DOC-U-MENTALLY: The Film [Review]

Breaking this unintentional hiatus to tell you (read: shout from the rooftops) that I have watched Doc-u-mentally and

IT.

IS.

AMAZING!

I wrote about the crowdfunder for this documentary last year: a “labour of love” that would follow five young South African doctors during one 30 hour call.*

And they made it. And it was wonderful.

I had the pleasure of watching this film at a screening organised by JUDASA this past week, and I was glued to the screen (projector) from the opening shot. So was the rest of the audience.

The five young doctors that were filmed were really fun to watch. The diversity had the potentialto feel a little bit forced, but the producers made it clear from the beginning that it would be “five doctors, five cultures”. They were all great in front of the camera, their personalities entertaining, their emotions real.

I am no film-critic, but I thought the videography was fantastic. This was not an amateur film. Every shot is purposeful. I loved the focus on little things – especially the hands of the doctors.**

I enjoyed the balance of seriousness and humour – because, let’s face it, there is a lot of humour in medicine – even if a lot of it is dark humour.

As a junior doctor, this film gave me something to connect with. It made me feel seen. It made me feel connected to other doctors around the country. We know, rationally, that we are not alone, but sometimes it is hard to believe that we are not the only struggling doctor who sometimes questions their sanity.

It made me realise that even if our petitions sometimes fall on unwilling ears, we are not unheard.

I think that for medical students (current and prospective), this film will be a real look into their future. I think for some it may be a wake-up call. But I also think that for some, it will be an inspiration. Some will feel less alone. Some will realise that they are in the right field after all. And some will decide they are definitely in the wrong field, and that’s okay too.

I took two non-medical friends with me to the screening. They seemed to enjoy it too. They said it was intense. Maybe a little bit gory for those sensitive to blood – but nothing too horrible. Maybe a little bit sad. They both said afterwards that even though I had explained to them what being “on call” meant, they hadn’t really understood – but now, they did.

I want every medical student and doctor to see this. Also the older doctors.

I want the non-medical public to see this. Families of doctors. Families of patients. Politicians – or am I asking too much?

My only complaint is that this is not yet available for sale to the public. I want my own copy!

I hope you will watch it. Below I have linked the upcoming screenings I have been able to find:

Tygerberg Campus on 11 September 2017

Wits Medical School 13 September 2017

Wits Medical School 22 September 2017 (not sure if both Wits dates are confirmed)

*For the life of me, cannot find that post now. It shows up in my searches but I can’t seem to access it. Help?!

**Only after drafting this post did I read that Andre Meyer from Meyer Productions won the SAFTA for Best Cinematography for this film in March this year. 

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Why I Paed

Whenever 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.

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.

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.

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.

Does It Have To End?

My 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. 

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.

 * * *