"Miss you, miss our group, miss ob/gyn. You off this weekend? P.S. I like PEDS but it is MUCH slower..."
-Nicole
Im not the only one that feels like peds is much slower than OB/GYN. i knew this was going to happen.
Today i got to the hospital at 7:15am to prepare for rounds at 8:30 because our attending this morning was the chair of pediatrics at the hospital [the 'man']. So i got there early to know my patient very well. I saw 2 patients, one of which was the 19 month old girl who i admitted from the clinic yesterday. She was doing much better and i have to admit, she really is adorable. I wouldnt mind seeing such cute faces everyday but as everyone says about peds, you spend way more time with the parents than with the cute kids. this is making me re-think peds a lot. its not that i dont like it, but its just something to consider. Oh, and another attending today told us she didnt recommend going into peds because she didnt want us to be poor knowing how high our school loans are, she said that we shouldnt go into it. So that was interesting....
Rounds too a long time today. The doctor came in around 9:30 and then we spent almost 5 hours covering our patients. It wasnt bad though, he asked us a ton of questions but also taught a lot. We all had fun also, talked about lots of things outside of medicine and made the whole morning very interactive. When we were in OB/GYN, rounds took about an hour and a half and it was just a small part of our day. On peds, rounding IS the day because after we can go home [one student will stay each afternoon until 5pm but since there are 5 people on our team thats only once a week!] Needless to say, the hours of this rotation are much less stressful.
Lastly, there are 2 medical students from other schools on our team, 1 of them is the most annoying girl i have ever met. Well, that may be an exaggeration, but shes pretty bad. She is very eager to demonstrate her 'abilities' and will cut off other people as they are trying to explain things. It is taking me a lot of effort to not say anything to her [knowing my personality]. It is a learning experience because for the rest of my career i am going to be working with people like this girl and i just have to learn how to keep my mouth shut. The problem is that everyone else feels the same way i do, i just express my feelings while other people remain quiet. I do have something positive to take away from working with her: it helps me to shape the medical student/resident/ physician i want to become by making sure to NOT be like her and others i have worked with in the hospital...
Things i have learned:
1- kids get a lot of fevers....and a lot of illnesses can cause fevers in children
2- it doesnt matter how many times i study antibiotics, they still get mixed up in my brain
3- reading a chest x ray is not easy
Thursday, August 4, 2011
Wednesday, August 3, 2011
the nurses that dont know me call me doctor...
re-thinking my interest in going into pediatrics....
I have been on wards for 3 days now and though the kids are freaking adorable, its not much interaction with them so much as their parents. FOr the past 2 days we have come in around 7:30 in the morning, written progress notes and seen our patients (about 2 each) and then we round with the attending from 8:30 or 9 until almost noon! It is very different from my last rotation. Most kids are admitted for fevers of unknown origin and then stay a couple days to get antibiotics. Maybe its the fact that their arent many patients that make it hard for me to imagine going into the field. Also, its not a lot of procedures or excitement...
This afternoon i went down to the pediatric clinic to write an H&P on a 19 month old girl who was having fevers, one of which was 105.5! I went in and talked to her and her mom but as soon as i started doing my physical exam she started wailing. Imagine a 19month old crying refusing for me to look at her ears while i am trying to stick a pointy object with a light into her eye to see how her ear drum looks. It was not easy and dare i say it, it was not pleasant. No joke, in the 10 minutes i spent trying to figure out how the hell to look inside this little girls mouth, ears, and nose, i decided i didnt want to do this for the rest of my life....i think i was patient that at least understand me and sit still.
But then later in the day when i went up to the ward where she had been admitted, i went in to check on her and when i said bye she said bye back and waved at me with two hands that each had examination gloves on her [the nurse gave them to her to play with and they were about 30x to big for her]. It was the most adorable thing i had seen. She wasnt screaming and she looked very cute. Maybe peds isnt that bad?
I have another 5 and a half weeks to decide. For now, I am going to read up on the 50 million things that can give babies/children fevers...
I have been on wards for 3 days now and though the kids are freaking adorable, its not much interaction with them so much as their parents. FOr the past 2 days we have come in around 7:30 in the morning, written progress notes and seen our patients (about 2 each) and then we round with the attending from 8:30 or 9 until almost noon! It is very different from my last rotation. Most kids are admitted for fevers of unknown origin and then stay a couple days to get antibiotics. Maybe its the fact that their arent many patients that make it hard for me to imagine going into the field. Also, its not a lot of procedures or excitement...
