my 2010 one month elective posting ( 2 weeks in a district hospital and another 2 weeks in a maternal and child health clinic) is over. yay!
although i'm not really a hardworking good so smart student, i'm happy with this 4 weeks posting. i was made to read some new articles, digging back my old notes, and i did help myself a lot. thank you Allah. I was able to move around by myself. and most importantly, i saw some of the other sides of medical practice.
i won't remember all the things i've learn. But i surely can recall some of the highlights:
- posting in a district hospital is very interesting! why? the staffs are friendly, you can get free meals, some of the doctors with free time are very keen to share their experiences; and you'll get advised to further study a lot and not just continue being an MO. hehe. and, you can get a lot of hands-on experiences for simple2 procedures such as venepuncture for paeds (believe me!- yes, i believe in myself :P), venous cannulation, high vaginal swab, pap smear. you will not get to see something special like echo or OGDS or stress test, but it's a place for basic procedures we need t perform a lot during internship later. so, don't belittle those simple2 procedures, and the staffs will help us a lot; don't expect that much when we got the HO title later eyh.
- what we learn during medical school are just not enough. there's many other things in this profession that we will encounter; seriously, it's mostly about our own attitude. if you are not interested in medicine and you hate tolerating others - its better to stop and choose another career. and some are just too late to realize that. but seriously, being a doctor is worth a 'waste' of time. this is such a noble career. do whatever you want after after getting ur degree, but being a doctor; would never waste your time.
- you can be more relaxed in district practice, less people to judge you, most oftenly you'll be scolded/harrased/bombarded by phone. if you're not sure/ the case is quite complicated- just refer it to a better setting. But truthfully, you'll oftenly get cases where you can be either a hero.. or a killer. haha. the worst case senario i've seen was when a woman in her 30s, primigravida, known case of hyperthyroid on treatment, RVD positive, with pregnancy induced hypertension came to the hospital (which do not have any OT, no anaest, no intrumental delivery) at 1000 hrs fro the complain of leaking liquor since 0300 hrs. she's at term. on examination, there's show, and the os was fully dilated. and what's more, the presentation was footling breech!! surely, the lady should be managed at a bigger hospital with specialist!.. but the lady who was previously so relaxed and asked to go for a lunch before being admitted to the hospital, suddenly had strong contraction.. ready for labour. and... the nearest hospital with operation theatre is 1 hour drive..
the doctor-on-call called the specialist-on-call at the referring hospital; and the doctor advised for the MO to try the assisted breech delivery(ABD). no better choice now. the OS was fully dilated! haha, and i opened my Obs note i brought in my hand, and read the ABD, on how to perform the Lovset's maneuver.. the Mauriceau-Smellie-Veit etc for the wanted( what to do?) but unexpected delivery.. hehe. and lup dub lup dub... after 1 hour waiting.. still, we got another phone call and the specialist asked for the patient to be delivered to the referring hospital. phew! for the MO on call, but OMG! for the MO on passive on call cause the another doctor would need to accompany the patient in the ambulance for the next 1 hour journey. Alhamdulillah. i heard they arrived safe..
hurm.. what else should i write here.. *blank*. no problem. till then.
although i'm not really a hardworking good so smart student, i'm happy with this 4 weeks posting. i was made to read some new articles, digging back my old notes, and i did help myself a lot. thank you Allah. I was able to move around by myself. and most importantly, i saw some of the other sides of medical practice.
i won't remember all the things i've learn. But i surely can recall some of the highlights:
- posting in a district hospital is very interesting! why? the staffs are friendly, you can get free meals, some of the doctors with free time are very keen to share their experiences; and you'll get advised to further study a lot and not just continue being an MO. hehe. and, you can get a lot of hands-on experiences for simple2 procedures such as venepuncture for paeds (believe me!- yes, i believe in myself :P), venous cannulation, high vaginal swab, pap smear. you will not get to see something special like echo or OGDS or stress test, but it's a place for basic procedures we need t perform a lot during internship later. so, don't belittle those simple2 procedures, and the staffs will help us a lot; don't expect that much when we got the HO title later eyh.
- what we learn during medical school are just not enough. there's many other things in this profession that we will encounter; seriously, it's mostly about our own attitude. if you are not interested in medicine and you hate tolerating others - its better to stop and choose another career. and some are just too late to realize that. but seriously, being a doctor is worth a 'waste' of time. this is such a noble career. do whatever you want after after getting ur degree, but being a doctor; would never waste your time.
- you can be more relaxed in district practice, less people to judge you, most oftenly you'll be scolded/harrased/bombarded by phone. if you're not sure/ the case is quite complicated- just refer it to a better setting. But truthfully, you'll oftenly get cases where you can be either a hero.. or a killer. haha. the worst case senario i've seen was when a woman in her 30s, primigravida, known case of hyperthyroid on treatment, RVD positive, with pregnancy induced hypertension came to the hospital (which do not have any OT, no anaest, no intrumental delivery) at 1000 hrs fro the complain of leaking liquor since 0300 hrs. she's at term. on examination, there's show, and the os was fully dilated. and what's more, the presentation was footling breech!! surely, the lady should be managed at a bigger hospital with specialist!.. but the lady who was previously so relaxed and asked to go for a lunch before being admitted to the hospital, suddenly had strong contraction.. ready for labour. and... the nearest hospital with operation theatre is 1 hour drive..
the doctor-on-call called the specialist-on-call at the referring hospital; and the doctor advised for the MO to try the assisted breech delivery(ABD). no better choice now. the OS was fully dilated! haha, and i opened my Obs note i brought in my hand, and read the ABD, on how to perform the Lovset's maneuver.. the Mauriceau-Smellie-Veit etc for the wanted( what to do?) but unexpected delivery.. hehe. and lup dub lup dub... after 1 hour waiting.. still, we got another phone call and the specialist asked for the patient to be delivered to the referring hospital. phew! for the MO on call, but OMG! for the MO on passive on call cause the another doctor would need to accompany the patient in the ambulance for the next 1 hour journey. Alhamdulillah. i heard they arrived safe..
hurm.. what else should i write here.. *blank*. no problem. till then.
