hospital attachment

"Tuesday, June 17, 2008

a medical experience that was simply nirvanic

there is a secret glee in me today as i write about first two days of medical attachemnt... why?
i met keith.

I GOT TO GO INTO AN OPERATING THEATRE WEARING SURGEON ATTIRE SEEING ALL THE EXPLICITNEES OF UROLOGY AND ....
ok lets calm down and look at no. 1.
no 1 cannot be taken as proof that chia yew met a hot guy and is thus technically a gay. he is not, at least according to this line of argument.
u see keith is the son of Dato' Dr Tan , the senior consultant urologist at SJMC. and by virtue of him, we got to go into an perating theatre, looking like this:
yes cool rite! the power of connections. but no i am not one who takes advantage of people. Keith is really a nice person we ate lunch with him these 2 days at the mamak. and we got to know him quite well. and his father as well.

THE FATHER
OMgoodness, this doc is intense. in operation he fire the nurses like mad and condescends everyone, asking them to think properly. he was so angry when in the first operation keith felt dizzy. he was scolding him saying how u going to be doctor and them blaming it on vasophageal whtdoyoucallit? he scolds everyone and fires quetions like mad at us...lol.

THE SON
haha keith he's hair is so adorable . we went eating mamak with him two days redi. hes a quiet guy whose mothers name i nw know thanks to daniel... his hair is unbent by will and is the greates thing in the universe it is antimatter.. INTERLUDE: SURESH: wat u talking about????? as daniel; said his hair is so cute when its under those shower caps- it actually still stands up.this statements should not be taken as prove that kong is gay, as far as this arguments showla...

THE EMERGENCY DEPARTMENT
we got to saw a man whose figer got stuck on the door. we got to see a woman with menstrual cramps and a baby who was coughing and could not stop coughing. we saw a man that had to have his hairy chest shaved by a nurse while taking an ecg as he had fainted. real ER drama happened with the baby. When the GP asked for the baby to get an X ray, the mother was saying no no no no. they wanted to wait for a paediatrician dr khoo. but the babys condition was serious. they even declined a nebulizer. THe GP was already pissed and told the nurse to let them be.
when can u get into a med attachment and actually get to see a drama like this?
but then a sad thing: people always look down at Gps and look up at specialists. Kasihan the GPs.

THE OPERATION THEATRE- THE FIRST OPERATION
keith was special and heaven sent- he got his father to get EXTRAORDINARY ACCESS into the OT. so we actually saw the operation, with all the explicitness and all. as dr tan (with phua chu kang boots...lol) conducted the operation he inserted a scope into the ureter yes the mans penis (be professional) and then he took out one by one the kidney stones in the bladder and ureter with a grasper. THE EQUIPMENT all costs RM 30000. the man was a malay man. the scope has x16 magnification and had colour. so it was nice looking at the video. the procedure ended in an hour but was damn nice! first time in OT. and DR tan was saying he had 20 years experience nad yes he was giving his h=nurses a hard time...lol. WHY DONT U ALL THINK????? (not with suresh's frown.)

THE SECOND OPERATION
this was a more interesting one. First we saw anaesthetics being given. it was an epidureal anaesthetic and actually injected into the backbone! so we saw the anaestehtist pricking large needles into the chinese man's spine, with blood coming out! and worse the man was jerking when he poked the needles. this was a case of an enlarged prostate. He put another &*(^ scope into the mans penis ureter and this time dr tan showed us the place where sperm came out and the left and right ureter ducts. the prostrate was large, covering the whole flow of urine. So dr tan put in an electrical cutter and started carving the prostrate by electrically burning parts of it off. we could all see this with the video. Dr tan likens it to coring an apple! he is really skilled man. then he seals the bleeding vessels by heating it up with the electricalm thing as well.
then he pumped it allout the bits of prostrate- and the smeel of burnt flesh was evident
actaually

BURNT prostrate= ikan bakar
its a no brainer about what i wont eat again.

the litotrophy machine
Keith's uncle, DR NG showed us the litotrophy machine used to blast stones. we got to touch the machine which uses ultrasound to blast it and X ray to produce images. u can actually hear the sound of the shockwave. then he showed us the older ultrasound method. he was telling us the stones will appear as shadows. Then he put the detector on his stomach and started counting the shadows! so funnyla lol.

