Medicine in Nigeria 2

I’ve been having a shitty day, week, month, year tbh. So this post might be a little intense. E ma binu.  Oh and the blog isn’t really where i want it to be and I need a lot of energy to even try to get things flowing and i don’t have said energy.

I don’t have major depression in case you were wondering but I’m not far from it actually. Ticked off 4 symptoms and that’s actually pretty bad.

So my iPhone suddenly stopped working after I found out I was posted to Sokoto for NYSC. LOL I’m still waiting for Ashton Kutcher to come out. Like this is obviously a bloody joke right? I’m most definitely not going to Sokoto on Tuesday and I’m yet to fix my phone because i’m really tired of unplanned expenses. I decided to sleep all day and then I watched Greys anatomy- Season 14, episode 8 to be specific and i got angry all over again about the health sector in Nigeria.

Let me break down the episode. So they hacked the network at Grey Sloan Memorial Hospital and the people who hacked it are requesting for like 20 million dollars. What? Ok now they have to go back to the ‘stone age’as Kepner said. They had to manually take vital signs and record them on papers, they have to queue to do CT scans, they don’t have access to the blood bank so they’re out of blood, they have random power outages, they use their mobile phones to call other people in the hospital, they have to track down the nurse to confirm if a drug was given, they have to do the work of a drug. lmao

Now you want to know the joke in all of this? As I was watching this episode, I was like ‘Look at these ones, something that we have to deal with in Nigeria every flipping day’

Yes, we don’t have monitors that check vitals, if you’re in a big hospital maybe you’ll have like 3 monitors in the ER and a few more in ICU. The nurses take vital signs every 4/6 hours for stable patients and maybe hourly for really ill patients. Joke is that most times, you have to do your own vitals because these days, even the nurses are tired of being overworked so you can’t be too sure the vital signs were not made up. You don’t see any recent record of a patient’s vital signs and the nurse is like ‘oh yea, I checked but i didn’t write it. The BP is …..’ Sure sis.

Yes, we request for x-rays, CT scans, even abdomino-pelvic scans and we’ll come the next day and still be hearing ‘We’ve paid o but they’ve not come to carry him’. We had to refer patients outside to do CT scans because ‘machine no dey work again’. If that is not struggle, I don’t know what is. I wanted to do a study at some point because almost everytime we sent patients outside the hospital to get CT scans done, they come back worse or die before the week runs out. I know at least 5 patients that packed- medical slang for die. One didn’t even come back so only God knows what happened.

Yes, technicians at blood bank will insult you when you call asking if the blood you requested for the day before is ready. I shit you not. I was insulted every other day. Oh but the moment the relative of a blood bank worker is on admission, 5 units of blood will show up even though you requested for 2.  Oh and the doctors will have to leave their sick patients and walk to the blood bank to beg for blood because they know the patients will die and at that point what is pride really?

Yes, we have random power outages. Some last the whole night and God help you if you’re on call that night. You’re expected to secure IV access, see patients, resuscitate patients in darkness because of course you have super eyes. I can’t count how many times I’ve had to tell the nurse to hold my phone closer while I try to secure IV access. You’ll be doing surgery and suddenly, there’s no light. It is actually ridiculous.

Oh and these experiences are from working in one of the biggest hospitals in Nigeria so I can’t even imagine the smaller hospitals. I’m heaving headache thinking about it.

You use your own mobile phone to call your senior colleague because CUG network is forever crap.

The one where they had to look for the nurse who worked a particular shift to confirm if a drug was given. LMAO You’ll be doing ward round and checking the drug chart only to see your patient did not have his drugs the day before. ‘Ah what happened? It finished na. But who did you tell?!’. I’ve almost insulted women old enough to be my mother because of this shit. It was later I realised, they don’t even tell the doctors when the drugs finish because that’s one less work to be done and once again, the patients suffer.

