Sunday 10 January 2010

Success!

This is what I trained 6 years for at medical school - Yesterday I performed my first operation, and I'm glad to say it was a success! I carried out the repair of a youngish patients undisplaced fracture of his hip with cannulated screws. Of course I was heavily supervised by an SpR but he did let me do the entirety of the procedure, from making the first incision, through putting the guide wires in, drilling the holes, and putting the cannulated screws into the hip and then finally closing with some stitches. What topped it off though was the fact that the SpR said that doing cannulated screws is much harder than putting a DHS in. My ambition for this rotation was to have done a few DHS's as that is renowned as something SHOs are able to do in orthopaedics. I can't tell you how awesome it feels to have done something harder :)

I'm just praying he doesn't end up with avascular necrosis 4 weeks down the line!

Sometimes though I get the feeling that I will never know enough to be able to pass my surgical exams, or to ever be able to work in Africa full time. But looking back, I was the same during A levels, thinking I won't get into medical school etc etc. But yesterday I realised I could actually do this. I guess everyone sometimes feels like this though.

My daily reading today I thought was very apt: A surgeon was recalling the time he was scared before carrying out a surgical procedure - he read the opening lines of a surgical textbook that would tell him how to operate, 'A true surgeon is never fearless. he fears for his patients, he fears for his shortcomings, his own mistakes.'

The faith I have in my own abilities is actually my faith in God, He gave me those abilities and I constantly have to remind myself that He never gives us too much to handle.

PS I booked a snowboarding holiday at the end of Feb, I've never been before and am really looking forward to it :)

Saturday 2 January 2010

Happy New Year

Commit your work to the Lord, and your plans will be established.
Proverbs 16:3

This is the verse from today's 'this day's thought' email that I get. I thought it was an awesome prayer for the coming year - amen.

Over the past 3 days since the Christmas weekend the Orthopaedic service at Worcester where I work has put on x4 as many theatre lists each day to reduce the huge number of patients requiring operations for their various broken limbs, (all the elective lists were cancelled). I think we've finally gotten over the worst, but I hear there is worse icy weather to come - at least the threat of snow over the past week did not become a reality in Worcestershire, a blessed relief for the already stretched to breaking point NHS!

I have my interim validation meeting on Tuesday, which is a meeting by my year supervisor on how I'm doing at work. He'll look at my portfolio of procedures and reflective work I've done since August and give me a score which will help toward my application for Speciality training. I need to do quite a bit of work on it this weekend to get it up to scratch though, I'm one of those kinds of people that saves all my work up and does it last minute rather than spacing it out and doing a little each day! I've had various comments from my seniors about taking a year out of NHS training to go to Malawi and do My tropical Medicine course. Most are enthusiastic and say it'll be a great opportunity, but some have said that if I'm serous about a career in Surgery I should apply this year.

Too late now anyway - applications have closed for working next August! I decided last month to take a chance and definitely do a year out. I really believe that this is what God has planned for me. If I really work hard out in Malawi and get plenty of experience and do some research that gets published, surely I'll prove for applications that I'm serious about an Orthopaedic job.

Anyway, here's a job list for the coming year:
1. Apply for a place on diploma of tropical medicine course (Liverpool/London)
2. Apply for 1st part of Surgical exams for April's exam
3. Post GMC certificate to Malawi for approval to work in Malawi
4. Book Malawi Flights
5. Book onto ATLS course for June time
6. Book some more driving lessons and pass test!