Overrated junior doctors!

There was no hesitation when I decided to do MBBS, nearly five and half years back. I just left what normal kids do during my age, giving SATs, applying colleges abroad but “No” I was so fixated to one and only goal to get a better GPA and proceed to a med school. Little did I know that life would change forever after finishing that degree! Professional wise, I am still a needle in haystack, a junior, a learner but yet the society gives it a highest accord available. Society overrates junior doctors!

No, I am not an almighty! If prescribing simple over the counter medicines makes me get the same status as of a god then I decline to get that decree. I am as normal as most people, at least, I try to show that I am normal. There are days when I am painstaking waiting for the clock to strike to two thirty and leave from work.

Education wise, I may have proved myself but the professionalism attached to being a doctor has still not gotten in my veins. Being a doctor is pretty similar to business men of any kind. The only difference is that businessmen would sell merchandise of any sort and doctors sell medicine and treatment to save lives.

Things like what it means to be a doctor aren’t taught in med school. Factors like how you treat patients are not taught in med school, which makes us come to the conclusion that the personality that you had or developed over the years becomes the highlight of your career. Since med school caters less to what most med students are like, those that have the objectively unsuitable personlaity do not get filtered in the process.

Personality is cumulative of what parents teach at home and how they confidently project it to the society. There were several days, when I struggled to be people friendly. It was not a smooth teenage hood, cracking out of the self made delusion of being the superior individual was the first step. The following steps involved, engaging with everyone in an event, including those people that you always thought were mean to you and the last is the art of pleasing people instantly.

So how did a people pleasing person have doubts about being perfect for the job?  Every day is an event, every minute is a gala event now-and-then there are moments, when I completely want to forget that I can be an instant charmer. It’s stressful as it is and communication is another factor which detaches me from making a connection.

Five and half years of med school has made us to excel at collecting information and storing  them in our memory but it fails to produce quality doctors. Med schools cannot make there student’s realize what it means to be “practicing”. The power to execute a decision, actual duty hours, and endless patients to please are not as easy as they show in television sitcoms.

Med school should filter student’s worth of the job of empathy and should introduce actual internship related job earlier than the course offers (for this, my organization Health Nepal Foundation, will be focusing in the upcoming years), otherwise countries will produce doctors with the highest record of burnout physicians!

Parents, Patriotism, Point!

I am a student!

student is a learner, or someone who attends an educational institution. I am a student, have been since four. My parents graciously allowed me to be a student..I am so lucky to be literate and be able to decide what I want to be. So what makes me write this? Its 2:30 AM when I am fighting with sleep and memorization, I ask myself “Who am I?” I could easily answer by saying my name, my address, my father’s name but at that instant the words that were uttered were ” I am a Student ..a Medical student.”

This phase that we have before assuming our responsibilities is what many people called the most amazing time of  life. Some of them say “we had a blast in college  …the craziest time of my life,’ etc. Many medical students answer by saying “It was full of countless days of sleeplessness and stress”. I am not bragging about the stress that we go through but just to prove a point that we lead a very abnormal life.

While some of us enjoy as much as we can, there are some of us who are busy  in actually utilizing their youth towards their countries development and some of us are busy writing articles like this one. If I am correct, 80% of the youth are interested to have fun and 20% actually do something substantial for their country and for themselves. I don’t mean to imply that the majority lack love for their country but they are not ready to carry the burden of being patriotic. Ask me which group I fall into? I would say neither. Can you see a wingless bird fly in the sky; well let’s say I am one of them. By the time I realized what patriotism was, my wings were clipped off, but luckily I can grow them back.

Lack of proper motivation from home and from college is the real culprit. To motivate a person, you require attraction, a worthy leader to guide you and finally assure them that a reward is waiting. What most parents do is break this chain and give them the reward beforehand. That doesn’t make them the culprit either; it just proves that they want more for their child, more than what they had when they were young. This overwhelming love is satisfaction for them but a downfall for their children.

