It's Trichy

Oooooh girrrrrl. I've been working on my FNP clinical rotation this semester at a women's jail and peeped some trichamoniasis through my trusty microscope this week...  you gotta know sh&%# is ROUGH when you got these guys swimmin' around up in your lady parts...

Trich, as it's so fondly referred to, is a sexually transmitted infection that if left untreated can lead to such terrible conditions as Pelvic Inflammatory Disease. It can also increase your chances of acquiring HIV!!! Sheesh.
... And so meanwhile... we sit around gazing lovingly into our iPhones/pads/pods and post pictures of our manicures to Instagram... Hi people! There's a whole other world out there we might want to think about, so put down the phonepadpod. It's a crazy orange jumpsuit world where tons of really really young girls languish in jail with STI's and a lifetime of other disadvantages. In this world about 80-90% of the inhabitants are black. A lot of the time it feels like these ladies never had anyone give a crap about what was going on with them until they walked into the clinic and had someone tell them they were important and that they didn't have to stuff drugs up their vaginas just because some dude told them to.

oh no you didn't

IT'S FUNNY CUZ IT'S TRUE!

I'd Rather Be...

...digging ditches. A nurse who works at the clinic where I'm a volunteer told me she'd rather dig "43 ditches" than work in pediatrics. Interesting! I guess I'll get the chance to begin calculating my own own ditches-to-peds ratio this Wednesday when I start my next rotation.

 

Today was my last day of OB... All in all, I saw five births! I can't believe I'll be half way done with this crazy program in November.

Booty Action

I got to see my very first hemorrhoid today and my instructor even made me poke it.

"Touch this," she said. 

  So I did. 

  The patient said, "Ouch." 

  And I said, "I'm sorry."

 

Later on I got to play interpreter for a Spanish speaking couple who were going home with their new baby. They weren't leaving though till I gave mom a shot of Depo Provera in the butt cheek. I'm pretty sure I overheard the father discussing employing the clamp that had been used to pinch off the end of his son's umbilical cord as a roach clip.

Calentonas

I started volunteering at this awesome community clinic a few weeks ago just that sees uninsured and under-insured patients. It looks like I'll mostly be working with an OB/GYN which is right up my alley... Today I got to put my Spanish skills to the test, which was a lot of fun for me, and I even learned a new word: "calentonas". The woman who I was talking to used it to describe the "hot flashes" she'd been having. I'm just a little nervous about adding it to my list of vocabulary because, upon further investigation, I found out it can also mean "horny ladies."

Max at 08:47

I was so lucky to see a baby birthed right out of his momma on my second day on the OB floor this weekend. I think they normally put students to the side and let them watch, but since it was just me, the nurse, a Nurse Midwife and an MD they had me hold one of the mother's legs while she pushed. It was pretty A-MA-ZING seeing little Max enter the world!

I'm happy that I can find joy in this experience while still holding onto my conviction that people are having too many babies. When I hear about families of 5, 6, 7 children (even three, to be honest) it actually makes me kind of upset. There are so many kids out there who need families, and so many people who are having kids they don't really even want. I don't think it's a popular idea, but aside from being a social concern it is also really an environmental issue. I think I read somewhere that if women started having just one baby, we'd really slow down the population rate and we might even end up having enough resources for everyone (and less wars over them) down the line as a result. There really isn't enough room for all of us on this planet at the rate we're going!

chop shop

Just an hour or so into my first day on the obstetrics floor and I witnessed a little guy get his bits chopped down by a physician. It wasn't really what I was expecting. I didn't know that they give babies some sore of numbing agent requiring 3 or so shots in the groin... Lucky for him though because this baby didn't cry at all!

I wonder if more parents would reconsider this procedure if they actually saw what it was like. One of my classmates nearly fainted after it was over. I was kind of a lot to stomach at 8 in the morning.

Women's Health Time!

This Saturday I start a five-week clinical rotation on an OB floor. I think this is going to be my favorite rotation. I hope I get to see a birth!!