0

Module 8 Placement (Gastro) & End of Term

In the four years that have passed since I started this blog, I think this is the longest I’ve gone without an update.

To say this semester has been busy would definitely be an understatement, but I’m home now (YAY), and now have more free time (YAY again), so I can go back to blogging; I’ve really missed it.

A lot has happened in the last month, so I’ll start with some highlights from gastro secondary care placement:

Getting to scrub in and help out in theatre was really fun! It was useful to practise scrubbing in properly for the first time since first year, and the consultant we were with was very patient, such a nice man! The procedure was a panproctocolectomy (removal of the whole colon), and it was quite the procedure- so. much. blood.

I was absolutely grilled on CT interpretation during one of our sessions, and I never got to thank one of my colleagues, who sneakily whispered answers to me, saving me from embarrassment in front of everyone. The person probably didn’t think much of what they did, but it was much appreciated, and meant a lot.

We got to clerk patients from A&E when I stayed out of hours, and this put us on the spot because we had to present our findings to the consultant, and come up with management plans. I felt more junior doctor than medical student that evening, and it made me so excited to graduate and start doing it properly!

In a liver disease clinic, I watched the consultant give a fantastic explanation of Hepatitis C to a patient, and it was truly the best information giving I have ever seen. SO GOOD. The clinic also made me realise that I’d been quite judgmental about IV drug users in the past, so meeting an actual drug user completely shattered my misconceptions and prejudice.

I’m definitely not a natural at suturing- I struggled initially, and it took me a while to get the hang of it, but I’m think I’m there now… well, sort of.

Suturing

We received the results of our OSCE today, and I passed, HALLELUJAH. I’m just so relieved, because the OSCE was the toughest one I’ve had to date; suturing and ERCP interpretation were particularly not great, and not going to lie, there were definitely some tears afterwards, so I’m just grateful to God that overall it was okay.

What else have I been up to? Well the annual charity fashion show was last month too, and I modelled for New Look and the Nigerian Society, and it was so much fun!

New Look 2017Nigerian Society 2017

I’m also finally done with being a student caller for the year, and we managed to raise over £180,000 for various programs across the university, so I was honoured to a part of it all.

Boy am I glad the term is over though! With work and placement and volunteering and revision and well, socialising, ofcourse, it’s been very draining, so looking forward to relaxing over the next week at home 😀

0

An Early Christmas Present

So… I passed my OSCE and formative SSS assessment, yay!!! Not going to lie, I was a bit disappointed by my results, but then I realised how silly and ungrateful I was being, because at least I passed, right?

Relieved that my results won’t leave me in low spirits over the holidays, because like I keep saying, Christmas is my favourite time of the year. As a Christian, it’s even more special because the birth of Jesus brought the long awaited messiah, giving us a second chance with God.

So whether or not you celebrate it/believe in Jesus, I wish you, dear reader, a very merry Christmas; I hope you have a lovely break with friends and/or family.

I leave you with my favourite hymn:

0

Hello From The Other Side

Goodbye, Respiratory module, and HEY, Haematology and Dermatology, a.k.a Haem and  Derm  Dead.

The end of module OSCE was okay- it wasn’t horrific or particularly great if I’m to be honest, it was just… meh. There were six stations (ABG + Oxygen prescribing, Spirometry + Peak Flow interpretation, Chest X-ray interpretation, Respiratory Examination, Consultation Skills, and Logbooks), and overall they weren’t too bad- chest x-rays though… LOL- so praying I’ve done okay!

You’d think we’d get a break after the OSCE but nope, we started our next module the day after. Our first lecture was at 10am, so at least we didn’t have a 9am start? Always good to dwell on the positives.

Our formative SSS presentation is next Wednesday; my chosen theme is Genetics, and my topic compares different haemophilia treatments to see which one causes reduced adverse effects. I have a week to get it under 7 minutes, and I haven’t even run through it once yet, so it’d probably be a good idea to get started on that…

0

Module 5 Placement: Final Week

If I’m to be honest, this week hasn’t been great. The lowest point for me was standing bare feet in the rain to get away from everything. I was super stressed and getting annoyed, and could feel myself snapping at people, so I thought, “Why not go for a walk without shoes?” …Yeah, bad times.

I look back on that and laugh now, so I’m feeling better. For once it wasn’t just #mediclyf that was stressing me out, things just got a bit much here. With the OSCE looming, house drama, friendship drama and our shoe box appeal launch, I got really stressed because I felt overwhelmed with balancing everything, and last minute plans really put me on edge. Like reaaaaallly on edge. But as Starbucks Gal wisely put it, “Life is unpredictable and you can’t schedule everything.” That is very true.

