My weekend

My weekend was spent at work or at home sleeping. But it wasn't that bad actually Alhamdulillah despite being pretty exhausted by Sunday night.

It was good because the registrar on is a really awesome registrar. Even when I assisted him in theatre, he explained all his steps instead of brooding in silence and snapping "scalpel", "Morrisons", "trochar". So he goes "okay that's the fascia there, I'm trying to cut through that. Ahaa now we've got the peritoneum". And he named all the instruments for me. Barulah interesting, okay. Taklah tercongok kat situ pegang retractor and laparoscopy camera, tahan sakit belakang and cuba tahan kentut.

He even let me do a stitch at the end. It's fun doing sutures when the patient is asleep. Can take your time and not worry about hurting the patient.

Over the weekend he did 7 emergency appendicectomies. Apa semua orang duk pakat kene appendicitis nih. Dari umur 15 ke pakcik tua umur 65. I could only help with two cases because there was so much ward work to do upstairs anyway. But I got to see a "mild appendicitis" and a perforated (burst) gangrenous appendix with abscess formation (pockets of pus around the appendix) secondary to a faecolith (a huge stone made up of dried up shit). It was the most disgusting thing I've seen in my life. When he burned off the appendix from the caecum using the diathermy (a metal rod that burns), he said "Okay let's cook this appendix". And he did it. The appendix was "cooked" with a sizzling BBQ like sound with pus oozing out from around it. I felt like gagging. (Benda tu la minuman ahli neraka nanti naudzubillah min dzalik!)

Lots of dramas too. Like to IV drug user who had low red blood cells but was extremely hard to get blood from. Even the anaesthetist couldn't get any blood. They ended up having to put a special line in (called a PICC line) that's inserted into the vein by Xray guidance. When all that was finally done, the patient ran away from hospital. Hampeh punya orang. The police had to be involved. Here was a drug addict with an open vein out there somewhere. She could shoot anything up the vein easily now. She came back hours later looking extremely happy. The head nurse said "she probably went and had something". Fortunately because she had run away, her bed was given away so she had to leave the hospital. Tak kuasa jaga orang cam gini tau.