Ideals

How many of you, medical students and physicians alike, have Oxford Handbook of Clinical Medicine?  Have you read the section "Ideals"? If you haven't because the moment you get your hand on the book, you directly flipped on the index to search for a particular disease, well, here goes:

Decision and intervention are the essence of action; reflection and conjecture are the essence of thought: the essence of medicine is combining these realms of action and thought in the service of others. We offer these ideals to stimulate both thought and action and action: like the stars, these ideals are hard to reach--but they serve for navigation during the night. 

• Do not blame the sick for being sick.
• If the patient's wishes are known, comply with them.
• Work for your patients, not your consultant.
• Use ward rounds to boost the patient's morale, not your own.
• Treat the whole patient, not the disease. 
• Admit people--not 'strokes', 'infarcts' or 'crumble'.
• Spend time with the bereaved, you can help them shed their tears.
• Question your conscience--however strongly it tells you to act. 
• Be kind to yourself--you are not an inexhaustible resource.
• Give the patient(and yourself) time: time to ask questions, time to reflect, time to allow healing to take place, and time to gain autonomy.
• Give the patient the benefit of the doubt. If you can, be optimistic: optimistic patients who feel in charge live longer and feel better.  

I have always categorized my books into two: school books and non-school books. School books are the text book ones, the boring ones, the one you read with the pressure of understanding it to get a fairly good grade during the exams. Non-school books are the fiction ones, literary ones, non-boring ones, the one I read with utmost desire while I let my imagination take me to some far away land and meet strangers and bizarre characters, books that teach me how to live life, books that present me with a new perspective. So it kinda surprised me to read something about how to practice the medical field in a humane kind of way. I should place this book under the uncategorized label because it is more than just a school book, it is a book on life--both literally and figuratively. :)

With all due respect, I've observed doctors who treat patients as patients and not as human being that they actually are. I, myself, is guilty of referring to patients according to their specific diseases and not by their names. (E.g., "Pauwi na si Lupus!" Instead of "Pauwi na si Ms. De Leon".)

I believe that medical practice shouldn't be based on how genius you are in treating your patient's disease but by treating the patient as a respected human being. :) 

Will post more about the few chapters in this book preceding the discussions on the diseases per se. :)

Say No To Prejudice!

As I scroll down my Facebook homepage, I come across this post by Atty. Algamar Latiph to Atty. Toie Mitmug's  page. 

"Glad to hear that Anti-Ethnic, Racial or Religious Discrimination and Profiling Act of 2011 is in bicameral committee. glad to be one of the first lawyers who wrote the first working draft during the time of then AMIN Cong now RG Mujiv Hataman who first introduced and sponsored the bill at the House of Rep. I still remember when we sat with Amie Sangcopan and Raissa Jajurie i think on Nov 5 2008 at Greenhouse. Couple Atty Toie Alonto Biruar-Mitmug and Ras Mitmug also volunteered. Hopefully, this bill will be enacted into law so Muslims in this country can have a legal mechanism to redress wrong against discrimination on account of ethnicity and religion."

I am more than glad to know that there are people who exerted an effort for passing such bill. Majority of non-Muslim Filipinos, especially those in the northern area (Yes, I mean Luzon and the National Capital Region) may deny that there is an actual racial discrimination going on, as they claim that we are their "Muslim brothers" who enjoy the same rights as everyone else. However, they may be unconscious of their words or actions, but racial and/or religious stereotyping is an undying epidemic.  For instance, I was walking with a male co-intern to grab a lunch when my phone rang. It was my cousin who I normally greeted with "Assalamu'alaikom"  preceding our conversation. I absolutely heard this male co-intern let go of a loud sneering sound while I was talking over the phone. As I put down my phone, he asked me what "Assalamu'alaikom" means so I did a little lecture on how we, Muslims, politely greet one another. As the person that he is who keeps on teasing me a lot about every little thing, he said: "Hindi eh. Sinasabi nyo yun kasi by default, at war kayo sa lahat ng tao kaya kelangan niyong i-declare muna na at peace kayo with the person na kakausapin niyo". He was saying those words guiltlessly while a mocking smile was painted on his chubby face. And then our endless debate about my being a Muslim and his being a judgmental, narrow-minded person began (Of which, he wholeheartedly claim that he is a bad, bad, judgmental person). He would utter sentences that imply prejudice such as, for instance, when I unintentionally commit a mistake, he'd say "Ganyan ba talaga kayo?", or, "Muslim na 'to oh". He say those words in a joking manner, because he's really funny by nature, but I honestly take those words as a form of discrimination. And yes, I tell it to his face how pernicious he is. But you know, you can never straighten a crooked perception until you show them the truth through actions.

