Hi, I am your Orthopaedic SHO.
Firstly, I know nothing. Secondly, the only thing I like about Ortho is looking at ECGs.
Wow, that's helpful isn't it?
I finished my last day of FY1 12 hours later than everyone else by covering my fellow F1's night because he had to move to a different location whereas I was still in the same trust.
It was uneventful. I doubly played a role as a Medical F1 on call as well because the medical SHO (whom I swear I have fallen in love with after last night) was struggling but remained so pleasant, each time telling me that he was okay when I repeatedly offered to help him even clerk new admissions, and kept thanking me when I helped him do odd jobs. Unfortunately, the sickest chap died despite my heroic efforts at catheterising and ABG-ing him...but an inoperable CA and an ischaemic bowel with a Lactate of 8.6 would have unlikely interested the surgeons in a laparotomy.
It is true what the Med Registrar was saying - there is such a difference now retrospectively standing back and looking at the events that had unfurled this past year. How much better I am now at the end of my FY1 career than at the beginning. Even if it is just small things like working the system or telling the nurse to just forget it when there is minimal urine output in a perfectly well patient overnight. Hello, nobody pees at 4 am when they are asleep for God's sake!
So it is with a tinge of emotion that I bid my first year of my career as a doctor goodbye.
It has been full of ups and downs and it has been such a steep learning curve and despite it all, I am proud that I have come this far with the following to be proud of:
1) I made it through all my F1 on calls and normal days without shedding a single tear. Yes, I have had my fair share of being treated unfairly and being shouted at for no reason, and making mistakes that could potentially endanger a person's life but I had refused to cry. Not once.
2) Actually gained some knowledge clinically. Or at least I'd like to think so. At least now I clearly know what dilated loops of small bowel look like and what to do when someone is in ileus. NG Tube for God's sake. I Don't care whether the patient likes it or not.
3) As much as I was afraid of surgery, I actually learnt some surgery from the few sporadic bouts of being a surgical house officer and actually doing something useful besides a ward bitch. I am only looking forward to learning some Orthopaedics because let's face it, I know nothing and we all know that we just have to man up and face our fears sometimes.
4) Learnt to read ECGs properly. I suppose that was one of my better areas in medicine anyway. Nowadays if something looks weird I just holler for the Cardio reg and force him to come over and take a look even if he gives me grief. That's because I have also learnt that despite all his swearing, he isn't all that fierce and I'm not the least fazed by him taking the piss out of me.
5) Can successfully totter around in fairly high speed in heels/wedges. Fashion comes first, regardless of your job.
6) Am hopefully one step closer to being a Cardio God.
It's been a good year, F1. Despite the fact that my days on Elderly Care almost did my head in and made me lose all my hair, Cardiology was a dream and Colorectal was great fun mainly because I had the best registrar in the world who even gave me a present when I left.
And now on to embrace the world of Orthopaedics. My first day tomorrow and I am scheduled in theatre. The Consultant is not just going to throw his hammer at me, he might drill a hole through me and throw me out the window eventually.
Good Luck.
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