Suena como si me estuveria quejando eh? Pero no, estoy m谩s que feliz 馃ぉ. Ven a descubrir de que se trata.
Hoy se acaban, las que han sido, las 18 semanas (126 d铆as, 3024 horas, 181 440 minutos) m谩s retadores de lo que llevo de carrera.
I'll be taking a closer look at what I learned during my time in this specialty area and how it has impacted my journey in medicine. I hope you'll find my insights useful, whether you're a fellow medical student or simply interested in learning more about this fascinating field. [ENGLISH VERSION IS BELOW]
Antes que nada, saludar a las nuevas caras que hay desde la ultima vez que publiqu茅 por ac谩, les deseo mucho 茅xitos a todos. Y felicitar a los m谩s viejos por el logro de convertir a la comunidad en Testigo en tan poco tiempo. Ahora si, continuemos ...
Cuando estes leyendo este post, tal vez, estar茅 recibiendo mi nota final, as铆 que d茅seame suerte.
Cuando empez贸 el a帽o, comenz贸 mi cuarto a帽o, en la carrera de medicina, si me queda poquito, bueno menos que al principio. Seg煤n algunos amigos, este a帽o era m谩s f谩cil que los anteriores. Personalmente, los a帽os anteriores, no se me hicieron muy complicados. En el plan acad茅mico, se encuentran las rotaciones por las especialidades de: Cirug铆a y Ginecolog铆a y Obstetricia en un primer semestre (9 semanas para cada una) y Pediatr铆a en un segundo semestre. Antes de empezar, ya estaba seguro que iba a ser un reto para m铆, hace tiempo, decid铆 que cuando terminara mis estuios, quer铆a la especialidad de Medicina Interna y todos mis esfuerzos han ido encaminado a esa especialidad. Como podr谩s imaginar, era d铆ficil que Ginecolog铆a y Cirug铆a, me gustar铆an mucho (de Cirug铆a, mi n茅mesis, te habler茅 en otro momento) Ahora, me centrar茅, solo en Ginecolog铆a y Obstetricia (GO)
En este post, me gustar铆a hacer un poco de balence, de lo que fue mi rotaci贸n por Ginecolog铆a y Obstetricia y ver que sale, acomp谩帽ame:
1- Debo comenzar diciendo que a pesar de mi cero atracci贸n hacia Ginecolog铆a y Obstetrica,la considero como una especialidad interesante, por supuesto para el que le guste o le atraiga el 谩rea quir煤rgica, lo ser谩 a煤n m谩s. Desde el punto evolutivo y anat贸mico: aqu铆 se ve como el cuerpo humano y en espec铆fico el de la mujer, es incre铆ble. No hay palabras para describir el proceso del embarazo; como es capaz de crecer una vida en un espacio tan reducido. Luego, viene el parto y todo est谩 listo para que el beb茅 salga por un canal bastante estrecho (por supuesto la ces谩rea tambien es otro procedimiento incre铆ble pero ya es m谩s artificial) Inmediatamente despu茅s, el cuerpo se pone en funci贸n de su recuperaci贸n y de la alimentacion del beb茅. Pudieramos concluir que la naturaleza es sabia. A grandes rasgo esto fue lo que m谩s me llam贸 la atenci贸n de la rotaci贸n.
Zona de elevadores. Hospital Gonzalez Coro. Habana
2-En las diferentes salas del Hospital (6 en total) pude aprender enfermedades que pueden alterar el curso de un embarazo normal y por supuesto como se pueden tratar. Esto es lo m谩s importante actualmente, en el sistema de salud cubano, el mayor problema, es la falta de medicamento para tratar cualquier enfermedad. Es como quitarle a un alba帽il sus herramientas, poco puede hacer.Las salas que me m谩s me llamaron la atenci贸n,fueron las de Ginecolog铆a, aqu铆 vi muchas enfermedades (patolog铆as) m谩s clinicas, de ah铆 mi gusto. Otra que me llam贸 la atenci贸n, fue la Dieabetes e Hipertensi贸n, dos patolog铆as que en Cuba son muy frecuentes durante la gestaci贸n. Esto se debe a muchos factores, el principal de ellos, es la mala alimentaci贸n que hay en el pa铆s, de ah铆 la importancia de conocer su manejo.
