Sunday, August 7, 2016
Today was our third day of clinic in Iquitos. My personal rotations were in OB-GYN and dermatology. I was excited to spend the morning learning how to do a proper pelvic examination with Dr. Wittich. If I had to choose the lesson that stands out to me the most, it would be that you need to do 400 exams before you really know what you’re doing! We saw a variety of conditions in his clinic; many infections and nabothian cysts, a case of secondary amenorrhea, and unfortunately a case of advanced cervical cancer.
In the afternoon, I was supposed to rotate in dermatology, however unfortunately the medications ran out and we were unable to see any more patients. Hopefully we will be able to raise the funds to buy more for next year! During the afternoon instead, I spent much of the time shadowing Dr. Deering in radiology. We first used X-ray to investigate unexplained abdominal pain and a skull fracture in an infant. For our last two patients Dr. Deering demonstrated how to use ultrasound to evaluate an armpit mass and probably uterine fibroids. I had not had extensive previous knowledge of radiology, and therefore I learned a lot about the operation of different imaging methods, when to use which method, and how his thought process flows throughout the examinations.
In summary, these past few days have been sweaty, exhausting, ungodly hot, and filled with some of the most wonderful, impactful and exhilarating moments of my life. I can’t wait to see what the rest of the outreach has in store!