If you’ve ever been sad, you’ll have heard this. If you’ve been depressed, you’ll have heard it ad nauseum.
What depressed person has the energy, let alone the motivation, to go for a run? Realise that “going for a run” is a multiplex of tasks. First, you must get out of bed. Then, you must get dressed. You must put on shoes. You must (preferably) eat something. You must unlock the door. You must step into the sun. You may have to greet the neighbour. You must put one foot in front of the other. Then you must do it faster, and remember to breathe.
I had a little giggle to myself while charting the notes of a patient with shoulder pain the other day. Specifically, I was thinking of this post of yore, and my belief that I could get by just knowing what anatomy looked like, and not necessarily its various descriptions and qualifiers.
The little girl had come in hurt and bleeding. No too bad, a small gash that was easily approximated and taped (gosh, I love steri strips).
Next: the Tet tox.
She doesn’t know about it yet. For a moment I consider not telling her at all, but she is old enough to feel betrayed. So she sits on her dad’s lap, and we tell her about the special injection that will prevent her from getting sick. We may have used some imagination and invoked superheroes, too.
I braced myself for the struggle the moment the needle pierced her skin.
Nothing. Nada. She sat chewing her candy while I taped the injection site.
You know all those cute videos of doctors giving kids their shots without them noticing? I finally got mine, and that felt kind of special. Sometimes, you need just one small success to give you a bounce in your step.
I love that more healthcare workers are talking about depression these days. It’s something I did not see while I was studying, and that meant that I felt very alone. You might even have seen (or participated in) #crazysocks4docs, which was meant to highlight the high rates of depression in the medical profession. (Some took exception to the term “crazy” – but I’m not going to discuss that right now.)
Anyway, more and more HCWs are doing their part to delegitimise stigma by sharing stories of their own depression. But some mental illnesses are still “off limits” – bipolar mood disorder and schizophrenia, for example; and it’s not hard to know why. For a doctor to get sad and burnt out? Most people can wrap their heads around that. But few are comfortable with the idea of an “unstable” doctor. Society hasn’t become comfortable talking about those disorders that may lead to losing touch with reality. Continue reading “Read This Book: An Unquiet Mind”→
The night before my first shift in general practice, I frantically messaged one of my doctor-heroes on Twitter (@sindivanzyl). I think I was hoping for a cheat sheet, something about hypertension and diabetes, but the one thing she emphasised was, “Please, please, always examine your patients.”
For medical students that would probably sound absurd. Duh, how can one not examine the patient?
Today is (was) Africa Day. My favourite way of celebrating Africa is by celebrating her literature – and by implication, her narratives.
I have loads of posts about South African books, but not one about the continent. Here is a handful of my favourite pan-African books. There are many more. I am shamefully missing a bunch of countries on the continent – please do recommend some good books in countries not listed below. Preferably written by an author from the relevant country. Continue reading “An Africa Day Collective”→
She was a healthy young woman who came to see me for a “complete check-up” before a holiday overseas. Although I tend to think “complete” check-ups are somewhat overkill, they do present a good opportunity for health promotion and disease prevention. As one does, I asked about sexual history and family planning. She hesitated just a split second before answering, “Well, my only partner is a woman, so I don’t have to worry about pregnancy scares.” And then, we moved on. Continue reading “Doctor. Counsellor. Freedom Fighter.”→
As I enter into my third month of General Practitioner work, I find myself reflecting. I started with private GP locums to fill the gap til I got the job I wanted. But now I’m signing a contract and I’m here to stay – for at least another five months.
One evening, my housemate asked, “So, did anything interesting happen at work today?” When I responded in the negative, we laughed about how my work had become almost mundane compared to working in hospital and coming home with fascinating stories of grotesque injuries and life-saving surgeries practically every day. Continue reading “General Practice is not exciting, but it is fulfilling”→
I can spend 10 minutes per consultation if people have straight-forward tonsillitis or gastroenteritis.
But what about the parents who are hesitant about vaccinating? I need more than ten minutes to make an impact.
What about the woman whose pregnancy test was unexpectedly positive, and needs to discuss options? She might not have anyone else to discuss options with.
What about the myriad people with psychiatric illness? I need more than ten minutes to figure out if it’s depression, or if there is a history of hypomanic spells. Is it substance induced? Is there another general medical condition? Who can start someone on antidepressants after a ten minute consult? Continue reading “GP Work is Hard”→