MY FAVORITE THINGS (Part 3/10)- Creative Photography.

My dream camera. (Photo-credit: WEB)

A picture is worth a thousand words.”  –English idiom

Let me start with a confession, two actually. As much as I love the idea of photography:

1.  I’m pretty much of an amateur at it…if a picture I take/edit looks good in my eyes, that’s it. I don’t know much about professional styles or details. I just float with my own ideas.

2. I don’t even have a Camera at the moment. I used to have a mummy-hand-me-down camera about two years ago before it was stolen. Although it was a NIKON Camera, I don’t recall the model it was and I only used it occasionally.

Next to reading, taking and editing photos is another hubby that takes a chunk of my time. I mean who spends about 10 minutes taking random selfies and another 15-20 minutes editing them? And on the days I’m very intentional, I can be on it for hours.

pinterest.com
Even without a camera, I still try my best with the available devices (a phone and an iPad) at my disposal to come up with pictures that can blow your minds away, once in a while. I probably sound like a wannabe photographer, right?
Some years ago, in the wake of smart phones, I discovered my flair for recreating photos. Even with the minimal phone apps then, I could redesign my pictures in a dozen ways just for the fun of it. 
A friend I used to enthusiastically share some of my “edited photos” with, once mentioned that he preferred the “natural photos” because they appeared more real. I understand the crave for social media “perfection” common to young people in this age. But for me, it isn’t just about editing pictures so that they can look perfect, it’s the expression of the creativity it gives me that I enjoy.

Anyway, during the carnival here in SVG in July, the church organized a picnic at the RAWACOU beach which my friends and I attended. In our excitement, we had a mini photo-shoot. After editing and branding the pictures, I think they really looked lovely…I’ve selected a few of them for your viewing pleasure.

Photographer: Oluwazoe 

Little Model: Naila


More recently I took some shots while walking home, of a beautiful view of Saint Vincent at sunset. Here’s one of the shots (unedited):

Arnos vale, Saint Vincent.

Let me know what you think about the photos.

So I’m a wannabe videographer as well. I take videos of random occasions like when my friends are dancing or singing or just having fun. I also love to make videos out of snapshots like I did here and here. Like photography, I’m yet to master the skills & crafts needed for videography. And while I may never acquire the professional status of being either a photographer or videographer, I will continue to enjoy what I do. 

Here are the apps I use to edit my pictures, they are free on App Store/Googke Play. So you can try them out.

Pixlr


Phonto


For videos I use,

Flipagram


– Quik



I’ve also used Wondershare and Animoto for videos in the past. 

Well that’s just a summary of my amateur creative photography skills. I hope I can polish them some more when I own a camera in the future.

And for the love of photography, I think there’s a photographer in each of us….that should be let it out!

*click*

twitter.com
Thanks for reading,

:::requ1ne:::



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Between THEN & NOW…

For a while now, the 25th of every month comes with an “unusual” impression in my mind. 

For some reasons, without any prior prompting I begin to feel uneasy and then I check my calendar. 

Lo and behold, it’s the 25th. Good grief.

More often than not, the 25th takes me back…down memory lane.

Of what was…and what could have been. 

If only…

And sometimes, it’s tempting to return to the past, my past.

That part of me that was left behind. 

The tiny, almost lifeless hope that longed for something that seemed beyond reach. 

The dreams I had. The future I had envisioned. The life I had designed by/for myself…

I particularly remember one December morning of the same date, how I sat in front of the TV in tears, with my soul naked and bare, as I tried to numb the pain in my mind with some junk food.

Oh, what pitiful condition I was in that Christmas morning. Of all days. 

I’d been depressed and frustrated for sometime. So I shed tears after tears, with no one to console me. I tried to pray too but that only brought more tears. 

There are days I really want to forget all about it, put a key to the lock and say goodbye FOREVER.

But some memories haunt and others hurt still. Crushed hopes and wasted dreams can hardly be recovered.

And there are days I’m not just sure, if the right thing I did was really the right thing to do…

In all of these, I’ve come to reflect on God’s grace that has brought me thus far between THEN and NOW. 

