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December 16. Finally, last day of duty for our first rotation. And you don't know how happy I am about bidding farewell to our clinical instructor Maam C. Because I dislike her, I loathe her, I hate her, I want-to-fucking-hit-her-on-the-face-until-her-face-swells-and-the-injury-causes-cerebral-edema-GCS-3-hopefully-please her. But let me reserve that ranting later. For the good, the night went well, actually and surprisingly. Because it was a rush decision for me to have my house as a venue for our Case Pre sleepless rendezvous. It was, first and foremost, stress-free because we're about 50% done with our case pre when we started at around 8pm. And we had a deadline set at around 11 to 12 midnight. Hours went by, and I seriously don't know why we didn't reach our deadline.
Then again, it wasn't that bad really. Because for the first time, I had this very very rare chance of bonding with my RLE groupmates. Well, except for Anabelle, who managed to keep quiet throughout the entire time when we were finishing our case pre and laughed our asses off at times. She even skipped having midnight dinner/Kaukau's birthday celebration with us, which was extremely fun. Everything was quite unexpected because I never, honestly, foresaw our RLE group bonding although we weren't complete that time (because Michael was really serious about having our work done and also decided to skip dinner and be with Anabelle) but it was still fun nonetheless.
We even slept together (no green pun intended here). But I'm not quite very sure if Anabelle fell asleep. Everyone woke up at around 4 to 5 and had parted ways because we're two hours away from our case pre with the "devil". Game over.
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December 17. I expected satisfactory remarks for our case. But, for the bad, Maam C wasn't even half satisfied as I expected her to be. There could have been some loopholes in the first part of our case pre, but I mean, she could have at least corrected our mistakes in a very not-mean constructive manner. Because she just sounded like a whiny bitch. And I still don't get her being upset with our physical assessment. Modesty aside, I think our PA was our best so far, though it wasn't really a 100% in detail, but I assure you it was a focused assessment, a damn focused assessment. Then we found out in our patient's lab results that she had pleural effusion:
Maan C: You know that your patient had pleural effusion and why wasn't it reflected in the physical assessment?Me: Maam, I auscultate her lung fields every time I get the vital signs, and there were no adventitious breath sounds.Maam C: Are you sure?Me: Yes, maam. Because even if she did have pleural effusion, I think I wouldn't be able to hear any crackles because she had anasarca.Maam C: Then why didn't you checked for the tactile fremitus?Me: Because, maam, she was in semi-coma. The patient needs to be conscious to repeat the word "99" so I could test for the tactile fremitus.Maam C: (quiet for 10 seconds) Ah, yes...
Ha, fuck you. For a second there, I was a bit happy but the "devil" had to find other means of making our PA look like it was done by a very lousy student nurse. She was ranting about the cranial nerves assessment because almost all the results were 'No Response'. Wtf, what do you expect from a patient with a GCS of 4? That she was able to identify the smell of coffee or orange? Bitch much.
I seriously don't know if she was intimidated that I can answer almost all of her questions. But even if she did, she had no right to compare student performances in front of the students themselves, like saying, "Si Ms. Tanate, favorite ko guid ni siya because she's actually doing really good in the area kag makita ko self ko sa iya when I was in college. Ok, let's give Ms. Tanate a chance to explain..."
And you know what Maam C commented on my performance? "You're really smart, Mr. Calise but you're not good hands-on." Seriously, bitch? I know your only intention was to boost up Anabelle's confidence, but wth why compare her with me? What did she exactly do in the ward that made you say she was better? Had she fucking turn a patient with generalized edema who weighed approximately like that of a pig about to be roasted (ok, this was the closest metaphor I could think of)? Had she fucking trimmed her patient's pubic hair? Tell me, what did "little good Anabelle" do in the ward?
I get fucking pissed every time I think about this incident and I want to drown myself in profanity so I could express every bit of unfairness and injustice I felt about Maam C's treatment against me. But this shouldn't get in the way for me to enjoy our Christmas party. For the good, I did enjoy the party (especially with the paper dance c/o Gyno and Aizlynn ala teleserye kilig moment) but, again, for the bad, I had to scurry away from the fun and go home in the middle of the party to retrieve my NRES1 homework and green quiz notebook.
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So this is how my school year 2010 ended, great, isn't it? Christmas break, it's officially open. And let me start the holiday vacation by jogging around the block in our neighborhood and look for Maam C's house. I could give her an early Christmas gift by throwing rocks against her windows. Advance Merry Christmas, everyone! :)
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