A condition that could leave a foetus decapitated in the womb
oh and subcutaneous injections are very easy to do
The “Can we just move on” phase of the rotation
Hospital rotations being 4 - 5 weeks doesn’t seem that long. I would agree for specialities such as general surgery or Emergency medicine because you don’t know what to expect, any case can come through the hospital doors and it makes it interesting.
The specialities that I have had thus far, such as paediatrics and ob-gyn, after around 2 weeks it becomes quite repetitive. It is the same thing over and over again
A child with flu, child with cough, child with sore throat, child with eye infection, pregnant woman in her 10th week, a woman in her 20th week, a woman who needs an emergency C-section, a woman who has a polyp that needs to be removed.. etc etc
Every now and then a ‘rare’ case would appear such as cervical prolapse, or a membrane in the uterus that could literally DECAPITATE a foetus or cut of fingers/toes.. but as I said, they are ‘rare’ and you see them once a week…
Sidenote: The membrane thing is called Amniotic band syndrome
Click on the name of the syndrome above to be directed to a site with more information
With that all being said, it is safe to say that I am now over the ob-gyn rotation and I am more than happy to move on… BUT BUT, when I realise I have psychiatry next, I regret everything I said about wanting to move on from ob-gyn.
Subcutaneous injection
I was lucky when a colleague came to find me and offered me the chance to do a subcutaneous injection. The nurse in the room handed me the injection without giving me any instructions, however, i think she was under the impression that i knew what to do. I asked her if she could walk me through the steps and she was super nice and showed me the technique..
Remember, it is a subcutaneous injection, so it needs to go into the fat layer, therefore, some of the areas targeted are waist, thighs etc
There are two techniques:
You pinch the skin with your thumb and index finger and you inject directly down, administer the drug, remove the needle, and you wipe the drop of blood once.
You use your index and middle finger, with your hand in pronation, to spread the skin to flatten it out. So you kind of make the peace sign on the waist, and the needle goes in the middle of the peace sign. You then follow the same procedure.
Things to note:
Always change the site of injection after each dose, since repeated injections in the same site can end up causing lipomas
Never rub the site after you have injected, as that can cause a hematoma (I knew the name of the thing it caused, but I’m kind of not sure at the moment, i think that’s what it is)
Song of the week:
Same song from last week because It’s been on repeat
Last weeks video: