The Junior Internship (12 months of REAL medical drama...) - Part 1
im drafting this as i recall them... straight to typing... no further
corrections, just as how it runs through my thoughts and the fastest way i
can describe them...pls. bear with me... ^__^ i want to be as informative as
possible... with at most detail as possible... so let's begin...
corrections, just as how it runs through my thoughts and the fastest way i
can describe them...pls. bear with me... ^__^ i want to be as informative as
possible... with at most detail as possible... so let's begin...
april-may 2007 - pedia
yes, my first few days of clerkship. i due recall being so freakin lost and
not able to sleep during our duty. paper works, monitoring, have to realize
to learn to eat in between. it was nuts. but none the less, wards wasnt that
bad. i just recall that apparently the "pay" group at that time had the time
to relax and when we asked for help, there was that sense of selfishness. it
was lucky that they were a benign group even when we changed rotations. pay
ward... well, much better. i do recall significantly our SIs... that are
currently (2008) residents here. mam chillen & mam joy. we didnt really want
them checking our DS because they were so OC that we always had corrections
but then again, i grew to love the way the check because they would fix each
and every error... sometimes to a point of no brainer-like you just have to
retype what they wrote and it's done! hehe... cant forget sir joms too, the
one who always smile admist all that toxicity... DS wise, oh he'll just sign
it and trust you did everything right... you can guess now, how many people
had their DS signed by him... ahehehe... that sums up our wards rotation.as for NCHA, oh it was hell... i was the one going on single duties and at
every other day. how the hell does 1 man cover the monitoring of babies in
the rooming-in-unit of OB-ward, those immediately in NCHA, and those at the
pay wards. to top that off, you have to be always present at every baby
catching since at that time, baby out = repeat rotation. one thing i also
hated, and thank god there was unlimited text already, was the need to text
the resident the ENTIRE history of the mother. sheessh, like we're so rich
to do that. what did people do back then when there was no texting? my
god... thankfully i had more duties with Dr. Tuazon who was always game,
kind, and pleasant, which made my life a little bit easier. i was able to
resort to writing the data down on paper and giving it to the ROD instead of
texting too... but eventually was not much "tolerated?" because "the paper
was lost after a time..." another pain was one particular SI... she thinks
she's so freakin good... but in actually wasnt. wearing a white coat does
not mean you become a superior being. helloooo.... but luckily, there were
Great SIs that also balanced everything out, thank you mam and sirs...
outside rotation at NCH was initially OK... until that time i was caught
sleeping in the quarters... i honestly fell asleep while studying for the
shifting exam which they obviously didnt buy. that's one mataray senior
resident... another profound experience would be when it poured heavily and
the water was "washing" the dirty matresses... and yes, yellowish brown
slimy liquids starts flooding the floor of the quarters... amazing
experience... OPD rotation wasnt so bad, and the only toxic day was for
bakuna day, other than that none at all. i do recall Dr. Nazareth having to
reprimand me at times for my diagnosis of the patients but other than that
nothing significant happened. my first phlebotomy rotation at the Lab was
with Colleen, yes, i will not forget that day. she was so willing to teach
me all that i can, wanted me to even do every single patient so that i could
learn. conquer fears, and learn...
not able to sleep during our duty. paper works, monitoring, have to realize
to learn to eat in between. it was nuts. but none the less, wards wasnt that
bad. i just recall that apparently the "pay" group at that time had the time
to relax and when we asked for help, there was that sense of selfishness. it
was lucky that they were a benign group even when we changed rotations. pay
ward... well, much better. i do recall significantly our SIs... that are
currently (2008) residents here. mam chillen & mam joy. we didnt really want
them checking our DS because they were so OC that we always had corrections
but then again, i grew to love the way the check because they would fix each
and every error... sometimes to a point of no brainer-like you just have to
retype what they wrote and it's done! hehe... cant forget sir joms too, the
one who always smile admist all that toxicity... DS wise, oh he'll just sign
it and trust you did everything right... you can guess now, how many people
had their DS signed by him... ahehehe... that sums up our wards rotation.as for NCHA, oh it was hell... i was the one going on single duties and at
every other day. how the hell does 1 man cover the monitoring of babies in
the rooming-in-unit of OB-ward, those immediately in NCHA, and those at the
pay wards. to top that off, you have to be always present at every baby
catching since at that time, baby out = repeat rotation. one thing i also
hated, and thank god there was unlimited text already, was the need to text
the resident the ENTIRE history of the mother. sheessh, like we're so rich
to do that. what did people do back then when there was no texting? my
god... thankfully i had more duties with Dr. Tuazon who was always game,
kind, and pleasant, which made my life a little bit easier. i was able to
resort to writing the data down on paper and giving it to the ROD instead of
texting too... but eventually was not much "tolerated?" because "the paper
was lost after a time..." another pain was one particular SI... she thinks
she's so freakin good... but in actually wasnt. wearing a white coat does
not mean you become a superior being. helloooo.... but luckily, there were
Great SIs that also balanced everything out, thank you mam and sirs...
