tiistai 13. toukokuuta 2008

HELsinki

Since I´m back at "home" and nothing interesting is going to happen in my life (just joking..), I think I´m going to end this blogger adventure at this point! I´m starting to work next monday at Tammisaari hospital, only 8weeks to go of the practical year thing. I have already signed up for the final exams in october- november, so life after Tammisaari for the most is going to contain loads of studying. And, please, don´t ask me if I´m going to specialize and in particular in which subject!

One story to go. For the final exams I had to hand in about 30 certifications (nope, no computers) about taken courses, electives, exams etc. Not to forget the famous birth certification ("Geburtsurkunde"). Well, I ordered it from the finnish register office and got it in english. Which, I suppose should not have been a problem since english is an internationally well known and understood language. But no. The germans wanted to have this list of names, addresses, birth dates etc. in german. And the translation costed me 35,70 Euros!!! Who needs this crap? Don´t they believe that I have been born? This is so german and I am so happy to get rid of that byrocracy!

keskiviikko 30. huhtikuuta 2008

Why did I actually give Berlin a chance?

Or better, german medicine. Some examples:

On my first day I was told to be the one to mix and set the iv-infusions. Since I had never done it before (nurses do that in Scandinavia and Switzerland, and also in Germany, when the med students aren´t there= in the evenings, at night), I naturally asked a nurse for help. But since I´m a med student, she directly said and very unfriendly: " It´s not my job to show you, you have to ask the doctors for advices!". So, I said I can´t, can you show me and I assume the nurse understood that I´m a total beginner. Well, when something goes wrong (no matter what), of course we med students are the ones to be blaimed, and not friendly, very impolitely! Yep, no wonder things go wrong, if they don´t advice the new people.

I was asked to take blood samples, hemoglobin and crp, for which I needed two (!!!) tubes. I took these two and of course it went all wrong. "Usually we also take coagulation, because blaah blaah blaah" I explained that I had been asked to take those two. And the midwife explained me at least three more times that I should have taken three tubes. As if I was stupid?

After a cesarian section I was asked to go out of the operation room and tell the midwifes to prepare some pills for the patient when she´s out of the operation. Just when I was telling the message, the other doctor came running out of the operation and screamed at me, that the thing has to be done immediately! Again, am I stupid or what? I do actually understand the difference between prepare and prepare immediately, it just has to be said!

Something more advanced and for the colleagues. To the policlinic came an elder patient who was planned to get operated next day. She had some basic illnesses, high blood pressure, copd and propably something with the heart too, medications for these diseases. First of all the doctor wasn´t sure, if she should order chest x-ray or ecg, which in this patients case were definetly needed to be done before any operation. But the best thing was, that she did not order something as essential as creatinin (kidney test, which is at least at internal medicine a so standard blood test for almost anyone, young and elder), to save money!!! Instead of that she ordered a few (at least for me) totally unnecessary samples to be taken! I tried to explain it to the doctor, but again, who listenes to the students?

Six days to go...

keskiviikko 23. huhtikuuta 2008

Munich

I spent the last weekend in Munich, we had a SLSLO meeting (finnish medical students in Germany) in the south. It was a short visit including 12hours of sitting on the train, but it was worth it! It´s always good to get out for a few days, kind of vacation feeling... Munich seems to be nice, it has a snobbish reputation, but I did not get the impression, compared with Zurich, it´s nothing. It´s not too big (which Berlin is) and it also has loads of activities to offer. In the center is a large park "Englischer Garten", we went there of course for a beer (did some walking too)! The Biergarten season had already begun a week earlier in Berlin, only that the weather the second time was more of an enjoyment. And what I appreciate the most... the closeness to the alps!!! Oh man, I was again so enjoying the views, maybe I should go to Switzerland for work for a few years?!?

Well, for now I´m coming to Finland, in 2-3 weeks depending on if I get the last week off or not. I got a tiny appartment in Ruoholahti and am so looking forward to my own home in the central Helsinki, finally!

maanantai 7. huhtikuuta 2008

Sushi a'la Turkey

Berlin is very multicultural. It´s very common for f ex turkish people to run an italian restaurant. What I did not have experienced before was Sushi by turks. This small restaurant is just around the corner of my home. I was a bit hesitating at the entrance as I saw this turkish sushi cook, since I was looking for a great sushi meal. Prejudices were wrong and the snack was delicious! And the cook entertained me the whole time... If I had wanted or not.

