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Archive for the ‘Picz n Snaphotz’ Category

Do you spot a yellow sponge with square pants in these pictures?

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Here’s some pictures to illustrate the madness of my job…

Snippet 1

One day during one of my ICU calls, I went to the Redzone (Accident & Emergency Department) to see a head injury patient which was referred to me. It was written that he also had a clavicle fracture. When I checked out his Chest X-ray, I saw the darnest thing…

Obviously the fella couldn’t have swallowed the laryngoscope. Just wondering whether it was left above or below the patient when the X-ray was taken and how did the radiographer miss it when setting the cassette to shoot the film??

Snippet 2

This sort of things only happens when I am on call. Those in blue are the elective cases, and those in red are the emergencies. Just looking at the board is enough to make me feel tired…

Snippet 3

During on calls, whenever there’s a short break, i.e. the few minutes in between cases while waiting for the patient to arrive, one would usually grab the opportunity to lie down on the on-call room bed to catch a quick nap if possible. However, to my horror, this is what I saw stuck to the bed frame…

So I had to contend with resting on the chair…Sigh!

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Full Name: Big Black Monokoru Boo

Age: Less than 1 year old

History: Patient initially presented with mild loss of weight with incontinence of stuffing. Previously noted to have a perforation at the dorsal surface of his body causing continuous leakage of stuffing. T+S done under local about 2 month ago. However, in the past 2 weeks, noted that patient persisted to have weight loss and a flattened look. On examination, patient looked ill, spiking fever from wound dehiscence and hemodynamically unstable due to hypostuffinaemia. Patient was then fasted and posted for emergency surgery.

Diagnosis:

1. Cachexia and sagging due to severe hypostuffinaemia

2. Sepsis secondary to wound dehiscence

Surgery: Wound debridement, body lift and re-stuffing

Surgeon: Jellio’ MD

Date of surgery: 26/05/2009

Duration of surgery: 1840 H – 1945 H

Procedure:

1. STO done on old wound.

2. Skin cleaned and drapped.

3. Lignocaine 2% infiltrated at proposed op site.

4. Wound incision extended and edges trimmed.

5. Wound irrigated with saline and hydrogen peroxide.

6. Stuffing consisting of 2 rolls of Otoban shredded, fluffed and optimised.

7. Stuffing inserted into all four quadrants under aseptic technique.

8. Skin closed with interrupted sutures using Silk 3/0.

Post-op orders:

1. Continue IV antibiotics.

2. Strictly light duty for 6 weeks.

3. Not to be squashed or sat on by humans in the near future.

4. Wound inspection Day 3, no need STO.

before

after

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Taps…

I am amazed at the number or 3-way taps attached to this patient’s central line. Looks like something from Lego or Tinkertoy…

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Due to being absent from the blogging scene for a little too long previously, and with a little too much to blog about, I’ve decided to post a few pics about my worklife instead…

This is what I work with everyday. Meet ULCO.

I have a locker, like in Grey’s Anatomy!

What is Phua Chu Kang doing in the OR?

A ruptured kidney removed from a patient…

There you go. A little summary of my everyday life…and no, I’m not doing Surgery. I’m the one on the other side, the one putting the patient to sleep.

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My siblings gave me a spongebob thingamabob for Christmas and I forgot to bring it back to KL when I went back. I kept asking my sister to look for it and to bring it down with her when she came in January but she kept saying that she couldn’t find it. I specifically asked her to look at the cupboard under my desk in my room and she kept insisting that it wasn’t there. Finally when I came home for CNY, I decided to look for it meself. I opened the cupboard and lo and behold…there it was. Can you spot it?

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tshirt.jpg

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