Medicine ward unit 4
Medicine ward unit 4 is my first ever clinical posting. I have entered what im told is the para-clinical phase of my medical education. The last one year ie the pre-clinical phase has been a long journey from the first day as i wrinkled my nose when shown into the dissecting room to the last day i was cramming at top speed forgetting in which hand i held my textbook and in which the human brain!Studying anatomy,physiology and biochemistry is supposed to be preparatory for the following years but almost nothing about studying those subjects can prepare one for a first time hospital visit.
Well it wasnt a thunder-lightening moment but nonetheless it was a milestone atleast according to me.I had missed the first two classes owing to fact that i had to take my driving test(which i cleared btw!!!) Well anyway as i followed my friend who had been there earlier i was struck with the familiar cliche of "im never going to find my way around here". The hospital looks deceptively small from the outside but its a maze inside...long corridors, hidden staircases and busy people scuttling around. Ill admit i was already intimidated and i hadnt even reached second floor where my friend said we were supposed to report.
Our first duties as third term students apart from tailing our seniors and lecturers around is to learn to perfect our history-taking. History taking involves asking the patients or their kin questions that should in course help us come up with a precise diagnosis. The first thing i wondered was how these patients were tolerating us...if i were sick and people kept coming over to ask questions which in effect was not going to help me i would ask them to buzz off. But these people are quite accomodating...the only problem being their answers vary with each time and each questioner. Its not really thier fault...but sometimes they do tend to change their versions, which our seniors have warned us about, especially when asked questions about their smoking or drinking habits.
Anyway on the first day my attempts at elliciting a history were miserable...after the basic questions as per format i wouldnt know how to proceed and my notes wouldnt be longer than half a page. I constantly felt i was disturbing them and wondering how long it would be before they asked me to leave them alone. But one does tend to get better with practise and now i can manage about a page of history and a small chat with the patient too sometimes. Still, more times than not i forget to include something and keep having to go back to check.
Its altogether a new experience realising that while last year we only worked on cadavers, what we are dealing with now are real people. That was quite enough to set my hands shivering on the first day...i only hope that someday soon i will develop the confidence i see in my seniors!
Well it wasnt a thunder-lightening moment but nonetheless it was a milestone atleast according to me.I had missed the first two classes owing to fact that i had to take my driving test(which i cleared btw!!!) Well anyway as i followed my friend who had been there earlier i was struck with the familiar cliche of "im never going to find my way around here". The hospital looks deceptively small from the outside but its a maze inside...long corridors, hidden staircases and busy people scuttling around. Ill admit i was already intimidated and i hadnt even reached second floor where my friend said we were supposed to report.
Our first duties as third term students apart from tailing our seniors and lecturers around is to learn to perfect our history-taking. History taking involves asking the patients or their kin questions that should in course help us come up with a precise diagnosis. The first thing i wondered was how these patients were tolerating us...if i were sick and people kept coming over to ask questions which in effect was not going to help me i would ask them to buzz off. But these people are quite accomodating...the only problem being their answers vary with each time and each questioner. Its not really thier fault...but sometimes they do tend to change their versions, which our seniors have warned us about, especially when asked questions about their smoking or drinking habits.
Anyway on the first day my attempts at elliciting a history were miserable...after the basic questions as per format i wouldnt know how to proceed and my notes wouldnt be longer than half a page. I constantly felt i was disturbing them and wondering how long it would be before they asked me to leave them alone. But one does tend to get better with practise and now i can manage about a page of history and a small chat with the patient too sometimes. Still, more times than not i forget to include something and keep having to go back to check.
Its altogether a new experience realising that while last year we only worked on cadavers, what we are dealing with now are real people. That was quite enough to set my hands shivering on the first day...i only hope that someday soon i will develop the confidence i see in my seniors!