Here I am still…healing, learning and growing. As I mark yet another 25th on my calendar.

And today, I’m reminded of the lyrics of this song that was my favorite years back:

YOU WILL NEVER WALK ALONE:

Along life’s roads 

There will be sunshine and rain,

Roses and thorns,

Laughter and pain,

And ‘cross the miles,

You will face mountains so steep,

Deserts so long and valleys so deep.

Sometimes the Journey is gentle,

Sometimes the cold winds blow,

But I want you to remember, 

I want you to know…

You’ll never walk alone, 

As long as you have faith,

Jesus will be right beside you all the way…

And you may feel you’re far from home,

But home is where he is,

And he’ll be there down every road,

You’ll never walk alone.

~POINT OF GRACE~

I’m rest assured that through this Journey, I will never WALK ALONE. 

And I’m also reminded of this part of the scriptures that I love so much:

Psalm 25:1-5 (GNB)

“To you, O Lord I offer my prayer;

in you, my God, I trust. Save me from the shame of defeat; don’t let my enemies gloat over me!

Defeat does not come to those who trust in you, but to those who are quick to rebel against you.

Teach me your ways, O Lord; make them known to me.

Teach me to live according to your truth, for you are my God who saves me. I always trust in you.”

I know that as I continue to trust God with my PAST, PRESENT and FUTURE, I won’t be defeated. And like the Psalmist, my enemies will not gloat over me. But I will rejoice over them instead. Amen.

Thank you for reading,

:::requ1ne:::

HOW TO PREPARE EGUSI SOUP.

So I have succeeded in publishing a food recipe for the first time, well except for this salvaged stew post…😅

Ok, so a number of people consider me a guru in this “Egusi Soup” thingy. Well they are mostly my close friends but I believe they have a point.

If I have one cooking skill to compete for, Egusi soup would be foremost on my mind.

I remember the first time I attempted to prepare Egusi Soup for my family. I was in my mid-teens then and very reluctant towards kitchen work (lazy, for short). And in the absence of adult supervision, I literally flopped..😭

Thank God for perseverance and grace…lol. Hitherto has he helped me.

Anyway, the credit goes primarily to God the Father, God the Son and God the Holyspirit. And secondarily to my Mom. She taught me well.
Anyway, shall we?

(PS: There’s a story behind the poem but I won’t go into the details here).

Total cook time: 1 hour 15 minutes (or less).

1. Prepare the beef (fresh fish or chicken can be used instead if desired) with seasoning cubes, salt, onion and set aside the meat stock. Cook on low to medium heat for about 1 hour or until tender.

2. Soak the dry fish, cow skin and stock fish in a bowl of warm water with a pinch of salt for at least 30 minutes.

3. Wash the green vegetables (spinach, callaloo, ugwu or bitter leaf) with cold water and cut into small shreds. Set aside.

4. Mix the blended Egusi with water in a bowl to make a paste. 

5. On low heat, put two cooking spoons of vegetable oil, diced onion and “iru” (locust beans), if desired into a clean pot.

6. Pour the Egusi paste into the pot and begin to stir for about 5-7 minutes or until a fine grain-like paste forms.

7. Add two table spoons of Palm (red) oil into the mixture and stir for another 5 minutes.

8. Add the blended fresh tomatoes (or tomato plums) and red hot pepper to the Egusi and allow to cook for 5-7 minutes. 

9. You can add the blended crayfish (2 teaspoons are enough) at this point, followed by the meat stock, and more seasoning cubes/salt as desired. Taste and adjust accordingly.

10. Add the already prepared beef, dry fish, cow skin and stock fish mixture into the pot. Cover and allow to cook for about 8-10 minutes.

11. Finally add the chopped vegetables and allow to cook for another 3-5 minutes. Don’t overcook.

PS: Overcooking diminishes the structural integrity and nutritional value of vegetables…blah, blah…😅

12. Your Egusi is done and ready to be served.

Egusi soup with pounded yam (Imagecredit: WEB)

Pls watch the video clip below for a step by step tutorial. I’ll address any questions in the comment section below.


(PS: You can read the Nutritional benefits of Egusi (melon seeds) here).

