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Showing posts with label Med Diary. Show all posts
Showing posts with label Med Diary. Show all posts

Housemanship Chronicles || My Medicine Posting Experience.

Tuesday, 14 March 2017
Back on my housemanship in Nigeria chronicles - Yesterday was "officially" my last day as a house officer in the Endocrinology unit of the Department of medicine, LUTH and it feels so good to be leaving. Although, officially in quote because I still have a two weeks extension to spend there sometime in the future but that's a story for another day.

In case you're new around here and wondering what this housemanship of a thing is or what a house officer means, I've explained all that here and also blogged about my first three months of my housemanship experience in LUTH here.

Ah Medicine! How do I go into my medicine posting experience. I'll just start by saying it was real.
Most people get confused when I say I'm in medicine posting because isn't it generally called medicine? Well yes, but here's the thing - So it's called Medicine and Surgery as a whole with various sub branches including (internal) medicine. We get to rotate through that and the three other branches - OnG, Surgery and Paediatrics spending three months in each and a month of external posting.

Now, internal medicine also has its own sub branches - there are the people that deal with the heart (hypertension, heart failure and co), the lungs (TB,asthma and co), the kidneys, GIT  and there's also the endocrinology unit that deals with hormone issues like diabetes, thyroid problems etc.
I was a bit apprehensive when I got to the department to find out where I'll be getting posted to. I was hoping/praying for a unit that won't be so busy so I'd have time for my other life here but noooo, I got posted to the endocrinology unit (only the most stressful and malignant unit in Medicine everrrr). At first, I didn't know what I was getting into. I had no idea why people kept looking at me with pity when I said I got endo but I was quick to find out. Haha.

On my first day, I got a one month extension. No, I didn't kill anybody or disrespect anyone or do anything really drastic. That's just the endocrinology unit for you. Extension (which is kind of like a punishment - you get to work extra days/months depending on how long you get without pay) is just a second nature for them. It's like that Oprah Winfrey's show - You get an extension, he gets an extension, everybody gets an extension!

In the Endo unit, we get to see a whole lot of diabetic patients with complications - hyperglycaemia and diabetic foot ulcers. Especially the foot ulcers! They come in flocks so we were never short of patients. We had them in every ward and it seemed like we had a new admission every other day.
DMFS(diabetic foot) is such a nasty thing that I don't wish on anyone. It takes ages to heal if it's just the minor stage and it can lead to amputation if it's gone past the stage where it can still be managed. Most diabetic patients that come with these complications are usually those that stop taking their drugs regularly or just stop taking it completely. Drug compliance is a major problem with patients so let me just use this medium also to beg you all that happen to have diabetic relatives. Please try to ensure that they take their medications seriously. 
Endo was stress! Having to work long hours, be on call everyday at some point and then have the fear of extension coupled with all that wasn't an easy feat. The good thing though is that it is such a hands on unit and since we basically do all the work - correcting all the hyperglycaemias and hypos - having to give insulin shots hourly and recheck their blood glucose levels sometimes till the early morning, I got to learn how to manage those complications without having to rely on the senior doctors so much. Knowledge is a super cool thing, you know? 
I know a couple of people thought I was going to break down lol but I guess I showed them that I'm not as weak as I look. Also, the mind is an amazing thing plus we humans can adapt to anything we decide to. It's all about your mindset towards it. Mine was - I've got to do this regardless so I better just put my back into it, try to stay out of trouble and get it done as soon as I can. Too bad, that didn't erase my extension sha lool.

My colleagues weren't as fun as or as sympathetic to my cause as a blogger by helping me take pictures like my OnG colleagues but we all thrived together well.
At this point too, let me just add a quick shout out to my senior registrar who might probably never see this : Dr Yusuf Bashir! Thanks for being the realest MVP in the Endocrinology unit. For always sticking your neck out for house officers and for being innately good.
I also did a one month stint at the guiness eye centre opthalmology as my secondary posting. Remember I mentioned that we get to do one month of outside posting? Well, I was unfortunate enough to get another equally busy posting. The positive side was that I got weekends off, didn't have to work till 12am and got most of them to check out my blog lol.  I'm not going to comment much on my Opthalmology posting so I'll be ending this post right here! 

Just like the last time, here's just a quick list of the common cases we see in both Endo and Opthalmology.

Diabetes Mellitus
a disease in which the body’s ability to produce or respond to the hormone insulin which helps to reduce blood glucose levels is impaired, resulting in abnormal metabolism of carbohydrates and elevated levels of glucose in the blood. You can peep some of the symptoms and complications in the picture of a chart above. 

