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big experiences with the "small four" :)

I am almost two weeks late for this sort of required clerkship blog (that I keep for myself), since we are already halfway to the half of our month long rotation - pediatrics.

You see, in medical school, we have the big four, internal medicine, surgery, pediatrics and OB because they are rotations which we go to for a month (and even longer come internship!) On the other end of the spectrum is the 'small four', taken two weeks each for two months :) And that is what I shall write about - Ortho, Rehab, Ophtha and ORL.

Undertaking these four rotations is kind of a breath of fresh air after internal medicine. It was the right balance of workload, rest and learning. well at least for me :) and although these four are called, the small four, I definitely had big big big big experiences with these rotations :)

Ortho is basically physics and anatomy, two things I find difficult. but I definitely enjoyed my ER duty despite having an ankle sprain. and although i despise OR assists, I kind of enjoyed my OR assists in this rotation. Learning wise is bucket-full as well, with the every day small group discussions and conferences, there is definitely a thing or two which got embedded into memory. or so i hope :p

Most Memorable Memory: I only had one ER duty with Ortho, and it was definitely a memorable one (again aside from the fact that I was limping, and my grade III sprain hurts so much and that it keeps on becoming edematous), we had a lot of toxic patients and *drumroll* there was endorsements the next day. hihi. again hooray for learning :p

Rehab is quite some rest. After those 2 toxic months. and the everyday SGDs with ortho, Rehab gave me time to think and really reflect. :p and of course a free ultrasound for my sprained ankle. :p I was able to start reading Percy Jackson (and enjoyed it!) and of course started watching my TV series again. yey for free time. This was also the period where I was able to reconnect with family and love ones since June. Thanks to free weekends, and basically free time :)

Most Memorable Memory: I had a memorable rehab patient who we can call Tatay Aray. Having stroke for four years without rehab, tatay aray is definitely in a lot of pain with every rehab day. But despite his pain, he is one memorable patient since he is a harry potter reader :) and it's not so usual for tatay aray's generation to be able to enjoy and actually know the different spells in Harry Potter :p "Wingardium Leviosa"!

Ophtha may have been a very promising specialty. If only I have such normal eyes :) I definitely learned to enjoy examining ophtha patients. :)

Most Memorable Memory: My most memorable memory, was well, being able to see the fundus, and actually see the fundus. :p being ambylopic, I cannot do the proper physical examination which is to look into the patient's right eye with my right eye. So I use my left eye, and it should be done with my own proper technique, which I was able to do. hooray. It's just sad how I cannot actually appreciate depth the way it should be appreciated. heeee.

And well, being on ward duty - alone and helpless. Made me realize how difficult it is to be alone. :( and how I suck at procedures. :( And the sadness that comes with the realization of not being able to do the things that I need to do and the fact that next year, I should be better really better since there are bigger responsibilities with that coat. *le sigh*

ORL is an incomplete rotation without pediatric patients who come in the ER after swallowing a coin, or after having something get stuck in their ears or noses. Being on ward duty, where we also have to do a lot of iv lining. :| and the thought of being an intern and still not being able to do procedures properly, scares me, to death :(

Most Memorable Memory: being entrusted to suture the floor of mouth of a patient during the minor OR after excision of mass. and well basically the general clinic. :) and of course, the toxicity that I was able to experience with ORL. 16 new patients. 19 backlog. ORL definitely made sure that I get a lot from the two weeks that I was in it :P

And if there's one common denominator for all these rotations - its the residents. definitely the residents. with how they make sure that we learn something and with all their help in everything which definitely makes our responsibilities easier to do. :)

I may not be extremely drawn into these four rotations to become possible specialties in the very near future. but the experience they gave me this clerkship makes me very excited to take them again in internship. :) See you again next year, small four :)

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