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?”

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My Evolving Opinions About Doctors’ Working Hours

I started working on this post two days ago. Since then, I have received news of a colleague who died in an accident while driving post-call. She went to my alma mater and graduated last year, and though I did not know her personally, my heart breaks. A country with a shortage of doctors has lost a young doctor who was just starting in her career. She was well-loved, and we will all feel her absence.

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 * * * Continue reading “My Evolving Opinions About Doctors’ Working Hours”

Sometimes I Don’t Want To Know

a4c50964f550a70443d53e51fe887a82I didn’t want to know that the man with the compound skull fracture had fallen into a sewer drain while being chased by the police because he was the man that had been scamming poor people out of their grant money for months.

I didn’t want to know that the man with the gangrenous arm had been bitten two weeks ago, by a girl he was trying to rape.

I understand the importance of a good clinical history. But right now, while I’m saving their lives, can I not simply know that he fell in a ditch? Or that he suffered a human bite?

I don’t want to know WHY these things happened to them. Not right now in any case. Tell me later, when they have pulled through the worst. Tell me then, if you must.

Is this wrong? Continue reading “Sometimes I Don’t Want To Know”

What If Everything You Knew About Breastfeeding Was Wrong?

24612267How does one react to seeing a book cover that claims breast feeding is “big business and bad policy”?

If you’re me, you request a review copy of that book, fully intending to expose how wrong it is.

As a medical student, one of the important things I was taught again and again is this: BREAST IS BEST. We were given a nearly 100-page document to study about infant feeding during second year. We were expected to know the constituents of human milk and be able to compare it to cow’s milk and formula. We had to memorise tables of the various formulas on offer and their indications. In fourth year, an entire oral OSCE station was dedicated to breastfeeding.

Breast was best and formula-feeding was undesirable, and it all made perfect sense to me; and of course I never read up the literature because our professors had surely done that FOR us. Continue reading “What If Everything You Knew About Breastfeeding Was Wrong?”

Book Review: An Epidemic of Empathy

“The best strategies in healthcare begin with empathy.”

An Epidemic of Empathy in Healthcare: How to Deliver Compassionate, Connected Patient Care that Creates a Competitive Advantage by Thomas H. Lee was kind of a mouthful of a book. It attracted me, predictably, because I am serious about empathy in healthcare.

I’ve seen many examples of healthcare where empathy is lacking, and it breaks me. And, as I have progressed in my own career, I have witnessed in myself instances where my ability to empathise has been eroded, too. It’s not an uncommon occurrence for medical students and young doctors to notice how they become hardened during the early years of their clinical training. Continue reading “Book Review: An Epidemic of Empathy”

What I See In Your Photos With “Poor African Children”

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.

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Base image by Stephen and Melanie Murdoch, click for their Flickr Photostream.

Continue reading “What I See In Your Photos With “Poor African Children””

But I Don’t Want To Have Surgery | On Children and Consent

The little girl cried while the nurse removed her dressings so that we could inspect her wound. Hidden underneath a hip spica cast, her skin graft donor site had gone horribly septic, and we were trying to remedy it.

h9991427_001 Continue reading “But I Don’t Want To Have Surgery | On Children and Consent”