venerdì, novembre 19, 2004
:: last day @ changi ::today was the last day at CGH (ortho dpt), it was quite a fulfilling day though i was really very dopified. (slept only 5hrs the previous nite) we had physiotherapy sessions the whole of the morning. the session at the spine section was the best, and it really thought me some useful things... yup that apart from exercising my other muscles, i mustn't neglect the very vital back muscles. according to the physiotherapist, lots of body builders or more appropriately, bodybuilder-wannabes, build up all their abs and biceps but forget their back muscles, resulting in shoulder problems. we got an interesting short session on some good and simple exercises to improve core stability, hamstrings and such. but it's equally impt to do them correctly or risk a visit to the physiotherapist again, for other problems.
right after that ew and i had our 'last lunch in changi'; then we went to the OT to look for chang. he was really nice, as usual... initially we thought he was in a bad mood... but it was cuz of some problematic relatives of a patient. just barely 10min later, he was chuckling, laughing and joking as usual! great guy! heheh.... he was really ke3ai4 today... haha... his family muz be really lucky to have him!
in the operation, saw sth interesting! there was this plica resection and lateral release of the patella. and i saw 'ulcered' bone, i would say it's osteoarthritic changes in the medial knee compartment. anyway... the next op was a brostrum and gould (ankle)... the brostrum and gould is actually done for pple who sprained/tore their ankle ligaments due to repetitive sprains. once a ligament gets torn it will heal back but the length would be increased, thus predisposing to further sprains. thus, the aim is to sew the calcaneo-fibular ligament to the anterior talo-fibular ligament. and the gould is actually oversewing of the extensor retinaculum to further re-inforce the joint.
the next op up was the patient with a calcaneal fracture. the most impt is to make sure the calcano-talus joint is reduced and fixed! apart from that he said, tt was a complicated op.
btw we asked chang which # was most likely to happen with a calcaneal # and it's spinal vertebrae... and change chuckled loudly when he found out we both got it wrong.. ED ED!!!
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francesca chiu
2 eyebags & 5 wrinkles
on long-term dormicum drip
KIV IMH
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