Last Duty for 2012

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Still not halfway through and a baby, a 2-day old angel, passed away. Heartbreaking to see the father hold his son for the first and last time, already lifeless after CPR. The mother wasn’t here since she was still recovering from the delivery. I had to go back to the callroom and cry a bit.

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s/p Whattaduty

2 mortalities, 1 morbidity in a span of one night.

It really is sad when a young life ends so abruptly. I could not imagine the anguish of these parents..

Therefore.. Pedia is not really in my shortlist of probable residency options. Yes, I love kids, but seeing them unwell and lacking in energy makes me so sad.

Pedia Week 2: PER

After 2 duty days of Pedia ER have I only gotten the hang of PER SIC work. Sabi nga ng iba, hindi mo na kailangan mag-isip pa kapag nasa Pedia ER, dahil magcacarry out lang ng orders, specifically labs. The rest of history taking and referrals are done by the duty residents. Again I am so grateful for having my buddy Ricky during this week so that we have more manpower at PER. Still, our first duty was overflowing with patients! After the long Undas weekend we had a total of 20+ consults (usual is around 10), many of them toxic patients. I still blame Ricky’s spaghetti* “tikim” from JB the preduty clerk for that.

Anyway, yesterday’s duty was more benign with fewer cases, but still with many “toxic” cases, like one of the 30-weeker preterm baby who was just delivered at home by a clueless mommy, or the twin neonates with bacterial meningitis, or the diptheria infant who, after being resuscitated and intubated at the ER and wheeled in at the ward, coded early this morning. The rest were simpler cases.

I think I already got my groove. Not to mention I replaced my defective duty bag with a sturdier belt bag (makes me look like a handyman according to Ricky haha) with all of the necessary stuff inside:

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Fits my steth, BP app, alcohol, gloves, everything!!! Also got it embroidered with my name for around P60. There is so much character in this bag, I think I should give it a name :))

One more duty on Sunday and I’m halfway done with Pedia! Two weeks of pedia wards next. 🙂

* DUTY superstition: while on duty, don’t eat spaghetti! It makes your duty more toxic.

Pedia Week 1: Catcher

Our first week in Pedia was a smooth transition from the light FamMed rotation as Ricky and I (my Hospice and now Pedia buddy) were posted at the Nursery subrotation. Preduty days are for mini-preceptorials at the 4th floor Neonatal Intensive Care Unit (NICU). Seeing all the babies swaddled makes one feel so.. warm and fuzzy inside! Kakagigil!

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NICU baskets, JB, and the macrobebe we delivered during our first duty. Siopao!

Duty days are spent at the LR/DR, catching newborns and giving Essential Newborn Care (ENC). Gone were the days of baby butt-slapping and suctioning and immediate bathing; today’s WHO guidelines are evidence based and ensures that during the first few moments of life, the baby is able to maximise all methods for increased immunity and overall lowered risk for infection. I like it because it promotes earlier mother-child bonding 🙂

The clerks (Nic, JB, Ricky and I) also had our bonding times with the neonates, of course.

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Clockwise from L: Postduty Nic, Duty Marj, Duty Ricky, and Preduty JB. I thank this rotation for making me more confident in baby-holding.

It was a good thing we were swamped with deliveries during our first duty; the second and last one was not as action-packed as the OBAS and LR/DR would be closed for a week for cleaning (Good luck to the next team). Instead we assisted in checking up DRI (direct roomed-in) babies at Ward 15. Oh, babies just make my heart melt, is there a direct neonatology residency program I can apply after boards?