Glaucoma : is a group of eye diseases which result in damage to the optic nerve and vision loss. It is usually due to increased introccular pressure and family history is an important riskfactor. If anyone in your family has glaucoma, go to the Opthalmologist so you can be screened too. 

Cataract : 
a medical condition in which the lens of the eye becomes progressively opaque (the small black circle in the eye becomes whitish) , resulting in blurred vision. It's commoner n elderly people but can also be found in babies (congenital).
Congenital cataract is an emergency so if you happen to know anyone with a baby born with a whitish speck in their eyes, let them know they have to get to the hospital quickly.

Pterygium : 
is a non cancerous growth of fleshy tissue on the conjunctiva, the clear tissue that lines your eyelids and covers your eyeball. It usually forms on the side closest to your nose and grows toward the pupil area.
I start my surgery posting tomorrow and I'm just praying/hoping I don't get another malignant posting. I should probably share it on my instastory tomorrow so let's be friends on instagram : @cassiedaves.
Also peep some of my housemanship chronicles with the hashtag #cassiedaveshousejobchronicles 

Please let me know if there's any extra details you'll like to know for my subsequent housejob chronicle posts! 
If you're a doctor (medical) currently doing your housemanship or already done, I'll love to know what hospital you're working in and also read about your own experience so please leave me a comment.
And let's connect!

P.S - Took these pictures with my infinix hot S. Check out my review of the phone here.
P.P.S - Check out other posts in my med diary here. And as break down of some of the med life terminologies like senior registrar here

Med Diary || Moving To Medicine + An Update.

Tuesday, 13 December 2016
Quick Update Guys.

So I'm back to work! I've been low-key looking forward to going back to work just so I can move forward with this housemanship thing again and get it over with.

Like I explained in my last med diary, we go through four department (Medicine, Surgery, Paediatrics, O&G) and spend three months in each. I completed my first three months in the obstetrics and gynaecology department and I blogged all about that experience here.

Like I mentioned in that post also, I start medicine posting next and I resumed that today. For some reason, I woke up this morning feeling so apprehensive about going back to work and the whole uncertainity around not knowing which particular unit in Medicine I'll get posted to wasn't helping matters.
Well, after a nerve wracking 30 minutes or so, I finally got posted to the endocrinology (let's call it Endo) unit - they deal majorly with endocrine/hormone issues like Diabetes, thyroid issues and co (If you get the drift). Definitely not where I was praying to get *sigh*

My Day one in Endo was not the best first day at all. I'm definitely counting down to the end of this all. Praying for all the favour/grace to get through this and come out in one piece at the end of the next three months. Also focusing on being positive, speaking only positivity and re-affirming what I want everyday.
Please feel free to leave me any supportive quotes or bible verses you think will be helpful. I'll be needing it all!

Now to you!
How's life lately going for you ?
What's one thing/affirmation you hold on to when things don't seem to be going right?
Also, Let's connect!

P.S -  You might have missed these!

Housejob Chronicles || Med Life So Far x 3 Months In O&G.

Saturday, 19 November 2016
Today officially marks the end of my first posting/three months of work (whoooop!!) and I figured what better time to write about my housemanship experience so far than now. 

I promised to keep you all updated and I've tried to do that on my instagram and instastories - so go follow me @cassiedaves and check out the hashtag #cassiedaveshousejobchronicles.

Just a quick back story for those that might be new around here and wondering what the heck this housemanship thing is. Housemanship or Housejob is the compulsory one year internship/work that med doctors have to do after graduating.
I've talked a lot about it on the blog because it was really a struggle for me to get a placement after I graduated, so you can catch up on all that quickly below.

 Read about my graduation here, subsequent job hunt that seemed unending here and my feels on finally getting a job here!

So, this housemanship lasts for a year and throughout the 12 months, we rotate through the 4 main divisions (Surgery, Medicine, Paediatrics and Obstetrics/ Gynaecology) and spend three months in each. We also get to do a month of a secondary posting out of one of the three months.

My first posting was in Obstetrics and Gynaecology and I was really happy when I got my appointment letter and saw that I was starting off my rotations with O&G, because I prayed for it. It was one of my favourite posting as a medical student - easily understandable and not as stressful as the others so I wanted it to slowly ease into the whole work.

Obstetrics and gynaecology is the branch of medicine that deals with female reproductive system issues and pregnancy. 