I think it's pathetic that we actually NEED to create a LAW so that majority of this nation's citizens will change the way they see us. But this is just the first of the baby steps towards achieving "total freedom" without declaring independence from the entire system. 

And yes, I am more than glad for the passing of this bill because when the time comes, I can literally file a lawsuit against this co-intern of mine who enjoys and loves bullying me. Hah! *evil grin* Now I can actually hear him say "Ganyan naman talaga kayo eh!". 

Facebook It!

While Facebook has become the perfect avenue for giving people a piece of your mind, there are stuff that you can't put on Facebook because you know it will light a fire and you don't want that to happen. In this tiny nook of mine, I know this is the perfect place for shouting:

DO NOT PROVOKE ME! I BITE TOO, BITCH!

I may be keeping my silence most of the time, laughing things off and pretend it didn't occur, but hey, I know exactly what you're talking behind my back. Now I'm telling you this, YOU'RE NOT PERFECT EITHER SO DON'T PRETEND LIKE ONE. Nuff said.

P.S.
I wish the font size could get any larger than that. My emotions are way too huge for those font size! Haha. 

I saved P95 for buying Paulo Coelho's latest book and his 2012 Planner/Journal. Not bad. In a world where we need to tighten our belt to make both ends meet, a single centavo matters.

Bring it on, 2012! :)

Watching the sun rise as I rush off to the hospital. Hoping for a great weekend. :) 

Acute Care Unit-Emergency Room

(late entry)

After the strangling schedule at IM wards for one whole grilling month, we welcomed ourselves to a relatively benign duty at the ER! I say benign because PGH ACU-ER will be subjected to fumigation, hence only "real emergencies" such as cardiac cases, intubated and trauma patients will be admitted! Woot! Alhamdulillah, God has given me some time to breathe! 

However, the scene below shows the LEAST number of patients this institution can accommodate. 

We normally write on a white board the name of our patients under the student-in-charge's (SIC) name to easily keep track on the patients' progress. Last November 30, 4 of us had only 1 patient and no new patient came in! Cheers! This is one of the things I love about PGH--- it is never impossible to close the ER. Back when I was clerk, I always wished for our ER to close!

During this time, we have the power to choose the patients we want to admit while the rest will be transferred to hospital of choice (THOC). 

Yet and again, I'm in the company of boys! Rona and Pat though will return from Medical ICU (MICU) on the second week at the ER in exchange for Borg and AD. This photo was intentionally taken blurred.

Dane's post-birthday dinner treat at Recipes. Duty Team with Jeboy. They talked about boys' stuff, if you know what I mean and I just had to pretend I didn't hear them or just play innocent. Most of the time, I ride on with their jokes and I guess they completely forget that I am a woman. Fine, I am a medical student hence, no fuss. 

Below shows the lecture on cutaneous leishmaniasis with Dr. Henry Murray of Cornell University. Listening to the world's expert on the disease is another opportunity of a lifetime. 

I can't wait for this Internal Medicine rotation to end. I badly need some time off. :)

Note To Self

Repost from @BebanglovesRed. 

It starts with marrying the right person and ends with doing things that will make your mom proud. I shall find congruence in that. I promise you, Mom. :)