ENT

 ENT

“The ears is avenue to the heart”.            – Voltaire

This my second to the last rotation and many were saying that it was a hard rotation and a demerit prone rotation. We were 3 in the group and during my first duty, one of my group mate was going to retreat and my other group mate was absent due to his brother died.  That day, I was the only one on duty. I was scared that time because I don’t know what to do, I’m the only clerk on duty and they were expecting 4 admissions and patients in OPD and ER. It was really hard for me, since we had almost 35 patients in OPD that morning and we had 11 ER calls that night. I also went to interview all my 4 admissions and made their admitting papers and in the morning I attended their OR. That night of duty, I really cried to my friends because ‘m really tired and I have a lot of things that need to finish. I haven’t rest that night and in the morning I attended 2 OR. In the afternoon by 3pm, I still had 2 OR that need to attend. I don’t want to pass it to the next duty because it was my patient, however, Dr. De Guzman knew that I was the only duty last night and knew that I have attended 2 OR in the morning, he said to me to go home and take some rest. And that was my first day in ENT, a 30 plus hours of work.

ENT was mixed of fun and exhaustion. There are different cases in the OPD and ER that you can handle. Most of the cases were acute otitis externa, chronic otitis media, acute otitis media, BPPV, foreign body ingestion, impacted cerumen and goiters. Also, Dr. Lapitan gave me the CPG of most cases seen in ER and OPD on my first duty and she told me to study everything because I’m alone at least I have the idea on how to handle patients. Also, most of the cases on our time was decked to me, since my 2 other groupmates where in retreat. In total, I had 9 ORs in the 15 days rotation in ENT.

Also, my precept was Dr. Rivera. He asked me to do assignments regarding anatomy and he reviewed me on the anatomy of head and neck. He also taught me about management of each conditions in ENT and I witnessed how he interview his patients. It was a fun learning preceptorial since he was also telling stories about his experience as a doctor and I learned a lot on him.

In overall, I learned a lot about common ENT conditions that was usually seen in the clinic and their managements. ENT was really fun, I must be just tired on my whole duty in ENT since most of the time I was alone and there were many task to accomplished, but that’s make me more eager to learn.