Showing posts with label Hospital. Show all posts
Showing posts with label Hospital. Show all posts

Thursday, August 11, 2016

Life as a medical student #18 The Return


Yes. I've missed you :')

Dear readers, I am back after a six-month hiatus! So many exciting stories happened during this period of time which I wish I could pen it down here. Been through several amazing postings in HKL and HTJS, completed my fourth year of medical school, had wonderful elective attachment at Tzu Chi Hospital in Taiwan, encountered inspiring people along the way, etc etc. I will try to recall and record them down here. While I am busy clearing away the dust here, here's a group picture with my favourite lecturer to put a good end to another good year.

More updates coming up!

Sunday, February 21, 2016

Life as a medical student #17 Be A Different Doctor


When I was in Taiwan, I went to Shifen train station to release a sky lantern, inspired by the movie 《那些年,我们一起追的女孩》(You are the apple of my eyes). I first prayed for health for my family and friends. Then without hesitation, next on my list was: I want to be a different doctor.

Can you imagine that? In less than two years, I am going to be a doctor. I want to know, what kind of doctor am I going to be? I have seen both the incredibly passionate ways some of the doctors in the hospital treat their patients, and the behaviours of the others that I will never emulate in my own practice in the future. I've seen medicine serve some of its patients well and completely change their lives, while failing others. I had the chance to work on extremely effective teams and surprisingly dysfunctional ones, too. I've shared intimate moments with patients who placed their confidence in me - rather than the other senior doctors of the team - to treat them well.

Therefore I know, without a doubt, what kind of doctor I want to be.

But the truth is, I am scared. I don't know what future lies. I am afraid that one day, after committing my life to this profession, the sparks won't be there.

What if, one day I gradually become the kind of doctor I hated the most?

I believe most doctors went into medicine to help people. We want to practice medicine the right way, but too many forces today are causing us to have diminished enthusiasm for medicine. While taking care of people in their most vulnerable states, we make ourselves somewhat vulnerable in the process, too. It is hard, to stay motivated.

Therefore, I write. Ten years from now I am going to read what I have written today as a student. I want to replay the image of that female doctor, in the small consultation room of HKL, who would bend down on her knees just to adjust the footrest of the wheelchair for an elderly patient. Or the one who would put his pen down just to listen to what the anxious-looking old man was trying to tell him, and acknowledged the worry in his eyes.

Don't you ever forget that.

Monday, January 25, 2016

Life as a medical student #16 My Love-hate Relationship with O&G

normal delivery

It was a long, long haul for her.

After eight hours in labour, two midwives came in to check on the mother. It was time, they finally decided. She didn't have time to panic. ''Next contraction and you are going to push,'' one of the midwives announced while getting the gloves on and equipments ready. She shut her eyes tight and started to push. Push and wait. Push and wait. Every time she pushed, the baby would come down, but then the contraction would end. The baby would pop right back up again. After a few tries, she looked as if she was going to be torn to pieces. But she was making little progress. The midwives asked her not to scream or yell, as it ''wasted her energy''. She tried her best to follow the instructions to just ''breathe through her nose''. However, she kept letting out sounds and the midwives were getting impatient. Time was ticking. CTG showing that the baby wasn't having a good time - he needed to come out now. Every second matters! Things got real, I saw the two midwives exchanged glances and the next thing I know, the doctor on-call was called in, and he decided in that moment a vacuum delivery would be best.

Immediately there was horror in the mother's eyes when she heard the word ''vacuum''. But there didn't seem to be any other way. The doctor applied the metal cup on the baby's head and tried the first vacuum and it failed. Then the second. She pushed, and pushed and pushed with all of her might. Her face turned beet red with sweat dripping down her face. Then time for episiotomy - I clenched my fist and held my breath.  Please God let this baby be okay. Please. 

Then that was it. The woman made the final push and the baby made his way into this world!

I panicked a little when the baby didn't come out wailing. It took a moment for his lungs to fill with the world and to bellow his frustration at being torn from his cozy home. The midwives quickly brought the baby to the Paediatric Team after clamping and cutting the umbilical cord.

I had never seen a vacuum extracted baby before, and my heart broke when I saw his poor little head, misshapen from the pressure of the suction cup. Although the swelling was temporary, I couldn't stop thinking about the traumatic birth the baby had to go through.

But I am so glad that all is well.

