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Gynae on-take

Posted on August 6th, 2008 by Rob.

For those who are unsure Gynaecology is a surgical speciality that deals with the female pelvic organs. It is a massive field covering, infertility, contraception, menstruation, pelvic cancers (e.g. cervical cancer), sterilization, sexually transmitted diseases, incontinence, sexual health, menopause, and key hole surgery just to name a few. Most gynaecologists are also obstetricians. Obstetricians are doctors that look after pregnant women and the foetus before it?s born.

Today was my day to look after all the women on the gynaecology ward. This is any woman who has had surgery, or who was going to have surgery or who was acutely unwell with a gynaecology problem (e.g. ectopic pregnancy, painful ovarian mass). There are 10 consultant gynaecologists at my hospital and they all have patients on the gynae ward. I had to look after all their patients. They would arrive on the ward at any time with their registrar and I would have to have a list of their patients and a pile of their patient?s notes. I would then follow them around while they see their patients. They would chat to the patient then give me a list of jobs to do (e.g. write her up for x drug, or get some bloods). I would make a list of jobs from each mini-ward round and then get on with the jobs until the next consultant arrived to do her ward round. Any patient that the consultant said could go home needed several forms filling out before they could go (called TTAs (to take away)). Then if a nurse was worried about a patient I had to go and see them. If a patient felt sick was in pain or felt generally ill I had to see them. If a GP felt that his patient was ill he would call me and I would have to accept his referral. The patient would come to the ward and I would have to do a full clerking in. This was the busiest day of my life. I was supposed to go home at 5pm and I didn?t get away until 8pm. I had great fun though.

Tags: Gynaecology, Obstetrics

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