Del otro lado de esas puertas dorm铆amos, sigue leyendo para comprender
3-Sociabilizar con los residentes(m茅dicos que est谩n estudiando para ser especialistas, en este caso en Ginecolog铆a y Obstetricia) fue una de las cosas que m谩s me gust贸 (esto tengo que agradecerlo a Hive, que me ha quitado ese miedo a entablar una conversaci贸n) Al principio, es dif铆cil, aunque la mayor铆a son latinos, la forma de trabajar es muy diferente. A la larga, me permiti贸 conocer no solo t茅rminos nuevos, sino otras culturas y poder aprender como trabajan y son otros sistemas de salud; quien sabe y algun d铆a me mude para alguno de sus pa铆ses.
Me caus贸 mucha gracia cuando un residente le pide a la enfermera la perforadora, los cubanos le decimos la ponchadora. As铆 aprend铆 otrs t茅rminos que me dieron mucha gracia.
4-El tiempo de rotaci贸n, otro de los aspectos muy positivo para m铆 馃榿 (al que le gust贸 esta especialidad, dir谩 que fue insuficiente, lo entiendo) Solo 9 semanas y cada semana, en una sala diferente. Esto hizo, que nunca me adaptara a una sala,por tanto las probabilidades de aburrirme y terminar en mi celular eran bajas (por supuesto hubo momentos que fue totalmente al rev茅s)El tiempo de conferencias y actividades estaba limitado a la ma帽ana, permitiendo tener la tarde libre. Todo muy tranquilo.
La primera guardia (a煤n no sab铆amos lo que nos esperaba
5-Mi equipo de trabajo, casualmente mis amigos y yo, coincidimos todos en la misma guardia. Sin duda, lo mejor, despu茅s de 4 a帽os, nos conocemos bastante bien y nos complementamos de maravilla. Sin mis amigos, la rotaci贸n y las guardias se me hubiesen hecho m谩s dura (y tal vez este post ser铆a quej谩ndome). Aqu铆 quiero agradecer a mi novia, por cada minuto que comparte conmigo, cada gesto y cada palabra de aliento que me di贸, cuando cre铆a que no pod铆a estudiar m谩s y se ma hac铆a insoportable cada tema, sabiendo que ella tampoco le gust贸 mucho esta rotaci贸n, le agradezco el doble.
Alguna que otra historia tengo guardada por ah铆, pronto estar谩n en alguno de mis post, porque son demasiado buenas para no contarlas.
Por supuesto estamos en Cuba y nada, pero nada, va ser de color de rosa, ni siquiera gris.
1-Empezamos por el tema que m谩s pol茅mica levanta en el sector de la salud cubana: Las guardias. Como estudiantes de cuarto a帽o, debemos cumplir un r茅gimen de guardias de 6 horas. Por problema de combustible, que enfrenta el pa铆s, unilateralmente y sin previa consulta, se decidi贸 que deb铆amos hacer guardia de 12 horas. Luego de terminar la rotaci贸n, es algo que fue innceseario. Te explico, al llegar las 12 am, el equipo de guardia se divide a la mitad: Un primer turno de 12-3:30 am y el otro hace 3:30- 7 am. La mitad de la guardia te la pasas durmiendo.
Hora de dormir o al menos, de intentarlo y no te muevas que te caes 馃槀
S铆, pudiera estar en las cosas positivas, a quien no le gusta dormir, pero el hospital no tiene condiciones para semejante afluencia de estudiantes, en una guardia. Entonces cuando nos tocaba dormir, ten铆amos que salir por todo le hospital a buscar donde hab铆a un cama disponible para descansar, poco menos de 180 minutos. En m谩s de una ocasi贸n, nos toc贸 esperar a que una reci茅n parida, cumpliera sus horas y ser traslada a otro servicio, para nosotros poder dormir, en un cuarto dedicado a esas reci茅n parida. Otras guardias, tuvimos que dormir en emergencias, en camillas y sufriendo el calor horrible que hay en estos d铆as (el resto del hospital se encuentra climatatizado). El d铆a despu茅s, ten铆amos que seguir con las actividades normales. No hace falta deicr como terminabamos esos d铆as. Por eso, mi expresion de al fiiiiinnn!!!!
