Geli Hati

Tengok drama. Seorang lelaki kemalangan, dimasukkan ke hospital dipasang ECG. Lelaki itu sedang nazak dan kemudiannya meninggal dunia. Scene di mana hembusan nafas terakhir diambil pada sudut yang menampakkan ECG monitor. Sebaik sahaja lelaki itu meninggal, ECG wave di monitor menjadi flat. Di monitor juga terpapar, ECG lead off. Reaksi saya -- ERKK?????

True and Sad Stories from the Toilet

Yes, they are sad stories happening in the pensieve room.Believe me.

Once upon a moon ago, I read a news about man suffering from nasty burn because he smoked when doing his business.

Apparently this man didn't know that his bowel has methane (a combustible gas). All he know that it is flatulence. So people, take note, your fart contains methane. And when you pass stool, you'll also do microfart(s).

So obviously : the fuel (methane) + heat (the cigarette) = flame

flame in small cubicle + your body ----> burn

I guess the man learnt his lesson. He should by now. And you should learn the lesson from him too.

Second sad story is unfortunately, most of the time, unavoidable.

Some people have DVT (deep vein thrombosis) and is unaware of it, because most of the time, DVT are asymptomatic.

But when you do Valsava maneuvre (layman's term is straining to evacute your bowel), the silent DVT decides to be noisy and change its name. It dislocates due to the pressure and travels up into the heart and out of the heart into vessels going to the lung. It is most unfortunate when the embolus get trapped in the early portion of the vessel going to the lung (which diameter is large), which almost always mean sudden death.

Remember how death can greet you anytime? Well, this is one of the wayS death can choose to fetch maybe you, and maybe me. (T_T)

Logic

Many a times in medical school, logic is essential.

So, the question is, what is the most common tumor in the gastrointestinal tract?

Carcinoid pop out from my mind when I heard this question but then when I inject some logic, it doesn't seem to be the answer seeing that there's not so many enteroendocrine cell in the gut (well, RELATIVELY, it's not that many really).

And yes, carcinoid is not the MOST common tumor in GIT.

The Doctor Hurts You

but it's all for your own good.

Did I tell you that for the few first surgery practical, I'm under a neurosurgeon?If I didn't now I do.

Anyway, we went around the operating rooms in our scrub and then went for central catherization procedure.

A young man had a motorcycle accident which destroy his brachial plexus and a certain part of spinal cord, so he has paraplegia (paralysis of downhalf of the body) and loss of function of the whole right arm.

Central catherisation is done so that they can put some nutrition and drugs for his treatment.

Basically we prick a ~7cm long needle in between your clavicle and neck muscle, very carefully avoiding from puncturing the lung, straight into your subclavian vein, basically a major blood vessel.

Then we take our the syringe, but not the hollow needle before we guide a flexible wire into the vein.

Then we take out the needle, leaving the wire half dunk inside your vein and half length is on midair.

We then punch a larger hole on the same site so that we can insert the cathether into the vein. So now you get the wire inside the cathether inside the vein. You with me?

So then we take out the wire and left the cathether fastened over there.

In conclusion, it's a painful procedure, of which can bring about protruding eyeball (sign of pain) from an otherwise macho man (as an example of preserverance)

But this particular man, with his left hand, took out the cathether.

I don't know why he did that, but bottom line is he pulled that thing out.

But hurting patient isn't the verb for doctor's action. It's always healing, not hurting. Procedures hurt you. Doctor doing the proedures doesn't.

You take whatever plactic/wire the doctor put inside you. Conscious or not. The doctor will put that back in. For you.

How irony.

And that patient's hand is fastened and when the doctor put a new cathether in, he made sure it will stay put.

On how he did that?

He sew the cathether to the skin.

And then before he let us students go, he said,

next week, only underwear under your scrub

O_o