Friday, May 3, 2013

Urology - Week 1

Sorry for the lack of updates. The weird thing with this rotation is that I'm running through all the other specialities: ENT, Ophthalmology, Urology, Haematology, Dermatology, and Oncology. I only get either 1 or 2 weeks in each specialty. You can imagine I only get a quick glimpse of everything and so far nothing interesting has happened.

Because I am now on Urology and have got 2 weeks here, I thought it would be worth doing a bit of an update. So we were inducted into the specialty on the Monday and were pretty much scared stiff. The urology department at our hospital is an academic department as well so they have academic ward rounds and really encourage full participation from students. You will probably wonder: "So what's wrong with that? That's great isn't it?" Well yes, that's great as we get loads of teaching, but that means we got to work twice as hard as we are expected to do presentations. I don't mind working hard, it's just our presentations have to  be a case study on an inaptient. With how our schedules are, we don't have much time on the wards as we are timetabled to be in clinics/theatre. We were also told that consultants expect us all to be prepared for clinics/theatre and expect us to do our reading beforehand.

Biggest heart sinker? On theatre days we are expected to go to Theatre Admissions Unit (TAU) at 7:30am to get a brief patient history for all the patients on the list and be prepared to tell the surgeon all about the patient in theatre. Don't get me wrong, I love going to theatre, I just don't enjoy this horrifically early wake-up. I've been quite lucky with not needing to go to TAU in prior placements as the consultants I have been placed with don't require me to go to TAU and talk to the patient ahead of time so I usually get to theatre at around 8:30am. Anyways so Tuesday was my theatre day and I was placed with the academic lead for Urology (perfect...). Being a bit scared, I obviously head to TAU at 7:30am and talked to the 2 patients who were on the theatre list. As I was finishing up the consultant shows up and was actually quite surprised to see me in TAU. I was then promptly quizzed about the 2 patients and about their procedures. Luckily I did a bit of reading before I saw the consultant so everything was fresh in my mind. Think I impressed him as I got the nod of approval and the brief grilling seized.

At theatre, I met with the registrar and was warned I will probably get a full grilling on anatomy and should do some reading while the consultant isn't around. Read up on the prostate and bladder, which wasn't too difficult. I've always remembered the general rule for surgery is to know the blood supply, lymph drainage, and nerve supply for that organ, and you'll be alright. 30 minutes into a cystectomy, the consultant asked me for the blood, lymph, and nerve supply for the bladder. Check. Check. And check. The greatest bit was when he looked over to me in awe and proceeded to go quiet until lunch time. Just going to dust my shoulders off now. Now here comes a curve-ball, I was then shown a muscle and was asked what it was. Thankfully due to my "love" for orthopaedics and hip/knee anatomy, I immediately recognized the muscle as the psoas. Then another dead pan from the consultant who then went quiet again. Then he asked about the path of the Obturator nerve and what it innervates. Easy as I've been quizzed on that before by an orthopaedic consultant for fun not too long ago. As I finished my answer, the consultant put his scissors down and remarked that he'll sign me off for the next 2 weeks. He seemed really impressed and well I obviously felt good for once and not like a complete idiot. I was quite lucky with the questions though as usually it is a hit or miss. Was a fairly good day!

Rest of the week was fairly...dull. Went to a haematuria/cystoscopy clinic and did a bit of ward work, where I found myself being the cannula/bloods monkey again. Was nice being able to put cannulas in again as it has been awhile since I've put one in and I was worried I would lose the skill, but looking at my 100% in one go rate on the ward, think I'm still alright! All in all - okay week. Not very stimulating. Not very interesting. Escaped presentation - think it was partly due to my "good play" in theatre. Hopefully next week will go just as well!

18 comments:

  1. Nice week indeed. Glad you impressed that consultant, now your time is yours;)
    Thank you for sharing

    ReplyDelete
  2. at least you get placed to other specialties! for me it's 8 weeks one specialty - meant to organise switching with other ppl!

    ReplyDelete
  3. man nothing feels better than when your like "omg i actually know this one!" haha nice blog man. I'm a 3rd year now just getting my blog started check it out

    http://manhattan-med.blogspot.ca/

    ReplyDelete
  4. Any tips on what books to use for each specialty? E.g: anatomy, physiology, cardiology, etc.

