Saturday, July 15, 2006

Practice Partners


"why don't you try to push it in deeper like this," she said as she pulled the vaginal speculum towards her, deeper into her orifice. She had her legs on the stirrups while my head was between her thighs.

"oh ok, now i see your cervix better," i replied.

"now, when you pull out, be careful not to hit the urethra."

"there, i'm almost out now, did i hurt you?"

"you did great. now try to feel for my ovaries. put two fingers in me while palpating my abdomen with the other hand"

"ok," i said while spreading some lubricant across my gloved fingers. "you'll have to guide me through this because it's been a while since i last did this."

"no problem, that's what i'm here for. and you're doing fine."

"i can't seem to find your ovaries."

"try doing this," she takes my hand and guides it along her lower abdomen in a fast motion. "keep those fingers inside me pointed upwards while this other hand flicks for the ovaries."

"oh there they are," i said with glee.

***

R has been a volunteer for medical students and doctors to practice their skills on for nineteen years now. K, guy in the other room has been doing the same thing for 5 years. The purpose of the exercise was to teach us how to conduct these sensitive examinations as humanely as possible. I have done numerous pelvic exams on patients before but i have learned a lot of important points today.

Questions such as "are you comfortable?", "am i hurting you?", are pretty much the standard questions around here. Getting immediate feedback from a live patient provides better insight on the proper way to go about these exams, to make us more sensitive doctors, and, maybe, better ones.

***
Thank you, R and K, for doing the medical field a big favor.

27 Comments:

Anonymous bugsybee said...

Wow! I didn't know there were peoople like R and K. That sure is a lot better than practicing on your patients (ouch!) or just reading the books. You know, I'm a "hospital veteran" - always in and out of hospitals (and for major operations at that) but sadly, one of the things that I noticed in recent years, is that docs don't anymore ask "did I hurt you?" I had one who, when I shouted "ouch! that hurt", he said "you're OA!" If only I felt better at that time, I would have given him a kick where it hurts too. :)

5:03 PM  
Blogger atticus said...

aray! argh! ayan ang dahilan bakit ayoko magpunta sa doktor. description pa lang, masakit na. eeewwww.

11:48 PM  
Anonymous pilimon said...

bat ganon doc?? parang iba naramdaman ko nun binabasa ko un post mo?? nyahahaha~ :P

anyway, talaga naman nakakahupa ng takot kung talagang mabait at considerate ang tumitingin sa iyong manggagamot.

3:57 AM  
Anonymous Anonymous said...

wow thats crazy. for my nursing health assessment, my friends and i were each other`s practice partners for breast examinations. we never got to do the anus one tho.

-hazel e.

10:11 AM  
Anonymous Jerome Daclison said...

doc, i agree with pilimon. you sounded dirty when you wrote it. very softporn. hahahahaha!

pero seriously, its nice to hear that sensitivity is practiced there. RH practitioner din ako, duke. so i value patient's RH rights.

have you read my new entry? ur gonna f*&^%ng flip out, man! hahahhahaha!

3:36 PM  
Blogger j said...

Kudos to R & K! That's one thing I wouldn't like to do..

5:39 PM  
Blogger Screwed-Up AKA SnglGuy said...

Hmmm, did she say "I'm coming, I'm coming, don't stop pleeease!" Mwehehehe :-D

I bet she doesn't get orgasm anymore after almost 20 years of getting 'fingered'. :-)

12:05 AM  
Blogger f.r.i.e.d.w.a.t.e.r. said...

san meron meron ding mga aso na "willing volunteer!"

akala ko nagkakamali ako ng intindi that's why i had to read it again.

when i watched grey's anatomy, iniisip ko kung sino ka kaya sa mga doctors dun. hehehe! tingin ko para kang kumbinasyon ni O'Malley at ni Grey!

9:51 AM  
Anonymous miwa said...

It must be hard to satisfy somelike her. ;)

Akala ko invasive na yung ginagawa ng mga nude models para sa mga painting students, may mas hard core pa pala. Seriously, that's amazing. Kudos to people like them :)

9:53 AM  
Blogger tin-tin said...

OB ka ba? or required lang talaga yan. when you talked about ovaries. i remembered nung before i had my operation and the doctor felt my ovary. and she said, she can't feel anything wrong with it. parang ang weird! kse inisip ko, how can you feel my ovary?? but dahil dito sa sinulat mo.. posible pala. pero weird pa rin. hehehe

12:55 PM  
Blogger Tani said...

hi don. we know how vulnerable a person can get during pelvic exams.. but when i had one done to me 4 years ago... well, it was a different experience eventhough i know what to expect... i changed OB's twice because the first one was so robotic doing the exam.. miss you, don... malapit na ako punta dyan.

2:03 PM  
Blogger Tani said...

pahabol... ang ganda talaga training dyan states! alam mo how much kinikita nina R and K?

2:14 PM  
Blogger Rudy man said...

doc, eto na ang da best post mo doc! wehehehe pero di nga, araw araw siya nag papractice? :)

2:56 PM  
Anonymous abstabs said...

