the pad, I angled the artery away from me, but it squirted blood half a metre into the air, all over my consultants forehead. Luckily I was wearing a face mask or my consultant would have seen me laughing.

I did this yesterday too, when, in a fit of surgical zealousness I attempted to grab a bleeding artery with some forceps. Not only did I miss the artery, but I grabbed the base of fat that it was embedded in and swung it back and forth, but away from me. I succeeded in spraying both my registrar and RMO with blood. I don't know what they were thinking, but I found it quite comical.
They gained revenge later when they burst open a seroma in my direction and I was covered with clear yellow fluid.

The night was finished off on a sad note however, when a schizophrenic lady presented with acute abdominal pain, sepsis and vaginal bleeding.
She had a huge craggy subclavicular lymph node on the left, and a painful but stony hard lower abdomen.
A PV revealed a rough cervix which bled profusely on contact.
Erect CXR showed air under the diaphragm. PR was up, BP down.
We opened her up and were greeted with the smell of what seemed like rotten crabs.
Her cervical cancer had spread and necrosed her uterus, infiltrated her small intestines and as a result perforation had occurred. There was a football sized, necrotic and friable fusion of pus, gut, uterus and neoplastic tissue.
We cleaned her up, cut away the perforated segment, debrided any loose tissue and created a stoma.
So she won't die in a few days, but she'll be gone in a matter of months.
There needs to be more community follow-up in regards to mental healthcare.

13 Comments:

Blogger eLLieNg said...

just so you know,i decided to end my game of SIms2 to let my aching head rest,but thanks to your post, i fear every inch of bump and pain on my tired body.

what cure is there for hypochondria?

1:05 AM  
Anonymous Jonny said...

Ack! Now I have to run to see my doctor as I now fear that my persistant cough and hacking (with gross phlegm to boot) is no longer caused by dry air, rather it's TB.

At least if I am to die of TB, I shall be able to do so in the full comfort of KL soon *sigh*

4:21 AM  
Blogger Martin said...

Ooops, this post wasn't meant to scare anybody, or ignite severe hypochondriasm :o)

The cure for hypochondriasm is to say, "hmmmnn maybe it IS cancer...and if so, I'm probably going to die anyway, so i might as well forget about it and enjoy life!"

Hehe i think Jonny has mastered that concept *grin*

8:31 PM  
Blogger ashlin said...

hmmm...while reading that...i imagined one of those scenes in a movie where the couple wshing their car will break out into a water fight with the garden hose EXCEPT...u guys were using severed arteries instead of a garden hose...excuse my vivid imagination

10:30 PM  
Blogger eLLieNg said...

it's like nip/tuck,minus the oh-so-gorgeously-sexy surgeon called christian.

he can push me against the wall and render me powerless any day.

2:24 AM  
Blogger Martin said...

No, having a vivid imagination is great! You can entertain yourself for hours just sitting staring blankly into space ;P
SPeaking of movies, it reminds me of one of my favourite Zoolander scenes where his male model friends are spraying each other with petrol boosters, and then one of them lights up a cigarette lol

Ellie, when u say "minus the gorgeously sexy surgeon.." are u trying to imply that all the guys on my team are ugly? grrr....

3:47 AM  
Blogger eLLieNg said...

(ellie's not around to respond)

8:42 PM  
Blogger ashlin said...

ellen....bring me go cut hair!!!

2:26 PM  
Anonymous Jonny said...

During my secondary school days (three months two before SRP and SPM), a whole bunch of us would shave our heads to concentrate on studies and forget about 'cow lui'. New look for Ash perhaps?

Martin...been told that some surgeons rub vicks under the nostrils so that they won't get sick when smelling rotten crabs. How you tahan?

1:00 AM  
Blogger Martin said...

jonny...i just think about my four hungry kids that i have to feed when i get home...lol

8:11 AM  
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