peds is done. took my exam and moving on. i really enjoyed the rotation over all. i learned a lot of useful medical terms in spanish, and a lot of peds concepts and exam techniques from the MD. i never found the courage to sing to the kids as i examined them as he does, but i became brave enough to persist in looking/listening for what i needed despite tears and protests from the wee patients.
but i really missed adult medicine. it's the bulk of what we learned in school. and adult patients can express to you what's ailing them and can describe in detail their symptoms. and you get to do more teaching...since usually adults are seeing a doc w/ a problem or a question. i translated for the internal medicine side of the clinic a few days ago and actually felt relief at being able to talk about hypertension and chest pain and thyroid conditions....and not just seedy yellow poop and how to most effectively suck nose boogies out.
kids are funny, though. i'll miss their bluntness. everyday during this rotation i laughed out loud at something one of them said or did. i wish i could remember more of the anecdotes. the other day the doc was asking a little girl about her vision and she said, "well, i can see that you don't have much hair." and i watched the doc doing a genital exam on a 7 year old boy one time and when he was done the mom said- "jimmy's been worried that his, umm....thing is too small. is it normal?" i thought the kid was going to run out of the room w/ his pants down, he was so embarrassed. (don't fear, sportsfans, it was normal). and i while i was taking her history, i had asked a 6 y/o girl if she'd ever had chicken pox and she said she had not. when i had her up on the table and was looking in her ears, i caught her staring at my face and she said, "but i can see that you have chicken pox right now" as she pointed at a healing zit on my cheek. :)
adorable. simply adorable.
so i loved the opportunity, and am so glad for my few weeks there, but i'm looking forward to my next few rotations. next week i start a quick 2 week elective in nephrology (renal-kidneys) and then 6 wks in internal medicine. after that ER....then psych and my preceptorship and i'm done. amazing how fast this has gone...but also how far we still have to go. i had breakfast today w/ some classmates and one was saying that she's ready to be done and doesn't want to feel like an indentured servant anymore. :) i haven't felt taken advantage of yet (crazy long hours, scut work piled on me, etc) like some of my peers- but it will be nice to eventually be paid for working full time, and actually stay at one job longer than a month and a half. it gets tiring learning new faces, new rules, new expectations every few weeks...so i guess in some ways it feels like there's still a lot left to this year.
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