Enjoy!

Thank you for reading,

:::requ1ne:::

My Favorite Things (Part 2/10)- BOOKS!


I’m a big fan of books. That’s even an understatement. I think reading is my absolutely best hobby. 

This meme nicely summarizes my reading habit.

Aside Academic, Political or Business literature, I can literally read anything for 3-4 hours at a stretch…no kidding.
I began to develop a voracious appetite for more deliberate reading since last year and I can confidently state that I’ve read close to 20 books this year with over a dozen still sitting in my library at the moment. Some of the books are quite easy to read while others are a bit bulky, but I’m intrigued by the mystery in every page and drawn by the suspense in the next. 

What more the books I read not only shape my thoughts, but also my words and actions. I soak in every new thing I learn and constantly improve my attitude and perspective about life.

MY DREAM LIBRARY (Photo-credit: WEB)

For some time now I’ve been reading only e-books since they are more readily available and of course not as expensive as paperbacks. 
Here are the books I’m Currently reading and some life-changing thoughts I’ve gleaned from them:
1. Awaken the Giant within (Anthony Robbins)

“If you’re curious, nothing is a chore.”

“Choosing to be flexible, is choosing to be happy.”

“The secret to living, is giving.”

“If you have a big enough why, you’ll get the necessary how.”

2. When God writes your love story (Eric & Leslie Ludy)

“Temporary flings equal permanent damage.”

“A woman needs…someone who cares about her well-being, to understand what she is going through and recognize the validity of her feelings…”

“A man needs someone to accept him just the way he is…someone to trust him and depend on him for what he can provide…someone who admires him for what he has done or tried to do…”

3. Meet Mrs Smith (Anna Smith)

“Praise only becomes important when we speak it.”

“No problem is too big for God. If it is, we need to make God bigger, and watch the problem shrink.”

“Faith is there for both the good and bad times…faith is not faith until it is tested.”

“Attitudes are the beginning of values. A positive attitude is like flossing the teeth, it is not essential but it makes a lot of difference.”

And here are my to-read book collections:

1. No idea (Greg Garret)


2. Passport through Darkness (Kimberly L. Smith)


3. Be Satisfied (Warren W. Wiersbe)


4. Anxious for Nothing (John MacArthur)


5. Glittering Promises (Lisa T. Bergren)


6. Found: God’s will (John MacArthur)


7. The Stone of Destiny (Jim Ware)


8: Trophy Child (Ted Cunningham)


9. The Complete Book of Questions (Garry Poole)


10. Without Rival* (Lisa Bevere)


11. A winter in Lagos (Saratu Abiola)


12. The Monkey House (Tade Thompson)


13. Hope (Seun Odukoya)


*I downloaded the first 2 chapters for free.

How I usually get my books:

1. free-ebooks.net: I’ve subscribed to this site for over 5 years now and I have access to at least 5 books each month (all PDF copies). I enjoy reading Thriller and Mystery novels. I like Stewart Giles‘ work especially on the DS Smith seriesThankfully I decided to stop reading Erotic/Romance novels as a teenager and God has helped me to stay away till date. I sure don’t need the graphic details such books portray because I need a healthy mind space to function optimally. 

2. Christianbook.com


I download most of my books with the CBDReader app (available on App/Google Play Stores) as weekly recommendations from David C Cook books, for free.

3. Okadabooks app 


For lovers of Nigerian authors (renowned and upcoming), this is a good place to get their books. There are dozens of free books and the paid ones are very affordable. You can download the app for free on Google Play Store.
4. Audiobooks app 


I recently discovered Audiobooks, a free app on App Store. with hundreds of audiobooks to listen to (both for free and with subscription). I’ve been listening to The Adventures of Joel Pepper (Margaret Sidney) and it’s such a lovely story.

5. PDF downloads 

So I’ve gotten a good number of books straight from the Internet at no cost. You just have to type the title and author of a book you’re interested in. (PS: The availability of such books for free largely depends on the copyright laws from the authors/publishers). 

***

And of course I like reading great content from different blogs. And I’ve mentioned some of my favorites here.

