Thursday, August 05, 2004

Hypoglycemic tremors and ego clashes

After about 2 years off, I have re-started working at the hospital. As a voluntary trainee in Orthopedics. I'm totally enjoying it. I'm already getting to assist major surgeries!

I have this problem. I get tremors when I'm hypoglycemic and I can't control them. Today I had trouble in cannulating a patient because of this. Normally, it should have been over in a minute. But I wasted a couple of cannulas.

Apart from that, the patient I tried cannulating had tortuous veins with a lot of kinks. All the regular veins have been used up due to prior cannulization.

One question in general. Do peripheral venous valves affect cannulation?

I really wish that we could get rid of ego problems at the hospital. Yesterday, a suspected case of Osteosarcoma turned up at the OPD. The unit chief decided to post it for open biopsy. But a very well respected associate professor, from another unit, advised against it to the M. O. posted with the duty of doing the biopsy. He said that the soft tissue swelling and vascularity might lead to alarming bleeding. He suggested an FNAC or true-cut biopsy instead.

Totday morning, during rounds, the chief was discussing this and I said the opinion was changed after the suggesting my the other professor. He clearly was offended and said that he was the chief of the unit. Therefore he, and not anyone else, decide what was to be done. He asked me to not mention such things in the future.

I am a fool to have mentioned it. But I thought this other professor is valued high by the whole department.

1 comment:

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