I can keep writing and still have more than enough shit to say about how terrible Medicine is in Nigeria. I’m presently working at a private hospital and I can’t tell you how appalled I am at the way patients, lab attendants, cleaners and everyone talk to Doctors. Safe to say we are not rated. I had a lab technician come to my consulting room to call me stupid. Yes, she lost her job but at the end of the day.. The goddamn audacity! I mean i’m really tiny but are you actually mad?

 

We have to do better in this country. I personally will not be doing residency in Nigeria as I’d rather slice my toes slowly. It’s not worth the struggle. I however commend Doctors that are willing to stay back and go over and beyond despite the shit they have to deal with. God bless you!

 

Meanwhile, something to lighten the mood a little. We have new stuff available on TwoTeesShop so shop away! They’re really affordable too.

Have a lovely week guys! For those in Lagos, brace yourself for the traffic on Monday morning and try not to be too depressed or slap someone at work.

 

  • TOSIN

Hurricane Maria – Pray For Dominica

Heyy!

How’s everyone doing?

First of all, can someone please explain to me why there is traffic everywhere in Lagos. What kind of struggle?

Earlier in the week we spoke about our goals this month. If you did not read it, you can read it here . Guess who has already ticked one off? Yeah, your girl, Tosin.

I got a job! Now, this was totally impromptu and random but I’m grateful I got it and so far so good.

I’m still hoping to do NYSC in November so I hope it works out well in the end.

I was not in a great mood when the week started. The news about hurricane Maria has been so sad. I lived in Dominica for 6 years and although I complained a lot because I generally used to complain a lot ( emphasis on used), I loved how amazing, nice and easy going the people of Dominica and the Caribbean generally are. They always found time to relax, have a good time and just be happy and to be honest that was awesome!  They’re also the most welcoming people I’ve ever come across!  I remember my first week there, I’d be walking on the street and random people will start greeting me ‘good morning’. It was honestly so refreshing.

I spent 6 years of my life there. I called the place home for those six years and it’s really sad to see them go through this.

I still have some friends there and I am so relieved that they’re all well and alive. Thanks to God.

My friend shared a picture of her living room after the hurricane and I’m just like wow…. the stress, hurt, pain and cost of starting over must be overwhelming. No one is ever prepared for this. People have lost their homes, jobs and lives. It’s like starting life all over again.

I have been trying to find a way to help out. It’s quite a struggle from Nigeria but here’s how you can help.

Click here 

All items would be shipped to Elka Cools-Lartigue in Fort Lauderdale and then transported to Dominica.
I spoke to my friend and she said they need even the basic things like baby stuff, toothpaste, tooth brush, deodorants and things like that!

You could also donate Here

It’s really devastating and I pray they find the strength to start again and be the happy people they’ve always been known to be.

#PRAYFORDOMINICA
TOSIN 

’10 Things I Learned from Daily Shadowing US Surgical Residents’


For those that are not clear what residency is about or what it even is.

Residency is a period of your life during which you undergo intensive training to become a specialist in a field of your choosing. Yea, I love the sound of that, because it automatically frames the approach I’d like you to have while reading this post. Prior to this experience, I had heard so many converging and diverging opinions about what a residency in surgery is, most of them being geared towards the negatives and hardships, as a sign of warning or “Beware of Surgical Residency in the US”! But today, I can’t be grateful enough for having had this experience of being with surgical residents for a period of time and sharing into their daily living. That was the only true way I could make an opinion on this topic for myself, and here are 10 key lessons I learned.

1. During Residency, you are being trained to become someone greater than who you already are.

And think about it: you go to a specific program “to be trained” in a specific speciality. This implies that the goal is to make you become a person greater than the person you were when you started. Now, people often think that training is limited to “academia”, and thus ignore and pass on any opportunity to be trained at life: in reality, while you’re learning to take care of your patients, you also have to deal with a) families who need reassurance that everything is going to be OK, those who will soon learn that their child will be permanently disabled from a failed procedure or those to whom you’ll have to break the bad news of their father passing. And then, there are b) colleagues who pass on their frustration to you or those who are not as efficient as you’d like them to be. Let’s not forget the c) Chiefs and Attendings who hold you to high standards of performance as you climb up in the ladder of your training, and any other entity that you may encounter.