I can so relate to this sentiment…haha.

That’s it folks.

If you have read any of my book collections or you know a great site where I can get more amazing books for free *winks*, kindly drop a comment..😉😊

Thank you for reading! 

:::requ1ne:::

SUNSHINE AWARD!

So this blogpost is long overdue (since October 2015). To be honest, I didn’t even realize I was nominated until a few weeks ago. 


Many thanks to Vickytoreeya of impactingme.wordpress.com for the nomination. She is one graceful lady that writes from her heart and is very much concerned about impacting her readers positively. She’s a professional journalist (I think) and a God-lover  with an outstanding personality.

I have 11 questions to answer briefly but I’ll keep the “nominee tag option” open…in other words, any/everyone reading this post can take up the challenge. Cool, right?

Let’s roll.

Vickytoreeya’s Questions:


My Answers:

1. I’m Eunice (and go by the Pseudonym Requine); a young christian lady passionate about living life to the fullest and inspiring everyone around her.

2. I’ll be more deliberate about living life one day at a time, and making a difference wherever I am.

3. Hehe…God is awesome. I can’t even think of any. 

4. Unique. I’m a blend of an introvert with phlegmatic/melancholic temperaments, an unusual sense of humor and everything in between. 

5. Well, I’m not working at the moment. I definitely won’t remain jobless in future…lol.

6. My diaries/Journal are my most cherished assests.

7. Life is beautiful, and the beautiful life is mine.

8. Flowing with the tide. I enjoy being “positively” different. 

9. Blogging is an avenue to contribute to the lives around me. Here’s a post that pretty summarizes why I write/blog. 

10. A lot. One of them is that in order to make a difference you have to do something in a different way.

11. Vickytoreeya, Continue to do what you love doing and in due time you’ll reap if you faint not. Galatians 6:9-10.

So there you are Vickytoreeya. Thank you again for the nomination. 

Over to you guys. I have just 3 questions:

1. What’s your definition of Friendship?

2. What gives you the most passion?

3. Have you ever felt weird? How did you cope?

***

Like I said, any/every one is free to participate. 

Thanks for reading! 

:::requ1ne:::

A BEAUTIFUL LOVE STORY (SIMTOM’16)


“Our love is forever, cos Christ is our pillar.” –Tomiisin & Simeon.

Meet the soon-to-be couple
My good friend Oluwatomiisin, and her fiancé Simeon will be tying the knot in a few days. 

The soon -to-be couple.

Tomiisin is one of the most amiable persons I’ve met. I’ve known her for over a decade, as we attended the same secondary school (FGGC OYO). In school she was easily liked by everyone, students and staff alike. She was a cheerful and well-behaved student. She was also God-fearing and a committed leader in the school chapel. And that’s where we became friends. Today we’ve come a long way thankfully despite the growing time and distance.

Tomiisin
About 3 years ago, I got to know Simeon, who Tomiisin introduced to me as “Noble“. We still haven’t met yet, but we have maintained social contacts. I see him as a nice and diligent young man, and our conversations have been cordial. I remember he was trying to convince me at some point that I should become a Paediatrician so that I can take care of their kids in the future…😅

Simeon

How They Met:

The pair met at the Obafemi Awolowo University (OAU), Ile-Ife about 6 years ago. Tomiisin who was a student of Joseph Ayo Babalola University (JABU) at the time was spending the break with her cousins at OAU. According to her, she had gone with them to study (in preparation for her 1st semester exams) at a lecture theatre (ODLT II) one fateful day, when she met him. 


They got talking casually. Then became friends who grew fond of each other. As days turned into weeks and months, their friendship progressed into interest, and blossomed into love. Thus the relationship was birthed.


Over the years, the two remained committed to each other not just in thoughts, but through their words and actions. Their relationship was initially characterized by late-night calls, chats, and a number of catch-up visits in between. One time Tomiisin told me of how her fiancé came all the way from Lagos to pay her a surprise visit in Ikeji-Arakeji, where her school was located. 


Thankfully, as the relationship grew, the distance became less since my friend had the privilege of serving (and eventually getting a job) in Lagos state, where her fiancé worked. 


