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RIght today was technically the last day of my attachment to the ENT department at the ARI
SO it was OT day!
YAY! Scrubs again!
( oh and before OT there was a tutorial session given by a registrar on nystagmus...ok but nothing too fantastically interesting)
Now you must wonder why I appear to be so infatuated with scrubs.
Particularly the scrubs at the ARI.
That's because there's no discrimination in the scrubs.
Yes folks there is such a thing as SCRUBISM...
that occurs when you have to wear a certain prescibed sorta scrub because of your gender and
position.
Here in the ARI EVERYONE wears the same type of scrub.
At for the first time in OT I am proud to declare that I have not frozen my legs off
because we get to were a top and pants!
All Green...
And since you can never tell whether it's inside out
you can always get away for wearing it the wrong way out! ( confusing ne...)
Yeah...so today was rather interesting.
Managed to see some ''traditional'' so to speak surgery
Excision of Thyroglossal Cyst.
Had to remove the whole embyological tract of the cysts.
Ok so it wasn't like massive gore and blood spilling everywhere, but it sure beats the hell outta
SCOPES...
yeah...and there was microsurgery and injection to a paralysed left vocal cord.
Interesting stuff....like a brest implant where they inject silicon like material into
the vocal cord that has palsy (paralysis)
AND of course there were the beloved scopes and laser microsurgery.
In today's teaching, learnt quite a bit too
All about nerves in the head and neck, nose, ear, larynx,
and believe it or not....PHYSICS!
Yes minasen~ PHYSICS....for those of you who did Physics of Fluid for the option paper
for A levels...I wonder if you still remember something called the
BERNOULLI EFFECT ( I can't even remember if that's how it's spelt )
Well....forget about all that crap about the wind flowing at a faster rate at the top of
an aeroplane wing as opposed to the bottom bit....
hey man! That freaking effect is the whole reason why we can talk!
YEah....apparently it's the suction force that's created as the air passes from the lungs through the larynx, which causes mucosa of the the vocal cords to stick together (is that called apposition?)
And this sets it into vibration and thus sets about the origin of speech.
and it is this precise thing that sets the vocal cords vibrating at 150 Hz...
righto...so that was OT.
Very interesting...TOmorrow I've been invited to go attend Paed's Head and Neck Theatre in the afternoon...
gonna watch gromets and tonsils and stuff like that...
will be interesting.
Oh and another thing...
Mr AH See is VERY VERY good at making all sorts of sounds
and is very capable of burp speech (transoesophageal speech-that's how pple in the past who had laryngectomy (removal of the larynx) were taught to speak. Apparently they gulp down tons of air into their stomach and force it out through the paraynx and thus they can speak...but only for as long as there's air in their stomachs...interesting ne)
and gasping for air in total mimicry of a person who has respiratory strider or biphasic strider.
and a whole array of funny voices typical of his patients.
hmm...talk about fully understanding your patients