Thursday, August 5, 2010

Notes to Self

These may or may not be important to anyone else but me.  They represent some of the observations, memorable messages, feelings, and Ah-ha's I experienced throughout the first seven days of my 3rd year clinical rotations.  You can imagine most of these were learned through a series of errors, which I've unfortunately determined to be my primary mode of learning.

Day 1
• study anatomy before any surgeries with Dr. Bernard
• the external iliac artery becomes the femoral artery distal to the inguinal ligament
• being respectful/professional is most often reciprocated
• take iPod everywhere
• patient notes are at the end of charts
• I’ll need a lot more practice if I want to become a surgeon

Day 2
• always take advantage of opportunities to meet and talk with patients.
• “Never let the sun rise or set on small bowel obstruction.” –Anonymous per The Oxford Dictionary of Medical Quotations
• someone called me doctor today

Day 3
• always wear a surgical cap in the OR
• melanoma depth cannot be accurately determined with a shave biopsy alone
• I saw a 280 pound man give his surgeon a hug today in recovery. the good doctor blushed. everyone smiled. I made note.
• practice suturing
• I am a sucker for club sandwiches
• adenoids can be taken out in 15 minutes

Day 4
• look things up you don’t know

Day 5
• I’m learning to appreciate my days off more and more

Day 6
• Medicine can be learned by associating with people outside of a clinic, hospital, or operating room

Day 7
• take time to learn a name
• Ancef=cefazolin: most common antibiotic given pre-operation
• septoplasties, correcting of a deviated nasal septum, have been done for a long time. not infrequently the procedure failed to open up the nasal air passages as desired. a concha bullosa is an abnormal air cell in the middle turbinate that can cause partial obstruction or encroach on the nasal septum. surgeries that combine septoplasty and concha bullosa reduction have had more success in clearing up the nasal passages. oh, and packing hurts like the dickens.
• it never hurts to ask

-Brad Schow, 2012