Tuesday, May 2, 2006

The Fabellista Chronicles: Days 9 to 15 (+1)

Day 9 - Hard Labor (PRE-DUTY)

LR duty is HARD WORK, no matter what people say.. Constant monitoring, extracting, IV insertion.. Its' just nuts man...

I don't really remember much from this day, proably 'coz it was too unremarkable. All I know is that through my experiences at the Labor Room, I finally learned how to insert a wide-bore IV line. :D

Days 10 and 11 - Running Man (DUTY and FROM)

Tried my hand at being the runner during dinnertime. Ang toxic pala talaga!! You have to order for everyone (including the residents, whom you have to take individual orders from), scrape the money together, follow up the food, and collect cash from the appropriate people. Man, it was even more draining than doing the normal runner jobs!! Since the group was kinda running low on funds, I decided that we should try something simpler and ordered our food from a nearby carinderia which luckily offered deliveries to the hospital. However, they didn't have drinks available, so I had the added job of "running" for drinks at the cooperative store located (thank God!) within the hospital premises. =D

The LR and DR duties were kinda uneventful, with only one sucessful delivery done and a solitary CS assist performed a little bit before going-home time. Added to this was the fact that the operation wasn't as simple as a CS, because the residents discovered an ovarian cyst which they had to remove, thus prolonging the operation and producing a histopath specimen that I had to worry about.. Good thing I was able to handle things quite smoothly amidst all the panic and despair the was beggining to envelop me.. 24 hrs duties can really do strange things to people.. Anyway, it was really taxing, and I recall thinking that I couldn't wait 'till the day I would walk away from there...

Day 12 - The Day Brian Turned Benign (WARD)

I really thought that this would be one of my best days at Fabella. My RIC and I sent most of our patients home the day before because she was having her oral examinations in the next couple of days. So she decided to take five and study for the exam the following day, which pretty much meant that I was free!! :D So I just went around during discharge time, helping my team otu do vitals on their patients. Things got a bit more complicated once we took our posts at the Maternal High-Risk Ward and the ICU, and guess who was stationed at the ICU?.. :P Anyway, things got pretty toxic 'coz I wound up with two patients there, one which had probable Takayasu's Arterities, and the other who was probably in sepsis already.. Damn, I was so angry 'coz I thought I already had it made for the day, but wound up going home 2 hours later 'coz we couldn't find the clerks we were going to endorese our patients to.. :(

Day 13 - Huling Pahinga (OPD)

OPD day was a blast! I only needed one more, and patients were aplenty. There were also student nurses there who took up most of the load, so we had lots of time to ourselves. :D Ahh.. I'll never forget these OPD days... :D

Day 14 - The Crazy Lady and Operations Galore (PRE-DUTY)

Started the day with only one thing on my mind.. I had to get my 2 remaining CS requirements before time ran out..

The start of the day proved to be quite amusing, though in a twisted kind of way.. there was this woman in the labor room who was having her seventh pregnacy, and she was wailing and whining like there was no tomorrow. I guess all the pain and the prolonged labor (I understand that she'd been there since the previous evening, I think..) Grabe, she was wailing even harder than most of the first-time pregnancies I've seen so far who normally would have a tougher time in labor and childbirth as compared to more "experienced" mothers.

To cut a long story short, she wound up making quite a scene outside at the corridors before eventually ending up undergoing a CS due to fetal distress.. how sad..

I got my wish for this day, and my CS requirements have now been completed.

Day 15 - One Last Push (DUTY)

My goal for this day proved to be a but trickier. I had to complete 5 NSDs within the day to be able to finish up my requirements. This hassn't been as easy for me as it seems, 'coz I still lacked confidence and experience in delivering, especially on my own. It didn't help that during those times when tons of primis seemed to come out of nowhere, I was either in the OR assisting in an operation, or doing my job as the designated runner... (to be continued...)

Day 15 + 1 - Fabellista Forever, but Fabellan no more.. (FROM/Start of UST Gyne Rotation)