Wednesday, May 14, 2008

forgive the nerd

aside from the usual changing-the-malaria-culture-medium, we did something i didn't imagine i'd do. we performed IFAT on two patients - one to test for malaria (falci and vivax), and another for amoeba. and to think i read about this in harrisons and our lecture transcriptions; i got to do it for real, to actually confirm a doctor's diagnosis. the inner nerd in me just thought, "cool!"

IFAT, which is short for indirect immunofluorescence antibody test, is used to detect microorganisms or parasites in a specimen. these microorganisms or parasites will light up (kinda like green fireflies) when you examine a (+) specimen with a fluorescent microscope.

see the fireflies?

i remember taking the job more than a month ago because i had nothing to do for the summer. the cash that came with it also helped, i guess. ;) now, after weeks of learning how to flame everything to prevent contamination, figuring out micropipettors, taking care of malaria cultures, staining without getting a single spot on my white shirt, counting RBCs per hpf... i'm really glad i took the job. at least now, i'm confident enough to say that i am NOT lab incompetent anymore. that, plus i can make a perfect thin smear with my eyes closed. weeeee!

verse for the day:
praise our God, o peoples, let the sound of His praise be heard; He has preserved our lives and kept our feet from slipping. [psalm 66:8,9]

Thursday, May 01, 2008

ang buhay icc - the 16 rotations

1. community medicine a.k.a. commed

in which you let the community do the work because, quite honestly, they don't need you there anymore. i *heart* bgy 193. :)

2. psychiatry a.k.a. psych

in which you fear the thought of your patient's story making sense because if it does, well... you might need a referral yourself.

3. neurology a.k.a. neuro

in which you always have to know everything.

4. otorhinolaryngology a.k.a. orl/ent

in which you feel like a space-occupying lesion except when there are not enough interns and pre-residents to handle all those patients.

5. ophthalmology
a.k.a. ophtha

in which you think you're not in pgh because sentro is so darn pretty and actually air-conditioned.

6. radiology a.k.a. radio

in which you feel like you're being sucked into a black hole. the rooms are dark, you can't help but feel a bit sleepy, and there's no signal whether you're smart, globe or sun.

7. anesthesiology
a.k.a. anesth

in which you feel like you're in grey's anatomy with your scrubs, cap and mask.

8. dermatology a.k.a. derma

in which you feel everything but beautiful after you've figured out what all those lesions on your skin are called.

9. management

in which you're on a two-week vacation from pgh.

10. rheumatology, orthopedics and rehabilitation medicine a.k.a. rheuma-ortho-rehab

in which you attempt to learn about three completely different specialties in two weeks - in our case, less. you also get to teach in-patients how to exercise their backs properly.

11. pediatrics a.k.a. pedia

in which you find yourself hurting children (immunization, blood extraction, iv line insertion, nasogastric tube insertion, etc.) to save them.

12. obstetrics and gynecology a.k.a. ob-gyne

in which you see so many vaginas that you don't find them gross anymore.

13. internal medicine a.k.a. im

in which you don't get to post any pictures because you were too busy memorizing harrison's to take any.

14. surgery a.k.a. surg

in which you take a huge leap from suturing a pork leg to closing an intern's incision which is dangerously close to the pulsation of the external jugular.

15. family medicine a.k.a. fammed

in which you spend more time in front of the computer than in the hospital because there are so many papers to be done.

16. community-oriented medical education a.k.a. come

in which you teach bhws the basics of providing health care, patient education... and math.

verse for the day:
"you are the light of the world. a city on a hill cannot be hidden. neither do people light a lamp and put it under a bowl. instead they put it on its stand, and it gives light to everyone in the house. in the same way, let your light shine before others, that they may see your good deeds and glorify your Father in heaven." [matthew 5:14-16]