That being said, you learn to take blows and receive them with grace, you learn to assess your reactions to situations and apply critical thinking in emergent situations, and you learn to solve problems on the spot. All these are opportunities for greatness.
2. Surgical Residency Training Will Challenge You.

“What doesn’t challenge you doesn’t change you”. One of the reasons why this type of residency training is so “tough” or “difficult”, has to do with the fact that it challenges parts of you that were never challenged before, and pushes you to greater heights. A surgical resident told me “training would stretch you mentally, physically and emotionally to levels that you would not expect”. And that is completely OK. If you’re not pushed, you will not grow, you will not learn and you will not achieve your full potential. So do not resist the force.

3. You “need” a Support System.

Getting into residency is almost like getting into a marriage. You can’t get there alone, with no one to back you up, or catch you when you fall. Ever wondered why there are “witnesses”, best man and maid of honor at weddings? Because those are the first people that are supposed to be there for you when you can’t be there for yourself, and re purpose your focus so that you can get back on track when the boat is rocked. During residency training, you are married to medicine. To your patients. To your colleagues. To your attending physicians. To your chiefs. And so, you need support outside of that circle. You need someone to talk to about your good days and your bad days. For some people, that support system is a wife, a husband, an amazing bae. For me, that support system (during my experimenting days) is God. Whoever it is, pick your support system, because you cannot bear the weight of 5-6-7- years of surgical training alone. A lot of people have been burned out, and you don’t want to be one of them.

  1. Know Who to Rant to

This goes hand in hand with point #3. Let me make something clear to you. Someone who shares the same struggles, the same fight or the same enemy as you is not necessarily your friend. In life, you will meet people who you connect with because you’re at the same stage in your life, or you share the same difficulties and you can relate. That does not mean you are friends and you get to share your deepest pains, secrets or complaints with them. At most, you are colleagues or allies. And that is again, why it’s very important to have an outlet, a person (outside of work) who you can share openly with. You need to have someone who has your back. For me, again, that person is God. In fact, I’d talk to God in a prayer, anytime my mind felt like it was going south. I’d scream, yell or cry, but I’d let it out to God.

  1. Be a Team Player

“Do onto others as you’d like them to do onto you”. When your co-resident falls, you pick him up. No questions asked, no strings attached, no venting. Everyone makes mistakes, and cohort training requires solidarity and unity. Even though we’re trained to be competitive and to always outdo one another, you need to learn how to be a team player and really work for the greater good of the team. Because at the end of the day, you can fly high if you fly solo, but you won’t go very far.

  1. The First Year in Residency is one of the Hardest

This is no news, it applies in all fields: just like the first year teaching, the first year away from your family, the first year in the army, etc. It’s the groans of new beginnings, but you get used to it because you learn how to embrace it and manage it.

  1. It Gets Better

I find it very enriching to talk to residents at different stages of their training, because it gives you an idea of the mindset at different levels. The point of view of a first year resident is not the same as that of a third year, 5th year or final year. With that being said, no matter how hard years 1 and 2 were, some residents kept going on, and they had a reason to. It gets better, or you just get better at it!

  1. You don’t need clothes

The first things that I told myself after a few days in the unit was “I will have to sell all my clothes” and “I can live on five outfits per year”. You literally stay in scrubs for more than half of your day. Everyday. For the entire week. This means that technically, the only time you’ll need a new outfit is to go to church on Sunday (or Saturday), or to grab a bite with friends one of those nights. Otherwise, you’ll live in scrubs for the next 5-6-7 years of your life. Same style. Same size. Same color.

  1. You Learn to Appreciate Small Blessings.

After my first week on the ward, I never thought I’d ever appreciate seeing my family, taking a warm shower or having a homemade meal like I did on the weekend of the first week. When you’re always on the go, sleep for 4 hours, eat quick meals and take quick showers, you really do learn to be grateful for the days when your meals, showers and sleep time were longer. Intense training has a way of making you be grateful for little things that you so often take for granted. Wait, you will see.

