Into my 3rd week of A&E at the moment but technically only day 4/5 coz our group had blocks of offdays in a row at the beginning of the block and now we have all the shit in a row. We had started off in AMU and coz it was my 1st 2 days I was very law by law and basically only went for the ward round after which my shift was over. The FY1s were quite nice. Found a good case for my case presentation later this month. It was a classic upper GI bleed guy who presented with PR bleed. The smell of malaena wafts around AMU quite frequently which is good practise I guess for medical students to recognise it immediately in the future. It is roughly the smell of burnt rubber with a kind of sharp quality to it.

Had about whole week off after that whereby it was the royal wedding so stayed home and checked out the pictures on fb. Had the fever and post-karaoke I think pharyngitis over the weekend and missed 1st day in A&E paeds. Had a demoralising past few days where I failed all my bloods and cannulas. ALL. Even the bulging great big man veins. Yesterday was better coz at least I felt I was of some use presenting cases. Got a cannula in more comfortably but the poor old man was very very dehydrated (that is my excuse) so the blood stopped halfway and I did not feel comfortable having another go so got a doctor to do it :/ Ugh. So paiseh to admit I am final year. I cannot even do bloods and cannulas. And most people are going to go in with shitty spidery collapsed veins when I cannot even do healthy man veins. Have not had the guts to try ABGs either. I need more confidence man.

Guess there were quite a few cool cases like gaping wounds with ruptured tendons and hypos and pneumothoraces. At least I have something positive to blog about for my A&E blog. Yea we have to write in blog entries for this block :/ it is very IT savvy. No workbook. Everything online. We even have a virtual ward. Which is actually really quite good and will potentially be made into an iphone app.

Should I go in later? I have green sputum today.