OBG practical and Internship Dreams

Woohoo. Finally.

I already wrote about the first three practical exams.

OBG was a breeze. Went early to the special (examination) ward. Had a 24 year old lady with a previous Caesarean section as my Obstetrics case. And a 65 year old with procidentia uterus as the gynaecology case.

I told the examiners that the reason for previous Caesarean was respiratory distress (instead of telling fetal distress) and I had to tell everything about fetal distress, all the things that are monitored, and what management to go with, and in VBAC-TOL how to manage first, second, and third stage; whether to cut-short second stage or not. It was more like they were testing if I could go work in the labour room tomorrow.

Same thing followed in Gynaecology. My patient had decubitus ulcer and I had to explain how to manage it (and how to manage the "corresponding" ulcer in surgery (which happens to be venous ulcer)).

Viva had 4 stations.

Station 1: Ultrasound and x-rays. Luckily I got X-ray because I knew nothing about ultrasound. And the X-ray of pelvis showed a bent Copper T being assessed by a uterine sound? I had to tell the long term side effects of Copper T too.

Station 2: Specimens. There were some 5 specimens and I could only recognize the anencephaly kid and so I chose it. I had to tell how I recognized it, that it is a neural tube defect, other examples of NTD

Station 3: Instruments. I identified a manual vacuum aspiration syringe (Girls also had to pull it against vacuum to prove that they have the strength to do it) and a ventouse. Then I got a CuT and was asked how it is inserted the keyword I had to say being "withdrawal technique" which I didn't.

Station 4: Pelvis. Had to show bispinous diameter and give the common value. Then, I was asked to identify what was obturator foramen; followed by "what is its clinical significance?" which apparently was asked to many of my friends and nobody got the correct answer to.

We came out and none of us could believe that it was all over. In just 4 (gruelling) days that went by like a quick cold shower, we had gone from students to doctors.

Well, I say doctors because since yesterday I am addressing all my friends "Doctor" and dreaming of all the hospital work to follow. The only thing between Akshay and Dr Akshay now is RGUHS announcing the result with PASS return next to my name.

And so am I reading through the thousand medical posts in Polite Dissent which I discovered by searching for that House scenario I talked about in the last post. And through so many nice posts in the underwear drawer.

That is also why I got scared reading this horror story of a first year PG getting beaten up last week for the death of an accident victim and even read Hippocratic oath and MCI code of ethics.

I can't wait to finish Harrison's now :D

Acronyms used in this post:
OBG - Obstetrics and Gynaecology
VBAC-TOL - Vaginal Birth After Caesarean - Trial of Labour
NTD - Neural Tube Defect
CuT - Copper T
RGUHS - Rajiv Gandhi University of Health Sciences