Of course like in every relationship they had their own unique challenges, but through honest conversations and faith in God, and the encouragement and support from godly parents, siblings, mentors and friends, they overcame such.


I admire their togetherness, strength, courage and determination to face the world together. It takes faith to commit one’s heart and future to another person.


Here’s what they think of each other: 

Simeon- She’s a Sweetheart_ 😘

Tomiisin- He’s a darling_ 😍


Today I celebrate a friendship that has persevered, a relationship that has endured challenges and a dream that has become a reality.


Yours is a beautiful love story and I hope it inspires all of us that desire a story as beautiful as it is.

The video clip is a token of my love and admiration to you both.

“Two are better off than one, because together they can work more effectively”. 

 – Ecclesiastes 4:9

Congratulations Tomiisin and Simeon, may your home be blessed, fruitful and established in Christ.

Cheers to an amazing future together!!

Much love,

XoXo

:::requ1ne:::

You Are God Alone.

Earlier today, Facebook reminded me of a video I shared last year.

My friends and I did a cover of the song You Are God Alone (Philip, Craig & Dean).


Thankfully, Z put it up on YouTube. So I decided to share the video here too.

[Disclaimer: We are not a music band or wannabe artistes. We are just three young believers worshipping God from our hearts].

PS: Here are the lyrics to the song:

[Verse 1:]

You’re not a God created by human hands

You’re not a God dependent on any mortal man

You’re not a God in need of

Anything we can give

By Your plan, that’s just the way it is

[2x]
[Chorus:]

You are God alone, from before time began

You were on Your throne, You are God alone.

And right now, in the good times and bad

You are on Your throne, You are God alone.

Enjoy!😀😊

:::requ1ne:::

August & What’s up…

Hello folks,

It’s been a while I’ve done this kinda post. I know I should be writing more often since I have enough time, but life has a way of showing up when/where we least expect.

Anyway, here are some of the things that have been happening with/around me lately:
1. The song on my mind…When I think about the Lord. Recently I was again reminded of how blessed I am. I have so much to be thankful for…life and health, God’s salvation, love, grace, mercy, favor, family and friends, and every other thing I often take for granted.

2. Watchword for the month: Philippians  4:8. 

It’s operation MIND YOUR MINDSPACE! So help me God.


3. Lola Opatayo’s blog. The woman is Bae. Her stories literally keep me hooked. I’ve mentally added her to my BEAUTIFUL MINDS list. You can read the posts here and here.

4. I recently wrapped up Chronicles of a Student-Doctor, which sums up my medical school experience. Whoop!! What a Journey! At some point I wanted to abort it but thankfully, I didn’t. I appreciate all the feedbacks/support I received during the period.

5. I’m reading a number of books at the moment and I have lots more to read. But I won’t blow my cover. Just lookout for Part 2 of My Favorite Things to get the juicy details of my library. Plus I’m thinking of doing my very 1st book review, on THE DATING MANIFESTO (Lisa Anderson) which I recently completed. I so enjoyed reading it that I’m excited to share some of the lessons with you. Pls watch out.

6. Currently loving Okadabooks app. In less than a week, I’ve consumed about 10 books, including excerpts from Chimamanda’s Half of a Yellow Sun and Americanah. I can’t wait to read the full copies.

7. Finally completed my study on the book of GENESIS (I’ve been on it for over 3 months). There are many hidden lessons between the verses and chapters of the book. My favorite character was Joseph. His character was solid throughout. I gathered lots of life-transforming truths. God’s word is absolutely amazing. I’m studying the book of Proverbs next.

