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From Eyes to Kids

I have just shifted from Ophtha to Pedia. Pediatrics is perhaps one of the dreaded rotations by interns and clerks in PGH, mainly because SIC job and the duties are physically taxing, in addition to the challenging procedures that come with small veins, crying (sometimes super hysterical) children and unreasonable expectations from their caregivers. So anyway, our block are officially pedia interns. Luckily, we are starting the 8-week rotation at the Pedia OPD.  And surprisingly, I am really loving it.  I like children's stares, i like giving vaccines, I like making my diagnosis and giving suggestions in the management.  I like the nice and helpful residents who are working with/supervising us at the clinic. But in less than two weeks, I know it's gonna be very very hard.  Pedia ward rotations WITHOUT clerks.  Huhuhu.
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Devo

Yesternight was emotional.  My patient died. Knowing his condition, I knew he had a bad prognosis.  But in the midst of his very loving and hopeful parents, it was easy not to think that he'd be gone on that bed, during my tour of duty.  The sad part is that, his parents had made the decision to go home so he can enjoy the company of his siblings and relatives instead of hanging out in the very infection-laden ward and endure the agonizing IV insertions and blood extractions.  They were just waiting for the van that would take them back to Sariaya, Quezon. Guess the decision was a day late.  That evening, the worst happened.  His lungs gave way.  He was in respiratory distress.  The resident on duty decided that it was best to intubate the patient so we can help him breath.  His parents, seeing that their son was turning blue due to the lack of oxygen, agreed to the procedure despite the fact that they felt strongly against it. And so it happened. His mother was  holding his lower ...
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Ortho OR

According to Dr. D., sulit na sulit ang first day niyo dito ah.   It was.  I always thought Ortho ORs were long and few, but I was wrong.  Like yesterday, I was able to assist/observe 4 cases, and my 3 other co-interns also had almost the same number of ORs.  But you know, it wasn't at all very stressful.  The ortho environment is generally happy and carefree so it was ok. I was directed to the LCB ER for my first case.  It turned out that I did not need to scrub in as the resident needed a student only to make sure that the specimen is properly collected and sent.  So there, I waited for around 30 minutes.  Finally, Dr. F told me that he's done and that I can do my thing so the nurse gave me a pair of gloves.  I went over the patient and looked for the tissue (You see in OB, the specimen is collected and is usually placed on the instrument table).  The resident gave me a pair of scissors.   Scissors?  Bakit hindi clamp?   I wondered. Sige A***, pwede mo na icollect yung specim...
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