3) Anecdotal self reflections on their internship learning with some video  evidence of procedures performed 

Hello I’m Cherish Kandru Intern from 2k18 batch. 

This blog is all about my experiences in the Medicine department. 

I’m posted in the department from 31st of July Psychiatry being my posting for the first 15 days.

And then I was posted in Unit- 2 from 15th of August (Ofc I deserve a holiday but wasn’t given one!!) till 15th of September.

And the last 15 days in Peripherals which include ICU,Nephro and ward duties


My days in Psychiatry postings

Psychiatry was all about patient listening.

I’ve seen cases in the OPD diagnosed with OCD, Moderate Depression, Psychosis. And then a few cases in the Deaddiction centre wherein patients were given counselling and were given a strict schedule to be followed. 

There was this one peculiar case of a 29 year old male with Dissociative Disorder. He presented to our Casuality with C/o making different sounds like Cats, Dogs.

At first I was a bit scared but then after talking to the patient when he wasn’t having any episodes I was a bit relieved. During the episode I’ve asked the patient to follow some relaxation techniques like breathing techniques and various other techniques like counting numbers which helped the patient to some extent and then I had to give Lorazepam 2 cc to calm the patient. 


And then in my Unit I’ve seen the following cases-


Case 1

Blooms Level 6 Moment ✨


https://chat.whatsapp.com/K2HceyviSQsIycRHBzoK8S


https://kandrucherishrollno68.blogspot.com/2023/09/70-year-old-female-presented-to.html


Case 2


https://chat.whatsapp.com/IXmlJSNkFT68C5lYwUbVbn


https://kandrucherishrollno68.blogspot.com/2023/09/a-25-year-old-male-came-with-since-4.html


Case 3


https://chat.whatsapp.com/BxTzE852SLyE3PYFDZbxst


https://kandrucherishrollno68.blogspot.com/2023/08/45-year-old-female-came-to-gm-opd-with.html


Case 4


https://chat.whatsapp.com/Hu2W1qBCIBhA1Vz8UhGAN7


Case 5


https://chat.whatsapp.com/JCC0rX87Vz3GLpH54LcNEZ


Case 6


https://chat.whatsapp.com/KXqWegaFodB1xV4bI6GfyD


https://kandrucherishrollno68.blogspot.com/2023/08/a-53-year-old-male-came-to-gm-opd-with.html


Case 7


https://chat.whatsapp.com/LeUjoFdD9rnGmrmTBrAr8c


https://kandrucherishrollno68.blogspot.com/2023/09/a-55-year-old-male-pt-came-with-co.html


Case 8


https://chat.whatsapp.com/BGR81vhjNMTAooCFFr4JtZ


https://kandrucherishrollno68.blogspot.com/2023/09/a-50-year-old-female-came-with-co-fever.html

 



And also I’ve done various Procedures like

  • Ascitic Tap



  • Foley’s catheterisation 
  • Ryles tube insertion
  • ABG sample collection
  • Assisting in Central line Procedures and suturing
  • Assisting in Pleural tap 
  • Assisted in Intubation 
Tuesday being my OP day along with Casuality night duties. Wherein I came across a vast variety of cases during my casualty hours-
- Muscle spasms secondary to Hypocalcemia
- STEMI ( The patient presented to Casuality with C/o chest pain, following which he had 2 episodes of vomitings, and then he had an episode of GTCS and finally after several cycles of CPR the patient died)
- Hypertensive Urgency
- Long distance patients with Hypothyroidism
- Bladder CA (who presented with gross haematuria)

And then in the OPD I’ve seen cases with 
-Thyroid disorders (Hypothyroidism and Hyperthyroidism 
-Bilateral knee osteoarthritis 
-Rheumatoid Arthritis 
- K/c/o DM
- K/c/o HTN
And various other cases.

To conclude GM was a very good learning experience but on the other side it needs a lot of patience as well. 

Comments

Post a Comment

Popular posts from this blog

Image
4)Case based OSCE along with BLOOM’S learning levels Achieved  It all started when I was asked to send for the investigations of a 35 year old female who was taken over from the department of Dermatoloy on my OP day. I reluctantly went up as I was already on a roll with the 36hr shifts I had to take. But then as I went to the patient I was filled with compassion for that Thin and undernourished patient who was going through a lot!!  A 35 year old female presented with C/o painful skin lesions over arms, legs, back since 2 months -C/o Fever and Burning Micturition since 4 days HOPI- Patient was apparently asymptomatic 2 months back then she developed painful skin lesions over arms, legs, back. The lesions were sudden in onset, gradually progressive, with no aggravating and relieving factors. H/o vesicles associated with pus discharge + H/o fever since 4 days, not associated with chills and rigors, no diurnal variation, relieves with medication. H/o burning micturition since 4 days. N
Read more
Image
2)  Evidence based date wise workflow logs collated by the intern with clickable and verifiable links  Case 1 https://chat.whatsapp.com/LeUjoFdD9rnGmrmTBrAr8c  [31/08/23, 10:33:04 AM] Cherish Kandru: soap notes  31:8:23  ICU Bed 3 Dr.ZainSR) Dr.Haripriya(PGY2) DR.Govardhini(PGY1) S: No Fever Spikes O: Pt is Sedated and Intubated GCS- E1V1M1 PR-80bpm RR-15cpm BP-60/40 mmhg @20ml/hr NORAD @14ml/hr DOBU ACMV Mode FiO2 @70 SPO2 98% RS: BLAE + NVBS CVS: S1S2 +, No murmurs CNS:  Tone :Normal B/L both UL&LL Power :  Unable to elicit Reflexes: Absent B/L in both UL & LL I/O 1900/200ml GRBS 327mg/DK A: 3 weeks old L5 burst Fracture & Unstable with PLC injury Planned for L4-L5 S1 Fixation with Heart Failure with Reduced Ejection Fraction (44%) with k/c/o DM since 20 years, k/c/o CAD (PTCA done) 2 years back P:  1. INJ NORADRENALINE 4ml + 46ml NS @ 10 ml/ hr  2. INJ DOBUTAMINE 1AMP (5ml) + 45ml NS @ 10 ml /hr  3. INS 3% NACL @ 50 ml/hr I.V /stat 4. INJ PIPTAZ 2.25 gm IV/TID  5
Read more
1) Self reflective writing on their medical student career  Hello I’m Cherish Kandru Intern from 2k18 batch. "My bounty is as boundless as the sea, my love as deep; the more I give to thee, the more I have, for both are infinite". Well, that was Shakespeare in his well-known play Romeo and Juliet! This reminds me of a Medical Student's journey from being that timid scared first-year kid to becoming a full-baked Doc! That attitude of giving it more is what keeps them in the race. Be it their time, the quest for knowledge, or the patience with the patient is something that breaks the mold. It's something that allows you to change your tune.  NOTE: THIS IS AN ONLINE E LOGBOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS/HER GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR INDIVIDUAL PATIENT'S PROBLEMS THROUGH A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS
Read more