Wednesday, January 7, 2009

So... I ended up in gyn clinic today.
After shadowing two prenatal appointments, I started seeing patients by myself. Then after a couple of times, the nurse practitioner stopped coming in to double check my assessment, she just took my word for it and signed off. Um, what about me looks like I know what I'm doing?

After the morning of prenatals, the afternoon was gyn appointments. I think I did six pelvic exams, having learned to do so <48 style="font-style: italic;">one other I have ever examined.

The nurse practitioner did check my pelvic exams up until the last one (she either assumed I had mastered it by then or did not want to stick her hand into that discharge-filled vagina... bacterial vaginosis is smelly. I don't feel bad saying that because the patient came in having diagnosed herself saying, "I know it's BV because it smells so bad.")

[Honestly, it was a really cool day. I love outpatient medicine, the patients were great and I really got to talk to them, and I got to do a lot of procedures. I'm looking forward to tomorrow.]


I apologize for the gross content of this post, but this is going to be my life for the next 6 weeks. If this wasn't your ideal reading material, you might want to come back Monday when I'm on the obstetrics floor and try your luck, but I can't promise it'll be much better. Week three I'm on nights, so don't expect much coherence.

Glen just compared me to Doogie Howser (in the medical journaling at night time on a computer way, not in the boy genius or Harold&Kumar sort of way), so I think it's time to go to bed.


P.S. The residents pretty much broke up the schedule for us, so there were no hair-pulling cat fights on the floor of the OB lounge this morning. To have a sample schedule to fit us into, they pulled out the schedule that had been draw up for Block 1 in the 07-08 year, and of the five people on that list, there was one of our groomsmen!

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