HouseJob Chronicles: 12 Weeks of Paediatrics.

Long before I started housejob, I dreaded Paediatric Posting.

How on earth was I supposed to successfully manage those tiny, weeny, crying, sick babies?

ImageCredit: Dr. S

Thankfully, it wasn’t an entirely terrible experience.

I had some cool days, but there were some really exhausting ones too, that I couldn’t wait for the posting to be over.

So I started with the least busy of the four units in the paediatrics department- Gastroenterology, where I spent the first 4 weeks.

During my last weekend in the unit, I was on a 48 hour call, where I barely shut my eyes. 

To make matters worse, I resumed the Special Care Baby (SCBU) the next morning. It wasn’t a funny experience at all. 

Thank God for correct chiefs and my amazing work-partner, Dr. Vicky, who I worked with for 3 weeks. It was quite a stress-free ride.

SCBU memoirs with Dr. Vicky.

With SCBU babies being so delicate, we had to take extra caution while working, and pay close attention to basic things like handwashing. 

Babies with Severe Perinatal Asphyxia, Prematurity, and Neonatal Jaundice made up the bulk of our admissions.

We also had our share of interesting cases like Noonan’s syndrome, Congenital Adrenal Hyperplasia, Choanal Atresia and Dextrocardia.

One of my worst SCBU memories was the day we lost a 25 week old preemie. One moment he was alive, the next moment he was gone. No apnea monitoring! 

After my SCBU posting, I resumed Emergency Pediatric Unit (EPU) where I spent 2 weeks

I was glad to take a break from daily ward rounds and scheduled clinics. 

EPU Memoirs

EPU was quite interesting, we had some busy days and some not so busy ones.

My final posting in the department was Haemato-oncology/Neurology unit, where I spent 3 weeks. 

That was my worst nightmare, because I experienced the Father of all stress. 

It was so demanding that I felt as though I was repeating my surgery posting all over.

From having two separate clinics weekly, to preparing for Consultant and SR rounds, unit presentations, and taking routine calls, my energy levels were depleted on a daily basis. 

My chiefs were super meticulous and expected 100% efficiency, so I worked like a zombie

I’d never felt so out of sync in my entire housejob experience. 

I’ll forever be grateful to SPO and other friends, who served as a support network during those hard times. Those memories will remain a treasure.

Pediatrics is a great field to specialize in and I admire the courage of my senior colleagues who have chosen that path.

For me, it’s a No, No! 

And that brings me to the end of my housejob sojourn.

I still have a few more posts to wrap up the Housejob Chronicles, so please watch this space.

Long live the Hippocratic Oath!

Long live F.M.C Lokoja!!

Long live Nigeria!!!

-To God Be The Glory-

:::Requ1ne:::

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HouseJob Chronicles: ObGyn Adventures.

I started my ObGyn posting on the first of May.

It was a public holiday (Workers’ day) but a Caesarean section had been booked for a senior colleague’s wife.

The Consultant, the only Female Obstetrician in our Centre, performed the surgery and was assisted by one of the senior residents.

The procedure lasted about an hour but I did not enjoy one bit of it. I told myself right then to keep away from the perineum by all means. 

Also Read: Chronicles of a Student-doctor (ObGyn Posting)

The first few weeks of my posting were strictly spent attending to antenatal cases, thanks to the ongoing JOHESU strike. 

The booking clinic (where a pregnant woman visits the doctor for the first time) runs once a week, while follow-up visits are scheduled based on how far gone the pregnancy is:

GA 12-28 weeks every month

GA 28-36 weeks every 2 weeks

GA 36-40 weeks every week

After the strike was called off, normal activities resumed in the department. 

I started with LABOR WARD Posting and had my first call on a Thursday evening. 

Though it wasn’t too busy, still I worked my butts off, and that became the pattern throughout my stay in the department. 

Every labor ward call I did was a hit from back to back, and it was rare to find the time to catch a nap even for a few hours. 

There were some calls where I had dinner right at my work desk.

I recall a couple of crazy calls where I actually dozed off while clerking patients 😂😂😂

And how can I ever forget the characteristic odor of liquor?

I hated that smell with a passion. 

It was in ObGyn I discovered my hatred for blood too – especially perineal blood. The smell and sight both made me queasy.

Thankfully most of my calls were uneventful as per mortality. 

 I got to assist in a number of Caesarean sections, which weren’t too exciting, because I lacked the “ginger” and the stamina. 

My best call was with Dr. Ochalla- the most “stressless” chief I worked with. That particular call was a bloody one, and he was very sympathetic with me.

I did my share of (accurate) Vaginal Examinations and attempted a couple of perineal tear repairs. I didn’t get to do an episiorrhaphy per se, as many of the cases I saw were actually bad (with multiple lacerations and PPH) and senior colleagues had to intervene.