  1. Sometimes, you wonder what’s the hardest: being the doctor, being the patient or being the patient’s family.

There have been so many situations when I have had to ask myself that question, but I am yet to find the answer. What I found, however, was that I so often was swamped in my own internal complaints about how sleepy, hungry, tired or annoyed I was that I never got the time to think about Mrs Jane Doe who is anxiously sitting in the waiting room, wondering, hoping and praying that her husband survives that life-threatening surgery; Mrs. Janette Doe who comes to see her disfigured daughter in the intensive care unit everyday, fighting for her life after a severe head trauma on her way to school, or Mr John Doe, whose only sister just got paralysed from a motor vehicle accident. Sometimes, you wonder if you really have the worst part.

If you’re planning on doing surgical residency training in the USA, this article is for you. Do whatever is in your power to secure an observership or subinternship in a program of your choice, so you can actually “experience” the life of a resident. Nothing compares to living this yourself. Whilst it is advisable to listen to people who have walked that walked and talked that talked, do not be discouraged by the negative opinions or warning signs: everyone has a different experience.

PS: I am not a lifestyle or career blogger. I am a travel blogger, but I felt the need to share this piece on this amazing blog, to all those who can benefit from it. With every post I write, I always aim at encouraging one person to pursue their dreams. If you want to feel inspired by my travels and be motivated to live life to your full potential, make sure you check out my blog and subscribe Here . Feel free to email me! 🙂

Love,

Clem!

Medicine in Nigeria. 


I don’t even know where to start the rant from tbvh.

We have a big problem in the health division of this country.  Doctors work like slaves yet we get peanut salaries.

We are overworked constantly. Maybe I should stop generalizing this.

I am always angry everyday.

Do you know how exhausting it is to be angry everyday?  I know someone has whispered that  ‘you’re in control of your Hapiness’ bullshit.’ Thanks for your input sis, I’m aware but when you work for 48hours straight and they are still blowing up your phone to do something for them, my first response is not ‘I’m in control of my Hapiness. So I’m not going to be angry’ my first response is ‘what kind of rubbish is this? Are there not rules in this place? Are you freaking mad?

People (senior colleagues) need to stop taking advantage of we the junior ones. It’s disgusting tbh. Frankly, I don’t care if one of them read this post. It has to be said.

Not only do we get sent on stupid errands, which is very unprofessional btw but we also get spoken to anyhow. Like bro/sis, dont be unfortunate. Don’t speak to me like you’ve got no manners.

Everyone frustrates you. Your fellow doctors, the nurses, patients relatives, even the hospital maid and the cleaner. It’s almost like damn, when are we actually going to focus on the patient.

On a ward round, your senior colleague that obviously does not know how to speak and correct politely will yell in front of the patient, their relatives and the whole ward  about how useless the young doctors are. I will say though that not all of them are like this. I’ve worked with some amazing people who taught and corrected young doctors with respect.

You ask the nurse politely for the patient’s chart, you get yelled at. When you correct their mistakes and ask them to do their work, they gather and say you have attitude problems. Ok ma.

The nurses don’t wanna do their work. All they want to do is call you that a patient’s IV line is in tissue. I’ve had to go site a line three times on the same patient in one night. This patient whose veins i could barely see despite the tourniquet was voluntarily removing it and the nurses did not really care. I mean it’s the doctors that site line so for all they care, he can remove it five times. So I mean, let him remove it and bleed every now and then. Where is the love?

Hospital maids/attendants/whatever else they like to be called don’t wanna do anything. All they wanna do is sit and talk all day. Once you tell them to go pick up drugs or drop something at the pharmacy, you’re looking for trouble or you tell them to go drop a sample at the lab. They’ll complain( yes, in front of everyone) about how they’re tired of walking and how they can’t walk far distances. Sis, why are you getting paid then? I don’t have energy because my response is always ‘ Ma, it’s your job o. I didn’t help you apply to a busy hospital as a hospital maid. So please do your job or quit.’ Stupes
Now let’s move to the patient’s relative. This one is a bit cultural. Nigerian adults think because you’re a young lady, they can speak to you anyhow. Like can we all respect ourselves here ffs! Or the younger relatives that call you ‘sister/nurse/eysss’. I had to tell a young man to never call me ‘eysss’ if you don’t have brain cells to see I’m a doctor and should be called doctor then I really don’t know again.

