Finishing surgery in Reading
Hi,
I've come to the end of my 3 weeks of surgery in Reading, and I'm about to move onto medicine there, with the rheumatology firm. I've enjoyed the surgery attachment, especially having the freedom to go to clinics, operating lists and wards outside of my upper gastrointestinal firm to see a broader range of conditions. As well as seeing lots and lots and lots of gall bladders being removed and hernias being repaired, I've also seen a leg being amputated, an abdominal aortic aneurism being repaired, an oesophagus being removed, an unexpected tumour being found (during one of the many gall bladder operations) and a stomach being tied around the oesophagus to prevent reflux. In addition to being free to roam around the wards seeing and examining patients, I have been able to visit departments to see investigations (like barium radiology and angiography) and procedures (such as putting central venous lines in) that I haven't watched before. In terms of practise for the practical exam that I have coming up, the most useful time spent has probably been in the Surgical Emergency Unit where new patients come in and we can take histories and examine patients before anyone else gets to them (when it's actually part of their care as well as our learning and before they get bored of telling their stories). After seeing a patient in SEU, we present our findings to a doctor with our impression of the problem before the doctor goes to see the patient for themselves and checks out our diagnosis. It's also a great place, along with the anaesthetics room before surgery, to get practise taking blood and putting venous lines in, as pretty much every patient in SEU requires this.
My final 3 weeks in Reading are broken up by an exam in the middle of the second week, which I'll need to go back to Oxford for. Until then I'll be taking every opportunity to practise things that I'll be tested on, particularly examining patients. Hopefully, however, I'll also learn a bit about rheumatology - we're all spread around different general medicine firms so most people won't have the chance to do a specifically rheumatological attachment at any stage.
Bye for now.
I've come to the end of my 3 weeks of surgery in Reading, and I'm about to move onto medicine there, with the rheumatology firm. I've enjoyed the surgery attachment, especially having the freedom to go to clinics, operating lists and wards outside of my upper gastrointestinal firm to see a broader range of conditions. As well as seeing lots and lots and lots of gall bladders being removed and hernias being repaired, I've also seen a leg being amputated, an abdominal aortic aneurism being repaired, an oesophagus being removed, an unexpected tumour being found (during one of the many gall bladder operations) and a stomach being tied around the oesophagus to prevent reflux. In addition to being free to roam around the wards seeing and examining patients, I have been able to visit departments to see investigations (like barium radiology and angiography) and procedures (such as putting central venous lines in) that I haven't watched before. In terms of practise for the practical exam that I have coming up, the most useful time spent has probably been in the Surgical Emergency Unit where new patients come in and we can take histories and examine patients before anyone else gets to them (when it's actually part of their care as well as our learning and before they get bored of telling their stories). After seeing a patient in SEU, we present our findings to a doctor with our impression of the problem before the doctor goes to see the patient for themselves and checks out our diagnosis. It's also a great place, along with the anaesthetics room before surgery, to get practise taking blood and putting venous lines in, as pretty much every patient in SEU requires this.
My final 3 weeks in Reading are broken up by an exam in the middle of the second week, which I'll need to go back to Oxford for. Until then I'll be taking every opportunity to practise things that I'll be tested on, particularly examining patients. Hopefully, however, I'll also learn a bit about rheumatology - we're all spread around different general medicine firms so most people won't have the chance to do a specifically rheumatological attachment at any stage.
Bye for now.
posted by Jane Davis @ 1:49 PM
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