A DAY IN THE LIFE || A NAIJA DOCTOR’S DIARY


*How my day started*

4:52 a.m. It’s too early, please go back to sleep.

5:17 a.m. No baby, still too early…go back to sleep. 

5:23 a.m. Sighs. Okay…you can get up now. Na work dey rush you. 

5:30 a.m. I’m already in the bathroom when my alarm rings.

After having my bath, I put some food on the gas cooker, then went back to bed to have my quiet time.

I had a quick breakfast of cereal (which will keep me till noon at least)

I also took an antibiotic thanks to a recurrent ear infection I’m battling with.


Then I packed some lunch because no satan is tempting me with stupid hunger at work today.



Finally stepped out of the house around 7:20 a.m. as I’m doing the 8 a.m. to 6:00 p.m. shift today.

***

7:35 a.m My pre-work glow.
Getting a few minutes of me-time.


8:15 a.m. Work has officially started but I’m yet to see my first patient which is very unusual

The first patient I saw was a toddler who had some episodes of vomiting and loose stool, and managed a case of enterocolitis with antibiotics and oral rehydration solution. 

The second patient was a newly diagnosed hypertensive who I spent a considerable amount of time counseling. 

*4 hours later*

12:25 pm It’s LUNCH TIME…yay!!!💃💃💃


1:45 p.m. After attending to a new admission on the ward, my energy level is like 30% . I don’t know where all the food I ate went o. Sighs.

2:00 pm Phew! Just saw my 12th patient for the day.

***

So I was called to see a patient in the Emergency room.

A little girl had a laceration inside her upper lip following a traumatic fall, thankfully the blood loss was minimal and her vitals were stable.


After cleaning out the area, I infiltrated with Xylocaine solution then sutured using vicryl 2.0.  

Though my surgical skills are pretty basic, I did a good job anyway. 



5:50 pm

I just finished reviewing a pregnant woman on the labor ward who is being induced. Every bone in my body feels tired. 

6:00 p.m.

Finally, my shift is over and I can officially take my leave. 💃💃💃

My extremely tired after-work look.😂😂😂

So here’s a list of all the cases I managed today:



***

Thank you for reading. Did you enjoy this blog?

:::requ1ne:::

     ❤️❤️❤️

HouseJob Chronicles: 5 Ways NOT To Take Things Personal.

Hello People,

I had an experience at work the other day, interesting in retrospect, but very emotional for me at the time. I was hurt by some stuff one of my “Ogas at the top” said, and I ended in tears.

It was so embarrassing…long story short, I came out of the experience a better me.

In this post, I’d like to share a few tips with you about how NOT to take things personal as a House Officer, especially if you work (or plan to work) in Nigeria.

Enjoy!

***

1. Offenses will come.
Offenses are a part of life we all can’t do without. On a daily basis, we offend people and people offend us.

Unfortunately, even in the work-environment where everyone is expected to be cordial, people step on one another’s toes all the time.

As a House Officer, patients will annoy you, your colleagues will make you angry, and your seniors will frustrate you.

The way some patients view medical interns…🙄

Sadly, a lot of Nigerian doctors still see BULLYING as a necessary evil, and unless there’s a change in such mindset, House Officers will continue to be at the receiving end.

It’s in your own best interest to develop a thick skin against such scenarios, because they will surely come.

2. Keep Moving On.
No matter how bad a day seems, that day will pass.

Days will turn into weeks, weeks into months, and before you know it, your housejob experience is over.

If you want to survive as a House Officer unscathed, learn to move on quickly!

3. Be Considerate.
Eventually, what goes around comes around.

As a newbie doctor, maybe it’s time to change the narrative.

Be the difference you want to see.

To your patients show empathy. You have no idea what some of them are passing through.

To your colleagues show comradeship. You’re together in the struggle.

To your seniors show loyalty. They were once in your shoes.

It takes a little kindness to make a BIG difference.

In all, do your best and give the quality of care, treatment and respect you want others to give you.

4. Know your elastic limit.

When all is said and done, it is NOT every nonsense that you should allow.

I’m yet to walk out of a ward round, because God has REALLY helped me.

And I hope the day never comes because if it so happens…hehe

Like I say to anyone who cares to listen, I’m the only doctor in my family…I cannot come and die.

For your own sanity, speak up when you MUST.

If a colleague wants to take advantage of you, call such person to order.
If a patient tries to disrespect you, set him/her straight.
And if your seniors verbally or physically abuse you, to an extent that is unhealthy to your self-esteem, please report them to the appropriate quarters.

You’re a doctor, not a door-mat!

5. Laugh out Loud
When all is said and done, someone may just be having a bad day and looking for a channel to vent.

DO NOT become the scapegoat.

Try to to give your best at ALL times. Be timely. Be proactive. Don’t be lazy. Don’t be rude. Know your limits.

Refuse to be a casualty in another person’s mood instability.

And when you’ve done all you can, and someone still wants to make you angry or sad, just LAUGH OUT LOUD.

Image Credit: iStock
Laugh so hard that it confuses your “Tormentor.”

A little humor can really go a long way!

Remember, you’re STRONGER than you think.

Source: WEB

For me, whenever I start to feel overwhelmed by the sheer stress of the job, the Holyspirit gently reminds me that…

So I don’t complain, I give thanks.

***

I screen grabbed this from a friend’s status the other day. Truly this job Issa calling! 

Last, last, all of us will be ALRIGHT. 

….
Cheers!

:::requ1ne:::

    ❤️❤️❤️

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.