Thursday, March 26, 2009
Fannies, Foufs and Va J Js
....These are just some of the names that my patients have today used to describe their vaginas.
The dilemma I have is that, according to the bloody hours and hours we have spent on communication skills over the years (My medical school prides itself on turning out docs that can speak to patients), we are supposed to use words that the patients use to discuss their condition.
In some situations this is fine, for example :
Patient : Hello, I have a pain in my belly and have been throwing up for days.
Me: OK Mr Jones please can you tell me more about this pain in your belly....
It's a bit different in gynae:
Patient: "I have a lump in my fouf"
Me: "Ok then, when did you notice this pain in your fouf?"
Seriously though, I am enjoying obs and gynae. That may be a simple statement to you, but after years of hell, it is so strange to now be able to say that I am enjoying the course. I think I have also mentioned in previous posts that I am waiting for the stage when I am no longer shocked about having to do intimate examinations. I have spent my first two weeks in gynae like a rabbit in the headlights as I take a history from a lady, knowing that I then going to be examining her.
To tell you the bad bits (And it doesn't get much worse) during my first examination the speculum broke in half in situ. Both me and the patient were mortified. The consultant reassured me that this sometimes happens with the plastic speculums but I think she was trying to make me feel better. I managed to view the cervix - have never seen one before!
To get further examining experience, we have had to speak to ladies who are about to have gynae surgery to ask them if it is OK if we examine them once they are under anaesthetic. I am amazed at them all allowing us to do this - they have been brilliant with us. I also think it is really good for patients to know that students don't have carte blanche to examine them without their consent - if they don't consent then we don't go anywhere near them and this is reassuring, I think.
Gynae surgery has been an eye opener. I saw a lady having her fibroid removed through her cervix and couldn't believe how big it was - makes you realise how these women have difficulties getting pregnant. The fibroids I saw took uo most of the uterus so no room for a baby!
Ah well, back to the land of foufs
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- Nurse To Doc
- I knew I wanted to study medicine from 5 minutes into my nurse training in 1992. This didn't go down too well with my peers but it has taken me eleven years to get my life in a place where I could apply to medical school, so I have paid my nursing dues! I was lucky enough to get two offers. I have been married for seven years to an ex footballer who is now a PE teacher. We have no plans for babies but I would love more King Charles Spaniels. I start medicine on September 20th 2006 and am absolutely petrified.