Tuvimos que dormir en esos sillones, el cansancio me venci贸 y la cara de mi amigo es un cuadro 馃槀
2-Un aspecto que como estudiante me choc贸 bastante, fue el nivel de las pruebas; muy por encima de las clases que se impart铆an o de la bibliograf铆a que usamos para estudiar. Adem谩s, del constante des铆nteres, por parte de los especialistas para transmitir conocimiento. Todo influy贸 para que la rotaci贸n, en cuanto a notas acad茅micas, saliera muy mal parada (a pesar de estar los estudiantes con mejor desempe帽o acad茅mico). Por suerte y esfuerzo, mis amigos y yo salimos muy bien y ya podemos descansar tranquilos, aunque a煤n no tenemos la nota final.
Como conclusi贸n, pudieras inferir que es negativa, pero personalmente me gusta siempre ver el lado bueno de las cosas. Sobreponerme a las adversidades es lo que me ha ense帽ado este semestre.Esta rotaci贸n, aunque ha sido de las m谩s complicadas, por sus caracter铆sticas particulares, me permiti贸 crecer, a煤n m谩s, en mis conocimientos m茅dicos. Pude aprender de mis pacientes y me llevo, buenos recuerdos de esas 9 semanas. Para m铆 eso es lo m谩s importante; en Cuba adversidades siempre habr谩, pero lo principal es cumplir nuestros objetivo: el m铆o, ahora mismo, es graduarme y ser el mejor m茅dico posible. As铆 que la rotaci贸n me aport贸 mucho a este objetivo.
No quiero despedirme, sin preguntarte: Has hecho guardia alguna vez? No importan donde, me encantar铆a saber tu experiencia. Sientete libre de comentar lo que creas oportuno, es un placer responder tus comentarios.
HASTA LA PR脫XIMA 馃憢
Las fotos son de mi propiedad y autorizada a subirlas por mis amigos. Los banners fueron hechos utilizando Canva.
Finally, it's over. It may sound like I'm complaining, huh? But no, I'm very happy. Come and find out what it's about. Today marks the end of the 18 most challenging weeks (126 days, 3024 hours, 181,440 minutes) of my career so far.
When you're reading this post, I may be receiving my final grade, so wish me luck.
As the new year began, 2023, I embarked on my fourth year of medical school, with the end of my journey now in sight. While some of my friends suggested that this year would be easier than the previous ones, I didn't find the earlier years to be particularly challenging. Regardless, I'm still committed to working hard and achieving my goals in the medical field. Thank you for taking the time to read about my journey.
The academic program for my medical studies includes rotations in specialty areas such as Surgery, Gynecology/Obstetrics (GO), and Pediatrics. During the first semester, I completed nine-week rotations in both Surgery and GO, while the second semester was dedicated to Pediatrics. From the outset, I knew that these rotations would be challenging, as I've always had my sights set on a career in Internal Medicine. As a result, I found it difficult to be enthusiastic about GO and Surgery (which I'll discuss at length another time). However, in this post, I'd like to share my experiences specifically with GO.
Join me as I reflect on my rotation in Gynecology and Obstetrics, and share my thoughts on the experience.
Despite my personal lack of interest in Gynecology and Obstetrics, I found it to be a fascinating specialty area with much to offer. Particularly for those attracted to the surgical field, the intricacies of the human body, particularly the female body during pregnancy, are awe-inspiring. Witnessing the process of growing a new life in such a confined space and the delivery process, where the body readies itself to bring the baby into the world, is truly remarkable. Following delivery, the body immediately begins the process of recovery and nourishment for the baby. It's easy to see why nature is often considered wise.
Elevator area. Gonzalez Coro Hospital. Havana.
During my rotation in the hospital's six different departments, I gained valuable insights into the various diseases that can affect a normal pregnancy and how they can be treated. This knowledge is particularly crucial in the Cuban healthcare system, where the lack of medication to treat illnesses is a significant challenge. The Gynecology department stood out for me, as it presented several clinical pathologies that captured my interest. Additionally, I was struck by the prevalence of Diabetes and Hypertension during pregnancy in Cuba, which is largely attributed to poor nutrition in the country. Understanding how to manage these conditions is essential, and I'm grateful for the opportunity to have learned about them during my rotation.
Emergency Department, paradoxically the students slept on the other side.
