Two days into the week. I"m ready for the weekend.
As part of O&G, we"re expected to attend about eleven (11) clinics over the course of the rotation. Somehow, despite failing to sign up to things properly, I"ve managed to attend four (4) in the last two (2) days. I"m not sure how that even worked but dang, I"ve subsequently ended up with a long, long list of things I need to read up on.
Just looking at the list is tiring me out.
So I"ve managed to attend a high risk pregnancy clinic, a menopause clinic, an antenatal clinic and a colposcopy clinic. All in all, pretty educational, though I"m kind of getting over all this icky women stuff.
Haha. Kidding.
OR AM I?
Showing posts with label obstetrics and gynaecology. Show all posts
Showing posts with label obstetrics and gynaecology. Show all posts
Tuesday, May 25, 2010
Friday, May 21, 2010
Fridaaaaaaaaaaaaaay!
7am starts are bad.
So very bad.
Finally getting to scrub into an operation though? So good.
I"m sure I"ve mentioned before that I"ve been through 8 weeks of Surgery without having the chance to scrub in to assist with an operation, its a pet peeve of mine.
Today, I happily got to scrub up and assist the doctor on a caesarean section. It was all I imagined it to be. Well getting sprayed and being soaked from the waist down in amniotic fluid was a surprise, but otherwise, it was great!
This time it was a baby boy. He was so cute!
So very bad.
Finally getting to scrub into an operation though? So good.
I"m sure I"ve mentioned before that I"ve been through 8 weeks of Surgery without having the chance to scrub in to assist with an operation, its a pet peeve of mine.
Today, I happily got to scrub up and assist the doctor on a caesarean section. It was all I imagined it to be. Well getting sprayed and being soaked from the waist down in amniotic fluid was a surprise, but otherwise, it was great!
This time it was a baby boy. He was so cute!
Thursday, May 20, 2010
Post-hump day
Hump day was big.
Basically spent the morning organising our own timetables for O&G.
This involved organising changes in PBL dates/times and booking in with clinics and GP placements, though some of us didn"t have our GP placement dates/locations yet, which made things really annoying as we tried to keep the afternoons free in case our GP placement was on one of those days.
Worst organised rotation ever.
I ended up spending the afternoon trying to chase up my GP placement and finally managed to.
Today I had swapped with a fellow student to be on the Birthing and Assessment Suite for the day.
I wasn"t expecting much to happen, as many previous students had mentioned that they had gone through all of O&G without seeing a NVB (or normal vaginal birth for those that aren"t up to date with the TLAs).
So I showed up at 7am, totally awake and ready for a long day of sitting around (I wasn"t really). The midwifery handover was as to be expected, lots of names and things I hadn"t heard of before. The medical handover at 8am was the same.
Soon afterwards though, following the medical team around, we checked on a woman who had her membranes rupture 2 weeks ago (PPROM) when she was about 31+2.
Apparently the thing to do in this case is just to chill out and balance the risks of infection vs the problems of prematurity. So they chilled.
Flashforwards to today and the expectant mother is at 34+3, over the majority of problems and probably more at risk with infections, so it was decided that it was time.
The registrar introduced me to the husband and wife and asked if it was alright for me to tag along with her for her birth. She was quite non-committal (apparently she had been hounded by medical students for the 2 or so weeks she"s been in hospital), but I got a vague consent.
Approximately 10:30am, I went in to properly introduce myself and ask again for consent, and she was quite agreeable. I think it was partly due to the NO gas.
Not long after, her contractions got stronger and more frequent. Action time!
Long story short:
At 10:57am on Thursday the 20th of May, 2010, a beautiful little girl weighing 4.2 pounds was born as a normal vaginal birth. Apgar scores were 8 and 9 for the healthy pink looking baby, though there was slight nasal flaring.
That was the pretty part.
What came next was the placenta. Not so pretty.