8. I’m glad for the phase of life I am in at the moment. It’s like an in-between stage separating what has been, from what will be. I’m being prepared for the next phase of my life and I’m quite excited. Here are some of the thoughts I’ve been reflecting upon recently:

– Experience is not what happens to a man, it is what he does with what happens to him. (Aldus Huxley)

– It’s not only the questions you ask, but the questions you fail to ask, that shape your destiny. (Tony Robbins)

– Whatever we look for, we will find. (Tony Robbins)

– Being choosy gets you no where, if you actually never choose. (Lisa Anderson)

– There’s nothing wrong with happiness, what is usually wrong is how we choose to get it. (Requine)

– Exposure brings Enlightenment, Enlightenment brings Empowerment, Empowerment brings Enablement. (Requine)

9. I volunteered to help with the VACATION BIBLE SCHOOL (VBS) for my church kids last month. What an eye-opening experience it was. There were lots of games, songs, skits and crafts. There were also bible lessons and memory verses learnt. It was quite an adventure and a blessing for me. I’m glad I was a part of it.

10. I successfully made “Pizza” (from scratch) and “Puff-Puff” (for the first time), the two were on point and my flatmates even gave me an  A+. 🙌🙌

I plan to try my hands on a few other snacks before the month runs out. Maybe I can throw in a recipe or two as well. *fingers-crossed*

Home-made Pizza and Puff-Puff

That’s all for now.

Do enjoy the rest of August…

Thank you for reading,

:::requ1ne:::

Chronicles Of A Student-Doctor #12

CHAPTER 12: PSYCHIATRY POSTING.
And to the last of my clinical postings, welcome to the Psychiatry department.

A place of several tales, some sad, some strange and others absolutely shocking.

Psychiatry was a bitter-sweet experience for me. It was the one post I excitedly looked forward to, telling all that cared to listen that I knew what I wanted and I was determined to embrace it.


For as long as I can remember, I have been fascinated by mentally-challenged individuals, whether in literature or on the roadside. I often wondered how some people ended up becoming weird, homeless, unkempt or completely dysfunctional. While most people would see such individuals and turn up their nose in disgust, I would often take a second or third look at them, and imagine if they have any family or home to call their own.
Medically speaking, the factors that lead to mental (and specifically Psychiatric) impairment, can be genetic, neurologic, environmental, or a combination of these.

On the other hand, some indigenous folks (at least where I come from), believe that mentally-impaired people might actually be demon-possessed or under spells. Of course, it seems a ridiculous way to think but cultural/religious sentiments have a way of shaping our perspectives.

As a Christian, I believe that demons do exist but I also know that mental health has remarkably improved through medical care over the years.

So all through my medical school journey, I really looked forward to my Psychiatry posting.

I mean I’d liked the idea of Mental Health for years, and Clinical Psychology was one of my favorite subjects during my pre-clinicals. Even before I completed my Secondary School Education, I already had much interest in Psychology. And because I wanted to study Medicine, I decided I was going to become a Psychiatrist. Hence my fate was sealed (or so I thought), until I actually started my Psychiatry rotation.

Despite the pep talks my colleagues who had done the rotation ahead gave to me, I wasn’t prepared for my encounter on that first day…
The Mental Health institution in SVG is situated apart from the General Hospital, and is currently (temporarily) located in an area called Orange Hill, which is along the countryside.
The institution which is more of a community than a facility, gave patients the privilege of roaming the immediate neighborhood with little or no restrictions.
On my first day there, we went in to see the female patients. I was stunned to say the very least. All I saw basically was a sea of faces staring mindlessly about, with some out of touch with reality. How could anyone live this way? I wondered. I left the place all sobered up and emotionally drained.

As the days progressed into weeks, I got to know a number of the patients and their story. We followed up some of them repeatedly in the outpatient clinic and what an experience it was.

The cases we saw ranged from mild/moderate depression to cognitive impairment to acute manic episodes to chronic schizophrenia to parasuicides, and the likes. And some of their stories would always remain with me. One of such remarkable cases was that of Ms. X:

Ms. X was a known patient with Bipolar disease who was admitted to the Casualty department during an acute manic episode that was triggered by an emotional experience. I had never seen an adult throw such tantrums before. This patient was hyper, continuously jerked her limbs against the bed restraint and cussed loudly. It was quite a sight. She was later transferred to the Mental institution. Over the next few days, and after a number of medications, the patient significantly returned to baseline.

Despite the emotional circumstances, Psychiatry posting was an adventurous ride for me. I got the opportunity to travel to parts of the island I had never been to. There was a community outreach where we had to visit patients in different villages like Chateurbelair, Rose hall, Troumaca and Spring village. Those areas were on the leeward  part of the island.