A recent encounter with a patient’s relative

Walked to the patient to resite his IV line. The whole place was a mess. (Half empty pure water satchets everywhere, used plates on the desk where his IV fluids and consumables should be. Opened the drawer and ended up touching a used spoon. FFS!!!!

Me: Hello, are you his son?

Him: Yes.

Me: you need to clear this place. This whole place is a mess.

Him: IS IT ME THAT DID IT NI? ABEG SISTER DO WHAT YOU WANT TO DO. WHATS YOUR OWN WITH USED PLATES? AH O GA O.

At this point he got me fucked up.

Me: ARE YOU SERIOUS? A YOUNG MAN LIKE YOU SEEING HOW NASTY THIS PLACE IS AND THATS WHAT YOU HAVE TO SAY. YOU SHOULD BE ASHAMED OF YOURSELF. PLEASE STEP OUTSIDE NOW!!!!! LIKE I DONT WANT TO SEE YOUR FACE HERE WHILE IM RESITING THIS LINE. MORE THAN HALF OF THE THINGS I NEED TO RESITE LINE YOU DONT HAVE. YET YOU CANT BE HUMBLE AND LET PEOPLE HELP YOU.

GO GET 5 PINK CANNULAS, COTTON WOOL  AND GLOVES SIR.

He insisted he was not going to leave. Super cute.

Of course he left when i almost got security involved. You must be mad to think you can come and disrespect me at my place of work. Absolutely mad.

Its funny how if it was a huge male Doctor, he’d almost be prostrating every time. Trash. Nigerians are disrespectful. No manners. Nothing.

So imagine going to work and having to deal with all these people every single day.

I’m legit a very angry person now. Like I already had low tolerance for nonsense but now I don’t even think I have tolerance again sef.

I try to be positive and just not be so angry all the time but it’s really hard when everyone makes your work 10x harder than it should be.
We really need to fix up in this country because patients will continue to suffer for the mess. I’m not going to work for 48 hours barely eating and sleeping and not snap at someone stupid.

Ok I’m done ranting.

Have a good weekend.

I’m on call on Sunday and Im not answering any phone calls today because I can’t come and die.

(PS- If you’re planning to work in Nigeria as a Doctor, don’t do it abeg. Don’t say I didn’t warn you o)

– TOSIN

Surgery posting| Things you find in my pocket! 

We all know house officers have everything you need on the ward. Well, at least we are expected to. I find it slightly annoying when senior colleagues get upset when we don’t have certain things in our pockets like ‘Sorry o, I didn’t know we are a moving store. My apologies!’ Stupes!

It’s sad tho that most patients don’t have the basic things they need and it’s even sadder that in a big teaching hospital, basic things can’t be found on the ward. I was coming from the Caribbean where the hospital provides the consumables (gloves, needles, syringes, cannulas, cotton wool, methylated spirit e.t.c. It was a huge shock coming here and realizing patients have to buy every damn thing! The economy isn’t friendly so imagine the struggle. It’s so annoying going to a patient to give drugs or secure Iv access and realizing they don’t have anything.

We, house officers (seeing as we do most of the work anyway) have decided to make our lives easier and have these things in or pockets.

Since I started Plastic Surgery, I can’t even count the number of wounds I’ve seen and I can’t count the number of surgical blades I’ve brought out of my pocket.

P.S- you know you’ve arrived when you describe a wound during consultant ward round and everyone agrees. It was at that point I realized I’ve actually learnt so much in this posting. I’m low key considering coming back for residency. Emphasis on low key.

I swear this post was supposed to be about the things usually seen/found in my pocket but somehow the story is going somewhere else.
Okay.