Did you know that they keep the placenta (double bagged) in a fridge in case the parents want to take it home? Not weird at all. Totally not weird at all.
Basically spent the morning organising our own timetables for O&G.
This involved organising changes in PBL dates/times and booking in with clinics and GP placements, though some of us didn"t have our GP placement dates/locations yet, which made things really annoying as we tried to keep the afternoons free in case our GP placement was on one of those days.
Worst organised rotation ever.
I ended up spending the afternoon trying to chase up my GP placement and finally managed to.
Today I had swapped with a fellow student to be on the Birthing and Assessment Suite for the day.
I wasn"t expecting much to happen, as many previous students had mentioned that they had gone through all of O&G without seeing a NVB (or normal vaginal birth for those that aren"t up to date with the TLAs).
So I showed up at 7am, totally awake and ready for a long day of sitting around (I wasn"t really). The midwifery handover was as to be expected, lots of names and things I hadn"t heard of before. The medical handover at 8am was the same.
Soon afterwards though, following the medical team around, we checked on a woman who had her membranes rupture 2 weeks ago (PPROM) when she was about 31+2.
Apparently the thing to do in this case is just to chill out and balance the risks of infection vs the problems of prematurity. So they chilled.
Flashforwards to today and the expectant mother is at 34+3, over the majority of problems and probably more at risk with infections, so it was decided that it was time.
The registrar introduced me to the husband and wife and asked if it was alright for me to tag along with her for her birth. She was quite non-committal (apparently she had been hounded by medical students for the 2 or so weeks she"s been in hospital), but I got a vague consent.
Approximately 10:30am, I went in to properly introduce myself and ask again for consent, and she was quite agreeable. I think it was partly due to the NO gas.
Not long after, her contractions got stronger and more frequent. Action time!
Long story short:
At 10:57am on Thursday the 20th of May, 2010, a beautiful little girl weighing 4.2 pounds was born as a normal vaginal birth. Apgar scores were 8 and 9 for the healthy pink looking baby, though there was slight nasal flaring.
That was the pretty part.
What came next was the placenta. Not so pretty.
Did you know that they keep the placenta (double bagged) in a fridge in case the parents want to take it home? Not weird at all. Totally not weird at all.
Tuesday, May 18, 2010
Back to it...
So it seems I haven"t blogged in so long, I don"t even know where I"m up to.
Quick summary of the last week or so (if you want more info, you"ll have to ask for it...)
Tuesday, 11th of May: Handover. Wards. JMO teaching - A visiting ophthalmologist gave a quick spiel regarding outreach clinics - I jumped up as soon as he was finished to talk to him and spent the afternoon making the necessary arrangements.
Wednesday, 12th of May: Handover. Journal Club. Wards. Bedside Teaching. Tried to get a miniCEX done, consultant was busy. Went out to the Beachfront for drinks at trivia night.
Thursday, 13th of May: Woke up at 5ish to catch a taxi at 5:45am to the airport. Flight was slightly delayed but had a nice chat with the ophthalmologist during the wait and eventually got into a little 2-engine (pressurised) 9-seater plane that carried the pilot, the ophthalmologist and myself. I felt like I had my very own private plane. Continued chatting with the ophthalmologist about life, the universe and medicine, while the pilot did his thing. A short flight later (20 minutes or so), we arrived in Daly River and got into the 4WD to take us to the clinic. The little town was cute and quite developed, though we learned that it had a very high suicide rate. A little sad there. The morning was spent waiting for patients to come in (which they didn"t until 10:30 or so) so during that time, I learnt the basics of ophthalmology, how to do visual acuities, how to take intraocular pressures, how to visualise the optic disc using the indirect method, and the basics of the slit lamp. It was fun. Over the course of the day, I proceeded to assess each of the patients in these things, with the ophthalmologist giving them the slit lamping and calling me over to look at things. We ran late as is the norm with these things, finally getting into the plane and getting back home around 6:30pm. It was a fun day and the ophthalmologist was amazing. Total mancrush.