outside rotation at NCH was initially OK... until that time i was caught
sleeping in the quarters... i honestly fell asleep while studying for the
shifting exam which they obviously didnt buy. that's one mataray senior
resident... another profound experience would be when it poured heavily and
the water was "washing" the dirty matresses... and yes, yellowish brown
slimy liquids starts flooding the floor of the quarters... amazing
experience... OPD rotation wasnt so bad, and the only toxic day was for
bakuna day, other than that none at all. i do recall Dr. Nazareth having to
reprimand me at times for my diagnosis of the patients but other than that
nothing significant happened. my first phlebotomy rotation at the Lab was
with Colleen, yes, i will not forget that day. she was so willing to teach
me all that i can, wanted me to even do every single patient so that i could
learn. conquer fears, and learn...
june-july 2007 Medicine
oh hell... the mother of all toxicity they say...
CHARITY:
I remember i got the patient of Mike B. and yes, he had "chronic"
patients... so making the take-over and endorsement notes was pretty much
hell... the extra charts were so amazing that they can be book binded as
well, but none the less, like what he promised, they were not as toxic as
one would expect. anyway, i was on duty with Alfred, and cheng for the male
side of the ward for an entire month, and i would say, being 3 for this side
of the ward was so less toxic than when it would be 2 or 1. yes there was a
time that Grace had to man an entire medical ward because Bam was absent...
that was more than hell... that was infernal... anyway, back to my
memories...the SIs during this time were initially manning the ICU but in nearing the
end of the month it was more of decking with JIs to purely JIs and SIs
supervised. backing system at this time for us JIs was unsatisfactory that
usually got us into trouble. ward consultant was Dr. Sandejas. oh boy, i
will surely remember that guy. aside from being a terror on rounds, he
caught me that one time i forgot to bring my ID... wow... was even asked
what demerit would i want, and none would suffice for him, it was like a
rhetorical question... in the end, it was eventually resolved... but then
again, i cant really recall that well anymore. i do remember my last day in
the wards... my freaking birthday... having to go home late at around 7-8 or
even 9pm i think just to finish a summarized history of all my patients as
part of my endorsement notes. i always try to put completeness and
perfection in my work, because not only does it satisfies me, it would
definitely help the one who will take over. however, that can be double
edged also if in case the one that will take over is a slacker... he/she
will not go into any trouble of having to review old charts anymore. oh
well, that becomes their problem in the future. few things i learned while
at wards, how to do trache care, insert a foley catheter, extract blood. yes
IV insertion was not a practicable skill for me since i usually get patients
that either were chronic, didnt need to have an IV, or was already inserted
an IV at the ER, or was admitted not at my duty. the most significant was of
course the Tracheostomy tube care... not in ENT but likewise learned it. but
i would say i got my needed skills of doing phlebotomy there, and there was
patients... so making the take-over and endorsement notes was pretty much
hell... the extra charts were so amazing that they can be book binded as
well, but none the less, like what he promised, they were not as toxic as
one would expect. anyway, i was on duty with Alfred, and cheng for the male
side of the ward for an entire month, and i would say, being 3 for this side
of the ward was so less toxic than when it would be 2 or 1. yes there was a
time that Grace had to man an entire medical ward because Bam was absent...
that was more than hell... that was infernal... anyway, back to my
memories...the SIs during this time were initially manning the ICU but in nearing the
end of the month it was more of decking with JIs to purely JIs and SIs
supervised. backing system at this time for us JIs was unsatisfactory that
usually got us into trouble. ward consultant was Dr. Sandejas. oh boy, i
will surely remember that guy. aside from being a terror on rounds, he
caught me that one time i forgot to bring my ID... wow... was even asked
what demerit would i want, and none would suffice for him, it was like a
rhetorical question... in the end, it was eventually resolved... but then
again, i cant really recall that well anymore. i do remember my last day in
the wards... my freaking birthday... having to go home late at around 7-8 or
even 9pm i think just to finish a summarized history of all my patients as
part of my endorsement notes. i always try to put completeness and
perfection in my work, because not only does it satisfies me, it would
definitely help the one who will take over. however, that can be double
edged also if in case the one that will take over is a slacker... he/she
will not go into any trouble of having to review old charts anymore. oh
well, that becomes their problem in the future. few things i learned while
at wards, how to do trache care, insert a foley catheter, extract blood. yes
IV insertion was not a practicable skill for me since i usually get patients
that either were chronic, didnt need to have an IV, or was already inserted
an IV at the ER, or was admitted not at my duty. the most significant was of
course the Tracheostomy tube care... not in ENT but likewise learned it. but
i would say i got my needed skills of doing phlebotomy there, and there was
another thing that me and Mike had to do to our patient... regularly... weekly...