This afternoon i went down to the pediatric clinic to write an H&P on a 19 month old girl who was having fevers, one of which was 105.5! I went in and talked to her and her mom but as soon as i started doing my physical exam she started wailing. Imagine a 19month old crying refusing for me to look at her ears while i am trying to stick a pointy object with a light into her eye to see how her ear drum looks. It was not easy and dare i say it, it was not pleasant. No joke, in the 10 minutes i spent trying to figure out how the hell to look inside this little girls mouth, ears, and nose, i decided i didnt want to do this for the rest of my life....i think i was patient that at least understand me and sit still.
But then later in the day when i went up to the ward where she had been admitted, i went in to check on her and when i said bye she said bye back and waved at me with two hands that each had examination gloves on her [the nurse gave them to her to play with and they were about 30x to big for her]. It was the most adorable thing i had seen. She wasnt screaming and she looked very cute. Maybe peds isnt that bad?
I have another 5 and a half weeks to decide. For now, I am going to read up on the 50 million things that can give babies/children fevers...
Monday, August 1, 2011
Pediatrics
First day of Peds at arrowhead regional. My day was from 7:30am and was done by 1pm. I think im gonna like this rotation. I am going to be on the peds ward for 2 weeks and there are not many children there so the days are short. arrowhead is a great facility, im looking forward to working there for the next 6 weeks.
tomorrow im responsible for writing the progress note on a kid with a complicated ear infection. how appropriate for my first peds case.
got this text from nicole today, she's at a different site for ped's:
me "how was your day"
nicole "mine was good, all my pts spoke english!!!"
tomorrow im responsible for writing the progress note on a kid with a complicated ear infection. how appropriate for my first peds case.
got this text from nicole today, she's at a different site for ped's:
me "how was your day"
nicole "mine was good, all my pts spoke english!!!"
Friday, July 22, 2011
Wednesday, July 20, 2011
OB GYN Rotation Quotes
“happy birthday!!” - dr L as he pulls out the baby in a c/s
"andale" -Dr L whenever he wants you to speed it, or just whenever he feels like saying it
"whats the best way to clean this thing "-me referring to my stethoscope "throw it in the toilet and flush"- dr L's response on overhearing our conversation
"did you ask about how she feels about the casey anthony case verdict?" dr.L asks me in the middle of presenting a patient in the clinic
“do you see a sign outside saying burger king? no. because this is not burger king, you cannot ‘have it your way?’ -dr v to pt's who request c sections [contrary to popular belief, c sections are only done when medically indicated]
“this is a test for down’s syndrome, we want to make sure your baby wont come out looking like this [points to Masato]” -dr. v to pregnant pt
“when does the brain develop?" -Dr T. “um, 4 months after fertilization, um, i mean 4 weeks, wait, um, sometime really early..[everyone dies laughing]” -lance on rounds
During surgery: “cut cut cut”- Dr. L tells me about cutting a suture, after i miss the string i say “well now your just making me nervous” he replies "good"
“this is bullshit” turns to me, "i mean....this is a very complicated case" - dr. w during surgery
“lets look around and find something cool for dorothy to look at” - dr w before closing up our abdominal hysterectomy
“i just saved her from appendicitis and she didnt even know it” -dr h
“i found my first cervix, sounds weird i know” -Kavitha
"im leaving, ive had enough of you guys" Dr.L [one of the few men that work in the OB department. We were in the break room and starting talking about cute boys...he got bored i guess]
"How to tell the difference between a 3rd year and 4th year medical student: Attending Physician dismisses you for the day. 3rd year: lingers, waiting for friends to walk out with, says bye and thank you to the staff. 4th year: cloud of dust and in his car within seconds." -Tan
"andale" -Dr L whenever he wants you to speed it, or just whenever he feels like saying it
"whats the best way to clean this thing "-me referring to my stethoscope "throw it in the toilet and flush"- dr L's response on overhearing our conversation
"did you ask about how she feels about the casey anthony case verdict?" dr.L asks me in the middle of presenting a patient in the clinic
“do you see a sign outside saying burger king? no. because this is not burger king, you cannot ‘have it your way?’ -dr v to pt's who request c sections [contrary to popular belief, c sections are only done when medically indicated]
“this is a test for down’s syndrome, we want to make sure your baby wont come out looking like this [points to Masato]” -dr. v to pregnant pt
“when does the brain develop?" -Dr T. “um, 4 months after fertilization, um, i mean 4 weeks, wait, um, sometime really early..[everyone dies laughing]” -lance on rounds
During surgery: “cut cut cut”- Dr. L tells me about cutting a suture, after i miss the string i say “well now your just making me nervous” he replies "good"
“this is bullshit” turns to me, "i mean....this is a very complicated case" - dr. w during surgery
“lets look around and find something cool for dorothy to look at” - dr w before closing up our abdominal hysterectomy
“i just saved her from appendicitis and she didnt even know it” -dr h
“i found my first cervix, sounds weird i know” -Kavitha
"im leaving, ive had enough of you guys" Dr.L [one of the few men that work in the OB department. We were in the break room and starting talking about cute boys...he got bored i guess]
"How to tell the difference between a 3rd year and 4th year medical student: Attending Physician dismisses you for the day. 3rd year: lingers, waiting for friends to walk out with, says bye and thank you to the staff. 4th year: cloud of dust and in his car within seconds." -Tan
Friday, July 15, 2011
MORE SCORES!!!