Doc, sa tingin mo kaya ko kayang gawin yong ginagawa nina R and K na "work"? :-)

4:32 PM  
Blogger kero said...

mabuti pa dyan may R and K to train on. tayo ba paano natuto dati? hanggang papsmear lang ata gawa ko but not the bimanual exam.

8:56 PM  
Blogger -raindrops- said...

puchang post na yan. naloka ako.

sabi ng doctor friends ko, ang mga sensitive doctors daw dito matatagpuan sa government hospitals.

chi-ching!

7:53 PM  
Blogger * diday kampupot * said...

aray kech!!!

pucha, may ganito pala. but wow, i laud them ha, in fairness.

8:40 PM  
Anonymous diane said...

hey duke,
ngayon lang ako uli ng post haha.. wow ganyan pala dyan.. pwede ka magpractice hmm.. sarap ah.. o nga pala pasa na ako sa board.. wait for me dahling wahahahaha.. umalis ka na pala.. hindi kita naabutan sa pinas.. sige enjoy :p

1:54 AM  
Blogger atticus said...

duke mag-update ka na. ayoko ng piktyur!!! it's the first thing i see when i check your blog. aray sabi eh!

8:21 AM  
Anonymous Toe said...

Very interesting post. If that's how you learn, you'll be a wonderful doctor. And what a job R and K got! My doctor in Bangkok is very sensitive, motherly, and very interesting that she got me all interested scientifically in the female anatomy. I also feel that she understands me emotionally and physically. The hospital there is so beautiful too... parang Intercon Hotel.

11:52 AM  
Blogger duke said...

bugsybee. yes, there are people like them. you should've kicked that doc. hehehe.

atticus. di naman masakit ata yun. sows.

pilimon. bastush ka. mabaet ako. considerate pa. hahaha!

hellow hazel e. well, i don't think practising the pelvic/rectal/genital exam on colleagues isn't a good idea. i wouldn't like it. hehehe.

jerome daclison. hoy bastush ka din. at bastush din yung post mo! hehehe.

jairam. i can't think of anybody who would. except those i mentioned, of course.

singlguy. bastush ka, bastush ka.

friedwater. gudlak na lang sa aso mo. sana makahanap ka. grey and o'malley? hmmm. lotsa sex? buwahahaah.

miwa. nude models? nyek, e no touch naman sila eh! hehehe. just look. noninvasive.

tintin. di ako OB. pede i-palpate yun. pero syempre imaging pa din ang patutunguhan, ultrasound, kung may mafifeel na mejo kakaiba.

tani. hay tani tani tani. sumunod ka na nga dito. tapos bigyan mo ako ng pera. tapos pakainin mo ako kse ayoko na dito. gusto ko na umuwi. ay walang sense sinabi ko.

rudyman. natuwa ka ata sa post. at nasabi mong best post ko to. hehehe. di naman sya araw araw no! nukaba. may times lang ng year pag kelangan sya. di naman to yung profession nya eh. nukaba! volunteer nga lang. sapak gusto mo? hehehe.

abstabs...hmmmm..mejo mahirap yung tanong mo...pagiisipan ko yung sagot. i'll get back to you.

kero. talaga? ako nun basta may pasyente kelangan mapasok ko mga daliri ko. mejo naeexcite ba. hahahaha. pero tuwa talaga ako sa OB eh. at accurate talaga yung fingers ko kaya pati sa pay nun pinapaIE ako. mishu.

rain. tingin mo? laspag na mga doktor sa gobyerno tapos may gana pa sila maging nice? hehehe. i doubt. siguro yung may gana maging nice eh yung babayaran mo para maging nice. hahahaah.

*didaykampupot*. oo meron. cum laude sila. hehehehe.

diane. hoy buhay ka pa pala. congrats! nars ka na. so assist ka saken? e mas malaki sahod mo eh. biset. kainis. biset biset.

atticus. wala ako maupdate eh. actually madami kaso sobrang bisi.

toe. that's nice to hear. at sa bangkok ka pa nagpapadoktor. sosyalin ka! hahaha. mahal ba dun magpagamot? hala! thailand? hala! nagpasex change ka ano?! ano?! aminin mo! hahahahah! jok lang.

12:00 PM  
Anonymous Diane said...

Haha duke yes nurse na.. PERO MUKA GUSTO BAWIIN ang license namin.. BALAK BA NAMAN KAMI pag retake nila.. its so unfair duke..wala ako leakage at pumasa naman ako ha.. kainis talaga grrr..oo assist kita.. baka maka work rin ako sa texas.. nag apply ako new mexico eh.. eh compact state yun sa TEXAS :P wait for me dahling hahaha

2:28 AM  
Blogger Citizen of the World said...

OH, WOW! If only there are such people in the Philippine setting! This is amazing.

3:00 PM  
Blogger Citizen of the World said...

I assume the guy (R?) naman allows residents to feel his prostate over and over?

Kakabaliw na trabajo yan, oo.

3:03 PM  
Blogger cruise said...

parang gusto ko ng magpalit ng profession, kulet ng kwento mo!

buti nalang bumawi ka sa huli, sign pala ng pagiging humane, naks. lusot!

10:34 PM  
Anonymous judyannmarie said...

Oh wow. A professional vagina. Interesting.

11:19 AM  
Blogger Online Notice said...

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6:51 AM  

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