Thursday, March 12, 2020

PGI SERIES | OBSTETRICS AND GYNECOLOGY

5 kilos. I lost exactly 5 kilos within 3 weeks of being a post-graduate intern at my hometown’s general hospital.


My first rotation was OBGYN. The secretary asked me what department I wanted to start with, since I came in for internship on January with no other applicants to bear the “first day” jitters with. I was also considering pediatrics, but pregnant mothers and hormonally problematic women were screaming to me more. I think I’ve made the right choice.

During the first week under the department, I was completely lost. The last time I’ve been to the hospital I’m working at was way back when I was a student in nursing. A lot has changed. I can’t even remember which ward is which- where the laboratory is, where to get certain equipment from, or even the names of the hospital’s “bosses”. To make it even more awkward, I started on January 7- the usual schedule is on the first day of every month. The department won’t adjust for only one intern, so I had to crawl my way to everything. Every. Single. Thing. From how the ward work is to the emergency room high, then from the delivery room to the dreaded operating room. I’ve been a clerk in different government hospitals every month, but there’s something about working in your hometown. It’s just.. different.

3 weeks have passed. They say the usual “adjustment period” in our case is about a month. I was starting to get a bit more used to things. I did errands even without being told to. I was one step ahead of my senior with regards to the duties and responsibilities we must accomplish, as how things should be. It made me feel more comfortable to be able to mingle with my seniors and other co-workers in and out of the hospital. It must be a good sign, right? To be invited to eat out with seniors, to be able to exchange jokes, open up to about random experiences, and everything in between. I looked less and less like a zombie each day. That must be another good sign.

The residents and consultants of the department are amazing. They took every opportunity there was to teach us all there is to their field- from the basic knowledge and skills to the complicated cases that aren’t usually seen in any government hospital. We were first assists in operative procedures like caesarean sections and exploratory laparotomies, assisted in oncology cases like ovarian new growth and other similar cases, we delivered babies via normal vaginal deliveries, we did episiotomy/episiorrhaphy, and we were assigned at the ER to handle all sorts of emergency cases- from normal deliveries to high-risk patients who were having seizures or those for intubation right then and there to save, if not both, the mother or the baby. Life is tough already, so we want to do the best we could to be of service to the patients in need of our help.

After my first month, I got the hang of it. Even at the OPD, me and my co-interns sent home patients noticeably quicker than the weeks prior. I enjoyed my rotation more and more. Time flew faster and faster. I was days away from finishing my rotation and switching to another department. I have formed bonds with my clerks, fellow interns, residents, consultants, and even the nurses, midwives, and nursing aids who are always with us each step of the way.

To be in a very stressful set-up wherein the medical professionals should be alert at all times, the adrenaline is something else. There was a time at the ER where we examined, extracted blood, secured blood at the blood bank, coordinated with certain arrangements with other departments and the patient’s family, and everything else concerned with doing emergency procedures.. we did all of those under an hour. They were, if I’m not mistaken, 3-4 patients who arrived at the same time from the same hospital with the exact same case. It was such a rush. I honestly love the workload.

I would like to say thank you to the OBGYN department for being a huge help in refreshing everything I know and corrected the things I thought I knew. For teaching us new things and techniques that will be very useful for us in the future, whether we go for their residency training or not.

Your post-graduate intern, signing out! #AtYourCervix



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