I-Deologue

A few bits from my recent case report..

Mrs VC a pleasant 54 years old female electively referred by OPD with altered bowel habit, abdominal pain and progressive faecal incontinence for the past 18 months and significant past surgical history of gastrointestinal system. She had very poor quality of life and also psychologically disturbed which she described as the feeling of being ‘dirty’. Thorough investigations did not yield any definite diagnosis. She had a loop colonostomy done successfully and she is doing well now and had been discharged home. This case shows an excellent example of how surgical intervention improves a person’s life dramatically.

“I will follow that system of regimen, which according to my ability and judgement, I consider for the benefit of my patients, and abstain from whatever deleterious and mischievous” says the old Hippocratic oath 425BC, which I just cannot agree more.

This is my first week in the surgical team and I really learned a lot of new things. Besides the theoretical knowledge, I am exposed to a new culture of the ‘surgical values’, which comprises of competency, competency and competency. There is just no place for error in surgery. However there are no clear-cut case and the best way to treat the patients are through integrating knowledge, synergy between team doctors and also learning via time and experiences.

    I interacted with lots of patients and most of them were very pleasant and cooperative. And every patient differs and the art of taking the history is to tailor it accordingly. I hope with the help of the supportive interns, Dr David Mak and Dr Michelle, my skill will improve especially in presenting the case in a more confident way.

cheerios full day in operating theater tomorrow..

This entry was posted on Sunday, March 11th, 2007 at 3:43 pm and is filed under Science. You can follow any responses to this entry through the RSS 2.0 feed. You can skip to the end and leave a response. Pinging is currently not allowed.