keskiviikko 2. huhtikuuta 2008

Hier wird nicht gegessen sondern gearbeitet

A thing called lunch is unknown at the operative section of this hospital. They don´t take a break at all, there are always some ten minutes between the operations and time for a bread and a glass of water, but that´s about it. I am warmly remembering the operations at Lohja, where the operator asked his/her team (!) around lunch time at the end of an operation, if it now was a good time for a lunch break? The operations don´t end around 2-3pm like in Finland, they continue until 4pm (or later if emergencies) and the day for these doctors has definetly started at 7am or earlier! At this point many of you my friends would (again) say: " I don´t think I would want to be operated by someone, who has eaten almost nothing the whole day!".

torstai 27. maaliskuuta 2008

Back in Berlin

Things are fine, it´s very nice to be here again and in particular for just a "visit"! The flat and my roommate are cool, the location is fabulous! I´ve always wanted to live in Prenzlauer Berg and now finally I´m kind of in the middle and I´m not anymore the one who always has to get somewhere for a coffee or beer because many of the awesome bars are just around the corner! As you see, this is one of the most important facts when choosing the place to live... No, but I´m very satisfied!

The internship is ok, I basicly didn´t have any expectations, I wanted to be prepared for evrything possible and I suppose the attitude is not bad at all, since now things can actually only turn out better than expected! The people are very nice (which is not typical for Berlin) and the doctors try to show me as much as they have time for, which isn´t much. I´m propably going to be assisting the operations for most of the time. And I doubt that I will be allowed to do stuff, f.ex. sew. But, still I´m going to see loads of things and the doctors explain a lot! And, the day for me ends between 2-4 pm and I have every week a day for studying, so I actually work just 4 days a week!!! This is something I soooo appreciate after Switzerland! My standard assignments are naturally the taking of blood samples, setting infusions and iv needles. This is stuff which nurses do in Scandinavia and Switzerland, it was about 3-4 years ago that I for the last time took blood samples or set iv needles , but I managed it well today! I suppose it´s like biking... you´ll never forget it.

torstai 20. maaliskuuta 2008

Short update

No Malaysia, I haven´t got, not even until today, the official offer letter. So I suppose it was more clever to cancel the flight. Crappy situation to arrive after x hours flight on the other side of the world and find out not to have an elective posting. It would have ment eight extra weeks of internships, no final exams in october but in april 2009... I´ll much rather wait for life after graduation and save my Lonely Planet Malaysia, Singapore and Brunei for later!

Nice!

I have finally recovered from the farewell party on tuesday, I will never drink alcohol again. I don´t know how it ended like this, the evening itself was very funny! Well, I did not manage to go to work on wednesday, but since it was my optional week at the rheumatology and my job was to listen and watch, I suppose it wasn´t that terrible.

So, now that I have recovered and emptied my room in Lucerne, I was able to plan some more and was at first thinking of going to Geneve, but the weather forecast was bad and instead I drove to Nice! After last weekends driving in Italy I said, I would never ever want to drive in Italy again. But the way to Nice went trough Northern Italy. Well, I (or rather the car) survived again without any damages. The route was beautiful!!! Hills, the ocean and these coulourful small villages, and palms! Palm trees are mediators of holiday feeling! I had a short break at one of these cute villages, "Celle Liguri", sun and 20°c! I arrived after ca. 530km in Nice, had to loo for the hostel for ages, as almost always, why can´t they put big signs outside the hostels?

Now I´m sitting exhausted on the hostel bed and going to propably fall asleep in a few minutes...

torstai 13. maaliskuuta 2008

Changes all over again

I´ve been wanting to go to Malaysia for an elective, for eight weeks after easter holidays. Well, this came all on short notice, a friend of mine was in KL in the autumn and was kind of exited about it (not just about travelling, also the elective was great). So what happens, Maija wants to go too. I have been applying for KL since jan-feb, at first it seemed very impossible and I so to say already gave up. I organised everything with Berlin during the last weeks, got my flat two days ago and what happens, "pa dam" yesterday morning I had a message in my mailbox: "We have approved your application". Who would say no?!? I´m just waiting for the final blessing of my home uni in Berlin. I've already booked the flights, for easter sunday... it would be awesome!!! Although, I was already really looking forward to goin to Berlin again. But still, Malaysia would sooo rock!!!

maanantai 10. maaliskuuta 2008

Fondue chinoise

Mmmm... I don't like cheese fondue, but this was delicious! It was ski day of the clinic last wednesday, skiing wasn't that spectacular, besides my awesome crash in the fresh powder snow, when I was supposed to show my colleagues, how well the fins control every kind of winter sports...

