When you start dreaming about hemorrhagic ovarian cysts

you know have been on ob/gyn too long ;)

This last week marked the end of my ob/gyn rotation...ending on a high note with gynecologic surgery (gyn surg).

The last two weeks have been my favorite of rotations thus far. Yes, you have to be at the hospital early. Yes, you have to present patients to intimidating attendings. Yes, you will mess up and get yelled at by scrub/circulating nurses. Yes, people can be grumpy for no reason. Yes, you will be on your feet for so long during surgery that you put ice packs on them when you get home. BUT IT'S SO MUCH FUN. I can honestly say that I've enjoyed every day that I've gotten to be in the OR.

I love the hands-on aspect. Here is a list of just a few of the things I've gotten to do the last two weeks.
--sewed up a patient with a subcuticular suture
-- cut a fibroid uterus in half (after it was removed to be sent to pathology)
--biopsied a lesion on a cervix
-- played with hysteroscopic tools
--closed fascia by tying knots

Surgeries I've seen:
-- total abdominal hysterectomies
-- supracervical hysterectomies
-- ovarian cysts removal
-- ovarian mass removal/omentectomy/bowel resection
--laser ablation of vulvar lesions
-- cystoscopies
-- dilation and curettage

I also just started feeling more comfortable as an M3 by the end of the rotation. Some residents are nice, some residents are mean -- same with attendings. I don't know if I have just gotten used to being the bottom of the totem pole, or if I've just become a more competent M3, but these last two weeks I have felt good about where I am.