This past week I just realized something: There's no such thing as being prepared enough for your attending pimping sessions. Here's my story to back that up.
I've seen many lap cholecystectomy by now, and this past week, there was another one. I scrubbed in, feeling confident I had a pretty good knowledge about the billiary tract and all about gallstones, even though for this specific patient I didn't get a chance to review her charts (had grand rounds that finished after she was prepped in the OR). Well, we started, I grabbed the camera, had my position and everything, and my attending said: "This lady has a gallbladder polyp. What's the most common type of gallbladder polyps?" And of course that question met my blank stare. My brain started working hard, trying to find that piece of information that I've memorized once upon a time that seems so long ago, namely during 2nd year pathology course. Well, it was unsuccessful....couldn't remember. Then it continued to more clinical stuff: "How do you diagnose it?" "How do you differentiate between polyp and stones on ultrasound?" "Is it benign or malignant?" and so on....Ouch!
The other one was during attending rounds. One of the patients have cecal bascule. I read everything about it. I even read about volvulus and incomplete malrotation. We had 3 attendings with us this time, and any of them can ask questions. 1 attending asked several basic questions which I could answer pretty well. Right when I was about to breathe a sigh of relief after he's done with his questions, my attending asked me: "How about complete malrotation? How do you treat it?" Yeah, of course I didn't know. Argh!
Isn't surgery rotation just fun?
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I stumbled across your post while searching for malrotation. My 2-year old is recovering from volvulus at UMMC.
ReplyDeletehttp://nathandixon.blogspot.com/