    ReplyDelete
  5. Impressing a consultant feels like acing a super hard exam! Nice one! :)

    I'm glad I found your blog! I'm a fourth year medical student just like you. Feel free to check my blog out: http://paolaysabel.blogspot.com

    ReplyDelete
  6. Hi

    We developed a new real estate technology.

    We would like to send you our press release. How can we send it to you?

    flatmatch@gmail.com

    ReplyDelete
  7. Hi...another interesting post, just wondering when you'll be giving us another update? Hope things are still going well :)

    ReplyDelete
  8. I love your blog - it's one of the great medical blogs on my list! He to read more :)

    Rejectionisthebestmedicine.blogspot.com

    ReplyDelete
  9. Ritalin (Methylphenidate) commonly prescribed for treatment of ADHD (Attention Deficit Hyperactivity Disorder) and ADDS (Attention Deficit Disorder). Ritalin is also used for daytime tiredness indication of chronic fatigue syndrome and narcolepsy

    ReplyDelete
  10. Thanks for sharing so interesting article with us. I agree with your idea completely. I am looking forward to another great article from you.
    Advertising agencies in Pakistan

    ReplyDelete
  11. That is, what I was looking for few hours. Finally - the right information about urology.

    ReplyDelete
  12. very interesting post! i liked it very much! thanks for sharing your thoughts and for your efforts!

    Essential revision notes for MRCP phillip kalara

    ReplyDelete
  13. best blog for this type of feeds..thnx a lot for shairng and helping all with your blog!! God bless you!

    Kaplan Lecture Notes Usmle Step 2ck 2014 US Printed

    ReplyDelete
  14. Amazing way of presenting the thinking. Keep it up and thanks for sharing.


    MedQuest Step 2

    ReplyDelete
  15. Meet with specialists for urology surgery that addresses issues from all the reproductive problems in male patients to other urinary issues.

    ReplyDelete
  16. Thank you for sharing. You have broadened my knowledge. Keep up the good work!

    ReplyDelete
  17. I was diagnosed with stage 3 breast cancer in August 2010. A valuable friend told me about Dr. Itua Herbal Center in West Africa. She gave me her phone number and email address. I quickly contacted him to guarantee that his herbal medicines will heal my cancer and I will heal forever I said OK.I ask him what is the healing process, he asks me to pay the fees I did and within 7 working days he sent me the herbal medicine and then he asked me I told my friend Gomez about the herbal drug so that he gave me to go and drink it.So after drinking for two weeks, I was cured, I am so grateful and I promise that I will do it I recommend to anyone who has cancer and that that I am doing. Herbal medicine Dr. Itua makes me believe that there is hope for people with Parkinson's disease, schizophrenia, scoliosis, bladder cancer, colorectal cancer, breast cancer, kidney cancer. , Leukemia, lung cancer, skin cancer, uterine cancer, prostate cancer Fibromyalgia,
    Fibrodysplasia Syndrome, Epilepsy,Sclerosis sickness, Dupuytren's Disease, Diabetes, Celiac Disease, Angiopathy, Ataxia, Arthritis, Amyotrophic Lateral Sclerosis, Alzheimer's Disease, Lupus, Adrenocortic Carcinoma.Asthma, Allergic Diseases.HIV Help, Bladder cancer,Brain cancer,Esophageal cancer,Gallbladder cancer,Gestational trophoblastic disease,Head and neck cancer,Hodgkin lymphoma
    Intestinal cancer,Liver cancer,Melanoma,Mesothelioma,Multiple myeloma,Neuroendocrine tumors
    Non-Hodgkin lymphoma,Cervical Cancer,Oral cancer,Ovarian cancer,Sinus cancer,Soft tissue sarcoma,Spinal cancer,Stomach cancer
    ,Testicular cancer,Throat cancer,Meniere's disease,Thyroid Cancer,Vaginal cancer,Vulvar cancer
    HIV Aids, Herpes, Disease Chronic inflammatory, Memory disorder,
     Here is his contact information ...... [Email ... drituaherbalcenter@gmail.com. Whatsapp ... + 2348149277967]

    ReplyDelete

  18. I started on COPD Herbal treatment from Ultimate Health Home, the treatment worked incredibly for my lungs condition. I used the herbal treatment for almost 4 months, it reversed my COPD. My severe shortness of breath, dry cough, chest tightness gradually disappeared. Reach Ultimate Health Home via their website www.ultimatelifeclinic.com I can breath much better and It feels comfortable!

    ReplyDelete