In the evening we had this great dinner at a steamship at Lake Lucerne. To the fondue we had chicken, pork, beef, different vegetables and sauces, rice, fries... And ice cream with chocolate sauce as dessert! Of course a nice wine to the meal, too! And for this nice evening is to thank the department of internal medicine in Lucern!!!

No mega party this time, I suppose I wasn't the only one, who was totally tired after a day outside in the fresh air... Syndrome of oxygen intoxication.

Change of plans

I'm not going to stay for the whole summer in Switzerland. At first the idea was to go to Malaysia on short notice, but this plan doesn't seem to come true. Well, the eight last weeks of the third block are reserved for Finland, in Tammisaari. There I'm starting to work 19th may. But what about the eight weeks before that and after easter?

I tried to get something on short notice in Switzerland, but I changed my mind, again. I haven't heard too much good things about gynecology in Switzerland, we students aren't allowed to do that much and therefore I don't want to take care of the crap stuff and stay until evening hours at the hospital (for the minimal money the interns get here, ok, it's definetly better than nothing, but still... 450e monthly for 50-60hours per week...). So, plan c... is Berlin! Ok, I'm not going to get a penny for the work there and I propably have to take f.ex. blood samples. So what, I'm also all over again a student, who doesn't have any responsibilities and is allowed to go home as soon as my work is done! I might even have some study days during the weeks, so I actually might get to some reading too...

And during the hours I'm going to be so pissed of by the german medicine I can dream about Tammisaari, the indenpendent working with loads of responsibilities and the luxurious (!!!) salary compared to any countries south of Northern Europe!

lauantai 23. helmikuuta 2008

Bad news

This day was a regular day until lunch. Some interns told me that I was needed at the
surgical ER. A finnish patient was in the ”schock” room and I was needed for translation. Only a few minutes later the telephone of my resident was ringing, someone form the ER was looking for me. A young man had had an accident during skiing in Engelberg and they didn´t have any information about him, only a cell, in finnish. The patient was already in the operation and I had to call the parents to inform them about the accident and injuries. This wasn´t nice. It was very difficult on the phone and the mother was of course totally schocked. I was supposed to tell her that his son had a severe accident but HE IS STABILE. Imagine the situation and try to guess if my ”your son is under stabile conditions, is now beeing operatde and will afterwards be moved to the ICU (intensive care unit)” was calming the mother at all. No, it wasn´t.

Grey´s anatomy

Talking about Dr. House, I also have to mention the rival. Carneval time was amazing! During the period I found out some things about some colleagues. Well, I missed the last part of the carneval fever because of the night shifts at the ER. I was kind of isolated from the rest of the interns, went for the free week to Helsinki and now, I´m back. Oh boy, I also missed two more parties during the time in Finland. No relationships in hospital Lucerne? Yeah right!

1. I already knew, that a girl intern had been dating a senior doctor and during my time away they had been on several dates.. The girl is now away, don´t know anything about their future, yet...
2. Another girl intern had an one night stand with a resident. Well, this didn´t work out that well at all, for the girl.
3. This happened at a party last saturday. A former german girl intern was at the party too, so a friend of mine had asked casually about what was going on in her life now a days besides that she was studying for the final exam in Germany. The girl answered: ” I´m the girl friend of Mr. X!”, who happens to be the guy from story two and had only a week earlier had the thing with the other intern...

Some of you my friends have asked me, if the everyday life in the ”real” hospitals is like in ER or Grey´s Anatomy. Are you now satisfied?!? ;-)

lauantai 9. helmikuuta 2008

Dr. House

Yep, that's true. It has come that far, last night we had only two patients (which is like nothing for two docs and an intern). So we watched Dr. House. Wicked. Doctors on a REAL ER watch the SURREAL ACTIVITY on dvd. Well, tonight we've actually had something to do, but now (3 am) I'm finished with my three patients and might start watching Dr. House.

We in fact have our own "Dr. House" in Lucerne. He is a senior, about 35years old and reminds us of a primal person. His appearance is always a bit sloppy. His talk sounds like swiss german in chech. Try to imagine. And he is definetly not a role model what comes to his social skills. Once he ran straight into a room to a maybe 40year old female patient and asked her, if she had been fucking lately ("Haben sie gefickt?")? I mean, it sounded very hilarious, when a colleague told the story, but imagine you being live in the situation? Very awkward.

perjantai 8. helmikuuta 2008

Ski stand

In the land of skiers and boarders there are even ski stands at the hospital (also in bars)... Or is it considered for umbrellas?!?

keskiviikko 6. helmikuuta 2008

maanantai 4. helmikuuta 2008

Night animals

So, the night rotation has begun. It's 02.30 and I have to be here until 07. I'm bored right now, don't have anything to do. Waiting for some semi sick patients to come. Oh, and it still is carneval. The first underaged for this night has landed on the ER. He had fallen into the river, had lost the balance during peeing. Great, what a story to tell afterwards...!

keskiviikko 30. tammikuuta 2008

Härzlech willkomme a de Lozärner Fasnacht!

