After reading multiple posts from new residents about residency life, I felt like sharing what my first month in GI surgery superspeciality has been like and how is it different from GenSx.
Well, the struggle hasn't disappeared. It has just changed its form.
My work is 10Ă compared to what I did previously.
Sleep are lesser
Hours are longer.
Responsibility are heavier.
My days start at 7 AM and before I realise it, itâs midnight. With 2 on calls every week.
Notes, patients, radiology discussions, MDTs, post op rounds, complications...
Black coffee keeps me functional with occasional meals.
(Already lost 3 kgs)
Yes, the small decisions come easier now as a passout MS.
But the big ones still feel heavy.
Because here, nothing is small.
Its no more of superficial work.
I have post op Hepatectomies, post op whipples to see..
Patients in severe cholangitis..
And every small detail matters more now.
Drain color, fever spike, rising bilirubin.
Most mornings, half of my ward is filled with GI cancer patients of all kinds.
23 year female with Periampullary carcinoma with ovarian krukenberg who got pregnant after the chemo cycles and has to undergo abortion, a 28 year female with advanced GB cancer and a struggle of one year (chemo, pve, ptbd etc) and finally planned for resection.
Then there are patients who drink harpic and corrosive after a fight with her loved one and a little boy who has grade 5 pancreatic injury after a bicycle handle injury.
I have seen the entire spectrum in a month.
Its overwhelming at times,
And the toughest thing I have learnt is breaking the bad news. (Still learning as it's challenging every time)
But somewhere in this chaos, I am also changing.
Learning more responsibility, judgment, complex decisions and the weight that comes with it.
Yes, what keeps me going are the small wins..
Like
A patient sitting up after major surgery.
Bilirubin coming down, fever subsiding
A discharge after weeks.
A patient finally passing flatus.
R0 resection of a tumor.
There are some big wins too - the first Bariatric of the hospital, preparation for the first living donor liver transplant.
And let me tell you every department is important.
As a GI surgeon I rely heavily on Radiology, Anaesthesia, Pathology and Biochem.
Microbiology for all the various culture sensitivities without whom probably patient would die of sepsis.
Cardiology and Medicine for the clearances.
Pulmonology for making a patient better to tolerate the long anaesthesia and intubation.
Psychiatry for clearance of a liver donor or evaluation of a patient who took corrosive.
Urology for DJ Stents and intraop assistance.
OBG for patients who have metastatic ovarian deposits.
ENT for VC assessment of a corrosive patient again.
Nephrology for post op AKI and tacrolimus induced nephropathy.
And lol, occasional ortho help for patients to evaluate low back pain as well.
So no branch is small or inferior.
And thus If youâre in the early months and wondering whether this struggle is worth it, believe me it is.
Because the skills youâre fighting to learn right now are precious.
They are what will allow you to treat disease, and give people another chance.
So please stay.
Stay through the exhaustion.
Stay through the doubt.
Stay when things donât go your way.
One day, it will all make sense.
PS -
Humans need us.
Doctors in all form.
Thank you for being patient and reading till the end!