THE THIRD OPERATION
this was the breadwinnerla.... it was a key hole surgery. they actually first made a small needle holeinto the skin at the back at the position of the kidney and progressively made it bigger by inserting bigger tubes. we had to wear covers on our front body as the amount of blood splatter was going to be significant. the idea was to get out kidney stones by this way.so inserted another scope which is named ESWL- it actaully uses shockwaves to break up the stones and then sucks it out. the whole procedure is named PCNL. now the procedure normally takes 1 hour.
it took 2 and a half hours.

WHY AH?

WELL, daniel , i and keith was in the middle of a medical complication.
the doctor, DR Khalai got one of the tubes too deep into the flesh and tried pulling it out using all the medical instruments possible to get it out and did that for 30 minutes. it was madness la. the frustration and tenseness was so much in the air- especially us- we could not do anything but staare at the monitor seeing the tube stubbornly stuck deep into the tissue and tersnagkut at a muscle. it was like few hours.
at a point dr khalai cursing and saying he wanted to die. the OT floor was flooded with bloodied water as the nurses had not time to attend to the overfilled bin. the nurses one of them had palpitations ready, sweating so much. i was like so frustrated! then they had to make incisions to largen the hole. and dr khlai was digging into the hole to reach for the tube.
then they found an instrument and finally got it out. the whole OT was rejoicing. sihs of relief heard everywhere..... dr khalai was saying- that forceps is the best medical iinstrument in the world.
then the second disaster struck the cathether in the ureter got pulled too fast by the nurse- forcing them to spend another 30 minutes trying to fix the problem...
finally it was finished and they were like:

THIS IS NOT NORMAL PCNL.
i tell u hebatla- we got to go thru a complication. the feeling is depressing and tensing...reallyla

PHARMACY
the only interesting things here was the pneumattic shooter which shoots drugs to any part in the hospital including the block across the ROAD! and the Cytotoxic DRUG COnciliation department that prepares cancer drugs.

ENDOSCOPY
there was nothing much here just doctors sticking up probes up anal orifices. but the group with the girls were much better (Why do girls always get better treatment????) getting to see stomach ulcers, intestinal polyps and the helibactor pylori test- put the tissue sample from stomach onto a paper- it turns red-signalling alaklinity- thers helicobactor pylori.

DIAGNOSTICS
we saw a stress test. urodynamics test- statistics bout urination action....one man had 1000 litres in his bladder. then we saw ECG, and EEG the brain one. The autistic child was screaming for 1 hour while doing his EEG, noisying the whole diagnostics. there was also a respirometer, audiolab and a doctor who sad he gave advice to AUST> students: DONT COME BACK...lol
but just something about the UROLOGY OPERATIONS
it is very humbling that these patients put so much trust in doctors. they let doctors wash and sponge their private parts, let their private parts get elevated...the trust i tell you. they give themselves to doctors when they are most vulnerable.
and now i have gone thru a rite de passage. i no longer flinch at seeing people naked. i have faced as much stress as possible- watching a medical complication, i love medicine a thousand times more now, the patients nod and smile at me, thinking i am a doctor and giving me acknowledgement.
they say with power comes responsibility
medicine gives the doctors powers which are loaned from their patients.
with medicine, one becomes like atlas, the greek man who held the earth on his shoulders
i have gone thru a rite de passage,
i can now somewhat feel that heaviness on my shoulders
i have reborn..."


well... kong told it all...
feelin exactly d sm thing...
its pure nirvanic...
and yeah... im lazy.
y bother typin, when ur friend has done evrythin?
beats me.