everheard of Manual Fecal Extraction..?
wow...
PAY:
was assigned at 4 east. during our time, known as the most benign station.
and true enough, i noted to have more sleep there than i was in the wards. i
also recalled, that it would have been always no problem for me to help my
other JIs do monitoring of their patient even if it was under medicine...
(neuro, OB, surgery) i always believe that clerkship is learning to work
with other people as well. i dont do any initiative to do the monitoring
unless intially agreed upon or the patient is toxic because i can get into
trouble if say i monitored a post-op OB patient when im a Med JI and
problematic findings were noted... if there was decking involved and i was
part of it, then no problem. ^__^i remember also, we have a unique agreement with Pep. no other group were
like our tandem. pep would usually be the one to follow my duty, and he
would cover both 4east and 4 north. i told pep that when im duty or even
from duty, i would man the 4east station, with hopes that pep would be able
to conserve his energy until after 5pm when i leave (when i'm from duty) he
starts covering for 4east. at such a mutual agreement, i found it seldom to
see Pep so wasted the following day, and that is what i believe is good
teamwork. Toxicity is made less when shared... the benign aspect of a
rotation would be sacrificed, yes, alot of whom which find it not worth
giving up. 4east nurses and aides were likewise a good company. we had are
fun times and as such even after i rotated in medicine, that good
camaraderie remained. 1 very significant event that i will never forget is
that of me getting an IR for a patient of Dr. MEdel. which warranted me a
reprimand from Dr.Fernandez and Dr.Franciso. Even my SIs were placed into
the problem. in the end... i got the axe, and a punishment... which i did
serve under Dr. Medel... yes, that was the time that my Commed days were not
so much fun...
and true enough, i noted to have more sleep there than i was in the wards. i
also recalled, that it would have been always no problem for me to help my
other JIs do monitoring of their patient even if it was under medicine...
(neuro, OB, surgery) i always believe that clerkship is learning to work
with other people as well. i dont do any initiative to do the monitoring
unless intially agreed upon or the patient is toxic because i can get into
trouble if say i monitored a post-op OB patient when im a Med JI and
problematic findings were noted... if there was decking involved and i was
part of it, then no problem. ^__^i remember also, we have a unique agreement with Pep. no other group were
like our tandem. pep would usually be the one to follow my duty, and he
would cover both 4east and 4 north. i told pep that when im duty or even
from duty, i would man the 4east station, with hopes that pep would be able
to conserve his energy until after 5pm when i leave (when i'm from duty) he
starts covering for 4east. at such a mutual agreement, i found it seldom to
see Pep so wasted the following day, and that is what i believe is good
teamwork. Toxicity is made less when shared... the benign aspect of a
rotation would be sacrificed, yes, alot of whom which find it not worth
giving up. 4east nurses and aides were likewise a good company. we had are
fun times and as such even after i rotated in medicine, that good
camaraderie remained. 1 very significant event that i will never forget is
that of me getting an IR for a patient of Dr. MEdel. which warranted me a
reprimand from Dr.Fernandez and Dr.Franciso. Even my SIs were placed into
the problem. in the end... i got the axe, and a punishment... which i did
serve under Dr. Medel... yes, that was the time that my Commed days were not
so much fun...
August 2007 - COmmunity medicine
oh hell yeah!!!! when is the time to be relax? when is the time you'll get
to live like a pig? when is the time you'll get back all your sleep? oh...
yes, this was the life... the most relaxed rotation. i wouldnt call it
benigh since we had do travel daily for about 2-3hrs on a hot van stay in an
old infrastructure that had different species of arthropods at night...