We also had occasion to hold outpatient clinics in Stubbs and Georgetown which are in the windward side of the island, as well as the Prison.


My Preceptor, Dr. K. Providence, an amazing woman dealt kindly but firmly with all the patients. According to her some of the patients can become very manipulative and threaten the caregiver. The most difficult patients to deal with are usually those with criminal charges. They are prone to take the “victim stance” where they make others think they are being victimized. This was especially common among the prison inmates.

We learnt how to take Patient history, do the mini mental status exam (MMSE), PHQ-9, CAGE questionnaire, BECKS Depression inventory, and other forms of assesment. We were taught to be confident and empathic while handling difficult patients.

My colleagues were fun and supportive. The interns, nurses, social worker, counsellor and clinical psychologist made a good team to deliver care to the patients. This was important because many of the patients we saw had social issues as well e.g. Lack of employment, drug use (Marijuannna especially), alcohol abuse, lack of finances, domestic abuse, homelessness and social stigmatization.

Aside the emotional demands, Psychiatry also gave room for lots of adventure. I saw new places, met new people and learnt new things too. And I took lots of pictures too.

My paddy and I…

Studying during my Psychiatry posting was perhaps the most interesting. I used Lange Q&A (Psychiatry), PRETEST for Psychiatry, Kaplan step 2 videos and Paul Bolin’s YouTube videos for Psychiatry to study. Any material on Psychiatry with DSM V criteria updates, should serve you well.

And to the big question. Would I be interested in pursuing Psychiatry as a speciality? I like it enough in theory but I’m not sure I can handle the clinical aspect, so I honestly can’t tell yet. So fingers crossed until then…✌✌

Kudos to all the Psychiatrists out there. Thank you for making a remarkable difference in people’s lives.

Thank you for reading,

:::requ1ne:::

PS: Here ends the Chronicles Of A Student-Doctor posts. I appreciate all the feedback and support I got. I hope I can share aspects of my post medical school journey with you in subsequent posts.

Chronicles Of A Student-Doctor #11

CHAPTER 11: OBSTETRICS & GYNECOLOGY POSTING.

 


Welcome to the Obstetrics/Gynecology department, where we cater for women from adolescence to menopause.
The Obstetrics/Gynecology department comprises of two co-dependent units:

1. Obstetrics unit: also called the maternity unit, which is concerned with childbirth and the care of women giving birth.

2. Gynecology unit: which is concerned with functions and diseases affecting the reproductive system of women.

In the hospital where I did my clerkship, the two units were on separate wards. The Obstetrics (labor) ward was divided into three sections:


(Maternity ward entrance, MCMH)

Section 1: For patients in active labor.

Section 2: For immediate postpartum patients.

Section 3: For high-risk patients on observation e.g. Preterm labor, Pregnancies with comorbidities like Hypertension/Diabetes.

There was also a special room for Patients with Preecclampsia (who are high risk patients) and two Delivery rooms.

The Gynecology unit was on the Female Surgical Ward, and we had rounds whenever our patients were admitted there.

Obstetric clinics ran twice weekly (Family planning clinic and Antenatal clinic) while Gynecology clinic was once a week.

We had surgeries on Wednesdays and emergency cases were scheduled as needed.



(At the MCMH Theatre)

Shortly after starting the posting, I had the opportunity to attend the 20th Annual Perinatology conference organized by the Pediatrics/Obstetrics departments of the MCMH, and attended by doctors, medical students, midwives and other stakeholders from the Hospital and Ministry of Health, Wellness and the Environment. They presented and discussed the maternal/neonatal morbidity and mortality over the past year. According to the speakers there was an overall improvement in maternal/neonatal care in the country. The event was both fun and enlightening for me.


(At the conference with two of my colleagues and the medical officer, Dr. Cumberbatch. Photocredit: SVG Health).


(The Senior Register, Dr. Pabilona giving her speech during the conference. Photocredit: SVG Health).

