First week of OB has been awesome! It started out with me being in the wrong place for orientation, which is exactly the type of thing that I would do. People think I’m really smart but in reality I don’t have much common sense. Everything ended up working out though of course. Anyways, being in a rural area as the only student with my preceptor and no residents means that I get to see all the patients and scrub in/assist with all the surgeries. I work with different preceptors throughout my time here which I personally enjoy because I learn even more. And I live right across from the hospital and 2 mins from the surgery center/clinic, which is so great for my sleep, and car. And there’s free breakfast and lunch in the doctors lounge, which I have access to! So I can’t complain.
My first day was GYN clinic which was full of women young and old with all sorts of things going on. From annual physical exams to possible ectopic pregnancies to infertility, I met so many school requirements in just one day. Coincidentally, I watched my preceptor insert an IUD (intrauterine device for contraception) in clinic, and after we finished she trained me on inserting it using a model. Then the next day I was working with a different preceptor doing GYN surgery and there’s a woman also getting the same IUD (under anesthesia)! Literally my the doctor just gave me the IUD and said “OK you’re gonna put this in.” I was praising God in my head that I had just learned about it the day before so I was able to do it with confidence. I worked with the same physician the rest of the week and not only do I scrub in each time, but she lets me operate the camera when she’s doing laparoscopies and she even let me do part (a very small part, she’s not crazy) of a D&C (dilation and curettage). Anything I want to do I just ask! Thursday morning I was in L&D (labor & delivery). I was in my first C-section and all I can say is WOW. I was just blown away. I might have even forgotten to blink. It was weird though because we were talking to mom casually meanwhile I’m looking at her insides. I was thinking if only you knew what was going on on the other side of this drape… The rest of that day was OB clinic which was pretty un-stimulating for the most part bc it’s just monthly check ups and labs. The girl we were supposed to deliver from L&D decided that her cervix wasn’t going to dilate till 8pm so I missed that chance. My preceptor just had me read and present all the fetal heart tracings so I got pretty good at those, and I watched ultrasounds, which I’ll eventually have to do as an assignment. Then Fridays are apparently office OR days so I was back there again–saw stage 4 endometriosis which was pretty gross and so cool at the same time, also sad bc it was preventing the patient from getting pregnant.
I’ve been able to stay on top of my studies without losing sleep also which I’m proud of. We have assigned readings, videos, and online quizzes to do and I also try to squeeze PreTest questions in as well. As for other parts of my life, I got 2 workouts in this week–we’ll shoot for 3 this week. I haven’t explored the city much outside of going out to dinner with my roomie. I got lots of great news this week including winning this scholarship I applied for back in June! And also, my birthday is coming up on Wednesday! So over the weekend I had a brunch with some of my college and med school friends and had so much fun! My parents also took me out for breakfast so I appreciated that very much.
All in all I’m having a blast to far, and I’m excited to see what this week has in store! Being me, I’ve already racked up my share of embarrassing moments in just 4 days and I’ll tell the top 3 stories for your entertainment pleasure…
Pass the Scissors:
So I’m with my preceptor the first day in the OR and the nurse tells me to get ready to pass the surgeon the scissors–simple enough. Up until this moment I had never passed a surgeon anything so I didn’t know there was a special format. So it took me like 3 repositions and the nurse kept saying “no not like that, turn it the other way”. I just felt like an idiot! Then after the procedure my preceptor showed me the proper way to pass instruments, and she was nice about it so I didn’t mind.
I got fully scrubbed in then I touched the overhead light without the sterile cover thing and then everyone just looked at me like yeeeeeeah you’re not touching anything this time.
A way with words:
This nurse in L&D was asking me about the size of a patient (who was having her c-section that morning) and I didn’t know exactly how to describe her. She specifically wanted to know about her body size. But what I said was she’s like your size…like with her arms and stuff. And honestly she did have similar body size as the nurse in terms of arms and shoulder breadth. But I quickly realized that I basically just told that nurse that she was the same size as a lady giving birth that morning. I think I severed any possibility of a future relationship with her.
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Have a wonderful week,