1. Continuation sheet/patients note, pen and Census

There’s nothing more annoying than a long ward round without continuation sheets. Imagine having to ask the nurses for them and continuously hearing ‘We don’t have o’. Oh they don’t even bother looking for them anymore. They legit just say they don’t have and continue their work. Highly irritating!

A census is basically a list of all our patients, the wards, diagnosis and basic information about them. Only used in plastic surgery because we have patients on almost all the wards in this hospital. Strezzup!

Can we also discuss the disturbing issue of how my pens disappear. Like I take three pens to work everyday and most days I don’t return with any. I can’t even explain how it happens tbvh. I’m sure my fellow house officers can relate.

2. IV cannulas.


Ladies and gentlemen, there is nothing more annoying than getting to a Patient’s bedside to give drugs only to realize the line is in tissue and to make matters worse realize that the patient does not have materials for siting a line. Struggle! Or when the nurses call you in the middle of the night that your patient’s line is in tissue and you just want to do what you gotta do and sleep.

3. Sample bottles/capillary tubes/surgical blade.



Hmm. It has actually gotten to the point where I go to the different labs to take sample bottles. The hospital is so big and from the time you fill the request form to the time it takes the patient’s relative to go get sample bottles, thirty minutes to an hour is gone and you just find yourself wondering how your life got this fucked up.  I personally don’t like stress. Neither do I like people disturbing my life. Most times, as I’m filling the forms, I’m asking the patient if he/she has money to pay for the investigation. If yes, best believe I’m taking the sample right then.

4. Mobile wifi.


I’m sure y’all weren’t expecting this one but every now and then during the ward round, you’ll find yourself wondering what the dose of a drug is or what the hell the consultants are talking about. Shout out to Medscape and google for helping a nigga out! The annoying part is because everyone knows you have a wifi in your pocket you suddenly become the technology person. ‘Oya google it na’. When they’re overdoing it, I’m always like ‘No network. Tenks much’.

All these rich registrars and senior registrars that won’t buy good phones and pay for data. 🙄

Let me use this opportunity to talk about how I’m now the photographer of the unit. Any small thing, ‘please come and take a clinical picture’. This always end with ‘The picture is not good enough’ #strezzup!

I hope y’all enjoyed reading this post that has somehow turned into a rant. Sigh

I’m leaving plastic surgery this week and it’s lit!

How’s your week going?

6 months….

My nephew turned one last week. Cutest boy!

So…. Can y’all believe it’s been six months already since I started housejob??? I can actually. Ive basically stopped blogging, reading non medical books, going out and doing so many other things I love. The whole process has been exhausting but I can’t complain because I met the most amazing person in this mess of a place. 

I’m officially done with Obstetrics and Gynecology and Paediatrics and I’m currently in Lagos for a family event. 

Everyone said Paeds would be horrible. I actually expected the worst. I was pleasantly surprised though. I met some amazing people and I had a blast. I’m not here saying I didn’t feel like slapping people everyday but it wasn’t as bad as they made it seem. Paediatrics was stress sometimes. It was frustrating meeting Parents that obviously have no plans for their kids. Some did not even care. Highlight of my paeds rotation would be the moment we discharged a premature baby I was so attached to. His parents just got married so it sorta hit me like ‘damn, this could happen to anyone I know’. I met baby Miracle when I started my SCBU posting this month and the baby went from stable to really sick to stable.  It was just really a roller coaster. At some point he was the only male baby on the ward. Lol Even when we were distributing patients, the parents insisted I made him my patient. Long story short,  baby Miracle got discharged and guess who wasn’t there? Yeah. Me. I was so happy nonetheless. Watching a baby almost die is the most depressing thing ever. 