Some of the presentations I saw during my 6-week posting include:
Cervical Intraepithelial Neoplasm (CIN)

Complete Miscarriage

Cyesis preterm

Endometritis

Endometriosis

Gestational Diabetes

Hyperemesis Gravidarum

Hypertension in pregnancy

Menorrhagia

Ovarian Hyperstimulation Syndrome (OHSS)

Preterm Uterine Contraction

Placenta Previa

Polyhydraminos

Postpartum Hemorrhage

Preecclampsia

Premature rupture of membrane

Urinary Tract Infection

Uterine fibroids


And some Procedures I saw were:

Artificial Rupture of Membrane (AROM)

Cardiotocography (CTG)

Colposcopy

Insertion of Pessary

Intrauterine Contraceptive Device (IUCD) placement


(CTG procedure: which was typically left to the medical students).

Surgery cases:
Bilateral Tubal ligation

Caesarean section

Cervical Cerclage (secondary to incompetence)

Cone Biopsy

Dilation and Curettage (D & C)

Hysterectomy

Ovarian cystectomy & salpingectomy
I came across different kinds of patients too: the nervous, the confident, the cooperative, the indifferent and so on. Generally most of them were easy to relate to. 

Then comes the most dramatic part. In my opinion, there’s nothing as fascinating as watching a live birth. The delivery room experience is awesome. Let me try to paint the scenario as I remember it:


A woman in labor is rushed into the delivery room, with the midwives and other birth assistants in attendance. Sometimes a doctor is there to take the delivery as well. And the partner or a family member of the patient is usually allowed to come in.

Push! 

Push!! 

Push!!!

The midwife-in-charge yells, as others encourage and soothe the woman in labor. The baby’s head would then gradually descend as the midwife helps to manouver it. When the entire body of the baby comes out, usually with a distinct cry, another midwife states the sex of the baby and time of delivery. Then comes the clamping of the umbilicus which is eventually cut off under sterile condition. After a few moments on the mother’s chest amidst tears and smiles), the baby is transferred to the nursery. 

Shortly after an oxytocin injection is administered intramuscularly to facilitate uterine contraction and the placenta is delivered. After ensuring that there is no part of the placenta missing, the woman is cleaned up and returned to the ward. Occasionally we’d encounter a difficult delivery that requires a procedure like episiotomy.

This wiki article gives a breakdown of what takes place during the process of delivery.
A major highlight of the posting is that I got to assist the Senior Registrar for two mini-surgical procedures…which is every medical student’s dream! Yaay!! 😀


(At the Operating Theatre, Yours truly).


#Case Note

Then the Preceptor I worked with is one of the most dedicated doctors I’ve met. She’s well respected not just in the Hospital but all over SVG as a country. On my last day in the department while giving her final assessment, she gave me some insight on boosting the self confidence I need further along my medical career.

(Dr. Camille Nicholls. Photocredit: SVG Health)

Recommended study materials:

· KAPLAN step 2 videos

· Blueprints (Obstetrics and Gynecology)

· Case Files (Obstetrics and Gynecology)

· First Aid for the Obstetrics & Gynecology clerkships
* * *

My ObGyn posting was one of my most remarkable clinical rotations. Although it was quite  demanding and challenging, but it was quite enlightening too. The midwives, nurses, doctors and other students I worked with were quite dedicated and there was great teamwork. I was able to learn a lot from the rounds, teaching sessions, presentations and procedures. I had to clerk and admit patients, draw their blood samples and so on. Seeing as mothers bonded with their newborns was always heartwarming. It gave me reasons to seriously begin to think about motherhood! I wrote this post just before I finished from the department. 

So would I consider a career in this specialty? Hmmmn…maybe not. I personally don’t think I can stand the process of taking a Normal Spontaneous Vaginal Delivery (NSVD) every other day, or being called to the theatre for an emergency Caesarean section or Evacuation of Retained Products of Conception (ERPC).

Shout outs to every Ob/Gyn Doctor out there, thank you for the amazing job you do. 🙌🙌

Thank you for reading!

:::requ1ne:::
PS: I have one more post to go for this series. Thanks to everyone that has supported me so far.

God bless.