Networking is love. Networking is life. I hate how society work yet I work like society.
Although, I am in my third year at med school, I still have no hardcore experience in the hospital. I once told my mom to see if she can use her connection to drop in as an intern at some hospitals or clinics. I just want to learn and apply some theories to practice. It was a saying-with-no-serious-intention sorta thing, but weeks later my mom got me a spot at this non-profit hospital, CSC.
I started my lost and awkward internship at the ophthalmology department since Thursday last week 28th May, but I was really lost. It made sense how I didn’t understand many things nor did I had the courage to ask any questions at all partly due to my shyness as well as the fact I know non including the basic, it’s hard to know where to ask first. I knew basically nothing except the anatomy of the eye and the so-called cataract.
I went there right after my french class all excited, and I skipped lunch. I arrived at 1 as told. I was taken around my the dude who works with my mom. He took me around half-heartedly but kindly. I was taken to change, got a locker, and got my fingerprint marked. I went to meeting of strange people who I later found out they were all workers and not interns. They were cold at first. I guessed it’s probably I’m too rerk myself. The first day was uncool. I seriously did not know what to do, who to talk to, and what to say. Neither do them, I was the first student intern in that department, plus I got in due to connections. They must not have felt so well about it. It was time-consuming since I learnt nothing yet it was a new experience so I couldn’t help wanting to go again. It felt like I received a rare chance.
For the first few days, I would just sit next to a doctor consulting patients trying to stare into the patients eye hoping it’s not infectious. I seriously stared into more than 100 sick eyes during the last few days. I tried to absorb as many new words, diseases as I can. Though I knew very little of them. Like c’mon I’m just a third year after all, plus I didn’t had the courage to ask. The doctor were too busy with too many patients plus my shy disease is recurring. It’s hard to talk. I stayed silent most of the time.
It’s been my third or fourth day over there, I lost count lmao. I got to know them better and they are very nice. I met with the hospital director today, he told me to start working as a nurse first which I also thought was a good idea. I started with nurse work and I noticed it was more fun and I learn much more than sitting and staring at the patient face except that one time where I wanted to test the patient’s tear glands but gave up half way because I didn’t wanna hurt her. I even scrub in in the afternoon and gave up half way also because I was of no use. I did not know the name of the apparatus.
Well, narration aside, I wanted to keep a diary for the new things I’ve learnt well medically related:
Diseases Newly Discovered:
- Cataract: Mature, and Immature?
- Pterygium: Dos katuy thlaen: no medication only surgery.
- Entopian: Mreng Jak Pnek in Khmer. The lash gets into the eye because the lids turn in or sth I’m not very sure.
- Glaucoma: Increase pressure in the eyeball due to HTA+
- Cornea Ulcer: Greenish color: Give medication
- Ptosis: Eyelid droops off. For children, leave undone until 4 years old to see if it’s gonna cover completely.
- Parents of children rubbing edge of the eye and pull to the nose bridge?
- Pex Syndrome
- Ask patients why they came? For what reasons though mostly it’s either pain, or blurry vision.
- Examine there eyes with ophthalmoscope, sometimes, black charts, or flashlight.
- Ask if they have arterial hypertension (HTA), Diabetes, or Tuberculosis or just any other diseases.
- With ophthalmoscope, check their MPAD or sth like that which I’m not very sure yet. and /AC sth. I couldn’t quite remember.
- If there pupil is too constrict, ask nurse to put some droplet which I couldn’t figure nor bother ask the name so the pupil dilates and makes it better to view through the machine.
- Ask for paraclinic examinations or give them medication.
- There are two types as I far as I’ve learnt:
- Small Incision Surgery: for dense lens: removing the lens mechanically.
- Phaco: with machine that breaks through the lens and absorb them. No big incision necessary.
- Anesthetic patients’ eye won’t move. Thats’s how you can tell it’s under anesthesia.
- The process based on my memory would be:
- Do a small tie on the top of the eye ball to stiff the globe.
- Make incision on conjunctiva on the top of the iris part, and a small incision and the 8-clock-hand.
- Some gel, water, and air.
- Cut the vitruis.
- Remove or break the lens.
- Replace lens.
- Suture or not lol.
#I’ll try to understand it more next time.
- SWO: testing if lacrimal tube is blocked.
- Use Propacaine.
- Wait a minute.
- Use the bending syringe.
- Insert straight then turn into the lacrimal tube.
- Push the syringe if the patient say they can taste the serum then it’s not blocked.
- SWO –> Left: Block/ –>Right: No Block
- Click the small rectangle at the bottom left to find KRT?
- Adjust the camera.
- Move the circle to the center.
- Press the joystick to take picture.
- The different between both eyes should be bigger than 2.
- A scan:
- Put Propocaine
- Press Right, or left, Normal or Dense.
- Put the tube into the center of the eye and wait until 5 lines show on the screen.
- Press IOL
- Inster K numbers.
- Press ‘–>
- If the sth is under 1.00 or 0.10 it’s good, but the different result for boths eyes shouldnt be bigger than 2.
- Preping for surgery:
- Sign the parient.
- Take vital: Blood Pressure: 140/80 π: Pulse
- Use Tropicamide, stick the tape, and cute the lashes.
- VA: 6/6 perfecto!
That’s all I can recall. It’s already 11:30. I’m going to sleep now since I have to wake up early to go to the hospital again tomorrow. One of the nurse promise to guide me on the VA which stands for whatever I’m not sure.
I thought I knew nothing but it seems like I’ve learnt alot actually. So many new things. Woah.
#OnMyWayToBecomeAGeniusDoctor ❤ #MoreLikeAGeniusOphthalmologist #Lmao #Ican’sspellitright #I’mSleepy #Bye #I’llUpdateMore