Got to the hospital at 5am. saw 2 patients, wrote their progress notes and then started rounds at 6:30. Its the same residents but a different attending, an older man with a very stone face that definitely made me scared. Rounds went much more smoothly this morning as i had just done them the day before and informed my other 3 classmates about what the protocol was. It made it a lot easier on all of us though since it was their first time on rounds but i know they were still terrified as i was tuesday morning. dont get me wrong, i was nervous too but not as much as yesterday. when my patients came up i presented quickly and then got asked some questions by the attending which [not meaning to brag or anything] i got right. He didnt smile or say good job but its ok, i know he was probably either thinking “GREAT!” in his mind....that or, “wow, shes not entirely as dumb as she may look.” After that, I got a little bit more confident and answered a couple more questions that he threw at us. Then, i even asked him a couple questions as well as the residents and i think i have really started to show that i have a major interest in this specialty. Actually, Dr. B heard me talking to a friend about how cool yesterday was and he laughed saying “so your on your 3rd day of rotations and you already picked OB as your specialty?” There is another resident, Dr. H, that has been a great teacher as well. I ask her a ton of questions and she definitely can see that I really want to learn. Honestly, I could not ask for any more at this rotation site. I am so unbelievably happy with it.
Today after rounds and lecture, I worked in the women’s health clinic from 9am to about 5pm. I saw a bunch of patients, saw them put in an IUD, did a pelvic, a bimanual, and many other basic physicals. I am astonished at how much more comfortable i feel today vs Monday. Monday i was scared shitless and had NO CLUE what was going on in clinic. It was like being thrown into the middle of a busy street and having to work your way across it without any direction except ‘get to the other side.’ Today, i remembered the nurses names [some of them even remember my name], i knew where to get what, i knew what the order of things was, etc. Its not just me that feels this way, every one of us discussed today how quickly we are starting to gain confidence and knowledge of protocols in the hospital. Its the 3rd day, I cant imagine what the 6th week is going to feel like!!
Lastly, i had to mention my most memorable patient of the day. I had her in the AM and she took about 2 hours of my time. Basically, she was a non-insured, unemployed 25yo who had a son 6months ago with a man she is now divorcing because he has been cheating on her throughout their 10 month marriage. Basically, she was a very immature women how was now using sex to ‘get back’ at her husband by sleeping with others even though she was still occasionally having sex with him. She had just had an abortion 1 month ago and then admitted to me that she was still having unprotected sex since one week after and thus could very well be pregnant and if so, would have another abortion. Oh, and the reason for her visit was to get birth control so she could continue sleeping around. Oh, and she was not breastfeeding her baby because she was trying to lose weight and didnt want to get fat [which is retarded for so many reasons, 1 being obviously choosing vanity over your freakin baby, but 2, because breastfeeding actually increases the amount of calories you burn and thus helps you lose weight...]. anyways, i obviously cant judge the patient...she can do what she wants. but i had a lot of trouble learning how to speak to her and counsel her without sounding judgmental. i asked the doctor for advice on this and she straight up said that i should give her as much education as i can about the risks she is taking on her health but ultimately she is going to be thinking ‘white woman’ and will probably just think i dont understand. realistic approach. so i am gonna remember this next time and try to learn a more humorous way to approach the situation, the doctor recommended using sarcasm [im serious!]. i laughed and told her to not worry, i think i can do sarcasm :)
Things i learned today:
1- a cervix can be very difficult to find
2- my new shoes suck-- thus i went to purchase special comfy ones after my shift
3- resident are awesome
4- nurses are still even more awesomer
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