Guess what? The most random thing just happened. I just got a call from Baby Miracle’s parents. They were calling to say hi and tell me Baby Miracle does not miss my daily pcv checks and frequent pricks. Lmaoo

My worst moment in Paediatrics happened when I was doing my ward posting. I was in pulmonology unit. I was on call on the haemonc ward. Immediately I started my call, the nurse told me a patient is complaining and I should probably go see her. I went over to the bed side and asked the mother what the problem was. She said her daughter is in a lot of pain and she’s a strong girl so for her to be moaning, the pain must be intense. I asked what analgesics the child has been on. Luckily for me, the primary doctors were still on the ward so I asked them what they usually give her for the pain and they said she reacts badly to opioids so sadly, it’s just the usual IV paracetamol. I was like damn. Well, I went ahead and gave her some, collected my worklist, dropped my phone number and left the ward. I went back to give drugs at some point that night and the girl was not looking good at all. Thankfully, my reg was around. We both walked to the bedside and the mother was just complaining that something is off with her girl. Before we could even ask her what she meant, the girl started gasping. The mother started singing that ‘ You are great.. every single thing about you is great’ song. Said that’s her daughter’s favourite song. Then she told us that whatever happens, do not resusitate. The girl took her last breath and we just stood there looking. The mother did not stop singing. I didn’t even know when I shed a tear. It was so depressing. Then the part I couldn’t handle was when the father came and the mother who has been so strong all along started crying… They basically took turns crying for like 30minutes. Then the mother came up to me and brought all her unused consumables. (In Nigeria, patients buy their own consumables- needle, syringes, water for injection, gloves, cotton wool e.t.c) and gave them to me that she knows they’ll be useful to someone else.

Yeah, that call was the most fucked up call ever. The song was stuck in my head for like a week. so very dramatic. 

Btw, the lil girl had nephroblastoma. 

Ok enough about Paediatrics! 

Starting my Surgery posting next week and I’m not exactly excited because I don’t like surgery either. The consolation right now is that I’ve done my least favourite so how bad can this one be?

Apparently neurosurgery is the worst unit so I’m praying I don’t get posted there but people have done it and they did not die so we move!

I’m in Lagos and I’ve not even done anything. I was supposed to get a new phone but everyone has been discouraging me. I’m just tired. 

I’ll probably go visit my friends and sister and buy a couple of things. 

Oh and I need to do my hair. Ugh 

What phone should I get? I need one with a badass camera. Okay maybe not badass but good enough. I’m thinking iPhone 6s or Samsung s6 edge. Epp me please! 

January is almost over. I am excited just knowing I’ll finish housejob this year. 

Are you excited for the rest of the year?! 

One month after…..

Hey y’all! I know I’ve been MIA for almost two months now. I’m sorry. I remember when I  was complaining to you guys about my joblessness. Now, I barely have time for myself. 😢 I miss the days when I’d wake up, eat, read and sleep. Life was easier.

So as y’all know I started housejob in August. Started with Obgyn. Its been going well actually. Every now and then someone annoys me but it’s all good. Scratch that! I’ve made a conscious effort not to get upset by little things and just do my job and go.

I started with Gyne Oncology unit and i’m now in Genitourinary unit. So basically in each unit we have the obstetrics side and the Gyne side. We don’t have a lot of patients on the Gyne side where i was initially  so its not so busy. They made me the SHO (Senior House Officer) of my unit(which basically means more work and responsibilities). Trust me, it had me confused too like I just got here nauuuuu. Can I chill small???

I did the first week on the Gyne side but had to move to the Obs side. It’s not extremely busy but it’s still so draining because I work with a registrar that probably has OCD and stresses about every single thing who i really appreciate now having worked with some lazy ones.
Oh btw, I got my first salary ever in my life. It was a good feeling tbh. I need a proper plan on how i’m going to spend and save my money because so far the saving part is not going well.

This is such a boring post because I don’t have a lot to say or talk about. Sigh. I honestly just typed this post because I felt like it’s been so long and you guys deserve better tbh. My one week leave started yesterday and i’m in Lagos. YAY!

One short sad story tho, my phone fell and the screen broke so i really can’t do anything right now. I wanted to post some pictures with this post but wellllllll….. and i forgot my camera in Ibadan… I’m really just hoping i’ll be able to fix the screen here becausemans don’t have money for a new phone. The economy is not exactly friendly.

Anyway, hopefully i’ll be able to write more posts this week since i’m free.

