Tuesday, February 19, 2008

Urology

I have spent the past few days with the Urology team at CMC. What doesn't cease to amaze me is that I just feel so at home with urologists. The past few weeks I was with generalist, mostly family practitioners, and was interested but bored at the same time. I was beginning to think that it was just Vellore, and our status as observers. That is literally all I did, observe. That was really fine when I was a first year, but after almost 4 years of medical school and finally getting my "hands dirty" in the hospital it is really hard not to be challenged. And I know there is ton of stuff to learn here, I just don't believe it is presented in the most appropriate way. For example, unless I'm with a CMC student or with a junior resident, the attending or upper level resident will never really look at me when they speak. Plus, they speak so quietly I really just can't hear anything they are saying. But then, I finally made my way over to urology. And it has been tremendous. I find the rapport between the staff to be just like I remember it in the States. Everyone is making fun of each other, from the OR nurses to the attending, and even to me. I just feel like I fit, which is really why I picked urology in the first place. I love to see how they use a real ultrasound machine to get a PVR, when we have handy bladder scans. And they don't throw anything away, from the draping to the tubing, everything is reusable. And they use plastic aprons instead of gowns in the cysto suite. Everything just makes me feel like I have been transported back 100 years, yet their outcomes are just as great as our back home. Plus for the first time in Vellore I have A/C...which may sound silly, but it gets hot in a cysto suite with 7 people in such a small space. I have to admit I had huge misconceptions about urology. I knew all the faculty and all the residents they have ever trained have been male, so I thought the patients may be weirded out to have a female in the room. But far from it, no one even gives me any strange looks.

So it is overall looking great, and I am excited to go to the leprosy hospital tomorrow...

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