The carneval ("Fasnacht") begins tomorrow! We're planning to go to the market place to check out the "Urknall" at 5 am! I don't really know what the "Urknall" means or what to expect, but that is when the carneval period officially begins. I hope the action is worth it, since 5 am is really early... And everyone, naturally, has to work afterwards, I have to work the whole weekend at the ER. But until now it's been nice, interesting and not too hectic. I hope this carneval event is not like the finnish equals with massive alcoholism and in consequence of that, a crowded ER...

The absolute highlight of today were cinnamon rolls! A colleague had baked loads of them after an original scandinavian recipe, very delicious!!!

maanantai 28. tammikuuta 2008

Well prepared for 14 days at the ER after a weekend with beer, sun, snow and fresh air



We were supposed to go downtown just for a couple of beers on friday, it ended up after six or seven. It would not have been a problem, if we had not had planned to go skiing early on saturday. It was so hard to get out of the bed in the morning. The others went to Engelberg, I wanted to go to somewhere with more snow and decided to go to Laax. Originally I and another girl intern had planned to go for the whole weekend to Laax, she happens to now a guy, who runs a hostel in a small town near Laax. Unfortunately she got sick.

The plan worked out more than well, again perfect weather conditions and enough snow (not that much as two weeks earlier in Laax, loads of fresh powder and great free riding, but still so much more than f.ex. in Engelberg). And I did not even have to ride alone, I met a german doc at a ski lift we took up together! Imagine, she works in Ilanz near Laax, lives in the next village to Laax, Falera, has a ski lift right outside of her front door and payed as a local ONLY 260 Fr (150Eur) for a season ticket!!! Amazing! And she is starting to work in Lucerne in December... Unbeliavable how small the world is... And , she happens to know the former tenant of my first flat in Berlin (he also works in Switzerland). Naturally, I also ran accidently to the guys from the hostel..

On sunday I went to Hasliberg, it´s only 45 min away from Lucerne. I thought it would be a small skiing centre, but actually it was quite large. And very sunny! Not a bad destination at all... I really like boarding, but sometimes it´s just so troublesome with the gently sloping areas, bindings off and on. I´m really thinking about starting to ski too, furthermore it´s nicer to ride skis with other skiers and I still would definetly continue snowboarding with boarders. I´d like to try going on snow tours, that´s what many of the colleagues and locals do. They climb up a mountain with skis and then ride back in the untouched deep snow. And have the nature and silence all just for them. Sometimes I just can´t stand the crowded resorts and slopes, free riding in powder snow is just so amazing! Sounds like I might need some new challenges...

perjantai 25. tammikuuta 2008

Dirty thursday

The easiest week until now is almost over. Next monday I'm going to start a 14 day rotation at the ER, first seven days, then seven nights. Lucky as I am, the carneval (the biggest happening of central Switzerland) is during my ER placement. Oh boy, it might get tough. I hope I'll be able to see at least something of the carneval action, since I have never experienced it before!

We had an after christmas dinner of the department of internal medicine on wednesday. First the dinner at a typical swiss "Gasthaus", food wasn't anything special, but wine was excellent. Which was the reason I had to drink so much... The evening was great, there were many of us interns, residents and of course some of the seniors and the chiefs! It was loads of fun, the "adults" went home after the dinner, we "kids" (= interns and residents, two younger seniors) continued to Bar 58, which already was closing that time, which means, it might have been sometime after midnight. We went further to Roadhouse, a bar and club at the central railway station. Long evening and night, loads of wine, guess what that stands for. But (!), I did not steal any shoes or brake my cell phone nor camera...

Thursday at work was not good. First of all I overslept two hours and missed the morning meeting. Well, that wasn't that dramatic. The day just felt sooo long after only a few hours of sleep... But I think wednesday was worth the misery yesterday !

tiistai 22. tammikuuta 2008

Mount Rigi



Isch guet gsi


Last week was hard, it was my last week in the department of general internal medicine. I´m glad to be in a new section, I got along very well with my resident and the other staff, but still, it´s nice to be out. This week I´m going to spend at a department with patients coming only to specific operations(f.ex. coronary angiography, chemotherapy). Tempo is a bit quicker, but it´s also much more distinct than the department before. The atmosphere is nice, I have again a great resident, and not surprisingly, again a german guy! The other female interns are quite jealous because I get all the cool guys as my supervising doctors...

