Today is my day off. As taggers in the Orthopaedics Dept, we get one day break a week! :) It might not seem like much, but its much better than some of my friends who are unlucky enough to be working every single day. Tagging is the period when you first enter a department, so you're supposed to "tag" along with your seniors. I was so blur on my first day of work, but now I guess I'm coping a lot better than before.
As house officers, we are expected to do most/all of the ward work and plan the management of the patients (to be confirmed/changed by the medical officers or specialists during their rounds). So I arrive at 6.30 am daily to review the patients before the MOs make their rounds. This Monday, our "boss" Mr. Soh is expected to be back from his leave though, so things are going to get tougher! I'll have to know the patients very well because my seniors have said that he sometimes asks a lot of questions about the case.
After ward rounds, we do ward work. :D Ward work kind of sucks because everything is haywire. That's because other people will cross off the work even though it wasn't them who completed it, and then sometimes a mistake will be made and some blood was not taken or an ECG was missed, etc etc. I'd much prefer it if the person doing the work crosses it off the list herself, but this is the way things are done so....
Orthopaedics is very very new to me. In Russia, the only orthopaedics/trauma we learn are about the types of fractures and how to diagnose fracture from looking at the X-Ray. So now I'm having quite a bit of a problem trying to learn the proper and correct management for patients. Here in MGH (and possibly throughout Malaysia??), if patient has DFU or any other infection associated with DM, you start them on IV Unasyn 1.5g tds. If no DM, then IV Cloxa 1g qid. There's also Zinnat, Zinacef, Flagyl...those things I haven't figured out their indications yet. :D
Pain...for pain management...I'm really lost!! Usually the patients are on Cap Tramal 50mg tds. Some of the patients who complain of joint pain, they are started on T. Arcoxia 90mg or C. Celebrex 200mg. Some are started on Voltaren ( + Gelusil ). The finer points of pain management still eludes me, after one week. I need to learn more!!
As house officers, we are expected to do most/all of the ward work and plan the management of the patients (to be confirmed/changed by the medical officers or specialists during their rounds). So I arrive at 6.30 am daily to review the patients before the MOs make their rounds. This Monday, our "boss" Mr. Soh is expected to be back from his leave though, so things are going to get tougher! I'll have to know the patients very well because my seniors have said that he sometimes asks a lot of questions about the case.
After ward rounds, we do ward work. :D Ward work kind of sucks because everything is haywire. That's because other people will cross off the work even though it wasn't them who completed it, and then sometimes a mistake will be made and some blood was not taken or an ECG was missed, etc etc. I'd much prefer it if the person doing the work crosses it off the list herself, but this is the way things are done so....
Orthopaedics is very very new to me. In Russia, the only orthopaedics/trauma we learn are about the types of fractures and how to diagnose fracture from looking at the X-Ray. So now I'm having quite a bit of a problem trying to learn the proper and correct management for patients. Here in MGH (and possibly throughout Malaysia??), if patient has DFU or any other infection associated with DM, you start them on IV Unasyn 1.5g tds. If no DM, then IV Cloxa 1g qid. There's also Zinnat, Zinacef, Flagyl...those things I haven't figured out their indications yet. :D
Pain...for pain management...I'm really lost!! Usually the patients are on Cap Tramal 50mg tds. Some of the patients who complain of joint pain, they are started on T. Arcoxia 90mg or C. Celebrex 200mg. Some are started on Voltaren ( + Gelusil ). The finer points of pain management still eludes me, after one week. I need to learn more!!
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