One of the highlights of my rotation in Gynecology and Obstetrics was socializing with the residents, who are studying to become specialists in this field. Thanks to Hive, I was able to overcome my initial hesitations about starting conversations with new people. While most of the residents were from Latam, their working methods and practices were vastly different from what I was used to. However, this experience allowed me to learn not only new terms and cultural nuances but also gain a deeper understanding of how healthcare systems differ across the world. Perhaps one day, I may even consider moving to one of their countries. Overall, this was an enriching experience that broadened my horizons and helped me to develop my communication skills.
The duration of the rotation was a highly positive aspect for me, even though some may argue that 9 weeks is insufficient (which I can understand). Each week, I rotated through a different department, which meant that I was constantly engaged and never had a chance to get bored or too comfortable in any one area. This also helped to minimize distractions and reduce the likelihood of me spending too much time on my phone (even though there were still some moments when I found myself doing just that). Additionally, the conference and activity time was limited to the morning, which meant I had my afternoons free to pursue other interests or take some much-needed rest. Overall, this was a great experience that allowed me to learn and grow as a medical student.
The first shift. We still didn't know what awaited us.
One of the most enjoyable aspects of my rotation was working alongside my friends, who coincidentally happened to be on the same shift as me. After four years, we knew each other well and worked seamlessly together. Their presence made the rotation and shifts far more manageable, and I'm grateful for their support. I also want to express my gratitude to my girlfriend, who supported me every step of the way. Her encouragement and gestures of kindness helped me to persevere, even when the going got tough. Despite not particularly enjoying this rotation herself, she was always there for me, and for that, I am doubly thankful. Overall, this was a positive experience that allowed me to grow both professionally and personally.
Of course, we are in Cuba, and nothing, absolutely nothing, is going to be rosy, not even gray.
One of the most contentious issues in the Cuban healthcare sector is shift work, and this was no different during my rotation in Gynecology and Obstetrics. As fourth-year medical students, we were required to work six-hour shifts. However, due to the fuel shortage in the country, it was abruptly decided, without prior consultation, that we would work 12-hour shifts instead. Looking back, this decision seemed unnecessary after completing the rotation. Here's how it works: at midnight, the shift team is split in half, with one group working from 12-3:30 am, and the other from 3:30-7 am. While this arrangement allowed for some rest, it was still a challenging and tiring experience.
Time to sleep or at least, to try to, and be careful not to move or you'll fall 馃槀
Yes, if I could focus on the positive aspects, who wouldn't like to sleep? However, the hospital simply isn't equipped to handle such a large influx of students during shifts. So when it was time to sleep, we had to search the entire hospital for available beds to rest for a mere 180 minutes. On more than one occasion, we had to wait for a newly delivered mother to complete her hours and be transferred to another service before we could sleep in a room designated just for postpartum mothers. Other times, we had to sleep in the emergency department, on stretchers, and suffer through the unbearable heat that these days bring (the rest of the hospital is air-conditioned). The following day, we had to continue with our regular activities, and needless to say, we were exhausted by the end of those days. This is why I exclaimed "at long last!" at the end.
We had to sleep on those chairs, exhaustion overcame me, and my friend's face was a picture 馃槀
As a medical student, I was taken aback by the level of difficulty of the exams during my rotation in Gynecology and Obstetrics. The questions were much harder than what we had covered in class or in our textbooks, and the specialists seemed disinterested in sharing their knowledge. As a result, even the top-performing students struggled to achieve good academic grades. However, with hard work and determination, my friends and I managed to succeed on the exams and are now able to relax, though we are still awaiting our final grades.
Although my rotation in Gynecology and Obstetrics had its challenges, I always try to see the positive side of things. This semester taught me how to overcome adversity, and I am grateful for the growth it brought to my medical knowledge. Despite the difficulties, I learned a great deal from my patients and have good memories of those 9 weeks. In Cuba, adversity is always present, but it is essential to focus on achieving our goals. For me, that goal is to become the best possible doctor, and this rotation has helped me significantly towards that objective. Overall, this was a valuable experience that allowed me to develop both professionally and personally.
Before we end, I'd like to ask you: Have you ever worked a shift before? Have you ever had in such difficult conditions? How did you manage to stay focused and productive during that time? I'd love to hear about your experience, no matter where it was. Please feel free to share any thoughts or insights you may have. It's always a pleasure to respond to your comments and engage in meaningful discussions.
SEE U SOON 馃憢
The Ups and Downs of Medical Training: My Latest Rotation [ES-EN] | Ecency
Requisitos de Curaci贸n en la Comunidad Hivecubahivecuba 路
