I 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.
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.
I’ve been on a bit of an alternate-history kick recently, which has led me to believe that it is possibly one of the most challenging genres an author might tackle. Call it the Butterfly Effect or Domino Effect or just plain Jenga, but changing a single event in history causes a cascade of changes, and if the author misses even one of those, the book loses its believability.
Underground Airlines by Ben H. Winters is an alternate reality in the present day where slavery was never outlawed in the USA, and is still practiced in four major states. It is a horrifying thought and an important topic in light of current race-relations in the USA and much of the world.
In Afrikaans* there is a saying, “It’s the small foxes that ruin the vineyard,” referring to the tendency of many tiny problems to cause the biggest drama.
Never before have I understood it so clearly as now that I am in the thick of South African public healthcare. We work daily in a hospital that is overcrowded and understaffed, with too many things on the CEO’s plate and too little theatre time for our patients. Continue reading “Weekly Whine: Small Luxuries”→
1. I see someone who was lucky enough to travel to a magnificent continent
And we welcome you. We welcome you to feel in your bones the wealth of our loam soil. Listen to the stories whispered by our winds. Immerse yourself in our skies. We welcome you to open your heart – and your eyes – to see that our narrative is more than one of suffering.
But if you’re a high school student – or otherwise at the threshold of choosing a career – you might wonder, WHERE DOES THAT LEAVE ME? If you have been told your whole life that you need simply to do what you love (and you’ll “never work a day in your life”, yada yada yada), you might not know HOW else to choose a path forward.
My suggestion? Ye ole’ trusty mindmap.
Many of ours (mine included) may have looked something like this:
I had the pleasure of visiting my old high school recently to talk to some of the Matrics about life, their final year of school and their future plans in general. I spoke at length about what I call the Passion Deception. It sounds like a bit of a downer but to be honest, it’s real talk and the more I think about it, the more it makes sense.
I feel like many talented youngsters have a pressing desire to do a job that makes them “tick”, and they are taught (myself included) from a young age that the profession you choose should be one you feel passionate about. I can understand why we tell people that too: talented youngsters can often do anything they want to, so “passion” becomes a good indicator of what to leave and what to dive into. Continue reading “The Passion Deception: Why Passion Is Not Enough”→
The Wall Street Journal reported yesterday that “far more Liberian doctors are in the U.S. and other countries than in the country of their birth, and their absence is complicating efforts to curb what has become a global health crisis.”
Canada’s The Globe and Mail recently published the piece, “Think medical school is for you? You’re probably wrong.” Trisha brought it to my attention with her great response piece here. While I think the author has some salient points, I disliked the strong undertones of the piece. It did get me thinking, though, how a big part of the reason medical school turns out so different to how people expect, is because our expectations are all wrong. So this is my response, in the form of rectifying the lies we perpetuate.
In our third year, a friend of mine had an upsetting first shift in Trauma Surgery: the first suturing she ever did was on a young woman who had just survived corrective rape. Rape is common in our country in general, and so is the “corrective” rape of gender non-conforming women.
A year later, we saw a transwoman being place in a single room, because the hospital had no policy for what to do with her. She did not want to be in a male ward, but strong leadership was lacking and so a patient with no infectious risk was placed in a single room. It did not sit well with us, but we were fourth years. We did not know what we could do.
Tonight I attended a fantastic talk by Dr Alexandra Muller from the University of Cape Town on providing healthcare for Lesbian, Gay, Bisexual and Transgender patients: why we should care and what we can do better.