0

Module 10 Placement: Weeks 3 & 4

Paeds OSCE is over, hallelujah!

Overall it wasn’t too bad but as always, I made silly mistakes, so it’s in God’s hands now! The OSCE was at the hospital I did my module 2 placement in, so it was good to see my PBL tutor from first year again. No matter what my results turn out to be, I’m just glad that I was allowed to do the OSCE on crutches; they even made adjustments to make things easier for me, so that was much appreciated.

So how were the final two weeks of placement?

Snow
The snow/ice definitely made getting around on crutches a bit trickier, but massive thanks to York Girl for being such a babe and driving me in, so nice!

I got to sit in and observe some great clinics – particular highlights were Gastro and Neonatal Outpatients, where one of the doctors said that I had the “makings of a great paediatrician” after I did some accurate developmental assessments; that really made my day!

Paediatric BLS was pretty fun; I got a lot of time to work out the logistics of getting down to the floor from my crutches to do compressions, and our tutor was very patient and understanding. BLS ended up being one of my smoothest stations in the OSCE, so hopefully the examiner thought so too.

I started neonatal week with a Baby Check Clinic, which involved head to toe assessments of new born babies, and it was the cutest morning of my life to date OMG. So. Many. Babies. It really was adorable and I almost couldn’t cope.

During a SCBU (Special Care Baby Unit) ward round, I learned so much about the complexities of balancing family dramas with social care intervention, and ofcourse, managing the patients’ conditions. So. Much. Drama. I was just in awe of the patience of the healthcare workers in dealing with it all, because boy oh boy, if I could write up some of the stuff I’ve heard…

Being on SCBU was quite something for me because The Keen One a.k.a. Kenny and I spent the first weeks on our lives in SCBU, as we were born quite early, so seeing little twins there made me think, “I was one of you!”

The neonatal unit was soooo cute though! (Yes, I know I’m massively overusing the word ‘cute’ but IT REALLY WAS). The ward gets quite a lot of knitted things given to them, so the extra toys are put out for anyone to take, as long as they give a donation. So ofcourse I had to get some:

Koala
Cute toy

During my neonatal nursing session, I got to feed and carry some of the babies, and it was just everything. They were so small and I got so broody and it was the best. I have no pictures of myself with the babies (professionalism and all that), so here I am with a bae(by):

Me and bae(by)

Placement ended with a mock OSCE that was really helpful, and made me feel less worried about the real thing, so again, praying I’ve done okay!

Overall, Module 10 was great – I enjoyed placement so much, and I was really blown away by everyone’s kindness. I’m positive that I want to do paeds in the future, so I’m glad that after years of wanting to get to 4th year to see if it was for me, it really lived up to my expectations. YAY 🙂

Advertisements
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…