Well, i got my COMLEX score today and though i didnt do as good as i wanted, i still did well enough.
Karthik knew i was really into OB and i had told him what i got on the boards so while we were all with Dr. W [the chair of the department] he asked for me, "So, what kind of board scores are you guys looking for." We ended up talking with her for at least an hour about residency and what she looks for in her applicants. After a long discussion, she basically wanted us to walk away with this:
LOW MAINTENANCE. residency directors are looking for self sufficient students who will be low maintenance.
i guess i can do that! plus, my scores are def good enough to get into an OB residency of my choice so im pretty excited. that is, if i really end up doing it. i really hope i find something else i like better.
im really trying to find this whole 'loving' OB GYN thing because shit, its a hell of a long 4 year residency and damn is it stressful!!!!
Karthik knew i was really into OB and i had told him what i got on the boards so while we were all with Dr. W [the chair of the department] he asked for me, "So, what kind of board scores are you guys looking for." We ended up talking with her for at least an hour about residency and what she looks for in her applicants. After a long discussion, she basically wanted us to walk away with this:
LOW MAINTENANCE. residency directors are looking for self sufficient students who will be low maintenance.
i guess i can do that! plus, my scores are def good enough to get into an OB residency of my choice so im pretty excited. that is, if i really end up doing it. i really hope i find something else i like better.
im really trying to find this whole 'loving' OB GYN thing because shit, its a hell of a long 4 year residency and damn is it stressful!!!!
Thursday, July 14, 2011
Thursday was a day shift in L&D. I started the day doing a C section with Dr. H and Dr.L. The patient was under a complete local anesthetic because the spinal tap didnt work. It was crazy because we had her on the table ready to cut and like always, we tested to see if the patient could feel anything before hand. We use these little grabbers that look like tweezers but with big teeth that would def hurt if you didnt have any anesthesia. You clamp a piece of abdominal skin and ask the patient if they can feel it and if so, what side. Each time we did it the patient complained it hurt and could tell us exactly where we were pinching. Obviously we couldnt start the section this way so we had to put her under and do the delivery that way.
Joe, the first year, was with me on this shift also. He seemed to be pretty bored during it because there werent a lot of deliveries but we did have a lot of admits and r/o labors. During the afternoon, one of Dr. G’s patients went into labor. Dr.G does not work for the hospital but he has ‘privileges’ there. He has his own OB practice and when one of his patients goes into labor, he meets them at riverside county and he delivers them there. we are not allowed to do anything with them unless of course he is running late or something. i had to leave the room because there was another admit and i thought i wouldnt be able to do anything with this delivery anyway. after i left, i went back to the front desk about 45 minutes later and saw Joe standing there just beaming with joy. I asked him if he saw his first delivery [assuming thats why he was so happy]. “Not only did i see it, I just DID it!” i was speechless. apparently when dr G got there he had joe scrub in and let him deliver the damn baby. i was so freakin bitter because i still hadnt delivered a baby yet.
A little bit later in the afternoon i was with Dr. H and Dr. L. I casually mentioned to them that Joe delivered Dr. G’s patient and then followed with, “not that im bitter or anything. i mean, im totally happy for the FIRST year who delivered a baby on his first day even though i havent delivered one yet.” they both laughed at me and at that moment i think we all realized i was a potential budding OB/GYN.
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