In other news, secondary care placement this week involved a lot of revision time, which was good because I did get a lot of work done, but it was annoying because I felt that I could have stayed at home for that. We did have great teaching on lung cancer classification, tuberculosis, haemoptysis and palliative care, but having patients in for the teaching would have made it even better I think. I know it’s not their fault that the module lead had to go suddenly, and they really have tried their best to fill in the gaps, but it’s just frustrating that people in our module at other hospitals are getting better teaching, as that could put us at a disadvantage for the OSCE.

The highlight of this week for me was the Simulation session we had. In pairs, one of us had to be the doctor, and the other was the nurse, and we got given patient scenarios with SimMan. It felt very realistic and was really nerve-wracking because an ITU Consultant was in the control room controlling SimMan and overseeing our progress, but it gave us insight into what life as junior doctors on respiratory wards will be like. My scenario was a patient with an anaphylactic reaction to the IV antibiotics they were given, and I had to “call” the switchboard to request for help from a senior doctor, because my patient wasn’t getting better after I’d given them adrenaline injections, and IV hydrocortisone and chlorphenamine. The doctor never arrived, and I had to handle things myself by giving the patient more fluids, but it worked out in the end because my patient eventually got better. Relief!

I couldn’t have done it without the help of my nurse though, she was so great when I was stuck on what to do next. Again, an important lesson on why it will be good to get on well with the nurses when we’re on the wards.

Anyway, for some reason our secondary care placement finishes on Monday, so ONE DAY MORE.

0

Module 5 Placement: Week 3

Considering the fact that our module lead had to take sudden emergency leave, meaning that a lot of our teaching sessions had to be rearranged or cancelled in some cases, this week hasn’t actually been that bad!

The teaching we did have- pleural effusions and case histories, were really good, and I learnt a lot. Our clinical skills session with SimMan was a lot of fun, as we were given patient simulation scenarios and had to diagnose then manage the patient. Using SimMan is pretty cool and makes teaching more realistic, but I do have to say how creepy I find it when he(?) blinks…

On Monday I went down to the Paediatric ward to find younger respiratory patients, as we’re quite limited in our base ward because most people have COPD. In Paeds I got to speak to the mum of a 7 month old baby with bronchiolitis, and he was just the cutest thing! It was nice to get a paediatric history for a change; so much less complicated with no comorbidities, a very straightforward logbook case 🙂

Thursday’s ward round was very intense- got drilled on chest xray and ABG interpretations, but it was good practise for the OSCE. Got a chance to take an ABG sample from a patient, and it didn’t go very well, unfortunately. I was unable to get any blood, and it was painful for the patient because I kept moving the syringe around. I was just really nervous, and it definitely showed! The patient and doctor supervising me were very nice, which made me feel even worse, but oh welllll. You live and learn, I guess, and practise makes perfect, so I plan to go back to the ward next week and have another go, and it will (hopefully) be fine.

One week of placement to go… Never thought I would say this, but I will be so relieved when we have 9am starts again; this waking-up-at-6am-life is most definitely not for me…

0

Module 2 Placement: Weeks 3 & 4

So we’ve come to the end of our secondary care placement, and I’m actually a bit sad. Today was our last day together as a PBL group, as we change groups next year, so goodbye, group M! I’ve been really blessed to be in such a chilled group, with people who didn’t take things too seriously, but still produced great work. Not going to lie, it’s not all been smooth sailing sometimes, but overall it’s been great.

The last two weeks have involved a lot of teaching sessions, which have all been quite good, but draining. A highlight was being drilled in a rheumatology clinic by the consultant, whose disappointed face when I got questions wrong will always remain with me. Seriously if I need motivation to revise, that’s what I will picture in my head…

I really enjoyed visiting the Children’s Physiotherapy Clinic, which only fuelled my wish to specialise in Paediatrics in the future. The kids were so cute! Taking histories from children is more challenging, especially when their parents get involved, so that was good for revision.

Another highlight was getting to clerk patients before they saw the consultants in fracture and pain clinics. I felt like a “proper” doctor, as we then had to examine the patients, present our findings to the consultant, and then come up with a diagnosis and management plan. So much fun!

In other news, our end of module OSCE in 2 days, ahhhhhhh, time has really flown by! At the moment I’m calm and doing my best not to panic, so that’s a good thing. The OSCE will consist of 6 stations, and we’re not told what they are beforehand, so it could range from joint examinations, to prescribing and giving injections, as well as consultation skills and data interpretation. Exciting times!

So I guess I should probably get back to revision then…