Thursday, July 12, 2007

 

Early goodbye

Practice of Emergency Medicine really different to other specialty:
- Undifferentiated patient, life-threatening conditions can present with subtle complaint at early phase
- No perfect investigations to rule-out every possible life-threatening conditions, and if "shot-gun" approach is adopted, it will hinder the patient flow and it's waste of resources

So we're bearing uncertainty and risk everyday. There are always cases that I've first seen, or I'm not totally sure whether my management is right or not...

However it's going to be the end of the stay at the emergency dept. I was summoned to rotated to general surgery then orthopedics, then back to A&E in mid Jan 2008
Down side: I hate ward rounds and oncall. For oncall, there's no overnight call for "E" call now, should be more tolerable
Up side: I may have chance to learn more procedures...bedside ultrasound is the thing I'm looking forward to experience more, also procedures like CVP insertion, suturing etc.

for Ortho, it's A&E related as I see lots of ortho case during my shift, so I've no objection to rotate to ortho

Anyway, time for a new start (again!)
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Updates:
Shit! I was "informed" that I have to stay at general surgery for 6 months!, no more orthopedics!
XYZ!@#$%

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