 


TOSIN

Life as a house officer. 

Hey guys. First of all, I’m pretty sure my followers/readers outside Nigeria might not understand what house job is all about. 

Its basically your internship year. Your first experience as a Doctor after med school. It is also when you start earning money. 😉

We are at the bottom of the chain as the consultants here keep emphasizing. So basically, we do three months in each department (medicine, obgyn, surgery and pediatrics). 

I’m starting with Obgyn and for the first month I’ve been posted to GOU (Gyne oncology unit). I wasn’t particularly thrilled by this. I mean, who wants to wake up to see cancer patients everyday? Not me! It is quite depressing but I’m not so sad because I hated gyne oncology in med school so I guess this will give me an opportunity to learn and know it by force. 

So, during the three months posting in different units in O&G, you get to do one week in labor ward, another week in Gyne Emergency and then your one week leave. One each month. 


Guess who started with labor ward? Me. I was initially not excited because its usually very busy and unpredictable but I’ll still do it anyway and apparently to get your leave, you must have done your two weeks outside posting. 

First day in labor ward was not bad. They only allow scrubs and slippers in labor ward. I still dont understand why bathroom slippers sha. It was not as bad as I thought it’d be. I heard it was a punishment zone like if you do something wrong in your unit, they might post you to labor ward. The have the first stage area, the second stage area and then the post partum area where they stay till theyre transfered to the warda. The most common diagnosis here from my one week there is preeclampsia.  Basically, we do ward rounds with the registrars, snr registrars and consultants, review patients, fill investigation forms, take blood samples, assist in any procedure being done, assist in the surgeries being done, give IV drugs, take vital signs and deal with any complaint the patient has. Its not as easy as it sounds. I barely got a chance to just relax but the thing is its very unpredictable so it might get quiet for like an hour and next thing you know, they’re wheeling three patients in.  I was excited though. 

If you’re not on call, you get off work 5pm (5 was never really 5 tbh)  but if you are on call, it’s till 8 the next morning and you resume your normal duty. Stress. 

I did my first call in gyne emergency. Bruh. I never hexperret it. I barely slept for two hours. The emergency room here is under construction so it was just chaotic. I learnt a lot though and it was exciting. 
I’m back to my unit on Monday and I have a ward call that day. Hopefully, it goes well. 

This post is mainly for those that asked for house job update. 

So far, so good. I’ll try to keep y’all updated.

Have a good weekend! 

– TOSIN

July/ Update

Hey guys. How’s it going? I feel like now that I’ve started working I won’t have the time and energy to post things but I’ll sure update y’all on what’s happening because I like gisting and sharing. 😏

July was a stressful month for me tbh. I started the medicals for my new job and these people are so dramatic. I’m not complaining tho because its all for my health and to make sure I’m fit and protected from some diseases I could get while working here. I legit got over 6 injections, did a bunch of blood tests, found out I was underweight ( I gained weight in July tho) praise jah. 

So I found out I’m starting my internship year in Obstetrics and Gynecology. I was so happy. Its so funny cuz I was talking to the guy sitting right beside me about how I wanted obgyn and they called all the Doctors posted to that department and my name wasn’t mentioned. They initially posted me to pediatrics and randomly changed their minds. I was like ‘look at God!’ 

I just like and feel it’ll nice to transition from Obgyn to pediatrics and not the other way round.

So, I’m doing obgyn for the next three months. We apparently get to go to different units every month so we get to experience and learn as much as we can. That’s really exciting.

Day 1 selfie

I met some really nice people in July and I think I’m going to be really close to some of them. We all just clicked.

I would share more but July was really not that eventful. I was sad I missed Eat Drink Festival and the other  food fest in Lagos but I was eating Amala in Ibadan so life wasn’t so bad and I can’t complain.

How was July for you? Are you excited for the new month? Got plans for it? Looking forward to anything? Share with me in the comments section.

I hope this month goes well and hope I don’t lose weight from the stress but I’ll definitely keep y’all updated. 

XO!

TOSIN