Bye DR!

17 08 2008

July 28
The start of my group’s morning duty. It was raining pets when we get in the hospital. And in the place where we wait to be called inside the DR (actually, you only get inside during your deck) it gets wet. We had to transfer numerous times. We had a pre-test. The test includes a multiple choice type of questions, solving, and giving the meanings of acronyms. The test was easy, except for the multiple choice type of questions. It was, as far as I can remember, classes were suspended at around 10:00 am, but it was no longer raining there. I got home by 11:00 am. Ang saya!

July 29 and 30
I can’t really remember what happened during these days. I’m so sorry. The only things that we did that I can remember were the following: reporting of the usual cases that one can encounter inside the DR such as placenta previa, placenta accreta (the one that I reported), abruptio placenta, pregnancy induced hypertension, hyperbilirubinemia, and gestational diabetes. I hope you’re still with me. Hehe. For every case, we had a ten-point quiz. It was crazy. Haha. I think that was the 30th when I went inside the DR again. I was supposed to hold the baby once it’s delivered, but I ended up with watching. You see, the baby was delivered via cesarean section. I was not even allowed to go inside the surgery room. Sad, I know. At least, I assisted with providing new born care. Oh the food (specifically liempo) in the carinderia was good and I got addicted to it. I had no choice but to eat there, puro carinderia lang dun, eh.

August 04 to 06
Again, I can’t give you the day-to-day events because I’ve already forgot them. Sorry, it’s my fault, I know. I should have posted them here sooner. This was our last week in the DR. The reporting continued. But the reporting for our drug study didn’t push through due to the lack of time (it’s quite ironic). We had a big problem with the bus on the 04th. It didn’t depart on time, actually, it only started to move an hour later. To make the problem worse, we had to attend a seminar on stress management. We missed the main part of it. Well, at least, we were able to hear the resource speaker for 15 minutes. LOL. During the last day, we had an evaluation examination. As expected, the multiple choice type of questions was hard. But the rest, the computation part was easily. After our exam, we entered the DR, but it wasn’t the time yet for the baby to get out so we spent agonizing hours inside the DR. By noon, the mother was still in labor. So we went out for lunch. We had Jollibee for lunch (it was delivered in the hospital) care of by two of my group mates. We gave a scrub suit to our clinical instructor as s gift. After lunch, we headed back to the DR. I injected something to the mother. I forgot the name of the medication. Hehe. After 30 minites, the mother was already 10 cm dilated. That means, the baby could already pass through the birth canal. I assisted on delivering the baby. I caught the baby once it was expelled, cut the cord, and tugged on the umbilical cord — I was assisted by the midwife — so that the placenta would be expelled. Too bad (for me), the mother didn’t need episotomy. Wala akong minor case tuloy. It was a great experience. And until now, I can hardly believe that I did that.

All in all, our DR experience was spectacular. Everyone in my group will surely miss this. And in my case, I will miss those cyanotic babies (they appear blue, like aliens, upon delivery), crying mothers, hilarious midwives who love shouting at the mothers and shaves the pubic hair of the mothers carelessly. I will miss the food, every hour is a break time, the effing bus driver, our CI, and of course the bumpy roller coaster ride.

Misc
Our CI got really annoyed with one of my group mates, the one that always makes our day awful. From this point, I’ll be calling her Ms. Bortusa. Our CI had hinted to us how she hated Ms. Bortusa a hundred times. LOL.

Angelica (not her real name), a group mate had amoebiasis. She had to absent herself for a day. According to her, she got it from the fish balls that she ate. She has two make-up duties under her belt now.

On other news, Ms. Bortiua has acquired 14 make-up classes for this rotation alone. Kawawa naman siya.

Ako? Wala. I’m a good student kase. Hehe. LOL.





Ice Cream Man

26 07 2008

07/21
Got in the hospital by past 1 pm. So hot. Everyone was complaining. Was diaphoretic due to excessive heat. Ate ice cream. Waited to have a case. None. Shouted when ice cream man returned. Ice cream man was speaking in English. Sosyal. Had another round of ice cream. Planned to review for prelims and read a few pages of Atonement. Fail. Wasn’t able to concentrate well. By night, the sky was giving us a spectacular show. But it didn’t rain. Got home by past 9 pm. Bus arrived at hospital late.

07/22
Planned to review. It was not as hot as the other day. But definitely not my type of weather. Wasn’t able to review because we had a case. Finally. Just got in the delivery room and put my gloves in time. Was able to see how a baby is delivered. Was surprised. Pregnant woman was primigravida. Delivered baby so fast! People in the room were surprised too. Provided cord care to the baby. Injected baby with Vitamin K, intramuscularly. Done APGAR scoring. Another student from another school almost cut the cord without clamping. Freakish. She thought she was holding the clamp. Good thing her CI was able to stop her in time. Spent time inside the DR for 1.5 hours. Ate liempo for dinner. So delicious. Left hospital earlier that usual.





Rotation #2

20 07 2008

After spending four tiring weeks in the OB ward, this time, we’ll be in the delivery room. Seeing a woman’s you-know-what is really inevitable! Hehe. Actually, I’ve already seen two. Okay, I should stop talking about this. This blog is not intended for adults only.

For sure, I’ll get to experience how to deliver a baby (did I use the right term? Argh. Dunno), cut the cord, bathe the baby with oil, inject Vitamin K, and whatnot. This makes me scared!

The thing is, there are only few cases in the hospital where we are currently having our duty. So… everyday is always a rest day. Haha. If during the last rotation we barely eat during breaks, this time, every hour is lunch/merienda/dinner time! Haha. Actually, because of the endless breaks that we have, I’ve already finished doing my requirement for tomorrow. Hehe.

During our first day in that hospital, we were able to see how dilation and curettage is done (just search the interwebz about it). I don’t know how to react, but I wanted to go out of the delivery room while it was being performed.

Last Wednesday, I was supposed to watch how a baby is delivered, but by the time I got inside, my group mate was already holding the baby. I missed the action. Boo. That’s because I had to change my clothes. Haay. And oh, may kakambal yung baby! May kakambal na… ebak. Gross. The DR was stinking.

There was also an incident that happened (it doesn’t involve any patient). But I don’t want to share it. Perhaps, I’ll make it private. Besides, I don’t have time anymore.