The weekend was filled with sun, snow and good company! We have quite a good gang of interns, went out together on friday, checked out first a for us new club ”Adagio” and ended very soon at the place we went the friday before (”Black sheep”). Saturday and sunday skiing and boarding together in Engelberg. That actually is not one of my favorites at all, but since most of the interns have season cards for Engelberg, I rather joined them this time than went somewhere else alone (I also had a season card of a girl who was on call, so it was economic for me too). On sunday I tried skiing for the first time in maybe ten years, it went well and was very good, but still... Snowboarding is better! Next weekend propably to Laax!

perjantai 11. tammikuuta 2008

After all... I Might be living in a fairy tale...

This week was quite chilly at work, got out earlier every evening. And since everyone has gotten use to their job and long days, people aren´t that tired anymore in the evenings. No more just living for the weekends, there actually is some social life during week nights too! On monday we went to the movies, saw a german movie which was very very funny, but totally meaningless! On tuesday we went to have few beers, it was again great and the local beer "Eichhof" is good too, which is naturally very important...

Well, then on wednesday I had to stay at home and sleep, since I had been out two nights in a row until midnight... Hehe.

On thursday I got out really early because I have to go to work on saturday, but just for a few hours. I was lucky, then weather was beautiful today, warm and sunny! I finally got to take some photos of Lucerne, did a long walk and sat on a park bench just enjoying the sun and the views. Lucerne really is one of the most beautiful places I have been to! I can not imagine many more overwhelming views than mountains at a lake at sunny clear weather! (Unluckily I was not able to upload the awesome pics...)

maanantai 7. tammikuuta 2008

Missing the mountains after two days of Berlin

... but I still enjoyed Berlin a lot! It was great to see some uni and other mates again! And to get out of the regular everyday surroundings for a few hours was really refreshing. The weather was terrible, even worse than "winter" here, it was so cold. And unbelievably slippery, like ice skating!

At the birthday party on saturday people were smoking on the balcony and a guy went by with his girlfirend and dog. This guy slipped properly directly under the balcony and the balcony people started to laugh at him, properly. He got really mad and aggressive (typical east german/ berliner male behaviour...) and threatened our people with all kinds of stuff, f. ex. was he planning to call some of his friends over to start a fight... Oh man, what a guy, his girlfriend was so embarrassed...

Sunday was very relaxing. I had a delicious vietnamese lunch with a good friend and afterwards I was "forced" to eat a huge piece of raspberry cake! Very satisfying sunday program! I also had to buy some Fazer chocolate from the airport... Of course not for me, for my colleagues at work ;)

perjantai 4. tammikuuta 2008

Berlin

Heading to my former home town Berlin in a few hours! A good old friend of mine has birthday and I definetly didn't want to miss this party! It's really nice to get out of Lucerne for a few days and go enjoy the advantages of a big city. And I so want to go eat Sushi... Macht es guet!

Back at work

New Year's break was nice, chilling around and sleeping a lot! Typical Lucerne weather is cloudy and foggy, sun has been shining maybe on five days during these four weeks. On saturday weather was as perfect as it can get here, sun was shining all day long and we had a clear blue sky! So it was a perfect day to go up to Rigi, one of the highest mountains in Lake Lucerne area. It was so beautiful, incredible views! And the sunset... Unbelievable!

The next day I went snowboarding in Andermatt, it was snowing almost the whole day, I had some difficulties getting up to the village with my winter tires (no spikes) since the serpentine roads were all covered with fresh snow. But I made it without any damages! Snowboarding was ok, partly sun was shining, on the other side the sight was terrible. And the same with the snow.

I spent the last day of last year by hanging around in the city and watching crazy locals jump from a bridge to the river, I don´t know why, New Year`s swim? It must have been cold. Since I don´t have a coffee machine at my place (and haven´t even bought instant coffee because during the weeks we always get some coffee after radiology meeting from the hospital cafeteria) I desperately had to go get some coffee, from where else than Starbucks!!! Can you imagine, a town with 50 000 inhabitants has to have a Starbucks? Apparently there are so many americans visiting Lucerne, that it has to have three of them...

In the evening I and six other interns cooked Raclette! We had tons of food and I suppose everyone ate far too much, but it just was so delicious! The cheese is so good here... And we had great wine too, my family's all left overs from christmas, I got f. Ex. six bottles of very good german wine. We watched fireworks from the 18th floor, A.K.A helicopter landing space on the top of the hospital! It was huge! Tens of smaller fireworks all around Lucerne!