Bookishness

[Book Review] Incarceration Nations

dreisinger_incarcerationnationsI don’t know how much time the average person spends thinking about prisons. It usually crosses my mind when I have a patient who is brought from prison – which happens a lot less now that I’m working only with kids. Every once in a while there will be a report of a jail break, and in high school we had a few debate topics around prisons (This House Supports The Right To Vote For Prisoners, etc). Every year at the anniversary of my aunt’s murder I think about prison, and wonder whether her murderer is still incarcerated.

Besides that, prison doesn’t cross my mind too often, and I’d wager it’s the same for those who don’t work with inmates, or don’t have a close relative currently imprisoned.

Baz Dreisinger’s Incarceration Nations dares to coax us from this comfort in a multi-national exposé of prisons around the world, and the justice/punitive systems within which they function. Continue reading “[Book Review] Incarceration Nations”

Bookishness

[Book Review] The Lion in the Living Room

29430840Did you know that housecats are classified as one of the world’s 100 Worst Invasive Species?

Or that one of the earliest cat shows was won by a ring-tailed lemur?

Or perhaps that house cats have made virtually no evolutionary changes to adapt to a human environment? Continue reading “[Book Review] The Lion in the Living Room”

Bookishness, Getting to know me

Adjusting to Cape Town

If you’ve wondered where I’ve gone, or why my last post was such a random shout from the dark… it’s because adjusting to a new life in Cape Town has been hard. Even though it is sort of the land of milk and honey (see previous post).

I started the year with a lot of plans (don’t we all) of having a gorgeously decorated apartment that was always neat and tidy, continuing to read a lot, writing more often, working on furthering my career, and having a lot of friends.

Tah-dah! #bulletjournal #level10life #colour #BuJo #2017 #goals #moleskine #stabilo

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Continue reading “Adjusting to Cape Town”

Real Medicine

Working in the Land of Milk and Honey

By some kind of dumb luck, I am doing my Community Service posting at an incredible children’s hospital in Cape Town, rather than the archetypal middle-of-nowhere clinic post we all expect for ComServe.

And it’s incredible.

#lucky to work with this view; less lucky to be #oncall Friday and Sunday. #weekend #capetown

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This hospital is just something else. It’s public, but has so much private funding that it might as well be a private hospital. It gets a lot of private patients so clearly I’m not alone in my perception.

Some things that continue to blow my mind:

1. Pain management team

Absolutely essential, of course, but not something we had access to in the Eastern Cape. As part of pain management, our kiddies have access to aromatherapy and music therapy. How cool is that?!

2. Psycho-social services

When adults bring kids to hospital and they have witnessed violent events, the adults get debriefing practically before the kid even leaves the emergency unit. When a kid gets hit by a stray bullet, he gets trauma debriefing. There are support groups for kids with any number of conditions. All of these things should be a given, should’t they? But again, it’s something I’ve never seen.

3. Palliative Care Team

Last year, I often had to decide on my own whether a patient was for active resuscitation or not. It was a horrible responsibility, but not that I’ve learned just how much is involved within the practice of palliative care, I realise how WRONG it is for a clinician to have to make such decisions without an entire palliative care team.

My entire view of palliation has changed.

4. Gorgeous Operating Theaters

There are theaters with views of Table Mountain, and I just… wow. (The on-call room also has a view of the mountain.)

5. Clinicians who love their jobs

I can’t begin to tell you how amazing it is to be surrounded by senior doctors who are still passionate about their work. It gives me hope.

 * * *

One thing that is not available in the land of milk and honey is small-size theater scrubs. I still have to use a whole host of improvisations to prevent my pants from falling down when I scrub in for theater.

Oh well.

Getting to know me, Real Medicine

Not Waiting Anymore

A few months ago I did something on the spur of the moment. Something unlike me, something I was sure I’d regret.

I invited a colleague for a coffee/debriefing session after work.

I’m an introvert. Initiating a social event, even a small one, is unlike me.

I asked her because we bumped into each other at work, and had a quick chat about how downtrodden and hopeless we felt. (Internal Medicine is hard.)

I asked her, selfishly, because I needed it. But also because I realised that she needed it. Continue reading “Not Waiting Anymore”

Getting to know me, Real Medicine

Doctors and Piercings: Part 3

It’s been nearly five years since I decided to get a nose piercing. I mused about the decision on the blog both before and after the fact.

Since becoming a “real” doctor, I’ve never had a patient refer to my piercing. As mentioned before, it really isn’t that conspicuous. I’ve also noticed more and more doctors who have nose piercings, so it probably isn’t so strange in South African healthcare workers as it was in 2011.

This year, after working with a certain doctor for three months, he finally noticed the piercing. His response was, “Well that’s atypical,” then he laughed and we moved on with our ward round.

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You can see it, but just barely.

I removed my nose jewellery recently, and in many ways that decision was as difficult as getting it in the first place. Continue reading “Doctors and Piercings: Part 3”