Last, last, I didn’t take any delivery by myself. Perhaps the only regret I have in that department.

The other aspect of my ObGyn posting was Gynecology

It was a more enjoyable experience for me.
Many of the patients that presented during my posting and call hours were outpatient cases, so there was minimal stress for me.

One of the traumatic cases I saw was the delivery of a set of previable twins to a severely Ecclamptic woman and watching the second twin die (the first twin was somewhat deformed and had died inutero).

There were a few procedures I assisted with or performed- MVAs, taking Pap smear or ECS

In all my ObGyn posting was a fairly enjoyable one but I was glad when it was over. 

*GA– Gestational Age

*JOHESU– Joint Health Sector Unions

*Ginger– Interest

* ECS– Endocervical Swab

* MVA– Manual Vacuum Aspiration

*All images are from the web.


Also read: HouseJob Chronicles|| The Journey So Far.


And read: HouseJob Chronicles|| PROGRESS.

Musings 1.9|| MOOD

Maybe I’m not in the mood to write,

Maybe I’m not in the mood to rant,

Maybe I’m just here to whine,

So that I can have words that rhyme.

Sometimes my mind goes on a break,

The creative part of me hibernates,

Sometimes it’s so hard to try,

And a part of me wants to resign.

Maybe it’s okay not to write,

Maybe it’s okay not to rant,

Maybe I just have to unwind,

And allow my creative side to decide.

COPYRIGHT.

@Requ1ne (2018)

Musings 1.8|| Farewell.

I’ll be lying to say I’m not attracted to a certain somebody,

Or that I’m not excited at the thought of a lifetime together;

But my heart and I know that is NOT the direction we’re headed.

To the sweetheart that will never be-

It’ll be foolishness to promise you my undying love,

And wickedness to hold on to that which belongs to someone else.

So I let go,

Of the sweetdreams that dwell in my heart,

And the mushy feelings I’ve allowed to linger.

For I belong to mine.

And you belong to yours.

Whoever and Wherever they may be.


Farewell.


COPYRIGHT 

@Requ1ne (2018).

Musings 1.7|| Naija!

A few minutes ago, I stepped out of the house to run an errand. 

It was close to midday and the sun was shining in its glory.

Still it took me a while to locate my destination.

Having been to that neighborhood a couple of times,

I was embarrassed to see business openings I was noticing for the first time.

More weird was that the AEDC outlet I visited, was being powered by a generator.

Naija, I hail thee!
:::requ1ne:::

*AEDC: Abuja Electricity Distribution Company

Musings 1.6|| The Little Things.

On Saturday, I got a text at 7:16 a.m.

With an energy I didn’t know I had, 

I jumped out of bed and sorted out my laundry.

But the guy didn’t show up until much later in the day.

Today, I did not to wait for motivation to find me,

 I picked up my toothbrush and went to look for it.

Sometimes, motivation lives inside my bathroom.

:::requ1ne:::

Musings 1.5|| Memo To Me


Sitting to my right was an enthusiastic dancer, and to my left, a young mushy couple. 

Worship was good but there was hardly room for me to dance or stretch my legs.

Stealing a glance backwards, I spotted an empty seat close to the edge.

If only…

Then the word of the Lord came unto me saying:

“Dear daughter, If you don’t like your seat, change it.”

I contemplated for no more than a few seconds.

And the rest of the service was bliss. 

Cheers!

:::requ1ne:::

HouseJob Chronicles: Finding the Work-Life Balance As A Female Doctor.

What is the most important factor for a female doctor to consider in the choice of a speciality?

– The God-factor.

***

Q1. Can we meet you ma’am?

A: I’m Dr (Mrs) Olabisi Yeye-Agba.

Q2. Why Medicine?

A: Medicine was my childhood dream, we had a family doctor that I greatly admired as a child; but more importantly, I believe God wanted me to study Medicine, so he brought that opportunity my way.

Q3. What does Medicine mean to you: A Calling, a Passion or a Career?

A: It’s primarily a calling because it involves taking care of the whole man: the spirit, the soul and the body.

And the satisfaction is also three-fold: your patients are happy, you’re fulfilled and God is pleased.

Q4. What unique challenges do you experience as a female doctor?

A: If I’m to be honest, the medical field especially in Nigeria, is not a level playing ground between male doctors and female doctors.

In our environment, the average person still sees a man in the traditional role of a doctor and a woman in the role of a nurse.

Q5. Can you share some of your favorite moments as a Wife/Mother and Doctor?

A: What really makes my day is the heartfelt gratitude and prayers from the patients I attend to.

A happy patient makes a happy doctor.

I also love seeing results. 

