Wednesday, November 29, 2006
3:57 AM
I just have to write about this stuff.This is after all a blog owned by a medical student.you know, medics are just such weird people. Really really weird. Well at least the classical sorts.The most sadistically grusome and life endangering conditions just seem to be the best way to get that all time high probably 2nd to some crack overdose. Why do I say this...well read on to find out more about the most exciting events in my life this past week.On monday we were in the vasucular surgery ward. Must say it was some awesome teaching we had there. In fact probably one of the most interesting teaching since our surgical rotation started. Why? because there were really some awesome cases to see.1st was this 65 year old guy who developed shingles just before his second fempop bypass. Ok...so I've never seen shingles before, but this whole unilateral, dermatomal thing was just fascinating to me. But the real prize of the day was this guy with this massive 7cm abdominal aorta aneurysm. IT was so huge that u could actually see it pulsating whilst standing at the end end of the bed. And when u just lightly place ur hand on his epigastrium u can just feel that monster heaving under ur palm, in fact it was powerful u could actually see ur hand pulsating together with it. Ok jokes aside, it's a bloody life threatening emergency, because if that baby ruptures, well.....probably not much can be done if he bleeds out. But he had a fascinating 6month history from detection of the aneurysm by his GP who told him it was '' Nothing to worry about'' till he complained of abdominal pains a couple of days ago. Thankfully he was sent to hospital and amazingly he was still considered to be in a stable condition and just required urgent surgery which was to be carried out on monday. Ok, since we are all part of a team....in defence for the GP, the aneurysm was probably less than 5.5cm, (operatable size where risk of rupture exceeds risks of the surgery) so he probably thought otherwise.the only thing that's comparable to this aneurysm case would be the guy in general surgery who came in with an incarcerated hernia. MAssive painful thing in his groin. The real fun of it was that we were able to talk to him as he came in for preop for emergency surgery. haha....we are sadistic creatures.oh yah and gossip time.Apparently one of the consultant vascular surgeons who's been our tutor for the past two weeks i s married to the Princess of Malta. And frankly speaking looking at this slight little man, u would never guess. He goes around, tie eschew, cotton trousers and well worn leather boots but frankly speaking he is a very very good teacher. Knows how to include both ethics, knowledge and inspiration all in oneduring his lectures. He deserves to be royal consort.