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Showing posts from February, 2017

Broke down

Firstly, a quick apology if this is poorly written - I'm typing it on my phone as I go to sleep.

Today, I was meant to have a clinic in the outpatients. Arrived at outpatients (late, because that's just who I am) - no clinic anyway. Right, OK, I can still make the most of my morning I think to myself putting on my best PMA (positive mental attitude) despite me having the worst PMS I've had in a while. (Seriously, considering getting back on that contraception).

I went onto the surgical triage unit, where I had a successful morning last week. Consultant ignored me, reg ignored me, great. Decided it wouldn't do me a world of good to try to shadow them on the ward round, so asked a CT about good patients to get a history from and off I went. Met two lovely people, go a really poor history and left. Didn't want to examine the First Lady as her mum was asleep in the chair next to her and the gentleman I saw after was pretty deaf and not sure if at all with it.

I then sp…

Mental block on a day off

OK, so I had another busy weekend which was fun, fun, fun. Really did not do much work, but on the positive side I did actually go to my part-time job for a change. Had lots of "How much longer are you really going to last?" conversations. Was absolutely exhausted because I'd been out all of Friday night, didn't sleep till 4, had to get up at 6 to drive my friend to the airport and then went to see my friend in Liverpool for the day. Then ended up not going to sleep till 3 because I had some friends round to chill and had to get up at 8 for work.

By the time I got back from work yesterday I had one of those 6 hour naps which really should have been me going to bed, but nope. So I did not get any work done over the weekend, which guys, is a direct result of me not being able to say "no" in many aspects of my life. Peer pressure kills me every time.

Today, I've (sort of, may be given myself) had the day off. I got up at a human hour, did some cleaning, sa…

Don't drop the ball

So yesterday I did a full day of revising pretty much. A friend came round in the afternoon and revised with me but I looked over the treatment and management of diabetes, hypertension, taking a cardiology history, taking a respiratory history, differentials for all of their different symptoms.

I'm not really sure what to do this morning. It's the first Friday i'll have my Patient Centred Consulting and Themed Case Discussion in the afternoon (so finish at 5, boo) so i'm not used to actually having the morning free. Normally I wouldn't do any work on a Friday.

I think I might look at the treatment and management of heart failure, counselling patients on warfarin and interpretation of x-rays. Then I need to look at how to perform a DRE and peripheral vascular exam.

It's so hard to know where to focus your energies. On one hand, I need to make sure I have examinations down as that is the only thing I can practise and know whats happening for. On the other hand re…

New week new block

So on Monday I had my induction to my new block - Urology surgery at a DGH. Utter chaos. This is the firs time the DGH is considered a "teaching hospital". How though, when their organisation is the worst yet, is beyond me. I was given 3 different timetables. The cushy - 2 days a week situation I thought I had? Completely different.

Eventually I was told just to follow the one the surgeon had printed out for me. This involved always attending something morning and afternoon but little to no teaching. In fact the teaching he had scheduled us was actually MDT meetings on a Monday afternoon. While MDT meetings are great opportunities and I appreciate the invitation; that's not teaching. That's inviting me to a meeting you're already having. We left shortly after the induction.

Tuesday I had my first experience in surgery as a medical student. The patient was having a TURBT which was really cool to see and the consultant was brilliant. Took a lot of time out to teach…

The Weekend - Semi went to plan

Ok so by Saturday I had caught up on a couple of cases that I hadn't done before (only 4 more to go, christ what was I doing those weeks? Oh yes, I remember, I was sat around my dining room table by the window having a fag and chatting shit with my friends who endlessly drop by for tea, for hours every day of the week) and decided to reward myself by going to a friends birthday party.

This birthday party was going to be a chilled out one, have a couple of drinks and be home before 2 sorta thing. Me? Oh no, I decided not to leave till 4 and to continue the after sesh back at mine till 6. At least I didn't throw up in my wardrobe this week though - true story. I had to get up for work, in an hour. Do you think I made it?? No. It's a miracle they haven't fired me yet. A miracle. I've decided I spend far too much "having fun" on the weekend and the only way to curb this ridiculous habit is to literally give my money to someone else to hide. It is no good what…

Getting back on track

So; it's a Friday evening. I'm at my dining table, i've got a pen and paper pad out - I am not going to be pulled away yet another evening for fun and games. The formative OSCE has given me a real kick up the backside and now i'm going forth, determined to kick ass for the real thing. I've ordered some books that I should have ordered long ago and i'm going to get my head down and make this work.

I'm based at a district hospital next for my surgical placement. I'm not looking forward to a) travelling that far b) having such a poorly organised timetable or c) the surgeons who already have a bad bad reputation. Fortunately, i'm finally partnered up with one of the girls in my group that is lovely and I think we'll both be really good for eachother in the sense that we'll encourage eachother to actually turn up to things, give eachother confidence to go do things and we'll support eachother massively.

I had a meeting about my APEP today. Sh…

The formative

So this year, as we are joined by the cohort from St. Andrews we are given a formative OSCE. This is basically a "mock" type thing, so doesn't affect any overall grade and consists of half the number of stations of the real thing. It's to give everyone an idea of how it's going to go in March.

I had done a fair amount of preparation for this formative. We know that 2 out of 4 examinations are going to come up (Abdo, neuro, cardio, resp) so we could nail those in our own time, we know there will be 2 history taking stations [and they'll probably be one of the 4 above] so we could really nail those and the rest would be a bit of a free for all. 1 data interpretation, 2 sharing information, 1 prescribing. The real thing will be about double all that.

So reflecting on the formative like I have done every exam so far let's go:

Station 1 : Abdominal Examination I was confident I wouldn't do too badly in this station. WIPE, strong approach, bit thrown as the f…

Full speed ahead

SO,  the Christmas holidays were a weird two weeks where for the first time in forever, I didn't have exams to revise for. Sure we had the progress test, but that was it for the immediate future. I could have / should have / would have spent time reviewing any of the material we've covered this far but I couldn't. I had hit a mental block and needed these two weeks to just do nothing. I saw friends, I stayed at home (which I never do) and just chilled out. I had an amazing two weeks but it felt so fucking short. We've not had a week off since we started in September and having two weeks off and then thrown right back into A+E very much felt like we hadn't had a break at all.

This hit people quite hard. We came back quite deflated, not wanting to really be there and really required some kicks up the backside to get back into it. As a result of this, any eagerness I had to spend all hours of the day in hospital had diminished. I was barely there for the last couple o…