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”

Real Medicine, Uncategorized

The Safe Working Hours Wristband Campaign is Missing the Point – Here’s Why

If you’ve been paying attention, working hours of doctors (especially junior doctors) have been getting some good airtime over the past few months. The Province of the Western Cape has committed to actively reducing maximum continuous working hours for doctors to twenty-four, the HPCSA has promised to “look into it” (not that we have too much confidence there), and our biggest representative, SAMA (South African Medical Association) has come out in our support.

One of the things to come from all this is the launching of an armband campaign. This has its origins, I believe, from a similar campaign in the UK – although I have not been able to find any source to this link.

608772084 Continue reading “The Safe Working Hours Wristband Campaign is Missing the Point – Here’s Why”

Real Medicine

Abortion Care: Did I Provide My Best?

It’s funny how sometimes, long after the fact, you start questioning your levels of care and competence.

During my first rotation of internship (last year), which was Obstetrics and Gynaecology, I was one of the few interns willing to do pregnancy terminations. (For the purposes of this blog, the matter is not up for debate – I have been pro-choice for nearly half my life, and have thoroughly evaluated my own beliefs.)

Just recently I’ve found myself thinking back on those four months and wondering if I did everything I could, and if I was empathic enough. Continue reading “Abortion Care: Did I Provide My Best?”

Real Medicine

Does It Have To End?

c4e635ecb89b5ed4844f087dca6580b1My four-month stint on the paediatric service comes to an end this week.

I enjoyed paediatrics in medical school, but never as much as this. How wonderful it was to be excited about work, to enjoy it so much that I willingly and eagerly read up more about all my cases.

It may have been one of the most challenging rotations – and it was good to see myself growing in confidence and ability.

There is so much work to do in paediatric healthcare, especially because you inadvertently treat the caregivers as well. And women are another group so sorely neglected in our environment.  Continue reading “Does It Have To End?”

Getting to know me, Real Medicine

Preparing for the Next Step: 2017

The year has passed into its second half, and so I am nearing the beginning of my last rotation of internship. Nearly twenty months of working now, and I’m still a baby-doctor, but I’ve grown so much in confidence and skill.

After the two-year internship comes a year of mandatory community service as a medical officer. Because of a scholarship agreement I am contracted to work in the Western Cape (not an altogether bad thing) for the CosMO year, and four more beyond that.

map-of-south-africa-according-to-capetonians
A little something-something about my future place of residence 😛

Continue reading “Preparing for the Next Step: 2017”

Current Affairs, Real Medicine

Too Little, Too Late?

You might remember that we lost an intern colleague in South Africa a while ago, when she was in a fatal car accident after a long overnight shift. It was a big accident involving other vehicles, with at least two other people requiring ICU care.

One of them recently succumbed to her injuries, and the victim’s family members have made it known that they intend to sue* the Department of Health.

Most of my colleagues seem very happy with this. The government must be held responsible for the consequences of working their young doctors to exhaustion.

But part of me feels so very embittered. For years now we have asked nicely, and loudly, that our hours be addressed. Continue reading “Too Little, Too Late?”