Hey team of readers. I wanted to include a little more on general surgery if you're deciding to do it.
What do you most commonly see in general surgery?
I actually typed "general hernia" instead of "general surgery." Shows you where my mind was going.
1. Hernias. Especially ventral hernias in older patients with past surgery. There'll be at least one everyday.
2. The cholecystectomy. All laparoscopic is all I've seen. Same deal. If you love green sacs of bile, do this.
3. Abscesses, pilonidal cysts, which all happen to be on the buttocks or around the anorectal area. The "glamorous" general surgeon spends a lot of time in this area.
4. Bowel obstruction, which gets a little boring after a while because it's basically a reflex when it comes to treating it, but I like how quickly patients improve.
5. Bowel resection, either laparoscopically or in exploratory laparotomy
6. Abscesses. They're so common they're on here twice.
7. Trauma if your hospital sees trauma cases in any sizeable volume
8. Managing every single patient's diet and fluids, and obsessing about the number of bowel movements (and their appearance, quality, volume, taste, smell, etc), and urine output. Compared to a medicine service, this is basically nothing.
That's as a med student/resident on the general surgery service.
Students can choose to, but residents are required to do rotations in vascular surgery, pediatric surgery, plastic surgery, transplant, and cardiothoracic surgery. My hours were from 430am to 630pm, which is relatively light and not like what life as a resident is like.
What goes to the specialists?
1. Burns goes to plastics
2. Animal bites to plastics
3. Eye injuries to ophtho
4. Face injuries to plastics, neurosurgery, or ENT depending on the nature
5. Transplants, vascular surgery, heart/thoracic surgery, pediatric surgery, all require fellowships for you to do those
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