Decided not to take a caffeine tablet today, just to see if any traces of dependency are starting to appear. Completed our CBL case, turned out to be ulcerative colitis - we spent most of the session checking the distinguishing factors of both UC and Crohn's disease. Crohn's seems to have a very characteristic 'cobblestoning' appearance, whereas our patient had the patchy white lesions that indicated UC. My job from last session was to investigate the relevant pharmacology of laxatives and anti-diarrhoeal agents - did you know that castor oil is regularly used as a laxative agent, even though nobody seems to know how it works?
This was followed by an introduction to the structure and function of the kidney, which I quite enjoyed as I had a cup of coffee to hand. It was an extremely fast run-through however, and I don't believe these lectures are recorded to the Echo catch-up system as the others are. Ah well. Thankfully the diagrams are very clear, and the strctures we're required to know don't seem to be that complicated. That's true in general really so far - the content we're learning is not that hard at all, using my last degree as a benchmark. There's simply a metric f***ton of it.
In the afternoon we headed to George Eliot Hospital in Nuneaton for a crash course (no pun intended) in cardiopulmonary resuscitation. I did St John's ambulance first aid training a few years ago and so it was all familiar, but it was good to go over the techniques again. The training dummies (or 'Annies' - they are based on the death mask of a French woman that reputedly drowned in the Seine') lit up to indicate that you were compressing hard enough and at the correct rate.
After a break (during which I spent no less than 11 minutes trying to navigate the most complicated vending machine I've ever seen for some Skittles) we had a second session on infection control. This involved moving between stations featuring example scenarios, with guidance on how to deal with them appropriately. Highlights were the glass wound station and'choking charlie' Heimlich manoeuvre practice dummy - apparently we're not supposed to call it that and instead say 'abdominal thrusts', although that's not nearly as cool.
Headed back to the university at 5, but did not reach it until 6 due to the hideous traffic in Coventry. Signed up for a place at the Surgical Society anatomy day, which are apparently very good revision, got a tiny bit of work done and then headed to the Neurological Society's showing of The English Surgeon, a film following the neurosurgeon Henry Marsh as he goes to the Ukraine. I very highly recommend both of his books, particularly the more recent Admissions - essential reading for anyone even remotely interested in surgery.
I was however flagging extremely hard by this point in the day, and ended up falling asleep on my elbow not long into the film. I've to this day never seen the latter half, which was actually my one objective for today. Ah well. By the time I got home I was feeling exhausted and nauseous, so went straight to sleep about 9pm. Mixed day.