I started out really green about everything - I couldn't take samples (take blood from someone) or set a line (the thing they use to connect a drip to you), didn't know the 411 on administering intravenous drugs or doing a solo ward round but looking back now, it just makes me smile because I was worried about it all but look who got better with time!
I'm honestly unsure of how deep I should go because it might take more than a few sentences to explain some of the terminologies and things we go through but I'll try as much as I can.

Two house officers (what we are called) are placed on ward calls everyday and my unit also has unit calls approximately 7 times a month where we basically either work 24hrs or 48hrs at a stretch (back to back) to resume normal work after that period.
I'm not sure who thought up the idea of making humans work back to back like that but that person deserves a beating to be honest!

On unit call days, we either man the gynaecological emergency room at the accident and emergency or labour ward. I enjoyed labour ward postings the most despite the fact that pregnant women have this annoying habit of somehow presenting themselves at night when you're already fagged out. And then we have to spend the rest of the time monitoring them - counting how many contractions they're having and checking their vitals. Gash
My O&G schedule looks a bit like this - ward rounds by 8am where we stand forever , clinic or theatre sessions depending on the day, evening ward rounds depending on if I'm on ward call, the 8am -8am emergency unit call and some extras - cytology, minor operations and OGTT depending on if I'm on the roaster for any of that.

My first few weeks found me almost on call every single weekend! It was quite distressing for me because I was being cheated but I kept trying to just hold it all in and not complain much or make a fuss. At some point though, I just had to speak out and also luckily for me, my Senior registrar realized what was happening and we finally had a fair call roaster drawn up. Phew!

One thing I wasn't looking forward to was working with people that weren't my classmates but I found relating with and bonded with most of my colleagues quite easily. With time, we became a sort of close knit group. I actually sort of enjoyed my stay in the unit I was in because my Superiors were not entirely toxic people.

Working here in LUTH is more than a bit stressful, most things don't work as it should and this makes the work more stressful and a bit frustrating.
Imagine having to take samples for a couple of patients and there are no investigation bottles or forms on the ward, or the nurses aren't just being helpful. *sigh*
I don't think I need to exercise anymore with the amount of walking I do on most days here.
Obstetrics and Gynecology is most likely the only place I'd specialize in if I ever decide to practice medicine. But seeing first hand the plenty health issues women have and the stress they go through (especially during labour) is a bit jarring.
I find that a lot of people have zero ideas about some of these things so here's just a quick list of the common cases we see.

  1. Fibroid - The commonest surgery we do is myomectomy - to remove a fibroid. Fibroids are so common, it is distressing!
  2. Infertility - It always hits me how many people are out there looking for kids.
  3. Amenorrhea - Reduction in menstrual flow.
  4. Polycystic ovarian syndrome - Another really common condition in women of reproductive age that causes infrequent or prolonged menstrual periods (can cause infertility), excess hair growth, acne, and obesity.
  5. Pregnancy induced hypertension and Preclampsia - Preeclampsia is a serious and potentially life threatning condition in pregnancy characterized by high blood pressure, sometimes with fluid retention and proteinuria.
  6. Gestational diabetes mellituswhen a woman without diabetes, develops high blood sugar levels during pregnancy
  7. Ruptured ectopic pregnancy
  8. Incomplete miscarriage
  9. Threatened miscarriage
  10. Cervical cancer - talked about this one days ago on my twitter. Check it out and ensure you get your pap smear done.
  11. Hyperemesis Gravidarum.
  12. HIV in pregnancy : HIV is so common and you would never suspect it! At least 1 in every 3 patients we see have the virus and it is so scary, makes me paranoid. I've had a couple of blood spills and I just go crazy cleaning myself with bleach and savlon after confirming they aren't HIV positive. This work di very risky, small needle prick and your status will just change overnight.

Ladies, You can also do a quick read up on all I've listed!
And that's it for this post.
Please let me know if there's any extra details you'll like to know for my subsequent housejob chronicle posts! 
If you're a doctor (medical) currently doing your housemanship or already done, I'll love to read about your own experience so please leave me a comment.
And let's connect!

How time flies though! It seemed like one year that would take forever and now I'm done with my first three months. I definitely had/still have moments where I can't just imagine being this stressed everyday for the rest of my life but working with some crazy(in a fun way) colleagues made it all a bit bearable.
I'm just looking forward to the rest of the year zooming off this quickly and for it all to come to an end.

I start medicine posting next and I hear that its pretty gangster and a whole lot more stressful. Not looking forward to it but I know that I'll definitely adapt and as always, I plan to still take everyday one day at a time. That's what kept me sane during these long calls and whenever I got too tired or stressed out.

