10th February 2009

Hi! It been a while, hehehehe. Currently, now i'm in Surgery Posting which is the 3rd posting from my total 5 posting here in Hospital Klang. Seriously, Surgery have the most free-time compared to my previous posting. Usually I would have at most 3 ward rounds a week plus surgical seminar which we would had on the same day as ward round. So, sometimes we could have 4days holiday in a week and sometimes only 2 days of classes. However, when there is pro, there is con. We tend to SKIP THE WARD WORK. There is alot of intersting thing that required to be done in surgery posting as example present the seminar, A&E night and OT time! I had my 1st surgery experience a month ago since my 1st visit to OT before is dissapointment because no surgery was schedule.

It was very intersting to watch the surgery from the surgeon's back(seriously, I stand behind him throughout the surgery that last for 3 hours ), get the feeling of the atmosphere in OT, how the surgeon, anesthetician, nurse working together. The things that surprised me that day the patient on the table was actually the patient that allocated to me 3weeks before and during that time he was not fit for surgery.

The operation was hernioplasty/herniorrharpy, which basically using Mesh, a propyline mesh to reinforce the posterior wall of inguinal canal. The main surgeon, Mr Soma young (there was 2 Mr Soma in HTAR, we called the main one as Senior, the other is young Soma) assisted by MO Dr Guna. Firstly, an incision was made through the inguinal canal and later, they will reduce the swelling back into the inguinal. However, here the drama starts, the surgeon unable to reduce it(it was a very big scrotal swelling!!) later, after several episodes of attemps, the swelling was able to be reduced to the abdomen. During that time, we were shocked to find a large fluid filled lump coming out from and at the first thought, all of us thought that the mass was urinary bladder. After several attempt to reduce the size of swelling and no changes in urine output, it was conclude as hydrocele swelling. To manage this condition, another surgeon Mr Tai was called into OT and during the interval, we took some pictures of the hydrocele but unfortunately I didn,t manage to have the picture. After Mr Tai came, he take over as the main surgeon and he then poked the swelling and drain the fluid inside. After that, he do the reconstruction the testis and after putting it back into the scrotum, a mesh repair was done and surgical incision was sutured. Truly, that was an invaluable experience.

Right now, I'm trying to finish up 2 case summary which need to be pass up at the end of posting which is next week and end of posting exam at the same time. I'm stuck with the second case summary and I looking foward to finish it tomorrow. I will have paper on next Monday and long case maybe on the next day after that. Wish me luck for this exam!!!

and last but not least, Gunung Stong Expedition after the exam!! We will going to Gunung Stong in Kelantan for camping. We will boarding train from KL Sentral to Gua Musang on 8.30pm Friday and will reach there by 7AM in the next morning. Wish us safe journey!!!