Gyne

5:20: I rise from bed. Grumpy, but well rested since I went to bed at 9:30 last night. I make a pot of coffee, delicious, delicious coffee. Two bowls of cereal later, I shower, dress, groom, drink 2 coffees, read and print out a summary on endometriosis and head to the hospital

6:45: Arrive at the hospital, review the teaching case that we will go over this morning

7:00 - 8:00: teaching session on endometriosis (endometrial tissue normally lines the inside cavity of the uterus, sometimes we find it where it shouldn't be. It's been found in women's ovaries, tubes, ligaments, lungs, eyes, mouths, noses. So let's say it's in the nose, they get a nose bleed whenever they get a period. Thankfully it's rare in the nose, eye and lung; it tends to stay in the pelvis)

8:00 head to the gyne wards, rounds are over, divide up the scut and head to the OR.

9:30-11:30 watch a total abdominal hysterectomy, bilateral salpingo-oophorectomy and omentectomy. I don't get to scrub in because there's too many residents. I basically watched a woman's uterus, fallopian tubes, ovaries and her omentum (an extension of the tissue surrounding the stomach) be removed. Her ovaries are huge, they're bigger than any man's testicles but that's not good. She's menopausal, so her ovaries should be shivelled and small, and there's visible cancer eroding though the surface of both of them. After the uterus, ovaries and tubes come out, I go to the pathology lab with the surgeon to watch them measure everything and slice the ovaries open. It was pretty cool, but not very good news for the patient.

11:30 I head to the ER because I'm paged to see a woman with pelvic pain. I take her history, examine everything except her private bits (we have to be supervised) and head to class at 12:00. (don't worry, the resident ordered an ultrasound while I was in class)

1:00 No ultrasound for my patient yet. Things don't happen at the snap of a finger in our system. I collect more info from a patient's chart for a presentation on Friday for tumour boards

2:45 Head back to the ER to see the ultrasound results. Things look good. The resident and I basically decide that all we can do is examine her and get a culture to see if she has chlamydia or gonorrhea, but the patient took off. We wait a bit, going over the differential diagnosis and realize that she might have been abused, but we never got a chance to ask. We check the waiting room, she's nowhere to be seen. We document her disappearance and tell the unit coordinator to page us if she shows back up.

4:00 we get teaching from our chief resident.

5:00 head home to eat and prepare tumour board presentation

6:00 speak to the missus

7:00 buy coffee after remembering that I ran out this moring

7:30-9:00 prepare presentation. Wrap up as much as I can

9:30 Feeling sleepy... So sleepy... Feels so good

10:00 zzzzzzzzzzzzzz