crane

it never occured to us that today would be a very significant day for us as medicla students. as scheduled, we went to meet up with our preceptor for our obstetrics clinics but instead, we were informed that we will be going to the hospital to see actual patients and extrat history. confused and tensed as we were coz we werent ready for such because we just expected that we still be discussing how to get proper patient history and the skill to extrapulate the necessary data that we would need. and so, left with not much choice, we moved our silly lame dont-know-what-to-do asses to hte hopsital. then the moment came. each one of us were assigned one patient. toink! another challenge1 well be on our heels and got no mate to confer nor ask support. whew!

then i was assigned to a primagravida who was already about to deliver with an openning of 8cm (10cm is the indication for delivery). my preceptor then told me to be fast and be patient at the same time with my patient, that i should only interview in between every contraction. aint it enough of a challenge for me just yet to be caught unprepared and alone at my patient’s bedside? whew! i was literally running big beads of sweat in my face and its driipin in my spectacles. suddenly, the senior clerk attending my patient called up tha my patient is ready to deliver, and all the staff went in catious and wheeled in my patient to the DR (delivery room). then the doctor shouted at me to grab and change into my scrub suit and follow to the DR. oh man! their really not considering of putting m on more challenges,huh! out in an open interns room with all the doctors, nurses and student nurses there i, for all their glory to see me changing my suit and me unmindfull of what they might probably see coz i was so confused of what i should suppose to be the moment id be inside the DR. then the next thing i realized was that im olready in the DR and my patient was already on the lithotomy position with her baby’s crown alreadi slightly visible bewtween her labia majora, she them kept on pushing as she was asked to, and i realized that everytime she pushes, i was also pushing unconsciously hopefull that my push would help her push. there i realized that our mothers were really in such a hard painful moment right before she brought us out into this world to experience life. and to add more, since she was a primie, her birth canal is aint that open yet and so an episiotomy was done and i winced at every cut made on her below as if i was than being cut with out an anesthesia. the good thing is, a woman on labor w=could no longer feel much pain with the episiotomy since it is superseded already by the mechanisn that would somehow make here merineal body numb from the procedure while she’s contracting.

few more minutes than, a cute baby boys head popped out from his mothers vagina and the intern assisted him twisting him downwards and pulled him out. nurses then attended to his umbilical cord while others were suctioning his nostrils and mouth for any thing that have clogged for him to grasp his first breath. the baby then uttered its very first language- his cry. it is true indeed that a neonates/infants language is his cry for he still is not capable of uttering words that we adults speak.

and then there goes my very first experience in the delivery room. my very first experience to see an actual delivery of a new life. it was kinda overwhelming that i witnessed all those unprepared and unexpected.

i thought it was all done then, i was just savoring the thought of what i just witnessed when out of the blue, my preceptor called me up and gave me another patient.

argh! i was in my adrenaline surge again!

i trembeled and confused again of wht to do.

i remembered, i wasnt able to finish my history with my first patient yet, coz she already came to deliver her baby before i could even go half way with my interview. then i tried to calm myself, did my best to extract all data that i needed to gather and did and performed maneuvers for the physical exam that i never have performed before nor even read about it in the book. gladly, my preceptor dr amanudin was so patient and supprtive to me and to my groupmates. she unhesitantly guided us and to=aught us the skills that we needed. though i cannot say we, or i at least for that matter, that i have already mastered what she has just taught me. but mind you, it was such of a help, and that somehow i know it was printed deep in my cortex and i can assure that everytime id perform such, id always be reminded of the person who taught me to do so, trusting me that i can do it, and believing in my naive capacities as a junior clerck that i am that ill be able to learn her teachings. and so i am, and i did, and i will ever be.

so i thought i was done with my patient.. all of the sudden, my patient with just 3cm cervical dilatation, stood up from her bed put back on her panties and walked out coz shes hungry and wanted to eat. i thought i was over and done already and that ill just be waiting for my groupies. and then another bell. the patient that my other groupmate was interviewing contracted and we were all called up. then, another spike, dr amanudin asked me out of the blue if i got gloves with me. she asked to grab one and so i did, not knowing what to do with it. i was then asked to put in one gloves and so i did. then she told me: "perform IE!"

IE whaaat? i know its internal exam but for chisake! i dont know how to do it just yet! then again she guided me through it and i was literally doing it for real! mhan! i was so much of too much this am! i just learned and did so many first-times this morning!

yeah! all of it happened with in two hours just this morning 06-29-07 at cebu city medical center!

i had a blast, and went back to school so overwhelmed not mindfull that my uniforms were already so crumpled after stashing it right to my backpack when i was called in to th DR!

who cares? i just had the prime of my junior clerckship at the OBward! i know that was jsut a start, but i was and i am loving it!

im looking forward to more real linical encouter and experience with the profession i opted to finish! someday, im gonna be a real fullpledge doctor, and by that day i can only attribute it to what i have just experienced this morning and to all the upcoming experieces along the way as i pave my way to becoming a physician! we all need to pass thru this, even though were the list in the medical staff for now, we wont remain to this and in time, we will be the ones on the topline. on the topline in rendering service to uplift, retain, maintain and sustain the health of our brothers and sisters….\

in His time…

i entrust to Him my practice…

in His time…

This entry was posted on Friday, June 29th, 2007 at 1:10 am and is filed under Uncategorized. You can follow any responses to this entry through the RSS 2.0 feed. You can skip to the end and leave a response. Pinging is currently not allowed.