Surgery

Reading week is over and I would like to write about the surgery I had during the break. It does not directly involve the PA program but having surgery as a PA student will affect my experience in the program.

Periacetabular Osteotomy (PAO)

Fig 1: Normal Hip, Fig 2 Hip with Dysplasia (not my x-ray)

When I first injured myself playing basketball in grade 9 the doctors determined that I had congenital hip dysplasia on my left hip. A dysplastic hip has abnormal coverage over the femur head. Therefore creating constant pain. I continued playing basketball and danced throughout university.  In my 4^th year of university I heard a "pop" while dancing and was told that I should stop any high impact activity. The prognosis was within 5 years I would have an arthritic hip. I was referred to a surgeon in Winnipeg and through X-rays it was determined that I also had a severely torn labrum. He recommended PAO but because the surgery is relatively new, only a few doctors in Canada are trained to do the procedure.  Therefore I was then sent to London University Health Hospital in London, Ontario to see Dr. Naudie.

“The surgery involves cutting the pelvis around the hip joint and shifting it into a better position to support the stresses of walking. After the hip is re-positioned, it is held in place with screws until the bone heals. After the bone heals, the screws can be removed, but this is not usually necessary.” http://www.hipdysplasia.org/adult-hip-dysplasia/adult-treatments/hip-preservation-surgery-for-adult-hip-dysplasia/

Hip after PAO (not mine)

What I’ve learned

I’ve learned a lot about patient care and the different roles of the health care professions. I was visited by an occupational therapist, nurse practitioner, anesthesiologist and physiotherapist. I came to appreciate the importance and hard work nurses do for patient comfort and care. I was able to understand the thought processes the doctors would make during my recovery as well as understood the reason behind the different prescribed drugs. This experience strengthened by desire to be a PA and gave me a great overall picture of what patient care and medicine is. 

How I’m doing 

Today is one of my best days mentally. I’ve tried studying in the hospital but I would easily tire from reading the exam material. I felt less pain 2 days post-op then before surgery. I didn’t realize how much pain I lived with until now. 2 days post-op I was walking on crutches, 3 days post-op I was able to walk on stairs and take a shower on my own. 4th day after surgery I flew back to Winnipeg. (I think what helped me recover quickly was losing weight, weight and strength training and good balance from dance and hot yoga :) 

Restrictions: 50% weight baring on my left side and I cannot bend less then 90 degrees from my hip for 6 weeks.  

Upcoming Exams 

I intend to return to school if not tomorrow on Thursday to write my Psychiatry exam. Hopefully I’ll be able to get back to work :)

Few more days until Reading Week!

Studying for the Pharm exam last week :S

After our Adult Medicine exam in pulmonology, reading week is now just around the corner.  We’ve been delving deeper into patient assessment learning the pulmonary and cardiovascular physical exam.

2 weeks ago I was able to shadow a nurse at the Aboriginal Wellness Centre. This was a great experience. I felt very close to the community and that the centre was truly helping the people it served. The centre had a holistic approach which I find important. It opened me up to thinking about primary care and family medicine. Unfortunately I did not have early exposure last week but this week I will be at school to listen to Harvey the heart sounds robot.  

When we get back from the break we look forward to restarting our once a week exams beginning with our Psychiatry midterm.  This exam will cover DSM (Diagnostic and Statistical Manual of Mental Disorders) terminology, mental status exam, psychiatry history documentation and mood, anxiety, psychotic and somatoform disorders.

I think we deserve some rest, don’t you? :P