Wednesday, 22 February 2017
Resources one should have in Orthopaedics posting as a HO in Malaysia
I think this might be a little important. Unlike Paeds and Medicine, for which there are the Paeds Protocol and various CPGs, there aren't any official guidelines for Orthopaedic management in this country. Apart from the following, I would suggest a small notebook in which you can jot down the common management seen in your hospital.
Look through your HO logbook and aim to complete it quickly. Some procedures are hard to come by and may not come by at all by the time you finish your posting!
As always, the following is based on my personal but honest opinion.
Books/Printed Documents:
Print This - A highly useful PDF document made by a great team. Has all the important fracture classifications, some important angles (to accept check x-rays), common dressings, implants and in the final page some important ortho emergencies to watch out for, amongst others. Try to memorize this by the end of the posting. To be The Ultimate HO, memorize the entire thing before the beginning of the posting!
'UIA Ortho Book' - It's actually titled 'Basic Fracture Management for Students and Housemans [sic]'.I don't know where you can officially get this, but since UIA/IIUM grads are everywhere, try asking them. This book came highly recommended by one of my specialists and a few MOs. The book is usually found photocopied. It is concise and has almost everything you need to know regarding some of the most common management points in the posting. If anyone has a means to get the original form or a way to contribute to the authors, I'd greatly appreciate you dropping me a line.
Netter's Concise Orthopaedic Anatomy - A great book for a quick look through important anatomical points, and concise information on some important injuries. It even shows x-ray techniques. This book saved my life (okay, more like reputation) quite a few times. Small enough to carry around (and lose :( ) in the hospital.
Apley's Concise System of Orthopaedics & Fractures - Get the concise version if the big one is too costly. Mind you, your specialist might tell you it's 'not enough'. It's more than enough for a HO not very keen on furthering in Orthopaedics (or too broke to afford the bigger book).
Websites:
1. Orthobullets - Concise as the name, and highly useful for some accurate high-yield facts and management points.
2. Wheeless' Textbook of Orthopaedics - Another highly recommended site.
Both of the above are more than adequate, and best of all they're absolutely free. And amazing.
God bless the contributors.
If you're not keen on getting the books suggested in the previous list, access to internet and the above sites, as well as the PDF document in the previous list, is more than enough most of the time.
Tools
1. Measuring tape
2. Goniometer
3. Tendon hammer
4. Don't forget your stets! And other basic HO stuff. Just because it's Ortho doesn't mean you don't review the patient holistically ;)
Actually these can be found- most of the time, anyway- in your clinics and wards. But it's better to have them handy. The goniometer? I've survived without one, but I could distinctly remember some MOs running around like headless chickens trying to find one in the clinic.
Conclusion
Some Orthopaedic departments are known to be the most chill departments in the hospital.
Some are known to be the most malignant.
Either way, it is always better to equip yourself in this posting, same as other postings. It may not be a major posting like medical or surgery, but once you become an MO, you may - MAY- be thrown into this department, and have no say in it. Furthermore, some basic management of orthopaedics is still important when you're the frontliners in medicine, working in a health clinic or the emergency department. So don't take this posting for granted!
Important topics?
Kindly ask your bosses. I might go into it later, if I have the time and motivation.
Counting down to the end of this posting...
Thursday, 16 February 2017
Dear Various Staff of my Current Department...
Dear Specialists,
you don't function as our guardians.
You think you do, but you fail miserably.
Dear MOs,
screw you too.
And for those to whom this applies, love you too. Like, 2 of you.
Dear Nurses,
thank you for being our gossip partners.
Sorry for semi-snapping at you when things don't get done.
Thanks for the CODs.
Dear PPKs,
I know you are underpaid, but so am I.
Please stop taking so many breaks if your work isn't done.
Stop making me do your job.
Dear HOs,
... hang in there.
This too shall pass.
Sincerely,
(And I am not liable for what I say when I'm so emotionally disturbed),
A Highly Upset Cockroach aka HO.
.
Frustrated.
So frustrated.
I actually want to cuss and swear while crying, if such a thing were possible on such a public blog.
I have never felt so stressed in my HO life.
Whatever.
Be back soon with better-sounding posts.
So frustrated.
I actually want to cuss and swear while crying, if such a thing were possible on such a public blog.
I have never felt so stressed in my HO life.
Whatever.
Be back soon with better-sounding posts.
Thursday, 19 January 2017
Some Days
Some days,
it's enough for a fellow colleague to thank you and say they trust you.
That you can be relied upon.
That when you're in their shift, they feel less burdened.
Bosses aside,
we know each other (HOs) most.
We are the ones who have to cope with one another, we are our own support system.
So what if your bosses constantly pick on you?
If their advice is useful, then improve on that which you're lacking in.
If not, keep your chin high. Don't be rude, and if it's too horrendous, vent to the proper channels.
Your colleagues, your friends, will be there for you as long as you're not entirely useless.
Entirely useless pun colleagues mostly takkan abandon kan...
Sebab tak nak kerja diorang pun susah.
Rojak sikit.
Love yourself, reward yourself.
And sometimes, be a little more proud of your effort. But not too cocky, mind. It's a thin line to tread. What's important is that you realize there is no way on Earth or in this life in which you can please everyone. The majority is enough.
Your intentions, your niat- set them right. God willing, everything else will follow through splendidly.