Whenever I give treatment or perform procedures on patients with significant improvement, I’m so happy.


Then the encouragement and support I get from my spouse (who is also a doctor btw) is amazing. 

He’s my number one fan.

Q6. Is it really possible to have a Work-Life balance?

A: It is possible. 

But it takes the support and understanding of the people around you (both at home and in the workplace) to make it work.

Q7. A lot of female doctors choose not to go into demanding specialities in order to play their traditional roles as Wives and Mothers. What is your take on that?

A: Wisdom is the principal thing; therefore get wisdom: and with all thy getting, get understanding. Proverbs 4:7

Before you make any decision about your career, pray about it.

For a doctor-doctor relationship (and in any other demanding profession) consider what area your spouse wants to specialize in.

Most importantly, be assured that if God leads you to it, he will see you through it.

Q8. What is the greatest sacrifice you’ve had to make as a female doctor?

A: There are many sacrifices to make as a female medical doctor, especially if you’re married.

Whatever it takes to make your home front work is worth doing.

Mostly you’ll have to sacrifice your time and sleep.

Here are three things you do not want to compromise on as a female doctor:

 Prayer.    Hardwork.    Studying.

Q9. What is the most important factor for a female doctor to consider in the choice of a speciality?

A: The God-factor.

Q10. What advice will you give to female Naija House officers as regards their career prospects?

A: From now, start to enquire of God what he wants of you.

It’s not a must to continue medical practice or even remain in Nigeria. 

God may have other plans for you.

Don’t be satisfied with the status quo, learn to add value to yourself in every area: spiritually, physically, financially, mentally and career-wise.

Prepare yourself for life.

My final charge:

For Wisdom is a defence, and money is a defence: but the excellency of knowledge is, that wisdom giveth life to them that have it.

(Ecclesiastes 7:12)
***


Dr (Mrs) Olabisi Yeye-Agba is a graduate of Olabisi Onabajo University and currently a Senior Resident in the department of Ophthalmology, at Federal Medical Centre, Lokoja.

:::requ1ne:::

*All images are from the Internet.

Dear October|| Last Moments

Hey bro,


You can’t imagine how excited I am to be writing to you.

This letter is a feeble attempt to capture all the challenges, lessons and memories, of my 30 days of existence. 

By the time you are old enough to understand its importance, I’ll be long gone. Now, don’t cry dear.

There are many things I would love to share with you, that time and space won’t allow. 

These few nuggets from my limited experience however, should guide you in having a smoother ride in your journey through life:

Don’t let life happen to you. I can’t overemphasize this. Take the bull by the horns and happen to life.

Pray as if your life depends on it, because trust me, it does. A prayerless existence is a powerless existence. 

– We live in a cynical world, where hopelessness and discouragement rule. If you don’t want to be a victim like many others, dare to believe. To believe is to live.

Live thankful. Show gratitude for the little things. It’s a sure path to increase.

If God says it, he means it. So you better believe it and receive it.

Let praise be your weapon. For everytime the enemy tries to harass you, let a praise song be your come-back. 

Distraction is a subtle tool of the enemy. The more he gets your attention, the farther you move away from God’s purpose for your life.

Happiness is a choice. If you choose happiness, it will choose you too. 

Getting tired is valid, because life gets hard. But staying tired is a choice because God is always ready to strengthen you, even at your lowest.

 
***

Allow me to share snippets of my last moments with you:

1. Last meal: Boiled yam with egg sauce

2. Last drink: Dubic malt

3. Last hangout: Sleepover at Deby’s

4. Last song I danced to: Hallelujah by Funbi

5. Last sermon: Doubtlessly Anointed (Pastor Move)

6. Last game I played: Ehm…Duolingo?

7. Last article I wrote: Musings 1.4|| The best place to be 

8. Last book I read: Firebrand by Debola Deji-Kurumi 

9. Last chore I did: Laundry

10. Last friend I chatted with: Peter aka SPO

***

I pray that the Lord guides your steps in all you do.
May testimonies abound in your life everyday. 
You will do far greater exploits than any of your predecessors.

Cheers to a beautiful existence!

Your Big Sister,
😍😍😍

September.

:::requ1ne:::

Musings 1.4|| The best place to be.

Today, I was in Church for the first time since a couple of Sundays. 

One Sunday, I was on a road trip.

For two Sundays in a row, I was at work. 

For the next few Sundays, I had to catch-up with chores

Or was just too lazy to leave my house. 

I attend a church where they “sing and dance” too much

No matter how overwhelmed you were before service,

You can’t leave feeling the same.

An atmosphere of joyful worshippers,

Testimonies of God’s faithfulness,

And a Sermon that builds your Faith.

These and more, are reasons I’m glad I was in church today.

Old picture but present mood.

:::requ1ne:::