venerdì, novembre 12, 2004
:: sianz ::now EW and I are freezing our *sses off in the student cubicle in the CSO. i just finished my short write up, she's almost done i believe... hehe and i'm now literally 'blogging behind her back'. hmmm... wonder if HS has FINALLY seen his new blog. seems like Wenky is already issuing the final ultimatum... either he takes over management of this blog or Wenky will announce the password to all the evil pple in my ex-cg so we'll blog in his name! muahahaha... so evil!
today, we two mad pple are doing our second night duty, quite siong le... and i'm prepared to not go to school tomorrow, so pls just tell the pple-in-charge that i'm suffering from fail back syndrome or sth tomorrow. hehe... today was in OT AGAIN! muahaha... quite cool...
HOW TO DO THE LACHMAN'S GRACEFULLY
i know lots of pple have trouble with it, esp girls... to quote mr chang, 'many medical students say their hands too small, no strength... but i tell you, you don't need strength at all'... so he taught us that what we just needed to do is to get patient to relax, flex knees slightly, place your right palm under his hamstrings to support, then using your left hand, gently lift the proximal end of the tibial upwards, and there u have a positive Lachman, don't need to twist n turn, huff n puff or 'tuck the leg under your armpit' (which is really quite gross, for both patient and student!)
THE OT IS THE BEST PLACE TO LEARN - mr chang n mr chua.
hehe... mr chua is really a funny funny guy, and mr chang is a close second. anyway he taught us something pretty cheem about Garden and NOF# and did a good explanation of what the function of a dynamic hip screw is. mr chang was very nice in the OT too, he showed us the application of the dynamic hip screw and later on, he took us into prof lam's OT to see a Moore's hemiarthroplasty which was oooo... COOL! but it was a bit gross when they were fracturing up, drilling and digging out the femoral head as well as making a slit-like cavity in the femur for insertion of the prosthesis. there were specks of fat, blood and bone fragments flying all over.. and guess what, the PATIENT WAS STILL AWAKE! apparently she was only under spinal anesthesia. acks. it was cool though, and prof lam thought us more stuff abt intertrochanteric fractures and neck of femur fractures. he's a good tutor, no wonder he's now being promoted to PROF! congrats!
anyway mr chang is really v cartoonic... he was humming a pink panther like tune in the OT while looking at the image intensifier... i think he really loves his job... all the 'seamstress and carpentry work'. he's the most good-natured surgeon i've seen... normally they've got tantrums.. i mean, just look at 'the other' chang of AH.
during lunch, prof low joined us... urps... going to get indigestion lor... haha... anyway, i really dunno what to talk to him becuz i neva knew who he was till today! he knew delice cuz she went into his clinic and i bet she must have done a great job or else i don't think he'd want to eat with delice! muahaha... anyway it was kind of awkward and i was wishing all the time that it was chang eating with us instead.
ok, now for nerds and muggers: THE DYNAMIC HIP SCREW
if two bony fragments are fixed and held rigidly, they might not unite. this is because resorption takes place before new bone formation in bone healing. thus, a dynamic screw is useful, because as the resorption takes place and a gap is formed, the top part of the femoral fragment can 'slide' downwards and rest on the rest of the femur, encouraging union. another reason offered is that if the bony fragments are rigidly fixed, when the resorption occurs, the screw is likely to break through the bone and then oh-oh...
ok, EW finally finished her writeup, and doing her references now... seriously, limiting our writeup to two pages is really terrible! plus, it's got to be font 12 times new roman. sigh... we're so desperate we widen and lengthen the page borders, squeeze in our references.... sigh.
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