Abortion Care: Did I Provide My Best?

It’s funny how sometimes, long after the fact, you start questioning your levels of care and competence.

During my first rotation of internship (last year), which was Obstetrics and Gynaecology, I was one of the few interns willing to do pregnancy terminations. (For the purposes of this blog, the matter is not up for debate – I have been pro-choice for nearly half my life, and have thoroughly evaluated my own beliefs.)

Just recently I’ve found myself thinking back on those four months and wondering if I did everything I could, and if I was empathic enough. Continue reading “Abortion Care: Did I Provide My Best?”

War, Latin America and Pre-Eclampsia: A History

One of the biggest ongoing studies in the developing-world Obstetrics is the Calcium and Pre-Eclampsia (CAP) Trial. The hypothesis is that calcium supplements prevent the development of Gestational Proteinuric Hypertension – but if you like history, where this idea originated is a wholly fascinating story.

preeclampsia Continue reading “War, Latin America and Pre-Eclampsia: A History”

Operating with an Impeccable Surgeon

Wow. I was on call on Friday (24+ hours) and it was INSANE. I did not sleep once and spent probably three-quarters of the night in theater. One emergency C-section after another, a handful of ectopic pregnancies – and a team of two: one medical officer and one intern (that’s me).

However, this was probably THE most incredible surgical-time I have ever spent on call. The medical officer I worked with was so experienced in Obstetrics and Gynaecology. I have never seen someone do a C-section or a salpingectomy so speedily – and she is not even close to finishing her training in OBGYN yet.

surgery cool Continue reading “Operating with an Impeccable Surgeon”

A Simple Gesture To Make Gynae Exams Less Awkward

I’ve been on OBGYN for three weeks now. I had four weeks of OB in third year and four weeks of GYN in fifth year, and through it all the speculum examination has always been a bit of a nightmare for me. Visualising the cervix with as little as possible pain to your patient takes practice, like any other skill, but it is also very uncomfortable for most women I’ve seen. Lithotomy is possibly the least dignified position we have ever come up with. Not to mention that an uncomfortable woman in lithotomy will inadvertently tighten her perineal muscles.

gyno tips Continue reading “A Simple Gesture To Make Gynae Exams Less Awkward”

Demystifying Women’s Health

If you want to rile me up, you should talk about women’s health. Even the word, Women’s Health, annoys me. Why should only issues relating to my genitalia and my baby-making organs and my female hormones be referred to as Women’s Health, but the rest of me is… what? Men’s Health? And for that matter, why should cervical cancer or endometriosis or ovarian failure be the concern of women only? Just because men don’t get the disease does not mean that it does not affect them.

womenhealth Continue reading “Demystifying Women’s Health”

Introduction to Clincal Medicine: Learning to probe orifices

As mentioned before, I am currently in the last quarter of my second year as medical student. The module my class is handling at the moment is called Introduction to Clinical Medicine. This is where, after almost two years of intense theoretical training, we get introduced to the clinical set-up of medicine. It is a time both exciting and scary.

He who studies medicine without books sails an unchartered sea,

But he who studies medicine without patients does not go to sea at all.

[Sir William Osler was a pretty deep doctor.]

Continue reading “Introduction to Clincal Medicine: Learning to probe orifices”