P.S - Took these pictures with my infinix hot S. Check out my review of the phone here.
P.P.S - Check out other posts in my med diary here.

Terminologies :

  1. Housemanship/Housejob : the compulsory one year internship/work that med doctors have to do after graduating.
  2. House Officer : What doctors doing their housemanship are called.
  3. Registrar (Can be senior or junior reg) a hospital doctor undergoing specialist training in a particular field of medicine. A registrar is senior to a houseman but junior to a consultant.
  4. Ward Round : Visit to all the patients that are in the section (ward) of the hospital that the team is responsible for to review the patients and see how they are doing. We usually have two ward rounds - morning and evening
  5. On Call : On call" means that you are in charge of part of hospital  - usually for a whole day, overnight, over the weekend or over a defined time period. If something happens with a patient when you're on call at any time, the nurses call you to deal with it.
  6. Labour ward : Where the pregnant women come to deliver.

New Beginnings || When The Test Becomes A Testimony.

Monday, 29 August 2016
Guess who is picking up the ward coat and making use of her stethoscope again?  Yup Me!

I dedicated a whole post to my problem/test so it is only right that I do a post to share my testimony.

What testimony, you ask?
I finally got employment for my housemanship in Luth!

If you've been around here for a while, you would know of my seemingly unending job search after I graduated from med school. I blogged about the job hunt here and the many struggles that followed it here.

It was a really trying time that stretched for roughly a year and four months. The uncertainty of not knowing the next step to take, having to watch my classmates move forward while I seemed to be stuck in one place was a bit hard on me.

I'm not naturally a "worrier" honestly, but with all the hassle around me and knowing that my temporary license expires by the end of this year, It was hard not to worry.
My worrying phase didn't last all through the time thankfully. And even though, I wasn't quite out of the storm yet, at some point I stopped fighting the storm. Regardless of what happened, I was going to be at peace. I would move on, even if it meant quitting medicine.

I kept reminding myself though that God that started the good work in me will bring it to completion and that His plans are definitely one to give me a future!

And He didn't just do it for me!

He also gave me a spot in Lagos! (I really did not want to leave Lagos).
Even though, I'm not too excited about Luth because I would be with a whole new set of people that weren't my classmates but yesssssss, I'm still going to be in the grind of things and I'm thankful for that. I also trust that God has a reason for the delay and bringing me back to Luth, so we move!!
Looking back now though, I really wouldn't trade the one extra free year I got for anything. Thanks to that free time, I was in the right frame of mind to receive the inspiration when the Blog planner idea came to me, and also to work on other projects( start my blog consultation and review services), travel and grow my blog a bit further!

I've had the employment letter for about two weeks or so now and if you're signed up to my mailing list, you might already know that I've had to do some orientations and registrations within that time.

I officially resume work today and I'm honestly filled with mixed feelings.
Happy, sure! At last, I can get this compulsory one year work out of the way.
I'm not sure how I feel about having to get back to the stressful life of ward rounds,  night calls and insultive superiors and possibly not having much time for other parts of my life (like my blog), but I'm low-key excited to see what this new phase in my life brings to me - new friends? Maybe a new love for medicine? Who knows!

I've decided to take each day, one step at a time and continually speak "Phil 4:13" into my life everyday.

I'm also thinking of starting a new series in my Med Diary where I'll write about my house job experiences, either weekly or monthly. What do you guys think?
Its a hard knock life out here in the medical field.
Wish me good luck guys!
Also, lets connect!
P.S - I also want to say thank you to everyone for all the support and well wishes throughout the whole time! Some of you were constantly checking on me, some helped me speak to people and some prayed for me. Thank you so much! appreciate you all for real!!!! I pray that your restoration season shows up soon for you too.

Jeremiah 29:11

11 For I know the plans I have for you,” declares the Lord, “plans to prosper you and not to harm you, plans to give you hope and a future.

Philippians 1:6

being confident of this, that he who began a good work in you will carry it on to completion until the day of Christ Jesus.

When Life Gives You Lemons. . .

Tuesday, 6 October 2015
Make Lemonade.
Isn't that how the saying goes?

And I think that's what I've been trying to do - Make Lemonade with these Lemons that have been thrown my way. This joblessness.
Keeping my mind and hands busy while waiting to finally get a job and resume duty as a Doctor officially.

Although, I haven't let myself be majorly bothered about it except for the times when I realize that I could really do with a steady income, but just the other day, some of my fellow classmates who had a minor delay with results graduated and though I was extremely happy to celebrate with them as their joy was too palpable to not be infectious, I was also aware of the fact that most of them already had jobs waiting for them to just resume and it weighed down on me a bit.

Med School is slowly beginning to feel like a life time ago and I can't say I relate perfectly with some of the Doctor jokes and bants my classmates who have started work share on their PMs on a regular.
Though I'm still honestly unsure of a lot of things like if I really want to start work - lazy bum that I am and what will happen with my blog when I finally do, I know it has to happen anyways regardless and I guess I also sort of  just want to experience this 'being a doctor' thing too.

I've unconsciously been trying to live off my classmates who already got a job - get a feel of this doctor life with its extra added responsibilities but it seems like every 'how is work' going question is met with a not so detailed reply so I've stopped trying.
I'm not sure what direction the future holds for me right now.
But I guess
For now though, I'll just keep trying to make more lemonade and trusting that the plans God has for me are to give me a future.

I hope you do the same when Life gives you lemons.
Currently facing any and want to share? I'm definitely all ears. :)
Jeremiah 17:7-8  “But blessed is the one who trusts in the Lord, whose confidence is in him.
They will be like a tree planted by the water that sends out its roots by the stream.  It does not fear when heat comes; its leaves are always green.  It has no worries in a year of drought and never fails to bear fruit.”
Read about my graduation here and subsequent job hunt here.
Also for more posts from my med school journey, click here!

UPDATE! I Finally got a job! Blogged about it here

Wish you all a great week ahead!

Life Lately || Job Hunt And Other Unrelated Life Bants.

Wednesday, 1 July 2015
You're probably wondering if medical doctors have to go through the struggle that is job hunting right?

*Quick Recap - I graduated from the College of Medicine, of the University of Lagos (because it seems some people still don't know what Uni I went to) about a month ago and have spent the better part of my post graduate life photocopying my credentials, filling application forms and carrying arround a brown paper bag* - Okay I exaggerate but you get the picture.

Well, this is how it works.

After six years (Six and the half in my case) of medical school, we are meant to go through something I like to call 'twelve months a slave' but popularly known as housemanship/housejob .

You're a doctor already but sort of an intern doctor (definitely more responsibility but you get paid though) for that time period, learning more and honing on your skills, before you are eventually released into the community for the compulsory one year service back to your country (NYSC)

I've heard some stories from doctors of how in the good old days, you were automatically given a job in the teaching hospital of the university you graduated from after swearing that physicians oath.
I'm not sure where things went wrong but we are definitely no longer in the 'good old days', things are far worse : the economy is messed up, corruption have come to stay for good (I'm saying the obvious anyways and I digress)

So we write this 'housemanship exam' even before we write our final exams and they eventually release the names of people who have been given a housejob spot in batches.

That exam to me is just formality though, because names still gets switched and people still work their names into the list but I digress again.

So the first list has been out for more than a month now and my name wasn't on that. Currently awaiting the second list with prayers and hope that my name will be on that one, but I'm applying at other places as well.
Something's got to click soon.

So if you see me carrying a brown folder walking the streets of lagos, oh yes. I've joined the pool of unemployed graduates.

But not for long,
Not for long.

Other Random Life Updates.

1. I've been trying to learn this makeup thing and I started with trying to draw my brows but as of today, I have given up the cause. Saw a picture of me from the event I attended over the weekend with my huge ugly looking brows - nah, never again.

2. I really wanted to learn to sew till the tailor lady beside my house told me 50k and deflated my spirit.

3. I'm thinking of a road trip to Ibadan soon ( Even dreamt I was already on that trip last night and was stuck in horrible traffic. lol )

4. I'm not trying to over-analyze everything anymore.

5. I'm learning that first impressions are usually not so accurate.

6. I have a lot of projects to execute but procrastination and a whole lot of other setbacks.

7. This just popped into my head that I can learn graphic design and Seo things with my free time so please if you know any brand/firm that deals with such and needs an intern, epp me plix. (I don't have a laptop or internet at home so don't bother with suggesting I learn myself plus I'll like to get out too)

8. My sister is back so my days are looking a little brighter. 

9. I've been masturdating a lot. You read that wrong too right? No, not masturbate. Masturdate - google it.
I started going to the movies alone last year and discovered just how lovely and relaxing it is. #treatyourself
But I have two free movie tickets, so who wants a movie date sometime soon?
Happy new month guys!
What have you guys been up to lately?


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