Getting to know me, Real Medicine

Why I Paed

il_fullxfull.1060268322_b3xh_1b44cb32-38e5-43f0-83cd-e66691807124_grandeWhenever I talk about my love for child health, and my intention to pursue it as a career, I get this kind of response:

“Oh, I could never work with kids. It just breaks my heart to see them suffer!”

I don’t get it.

I mean, maybe I’m a cold-hearted bitch, but I don’t think so.

I hold children down and stick them with needles, because I know it’s necessary to make them better. I scrub burn wounds and I encourage parents to wait outside because I know they’ll cry and/or likely try to assault me for hurting their babies.

I also use topical anaesthetic cream liberally and question IV lines when I don’t think it is absolutely necessary. I’m liberal with analgesia prescriptions because pain is more harmful than useful in a hospital setting.

I see malnourished and abused children, and sometimes I bite my tongue raw to keep my temper.

I’ve told mothers that their children had cancer, and I’ve told them that their kids would be developmentally delayed for the rest of their lives. I’ve told them that their kids will live, but that they will be long-term patients.

(Thankfully rarely) I’ve informed parents that their baby was no longer alive.

* * * 

But I give more high-fives than I give pain.

I get gummy smiles and snotty laughter and the wide-based gait of children waddling around my legs.

I call in the social workers and the dieticians and we (try to) address systems, not just lapses in judgment.

I get to pick up a crying infant and feel it relax, because although human contact isn’t medicine, sometimes it’s just what you need in that moment. Both of you.

I get to discharge more patients than I ever have to declare demised.

When I tell a parent that their child is disabled, I get to tell them about disabled people who don’t only live, but THRIVE.

I get to admit a shocked child, and see her running around the ward two days later.

I get to witness the purity of the human spirit first-hand.

I tread among the future.

Paediatrics is the great success-story of 20th century medicine, and I rarely cry for it.

* * * 

Adult medicine? Oh I couldn’t. I’d cry all day.

Campus Life, Real Medicine, Studying Medicine

Mental Health Begins With Medical Students

Every few months, the mental health of doctors/medical students makes it to popular media. It seems like these spikes in attention occur, and everyone shouts YOU SHOULD CARE FOR YOUR DOCTORS! and then we write blogs and we tweet and we make youtube videos and eventually we go back to work, and nothing has changed.

I think we are the missing link. And by “we”, I mean qualified doctors. And also, you, the older doctors. Continue reading “Mental Health Begins With Medical Students”

Getting to know me

The Nicest Interns: Part 2

I just recently finished a four-month Family Medicine rotation. Our after-hours duties on Family  Medicine are as casualty officers at the Accident and Emergency Departments of two different hospitals. Because A&E has high-intensity decision making, our shifts were not allowed to be longer than twelve hours (compare: 24 hour shifts in any other department).

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Continue reading “The Nicest Interns: Part 2”

Getting to know me, Real Medicine

The Nicest Interns: Part 1

It’s so easy to complain about my daily work. Annoying patients, a system that is falling apart a little more every day, and inconsiderate or lazy doctors and nurses  <– you see?

And then there are some of my colleagues who just really make me want to be a better person – and a better doctor.

One of our intern-colleagues is well-loved for being a bundle of fun and kindness. Whatever event our hospital’s social committee organises: he’s there, and he is their biggest promoter. He introduces people to each other, and he encourages them to get out of their shell.

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Then there was that one time he walked around casualty on Easter Weekend dressed as the Easter Bunny, handing out goodies to all the interns on-call.

How nice is that?!?!?!

When he has a calm call-duty, he walks around and helps the services that are having a rougher time of it.

Written down, it may seem like he is the biggest gunner or kiss-ass. But he is just so genuine that it does not seem to get on anybody’s nerves (not even my very flammable ones).

I’m by far not a lazy or a mean intern, but when I see people like this guy, I just think: wow. I want to be like that when I grow up.

Getting to know me, Real Medicine, Studying Medicine

Another Song for Medical Student, Interns, and Basically Everyone

I heard this song for the first time as I was driving to my New Year’s Day call on Friday. Apparently I’m the only person in the whole world who hasn’t heard it, but WHATEVER okay.

I wept a little.

THIS is what I want to say to people. To the new interns who are hopefully going to realise this year that medicine was the right career for them; but who will certainly meet many challenges this year.

Medicine is hard and you’ll be expected to be super-human, never to have broken wings, never to feel like you can’t go on.

Remember that for every person who expects you to motor on without a wink of sleep,  without any debriefing after a difficult resuscitation, there is another who will lend you their wings when it’s hard.

Look for them. Look for us.

Find the people who will support you when your day or week or month is shitty.

And when your wings are working… please help someone who needs them.

Campus Life, Real Medicine, Studying Medicine

A Song for Medical Students, Interns, and Basically Everyone

By now this is an old song, but I remember last year I thought: this is the song I want to dedicate to my class.

I don’t know if I’ve always followed its advice. Have I grabbed every opportunity to LIVE? Perhaps not. But I’ll keep working on that.

I keep saying this about medicine: it is when we learn and experience that we come to grow through this profession.

If you’re about to start medical school: grab every opportunity.

If you’re about to finish medical school: grab every opportunity.

If you’re somewhere in-between: grab every opportunity.

No matter where in your journey you are: make it one helluva ride.

Real Medicine

Two beautiful stories from OBGYN

OBGYN is considered one of our “big” internship rotations. The hours are long, the calls are busy, the responsibility is huge.

I love when a baby is born. For the sake of honesty I’ll tell you that it’s not always a happy occasion. There are many, many babies born into seriously less-than-ideal situations. But in that moment that a baby gives his first cry, I swear the world trembles.

Womb | Beautiful Us | Aitch | Click for more.

Continue reading “Two beautiful stories from OBGYN”