This morning my team had rounds with the department chair, Dr. A, but Anita and I couldn't stay too long b/c of lecture. Dr. H lectured on material that I'd just read in our textbook so I was glad for the refresher course. The girls on Blue team were exhausted from night shift and desperate for lecture to end so they could go home and get some sleep; now they know how the rest of us felt =) Well...Anita and I have night shift again next week so...
Work at the clinic was fairly light today. The FPs weren't there in the afternoon, so Anita and I got to work with Dr. T on the noncomplicated cases. We each got a case of pelvic pain. In my patient, her pain was most likely due to dysmenorrhea/possible PID. One concern she had was why it hurt to have sex, and when we felt for her uterus, I couldn't feel it b/c, as Dr. T said, it was "midline." He then said that for women with midline uteruses, lying down is the most painful position to have sex. His advice for now: get started on the pill, and try other positions. Wow. My next patient was postmenopausal with a hx of vaginal itching and burning post bladder sling surgery. She was using Vagisil to relieve the itching, which turns out to be one of the worst things you can do since it sometimes makes the itching worse. Dr. C said many people are fine just as soon as they stop the Vagisil. So we gave her an Rx for clobetasol instead.
Dr. D expects us to be in L&D for rounds at 5:30 am tomorrow. Guess that means I'd better be in bed by 10:00 or 10:30 at the latest.
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