well. the fun part was probably the need of NO PAPERWORKS!! and we got to do
our own cooking... i realized at that point, that most of the guys in our
group could cook!! well... 3/5 that is... i did a recipe too. my groupmates
thought it was a great soup (corn soup) but for me it was not at par with my
own home cooking standards. probably because i never got to cook for so much
people before? i dont know. anyway, i remember having to bring alot of stuff
up there. a laptop as my TV/video player, food, snacks, shirts,
insecticide.. hehe... and when probably asked what i loved to do there as my
past time... oh yeah... get that cleaver and start cleaving all those frozen
ice of the freezer. it was so much and brutal... the ice cracking apart with
bits and pieces flying off as you hack away, and big chunks would crumble
once you do a nice ice break...heehee... enough of that, let's talk about
what i did there...i do recall being assigned to Sambaville with cherry. i
never really got to work with cherry yet since internship and it turned out
to be a good partnership... she's good with these kids!! wow... that's one
kind of patient i may never learn to handle... anyway, in Sambaville, the
clinic was scheduled daily, and like in the UE OPC, there are "subspecialy"
days. the most difficult for us at that time was the OB-GYN part since aside
from not yet rotating in that department, after being overwhelmed by
Medicine and Pediatric problems, we suddenly realized that OB-GYN was entire
a different field... not like some surgical or neurologic findings where you
would really come across as you rotate in medicine. we didnt even recall
well how to do an IE!! how are we suppose to do an OB-GYNE examination! but
poise is well kept, memories challenged, and teamwork again prevailed...well, another unique thing with our ComMed rotation is that we had a
different Coordinator and alot of heavy rains poured... so aside from having
suspended days like back in elementary, we eventually ended up having PBL
like discussions instead...oh, and yeah, every friday i had my revalida with Dr. Medel regarding the
topic of Hypertension whenever we were finished from our JI Board review...
thankfully, all went well and it was over as i ended this rotation...
to live like a pig? when is the time you'll get back all your sleep? oh...
yes, this was the life... the most relaxed rotation. i wouldnt call it
benigh since we had do travel daily for about 2-3hrs on a hot van stay in an
old infrastructure that had different species of arthropods at night...
well. the fun part was probably the need of NO PAPERWORKS!! and we got to do
our own cooking... i realized at that point, that most of the guys in our
group could cook!! well... 3/5 that is... i did a recipe too. my groupmates
thought it was a great soup (corn soup) but for me it was not at par with my
own home cooking standards. probably because i never got to cook for so much
people before? i dont know. anyway, i remember having to bring alot of stuff
up there. a laptop as my TV/video player, food, snacks, shirts,
insecticide.. hehe... and when probably asked what i loved to do there as my
past time... oh yeah... get that cleaver and start cleaving all those frozen
ice of the freezer. it was so much and brutal... the ice cracking apart with
bits and pieces flying off as you hack away, and big chunks would crumble
once you do a nice ice break...heehee... enough of that, let's talk about
what i did there...i do recall being assigned to Sambaville with cherry. i
never really got to work with cherry yet since internship and it turned out
to be a good partnership... she's good with these kids!! wow... that's one
kind of patient i may never learn to handle... anyway, in Sambaville, the
clinic was scheduled daily, and like in the UE OPC, there are "subspecialy"
days. the most difficult for us at that time was the OB-GYN part since aside
from not yet rotating in that department, after being overwhelmed by
Medicine and Pediatric problems, we suddenly realized that OB-GYN was entire
a different field... not like some surgical or neurologic findings where you
would really come across as you rotate in medicine. we didnt even recall
well how to do an IE!! how are we suppose to do an OB-GYNE examination! but
poise is well kept, memories challenged, and teamwork again prevailed...well, another unique thing with our ComMed rotation is that we had a
different Coordinator and alot of heavy rains poured... so aside from having
suspended days like back in elementary, we eventually ended up having PBL
like discussions instead...oh, and yeah, every friday i had my revalida with Dr. Medel regarding the
topic of Hypertension whenever we were finished from our JI Board review...
thankfully, all went well and it was over as i ended this rotation...
September 2007 - ENT/OPHTHA
coming back after that relative rest was like waking up from a dream...first 2 weeks was around ENT. not as toxic a rotation as compared to pedia or medicine. fair share of ORs as well. ophtha wise, we had our benign times... to a point where we had no patients... that was a first for our group... and likewise a unique experience in internship... however, there is but one thing I would never forget during our rotation, is that when grace's laptop and my laptop's power cord was stolen from a locked Lunga... wow... amazing. that was a golden moment... so significant, that nothing else sparks a memory in that entire month's rotation... up until present, the said stolen items were never found... but the fruit of such, lockers were now placed inside the lungga for the next rotators... they say it could be the janitor... no witnesses were noted... suspects remained as such... case unsolved... damn that thief...
Synthesized at 7:08 PM
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