Here's a little (rather hurried) rundown of last week...
Enjoy na ang aking elective...kasi Service B na ako. Hehehe. =) I now report to the Chief Resident and his Junior Resident, and they have accommodated me well. Last wednesday and thursday I joined their morning rounds. Pinatikim pa nga sa akin ng Chief Res (Dr. Cruz) kung paano magsulat ng orders sa chart.. I felt privileged kahit na sinusulat ko lang ang dinidictate ni Sir (hehe). At dahil ako ang nagsulat, kasama ang name ko sa undersigned, along with their names (e.g. CRUZ/SANTOS/ROCHA)...cool. =) I went on duty last Wednesday, hoping for a new referral from the ER, kaso walang dumating. Hay. :) I really must see a patient firsthand before this rotation ends para meron naman akong sense of 'ownership' ng history and PE findings, at makapag-present ako sa consultant... kasi yung mga patients nina Sir sa wards, syempre nakuhanan na ng history before..
Dr. Cruz also suggested na mag co-manage ako ng isang patient--meaning I'd check on the patient everyday, then I make my own notes and orders (pero syempre hindi ko ilalagay sa actual chart)... hesitant ako nung una. Then naisip ko I'll start pag may dumating na ER referral, kaso wala nga nung duty. The next day a patient was transferred from pay to charity; siya na lang ang kinuha ko. Turns out she's an interesting case na kelangan pag-aralan at mag-research pa on the topic. Hindi pa kasi clear kung ano exactly nag-cause ng bleed (subarachnoid hemorrhage) sa brain niya. An angiogram will give us an idea kaso this Friday pa ang schedule niya sa PGH. Hopefully makakuha sila ng earlier sked sa Makati Med. We're thinking her systemic vasculitis, rather than an aneurysm, could be the cause. Which leads us to another question--bakit siya may vasculitis? May SLE kaya siya?? Mga ganyang challenge lang naman ang meron sa case na ito. I hope this co-managing thing goes well..ϋ
Masaya--marami akong natututunan. Still the fact remains na inherently tough ang Neuro. Pero ok lang, buti nga napupuwersa ako mag-aral. May times lang minsan na pakiramdam ko hindi pa rin the best ang ginagawa ko. I've been praying that the Lord will help me be excellent for Him but sometimes I still fall short of my own expectations of myself. Nevertheless, I get to be reminded of what I should do next time. I just need to be more patient with myself, and count on His grace and not my own strength. Gusto ko lang ingatan ang Pangalan na dala-dala ko.ϋ Lord, all and only by Your grace...
Enjoy na ang aking elective...kasi Service B na ako. Hehehe. =) I now report to the Chief Resident and his Junior Resident, and they have accommodated me well. Last wednesday and thursday I joined their morning rounds. Pinatikim pa nga sa akin ng Chief Res (Dr. Cruz) kung paano magsulat ng orders sa chart.. I felt privileged kahit na sinusulat ko lang ang dinidictate ni Sir (hehe). At dahil ako ang nagsulat, kasama ang name ko sa undersigned, along with their names (e.g. CRUZ/SANTOS/ROCHA)...cool. =) I went on duty last Wednesday, hoping for a new referral from the ER, kaso walang dumating. Hay. :) I really must see a patient firsthand before this rotation ends para meron naman akong sense of 'ownership' ng history and PE findings, at makapag-present ako sa consultant... kasi yung mga patients nina Sir sa wards, syempre nakuhanan na ng history before..
Dr. Cruz also suggested na mag co-manage ako ng isang patient--meaning I'd check on the patient everyday, then I make my own notes and orders (pero syempre hindi ko ilalagay sa actual chart)... hesitant ako nung una. Then naisip ko I'll start pag may dumating na ER referral, kaso wala nga nung duty. The next day a patient was transferred from pay to charity; siya na lang ang kinuha ko. Turns out she's an interesting case na kelangan pag-aralan at mag-research pa on the topic. Hindi pa kasi clear kung ano exactly nag-cause ng bleed (subarachnoid hemorrhage) sa brain niya. An angiogram will give us an idea kaso this Friday pa ang schedule niya sa PGH. Hopefully makakuha sila ng earlier sked sa Makati Med. We're thinking her systemic vasculitis, rather than an aneurysm, could be the cause. Which leads us to another question--bakit siya may vasculitis? May SLE kaya siya?? Mga ganyang challenge lang naman ang meron sa case na ito. I hope this co-managing thing goes well..ϋ
Masaya--marami akong natututunan. Still the fact remains na inherently tough ang Neuro. Pero ok lang, buti nga napupuwersa ako mag-aral. May times lang minsan na pakiramdam ko hindi pa rin the best ang ginagawa ko. I've been praying that the Lord will help me be excellent for Him but sometimes I still fall short of my own expectations of myself. Nevertheless, I get to be reminded of what I should do next time. I just need to be more patient with myself, and count on His grace and not my own strength. Gusto ko lang ingatan ang Pangalan na dala-dala ko.ϋ Lord, all and only by Your grace...
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