We all have our own experiences and good memories about college and high school. We gather knowledge on how to survive and be independent. We learn hard facts about life and mature accordingly. I accept that we are “Nobody” right now, don’t have a bank balance, we eat cheap food available in the menu, wear the same clothes over and over again. We walk more and travel in the local bus. At the end of the day when you finish your dad’s money and get broke, you ask yourself “why didn’t I save that extra money?” and often do more “window shopping” and dream of buying everything in that store one day.

 

 

Internship Report

Sebaceous cyst is the most common swelling that I have seen in surgery so far. Luckily, I was a part of a surgery were we dissected the cyst. I was with the patient from day she entered the ER room, until the day she was discharged. I started off my internship program with surgery and I have four months to grasp it all.

Two years back, if you asked me what I thought of studying for my post graduation, I would have never uttered surgery. But for the past one month, I keep asking myself why I never studied surgery as keenly as I did for Medicine or other subjects for my boards.

Working or being a part of something that you studied for your boards have really helped me stay motivated, even if it takes 6 hrs to finish in an Operation, just to hold a retractor or a sucker. Staying in my room for almost 4 months and trying to be a memorizer queen has finally paid off. But I keep asking my seniors why we could not mix the clinical years of study with internship?

Most of my work, as Christina Yang (a character in Grays Anatomy) would say is scut work, involves writing history, discharge notes, removing drains and cutting stitches. Basically being the junior most, who gets pushed around by seniors!

I have never been so busy. There are shifts, rounds, follow ups, dressing and even more OT assistance and have ER duty once in a month. So I am physically not available in room as I used to. I spend so much time in the hospital that makes me less assessable to wander in my thoughts and blog about it.

I had an unusual experience today, which helped me remember how much, blogging helped me overcome that. I was more close to patients when I was in med school. when I blogged as a med student, I had less time to spend with them and today I have to be in charge of 14-20 everyday. Being close to patients by describing how their experience was magical for me and I missed that.

“Patients are like babies, they need my constant attention, and they need to know that I am there for them all around the clock, even when I am the junior most and a learner, they are my babies until they get discharged.” And without writing the above statement in my blog, I forget how to handle patients. And as of today, I promise to write more heart touching tales from my journey in Internship.

Few days back someone in my twitter account said that, I quote, “I look for compassion when I hire my doctors” and I just bluntly replied with” med schools don’t teach that” and the respondent agreed and I decided to consider compassion to be  a mixture of empathy and being able to enjoy what you do all day long.

Thank you folks and stay tuned for more blog updates!

 

How To Survive The Big Board’s?

 How to survive the Big Board’s?

  1. Find something that keeps you engaged while you are not studying. Alternate that “Thing” between your study time and relaxing time. Reward yourselves after studying with that very “thing”.
  2. Eat well and don’t decide to jump into caffeine if you haven’t before. You might be better off without it. The excess brain hyper-stimulation can make you lose your mind!
  3.  Dissolve any conflict that you ever had with anyone. Make a start; trust me the other party that you were angry with, would be looking forward to that too!
  4. Consistently stay positive, I had a collection of positive pictures popping in my facebook page and mobile. Exams can bring so much negativity that you would not have thought before, so brace yourselves and get prepared!
  5. Take deep breaths and finish what you started. Either, decide to study a small portion of a topic for a day so that you can finish that, but don’t decide to finish the entire syllabus in the same day. What happens when you can’t finish that syllabus? You get angry with yourselves and you don’t want to do that. Your brain is your power house, which got you into med school and you don’t want to insult it!
  6. Right before the exams, show your confidence, trust and believe in your studying and stay positive and do not drift away from what you prepared. Stays tuned with new developments in the exam hall and keep your confidence level high!
  7. Sing. Yes folks, just when things seem be black. Release it with the loud repetition of a song. It actually helps to release serotonin, the happy hormone.
  8. Studying for months can make you a different person. So you need to explain this to your near and dear ones about how you feel and make them understand how you pass your days. If they love you, they would probably understand you and would defiantly support you!
  9. Change you study pattern, either verbally study or write down what you memorized. Each of these methods helps you to stay focused rather than blind reading without recall.
  10. Last but not the least, must do three things: RECALL, RECALL, and RECALL!