When I saw patients on Monday, I heard several interesting stories. One patient came to hospital with severe side effects from cortisone. She has experienced serious swelling on her arms and legs. She removed her colon few years ago and then had to be treated by cortisone for another disease. Her home doctor suggested removal of cortisone might cause insufficient uptake of drug but Dr. Milsom did not agree with the opinion. He examined her bowl with flexiscopy but her digestive track seems fine. To figure out the problem, she has scheduled for MR enterography to check blockage in the small intestine. Another patient has been treated by radiation for her colon cancer and be ready for surgery to remove residue of tumor tissue. However, she was also diagnosed for liver cancer so Dr. Milsom planned to operate removal of colon and a bit of liver at the same day. This surgery has scheduled for next Friday so I am a bit nervous for this big case.
In the OR this week, the most challenging part was to clear up the adhesive tissue. The adhesion to the body wall or to other tissues usually can be considered as normal healing process but to reconstruct digestive path, this should be removed and the small intestine or part of colon should be detached. Since the surgery has been done laparoscopically, it took quite a bit of time.
On Wednesday, I attended meeting of cancer center at Belford research building. It was interesting since I could hear how NYP envisions their future. It was unlike that I usually attend but I could hear from marketing side to their breaking through technology for future. The cooling scarp, developed and used in breast cancer department, looks really amazing. It was impressive that not only for the technology, but also managing service for patients was top priority of their interest.
On Thursday, I attended meeting of colon cancer department, which aims to discuss their patients cases and report the progress.
Overall, in this week, I have more experienced and now I am getting more familiar with the doctors life which starts around 6:30 am and ends at 8 pm.
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