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Today has been a good day...
not great because of the stress but it was good...
right whilst waiting for my chili to simmer to perfection ( kidney beans and tomatoes with garlic...wow...i;m really eating healthy )
anyway.... here's my day....the last day of lectures ( we have one last wards tml) before we break for......STUDY WEEK and then ...................... EXAMS!!!!
Right so this morning after our final lecture on pleural disease we had wards.
It was history taking this morning, and we are currently based at orthopaedics...
which I have to state for the record does the BEST tutorials so far...competent, interesting and funny registrar ( irish bloke ...it's in their blood )
yup, so off me and my partner went off to clerk Mrs H.H
H.H , 85y, Female, been in hospital for 3 weeks
broke her right neck of femur on a trivial fall ( sorry can't go into details )
yup...so she's a really sweet old lady, but kinda deaf, and we thought she was all hale and hearty
though just maybe a bit lacking on the memory side, so we didn't get much out of her
and we were just about to leave to reconvene to present our cases, when lo an behold
the curtains are drawn and in comes this huge bloke of a consultant
Well, he comes in and says " Well, a rather interesting case we have here , eh"
and we were like, '''er....yeah" ( but come on we were thinking....old woman, broken NOF fracture, dime a dozen in this ministry of funny walks)
and then we just presented our patient to him,
and he was like " looks like she hasn't been telling u much, eh "
and we were " yeah, she can't remember wat drugs she's been taking"
And then, he proceeded to give us our OWN PRIVATE TUTORIAL on pathological fractures, how to diagnose them, common problems with bed rest,
drug treatment, and the mechanism on how bisphosphonates work, even down to little mini osteoclastic movements. yup and he talked about her condition ( myeloma if anyone's wondering) and epidemiology and stuff.
It was great! (yes, medical student hunger for such personal attention and additional teaching, it's in our blood)
And he was so nice about it, and encouraging, and patient.
Yup, turns out later he was a consultant haematologist not a surgeon as we thought.
haha...our registrar refered to him as Denis the menace with his big physique and shock of curly red hair.
Thanks for the tutorial Dr. H. W! Saved us for the presentation!
I have to share this with you guys .....
" What do they say about orthopaedic surgeons?"
" As strong as an OX and JUST about twice as smart."
Told, during one of our clinical lectures by an orthopaedic surgeon who apparently did the queen mother's ( or was it the queen's) hip replacement.
haha...ortho surgeons are just so funny....informal, non-aloof pple, who make wards fun!
Cheers to them!
Right so after wards, we had lunch and then a Pharmacology problem solving session
with Dr. D and Dr. Mc Clay ( yup Mr How many ways can u kill ur patient). And these 2 were like a tag team....slaggin each other off, playing off each other, smart remarks and being game to havin the piss taken out of them by us. they were great!
It was good, learnt alot, had fun, didn't get the roving microphone (...phew)
even got to hear an authentic BOVINE cough....courtesy of one of my colleagues
haha...it was so sudden that even Dr. D, the consultant respiratory physician was thrown offguard... hahahaa......
you know,
to all you doctors and surgeons who take the time off to come lecture us, and take us on wards
and do your utmost best to make it a fun and enriching experience,
where we get to learn invaluable stuff from experiences, and not having our dignity torn and our confidence shredded to pieces whenever we give really STUPID answers, by your magnanimity in saying things like " well, yes........SEVERE liver cirrhosis might be a cause of haemoptysis ( coughing up blood ) .... BUT.....in this case of an elderly gentleman with increasing breathlessness and pleuritc pain....that is an answer I wouldn't be putting down on my exam sheet."
Sweet.....
No wonder they emphasis so much on that STUPID COMMUNICATION SKILLS COURSE...
Righto....can smell my chilli coming through the kitchen door....
Cheers!