mercoledì, ottobre 27, 2004
:: eeek! ::sat thru another unending set of lectures today, covering an intro to fractures and all the upper limb fractures... i NEVER knew there was THAT MUCH to a # (fracture)... shall attempt to revise a bit now... heard of the rule of TWO's for fractures? i call it 5 TWO'S: 2 views (xray), 2 joints, 2 limbs(children), 2 injuries and 2 occasions. and there's sth called the personality of a fracture too! i call it the 7 sides of a fracture: location, bone, part of bone (prox/mid/distal), type of #, high/low energy, stability and person with the #.
my ass hurts from sitting soooo long in the room! luckily it's not siberian in there too! and there's free-flow coffee and i think some biscuits too, but alas, i don't really like coffee, i think it gives me halithosis. heh... i'm sitting on my ischial tuberosities, any longer and i'll get pressure sores or i might get DVT. ooo.... scary... then plus my right calf has been hurting for a couple of days, initially i thought it was due to the strain tt day while running, now i think it's probably it. but then the possibility of DVT kept coming into my head, esp when it felt a bit warmer that day.. haha and Hoffman's test was positive ok (but then heng, cuz it's unspecific hoho...) i'm NOT aspiring to become h/c II.
today the greatest impact i had was from this picture:
this is the Gardner-Wells tongs, which is used in the Gardner-Wells traction, for cervical spine / neck injuries such as fractures, dislocations and maybe subluxation. Anyway it's gross, here's how u use it, in the words (i rephrased a bit) of the surgeon, "you give some local anesthetic such as lignocaine then u place the tips of the nails along the line of the external auditory meatus, xx distance above... not too high because you'll end up skinning the skull off. then you start drilling into the outer tables of the skull bones. when you reach the correct distance, there's a 'ting' sound, so you really have to listen carefully, or else your patient might suddenly end up with astereognosis... it might be very primitive, but surprisingly, the patients can tolerate it quite well." now, to explain the medical jargon... outer tables are just the outer parts of the skull bones. external auditory meatus is the part of your ear that sticks out, and astereognosis is the inability to recognise an object held in the hand when the eyes are closed.
i hope, that i never get any cervical injury!!!!!
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francesca chiu
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