On a death and a birth

The resident took me aside before the procedure. She asked me if I have ever seen a D&E, or dilation and evacuation. I shook my head, it was my first day on the gynecologic surgery service and this D&E would be my second procedure.

“When we remove the fetus, it is going to come out in parts. If you feel yourself getting light-headed or faint, just take care of yourself and sit down or leave.”

I thanked her for the escape hatch.

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On feeling the burn

Outpatient burn has been a lovely reminder of how good a clinic can feel. The preceptors are warm and welcoming, the techs and nurses are friendly and conversational, and the patients have been the youngest and healthiest lot I have encountered this year (minus the burns that brought them into the clinic, of course).

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On the first trimester (or baby chronicles: Part One)

March 21, 2018
4weeks 5days gestation

We found out on Wednesday, the second week of the Surgical Clerkship. Mackenzi took a urine pregnancy test the day before, but the results were inconclusive. I felt like I knew the weekend prior that she was with child. I didn’t tell her, though.

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On the first fall of spring (or halfway through Surgery)

With this weekend, I am finished with my 3wk surgical immersion. Lots of similar surgeries with different twists: thyroid removal, breast lobe removal, bowel surgery, kidney removal. Definitely neat. Felt that I reached diminishing returns by the end of the second week.

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On listening to my meat-suit (or shifts in my movement practice)

With my days in the OR and long cases that require me to stand for five or six hours at a time, I decided to change up some of my movement practices. If I’ll be standing a lot, then I should train the physical act of standing, right? So once or twice a week, I’ll head to the barbell, load it up quite heavy, and then just stand underneath the load, taking ten breaths per set.

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On the pull of the OR (or consideration of a life in surgery)

The Surgery rotation has been treating me well. For my inpatient immersion, I’m assigned to Surgical Oncology, so lots of tumor resections, addressing complications of tumors, or prophylactically removing tissue in case of cancer. The residents are busy and as considerate as they can be. I try to stay out of their way and not make myself their problem. The attendings are busy as well and do not play unnecessary games.

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