Friday, 14th of May - Handover. Teaching rounds with miniCEX, did well. Finished up on paperwork and went to chat to the ophthalmologist again. Learnt to spell ophthalmology (you think I"m kidding...). Renewed mancrush. Finished up with the NTCS and handed in all my ID and pager. Went out for drinks at the Trailer Boat Club and Ski Club. Managed to get to the airport way too early. Checked in. Napped.
Saturday, 15th of May - Caught the flight at 2:40ish am. Got to Adelaide at 6:15ish am. Got home and accompanied a friend to the airport and to Ikea for breakfast. Went shopping. Came home and decided not to sleep, but to clean up my room. For some reason, it looked like someone had broken in and messed everything up. I realised I had left it like this when I left, a month ago. Oops. Went to a friend"s house for dinner. Slept, wonderful, wonderful sleep.
Sunday, 16th of May - A blur of sleep and nothingness.
Monday, 17th of May - O&G begins. Long day, lots of bajingo. Giggling at naughty words.
Tuesday, 18th of May - O&G continues. Still giggling at naughty words.
Tired. Sleep.
Quick summary of the last week or so (if you want more info, you"ll have to ask for it...)
Tuesday, 11th of May: Handover. Wards. JMO teaching - A visiting ophthalmologist gave a quick spiel regarding outreach clinics - I jumped up as soon as he was finished to talk to him and spent the afternoon making the necessary arrangements.
Wednesday, 12th of May: Handover. Journal Club. Wards. Bedside Teaching. Tried to get a miniCEX done, consultant was busy. Went out to the Beachfront for drinks at trivia night.
Thursday, 13th of May: Woke up at 5ish to catch a taxi at 5:45am to the airport. Flight was slightly delayed but had a nice chat with the ophthalmologist during the wait and eventually got into a little 2-engine (pressurised) 9-seater plane that carried the pilot, the ophthalmologist and myself. I felt like I had my very own private plane. Continued chatting with the ophthalmologist about life, the universe and medicine, while the pilot did his thing. A short flight later (20 minutes or so), we arrived in Daly River and got into the 4WD to take us to the clinic. The little town was cute and quite developed, though we learned that it had a very high suicide rate. A little sad there. The morning was spent waiting for patients to come in (which they didn"t until 10:30 or so) so during that time, I learnt the basics of ophthalmology, how to do visual acuities, how to take intraocular pressures, how to visualise the optic disc using the indirect method, and the basics of the slit lamp. It was fun. Over the course of the day, I proceeded to assess each of the patients in these things, with the ophthalmologist giving them the slit lamping and calling me over to look at things. We ran late as is the norm with these things, finally getting into the plane and getting back home around 6:30pm. It was a fun day and the ophthalmologist was amazing. Total mancrush.
Friday, 14th of May - Handover. Teaching rounds with miniCEX, did well. Finished up on paperwork and went to chat to the ophthalmologist again. Learnt to spell ophthalmology (you think I"m kidding...). Renewed mancrush. Finished up with the NTCS and handed in all my ID and pager. Went out for drinks at the Trailer Boat Club and Ski Club. Managed to get to the airport way too early. Checked in. Napped.
Saturday, 15th of May - Caught the flight at 2:40ish am. Got to Adelaide at 6:15ish am. Got home and accompanied a friend to the airport and to Ikea for breakfast. Went shopping. Came home and decided not to sleep, but to clean up my room. For some reason, it looked like someone had broken in and messed everything up. I realised I had left it like this when I left, a month ago. Oops. Went to a friend"s house for dinner. Slept, wonderful, wonderful sleep.
Sunday, 16th of May - A blur of sleep and nothingness.
Monday, 17th of May - O&G begins. Long day, lots of bajingo. Giggling at naughty words.
Tuesday, 18th of May - O&G continues. Still giggling at naughty words.
Tired. Sleep.
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