Bi-polar

So you're wont to think I'm bipolar after this as today in my writing this, I'm a bit bummed. I dunno. I guess I just need to develop some thick skin and seriously, I do need to review a lot of material admittedly. But, really, how is "fraternal twins" such an American thing to say? I mean, really? Okay, so I'm a bit biased being American and all, and sorry if my terminology isn't as polished as you'd like. Sorry if I can't quite follow your line of questioning because I'm completely lost as to what you're asking, and it doesn't help that you sometimes mumble or maybe my American ears just can't discern the finesse of your proper British English because I've been listening to watered down American swill English all my life. Seriously. Whatever.

Anyway, now that I've got that off my chest :) Today was fine. I went to the Gyn outpatient clinic this morning and saw a couple patients with urogenital problems mainly dealing with pelvic prolapse or urinary incontinence. Watched a few replacements of pessaries. And that was that. Went to a drug rep lunch so free lunch was nice. Then brief teaching session on thecomas.

This afternoon I went into a scanning (ultrasound) session with one of the consultants. First time I met him, and well, I'll reserve judgement. It was a scanning session for high risk obstetric patients which means they usually come in for a scan because of some sort of complication or problem with their pregnancy. Today, most of the patients who came in was because their genetic screening showed that their baby had a reasonable-significant risk for Down's syndrome. The worst one was a 1:3 chance, so it was kind of sad. We did quite a few amniocenteses which was I found kind of surprising, though I understand the use of them and why they were being done here. I got pimped and I answered maybe one out of 20 questions correctly, which meant one question the entire afternoon. I tried to think, but my brain wasn't cooperating, which is my fault because I haven't been using it much lately. So anyway, I'm sure this dude thinks I'm a complete idiot as do the patients and the registrar (aka senior resident) who was training on using the US machine. Anyway, I'm still slightly miffed about it all, but I'll get over it.

Something that I find kind of odd, well, maybe I guess it's not odd, but it doesn't exactly help people's opinion of me, even though I know that shouldn't matter that much.. .but is that they assume that because I went to med school in Grenada that I'm from Grenada and therefore should know all about life in relations to what is standard procedure in hospitals, etc. And yes, I realize I write in run on sentences when I'm not caring. I mean, how many people really read this anyway.

I didn't sleep well last night though I passed out early, before 11. I've been exhausted and I'm not sure if that's because of not sleeping well at night or because I've been working long days. I don't really feel like I've been doing much to warrant being exhausted, but I guess I am at the hospital usually 10-13 hours a day. And this is supposed to be a nice little posting. I dunno why I'm working so hard when the other students seem to take this posting (O&G) much less seriously. I should start skipping :) But back to sleeping, I was warm last night in my sleeping bag, though I kind of wish it wasn't such a strict mummy shape as my legs were really sore and I felt that I wanted to stretch them out. They've been sore since arriving, and I'm not sure if it's from all the standing I've been doing + the 20 minutes maybe I worked out or if it's still from my flight over. Maybe I have problems with my veins.

So to sum it all up: I'm frustrated, discouraged, annoyed, disappointed, and just not quite happy with the way things went today. But I'm sure I'll be over come morning. So here's to my sunny morning disposition.