Elective Experience In Pediatrics
Paediatrics is one of the most challenging and arguably most rewarding specialities there is. An inquiring and critical mind as well as correct communication skills is imperative to success in the field. Through my elective experiences I came to have vastly greater respect for the hospital, the clinicians, multi-disciplinary team and teachers required to diagnose and treat a patient as a whole in addition to broadening my experiences in medicine and life overall.
I decided to dedicate my two week elective in the Paediatric Department of Charlotte Maxeke Academic Johannesburg Hospital as I enjoyed the hospital culture as well as, CMAJH being a quaternary hospital, I was more likely to be exposed to a range of different patients. Paediatrics
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It is often said that you treat three patients in paediatrics. The Illness, the child and the parents. One registrar was handling a severely ill TB three month year old baby, talking to the mother in quite a relaxed manner. Another registrar walked in and then started fretting so much about the baby that the mother burst into tears and the consultation became much more difficult. I believe I would have been the second registrar as I could see the baby was starkly unwell and seemed to require urgency. I later saw the infant in the wards a lot better and I found that very rewarding to see a patient recovering and getting …show more content…
In the oncology ward I was surprised to see the kids playing and laughing despite the seriousness of their conditions. It was heart-warming to see the hope and cheerfulness on the children’s faces even if the parents’ faces were wearier. However, when it came to observing the examination the children jumped on the table and lifted their shirts gave me insight as how irrevocably different this child’s life was to that of a ‘normal’ analogue.
I also spent time in the general wards and casualty where I got a handle on the basic and more common paediatric conditions such as Severe Acute Malnutrition, Jaundice, dehydration due to gastroenteritis or vomiting, HIV and TB. I assisted in putting on Plaster of Paris casts, suturing as well as putting in drips. On the other hand, there was no other ward I enjoyed or learnt more in than the Transfer Unit (TU).
TU is a neonatal ward that takes in babies that are born that need to be monitored for 8 to 72 hours due to various complications/conditions such as complicated birth or gestational history, low or high birth weight, any baby born with a deformities or respiratory
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