dni07-blog

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Start your day with a grateful heart ❤

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Day 4 📚

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Day 3 📚

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12 steps to self care

1. If it feels wrong, don��t do it.

2. Say exactly what you mean.

3. Don’t be a people pleaser.

4. Trust your instincts.

5. Never speak bad about yourself.

6. Never give up on your dreams.

7. Don’t be afraid to say no.

8. Don’t be afraid to say yes.

9. Be kind to yourself.

10. Stay away from drama and negativity.

11. Let go of what you can’t control.

12. Love

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Day 2📚

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9 healthy habits we should all try to incorporate in our daily lives! :)

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Day 1📚

Don't stop until the job is done

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Obs/gyn 1st year residency. Performing my first Dilatation and Curettage.

Patient 57 years old came to hospital with postmenopausal bleeding .We took her full history and to be noted that she reached menopause at 50years old. An initial physical examination was carried out and some blood tests procedures were done. She was then taken to the OT. She was anaesthesised and after that we started our procedure.

Few of the reasons why D&C is carried out is:

Remove tissue in the uterus during or after a miscarriage or abortion or to remove small pieces of placenta after childbirth. This helps prevent infection or heavy bleeding.

Diagnose or treat abnormal uterine bleeding. A D&C may help diagnose or treat growths such as fibroids, polyps, hormonal imbalances, or uterine cancer. A sample of uterine tissue is viewed under a microscope to check for abnormal cells.

Dilation involves widening the opening of the lower part of the uterus (the cervix) to allow insertion of an instrument. The doctor may insert a slender rod (laminaria) into the opening beforehand or use a medication before the procedure to soften the cervix and cause it to widen.

Curettage involves scraping the lining and removing uterine contents with a long, spoon-shaped instrument (a curette). The doctor may also use a cannula to suction any remaining contents from the uterus. This can cause some cramping. A tissue sample then goes to a lab for examination.

After the D&C there can be few side effects and complications:

S/E

Spotting , cramping

Complications such as a damaged cervix and perforated uterus or bladder and bloodvessels are rare. But be sure to contact your doctor if you have any of the following symptoms after a D&C:

Heavy or prolonged bleeding or blood clots

Fever

Pain

Abdominal tenderness

Foul-smelling discharge from the vagina.

very rare cases, scar tissue (adhesions) may form inside the uterus. Called Asherman's syndrome, this may cause infertility and changes in menstrual flow. Surgery can repair this problem, so be sure to report any abnormal menstrual changes after a D&C.

Recovery After a D&C

After a D&C, you will need someone to take you home. If you had general anesthesia, you may feel groggy for a while and have some brief nausea and vomiting. You can return to regular activities within one or two days. In the meantime, ask your doctor about any needed restrictions. You may also have mild cramping and light spotting for a few days. This is normal. You may want to wear a sanitary pad for spotting and take pain relievers for pain.

You can expect a change in the timing of your next menstrual period. It may come either early or late. To prevent bacteria from entering your uterus, delay sex and use of tampons doctor advice is required.

As for our patient, the procedure was carried out within 7minutes and a biposy was taken for futher investigation.

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Study Motivation

Do you sometimes struggle with a lack of motivation?

You’re supposed to be studying for next week’s test. But instead you end up texting your friends, watching YouTube videos, or playing games.

After procrastinating for an hour or more, you finally get to work.

But you just don’t feel that motivated.

Sound familiar?

Developing long-term motivation is a complicated issue.

A compilation of the following quotes may help out

•Believing in yourself

•Cultivating a success mindset

•Overcoming procrastination

•Hard work

•Not making excuses

•Perseverance

Believing in yourself

1. Believe you can and you’re halfway there.

2. You have to expect things of yourself before you can do them.

3. It always seems impossible until it’s done.

4. Don’t let what you cannot do interfere with what you can do. – John Wooden

Cultivating a success mindset

5. Start where you are. Use what you have. Do what you can. – Arthur Ashe

6. Successful and unsuccessful people do not vary greatly in their abilities. They vary in their desires to reach their potential. – John Maxwell

7. The secret of success is to do the common things uncommonly well. – John D. Rockefeller

8. Good things come to people who wait, but better things come to those who go out and get them.

9. Strive for progress, not perfection.

10. I find that the harder I work, the more luck I seem to have. – Thomas Jefferson

11. Success is the sum of small efforts, repeated day in and day out. – Robert Collier

12. Don��t wish it were easier; wish you were better. – Jim Rohn

13. I don’t regret the things I’ve done. I regret the things I didn’t do when I had the chance.

14. There are two kinds of people in this world: those who want to get things done and those who don’t want to make mistakes. – John Maxwell

Overcoming procrastination

15. The secret to getting ahead is getting started.

16. You don’t have to be great to start, but you have to start to be great.

17. The expert in everything was once a beginner.

Hard work

18. There are no shortcuts to any place worth going. – Beverly Sills

19. Push yourself, because no one else is going to do it for you.

20. Some people dream of accomplishing great things. Others stay awake and make it happen.

21. There is no substitute for hard work. – Thomas Edison

22. The difference between ordinary and extraordinary is that little “extra.”

23. You don’t always get what you wish for; you get what you work for.

24. It’s not about how bad you want it. It’s about how hard you’re willing to work for it.

25. The only place where success comes before work is in the dictionary.– Vidal Sassoon

26. There are no traffic jams on the extra mile. – Zig Ziglar

27. If people only knew how hard I’ve worked to gain my mastery, it wouldn’t seem so wonderful at all. – Michelangelo

Not making excuses

28. If it’s important to you, you’ll find a way. If not, you’ll find an excuse.

29. Don’t say you don’t have enough time. You have exactly the same number of hours per day that were given to Helen Keller, Pasteur, Michelangelo, Mother Teresea, Leonardo da Vinci, Thomas Jefferson, and Albert Einstein. – H. Jackson Brown Jr.

Perseverance

30. Challenges are what make life interesting. Overcoming them is what makes life meaningful. – Joshua J. Marine

31. Life has two rules: 1) Never quit. 2) Always remember Rule #1.

32. I’ve failed over and over and over again in my life. And that is why I succeed. – Michael Jordan

33. I don’t measure a man’s success by how high he climbs, but how high he bounces when he hits the bottom. – George S. Patton

34. If you’re going through hell, keep going. – Winston Churchill

35. Don’t let your victories go to your head, or your failures go to your heart.

36. Failure is the opportunity to begin again more intelligently. – Henry Ford

37. You don’t drown by falling in the water; you drown by staying there. – Ed Cole

38. The difference between a stumbling block and a stepping-stone is how high you raise your foot.

39. The pain you feel today is the strength you will feel tomorrow. For every challenge encountered there is opportunity for growth.

40. It’s not going to be easy, but it’s going to be worth it.

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things you need to hear this exam season

- don’t beat yourself up for struggling even if you’re doing your best - you are smart and capable so don’t let laziness stop you from achieving your potential - stop self sabotaging. that tv show can wait. take a break but don’t become your own obstacle to success. get shit done first - eating right, staying hydrated and sleeping well are non-negotiable. look after yourself - grades do not define you so be kind to yourself. but do your best and work hard for what you want

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OBS/GYN Residency

Patient: You look really too young to be doing surgery

Me:😑(inside)

Not going to lie..these words stung a little at first. Having your skills questioned after over a decade of advanced education, rigorous surgical training and examinations can be frustrating to say the least. I usually smile, explain my training and credentials and move on. I try to keep in mind that these comments are 'growing pains' that most younger physicians experience. But on the bright side, at the end of the day the positive patients outcome and my work speak for itself"