And study lah homework2 yang diberi MO/Boss, kalau tak saja cari nahas hahaha!
Tuesday, 17 January 2017
2017 and I'm Still Fightin'
So when a boss from a former department says "Ah, the most famous *Insert your full name here*~", do you:
A) Assume that you're loved
B) Assume that you're notorious
C) Assume that you're weird
D) Assume that you're reliable
E) Do not assume anything and just think of the boss as being friendly
???
Answers please, I need answers!
Thanks, boss. You're also most famous for being super cute (and moody, but when you're not super busy you're mostly cute) :)
Also, doing periphery is making me feel quite some weird feelings.
Tired, and easily walking over 10000 steps per day now as I walk up and down stairs and around the hospital multiple times at least until noon.
But good thing I'm leaving my main ward a lot, because man, it's getting a little too stifling.
But then I also binge eat like mad almost every opportunity I get. Not necessarily because of periphery work, but because of the stress this posting is inducing on me.
THIS IS NOT A RELAXING POSTING.
ALL SENIORS WHO SAID THIS HAVE LIED.
We are critically low on HOs and the ward is constantly almost full and it is so stressful when your bosses do not understand and are constantly undermining your work for the silliest things, the tiniest mistakes. Even if it's not directly your fault, you feel the heat; the blame is directed, inadvertently, on all HOs for being so darned incompetent or whatever (even if those constantly receiving the complaints are usually the same one or two people).
Because, you know, we don't have people who are above us and supposed to supervise us, presumably.
We're just supposed to supervise one another. Crabs teaching their crablings to walk straight lah.
NOOOOOOOOTT.
Step 1: Do not supervise your underlings
Step 2: Underlings make mistakes
Step 3: Complain that underlings are rookies and unreliable
Step 4: ????????
Step 5: PROFIT
*Laughs* Sorry, sorry.
I'll stop stabbing at my bosses now.
Bosses, I love you.
It's just, you know,
hard to love you guys when you keep picking on tiny mistakes
and dramatizing
and not praising us when we do work properly *pffffrrtt*
because like you said,
we're all manja
unreliable
not like you guys when you were HOs, definitely.
Because you guys were simply excellent and perfect.
Haha I just stabbed my bosses again.
You see why I'm anonymous? Geez.
*Laughs maniacally again*
.........
Sincerely,
the least reliable HO ever.
(Who's probably notorious and doesn't know it herself)
A) Assume that you're loved
B) Assume that you're notorious
C) Assume that you're weird
D) Assume that you're reliable
E) Do not assume anything and just think of the boss as being friendly
???
Answers please, I need answers!
Thanks, boss. You're also most famous for being super cute (and moody, but when you're not super busy you're mostly cute) :)
**********
Also, doing periphery is making me feel quite some weird feelings.
Tired, and easily walking over 10000 steps per day now as I walk up and down stairs and around the hospital multiple times at least until noon.
But good thing I'm leaving my main ward a lot, because man, it's getting a little too stifling.
But then I also binge eat like mad almost every opportunity I get. Not necessarily because of periphery work, but because of the stress this posting is inducing on me.
THIS IS NOT A RELAXING POSTING.
ALL SENIORS WHO SAID THIS HAVE LIED.
We are critically low on HOs and the ward is constantly almost full and it is so stressful when your bosses do not understand and are constantly undermining your work for the silliest things, the tiniest mistakes. Even if it's not directly your fault, you feel the heat; the blame is directed, inadvertently, on all HOs for being so darned incompetent or whatever (even if those constantly receiving the complaints are usually the same one or two people).
Because, you know, we don't have people who are above us and supposed to supervise us, presumably.
We're just supposed to supervise one another. Crabs teaching their crablings to walk straight lah.
NOOOOOOOOTT.
Step 1: Do not supervise your underlings
Step 2: Underlings make mistakes
Step 3: Complain that underlings are rookies and unreliable
Step 4: ????????
Step 5: PROFIT
*Laughs* Sorry, sorry.
I'll stop stabbing at my bosses now.
Bosses, I love you.
It's just, you know,
hard to love you guys when you keep picking on tiny mistakes
and dramatizing
and not praising us when we do work properly *pffffrrtt*
because like you said,
we're all manja
unreliable
not like you guys when you were HOs, definitely.
Because you guys were simply excellent and perfect.
Haha I just stabbed my bosses again.
You see why I'm anonymous? Geez.
*Laughs maniacally again*
.........
I NEED A LONG HOLIDAY
Sincerely,
the least reliable HO ever.
(Who's probably notorious and doesn't know it herself)
Saturday, 31 December 2016
New Year's Eve~
So much has happened this past year.
I got a job and subsequently felt the advantages of working life- buying myself shiny things, being able to give my parents money and treat my family to meals for a change, and learned how to sort myself out better.
I'm pretty sure I had something more insightful planned for this post, but my postcall state is preventing optimal recall. So, sleep it is.
Happy new year to all, and may 2017 be better than 2016 for all of us :)
I got a job and subsequently felt the advantages of working life- buying myself shiny things, being able to give my parents money and treat my family to meals for a change, and learned how to sort myself out better.
I'm pretty sure I had something more insightful planned for this post, but my postcall state is preventing optimal recall. So, sleep it is.
Happy new year to all, and may 2017 be better than 2016 for all of us :)
Subscribe to:
Posts (Atom)