Sunday, October 4, 2015

Life as a medical student #15 Hello, Psychiatry


I am not sure about my interest in Psychiatry, but I have always find myself having a tremendous curiosity and genuine interest in people. People, and all their complexities, are fascinating to me. The what, why and how behind people's action. The connection between the brain and behaviour. The very subtle things about human characters. So when I first started my Psychiatry posting, I was intrigued by it.

Before I actually go to the wards, I must admit that I was nervous. When most people picture a Psychiatric ward, they envision a dark and dreary place filled with severely incapacitated people. So do I. But the truth is, it is totally the opposite. The Psychiatric wards are very calm and peaceful. Most of the patients are not bed-ridden like in medical or surgical wards. They walk around, smile to you and talk to you. They are friendly and interact in the same way as the average person on the street. The atmosphere is just too normal that it becomes.....a little odd. This is because the environment only becomes intense and intimidating when patients are in their psychotic states. They shout, they threaten, they hit. They cannot handle their inner emotions, they lost their minds, they will erupt at anytime - like a volcano. They are unpredictable.

Violence is a risk that we deal with. But I believe when I mean no harm, I will never be hurt by them. I remind myself that we are all born kind. They act that way because they are ill. They have come forward to us for treatment, so we must not afraid of them. We must not give up on them.

Maybe, Psychiatry is my cup of tea. Along with learning about a patient, I learned more about myself. I find enjoyment when the patients are willing to open up to me and share with me their inner feelings. It wasn't that scary if we can relate to one another to some degree. As humans, we all experience fear, anger, hurt and pain. Psychiatric patients experience just the same, maybe to greater depths, plus a bit of interruptions of the neurotransmitter in their brains. And thus they are ill. If we can all put ourselves in their shoes, they would be treated differently. Some people wonder how I can listen to patients' problems and so many sad stories and not let it take away my own happiness and joy.

But I say being part of a patient's progress is the joy.

Friday, July 17, 2015

Life as a medical student #14 Sexual Harassment in Hospital - What would you do?

Image source: Google Image

I recently had an uncomfortable encounter with a specialist in the hospital. He is thirty-ish and decent looking, in a green colour surgical gown. We were both in the waiting room outside of the operating theater. He introduced himself, and asked for my phone number immediately. I was a bit reluctant, but he explained that getting phone number makes him easier to contact me if there's any interesting cases in the operating theater. So I gave in. He continued the ''oh so which medical school you are from'' small talk, until I found a quick exit when my friend came in to look for me. I said, ''It was nice to meet you.'' I turned around and walked out the door.

Just few seconds after I left the room - in only a few seconds. He whatsapp-ed me. He said it was nice meeting me too. And he asked if I have time so that he could treat me to a meal. I didn't reply him immediately as I was caught up with work (Yes why is it that a specialist has more free time than a medical student *rolling my eyes*). But I replied him afterwards, I said there's no need for a treat. Then that's when it became creepy - he started to text me everyday. As the conversation progressed, he started telling me how good he is on bed, how he could easily make women happy. He asked if he could have sex with me.

What would you do?

Fortunately I am not in a direct subordinate position. At least not now. But if the person doing the harassing is your boss or a superior, do you complain? What if they threaten to make you lose your job, are you able to take this risk? The harsh reality is that sexual harassment occurs within a culture of silence, especially in male-dominated professions. I am sure there are women targeted by their superior for sex and their refusal will eventually lead to limited career progression. Of course hospital administrators will turn a blind eye to such complaints because these surgeons/specialists/consultants are the ones who bring prestige and money into the hospital. So why even bother to make noises? Knowing that there's no point to report, majority of women choose to eat the humble pie. So did I. I didn't make any reports. Am I silly? I don't know.

Although I didn't make any official reports, but after his few repeated requests to go out with me and sex-based text messages everyday, I braved myself and told the specialist off. It was too much. Although it was just text messages, I felt offended, humiliated and intimidated. My body was trembling, and my eyes even got a little teary - not with sadness, but with anger. ''Go fuck yourself.'' I said. Luckily that was toward the end of my rotation, so I didn't see him again after the incident. And he stopped harassing me.

Trust me, I didn't want to talk about this disturbing and uncomfortable encounter. But today I am posting this because I hope that some readers out there that may be in a situation similar as mine can know that they are not alone. We do not have to tolerate this behaviour. Defend yourself. Walk away. Report if you have to. Most importantly, be strong with your words when you say no. Never put yourself in a vulnerable situation.

I despise men who are successful and rich on the outside but show no respect to women 
and only want a young vibrant woman whom he can enjoy in bed.

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