Paulo Coelho (via psych-facts)
Day 60 Words to live by
October 2, 2013 (Day 61)
Love in the time of Leprosy
It was around 2 PM. I just had my lunch and headed back to the Internal Medicine OPD. Excited. Tired. Expecting the next patient on my roster.
I called the man’s name. He was slightly frail, wearing a mask and a cap. I check out the papers. He was referred to the department for co-management of his probable tuberculosis on top of his leprosy. I was hesitant and scared. Part of me wants to protect myself from getting an infection. Part of me wants to help the patient.
I procured a mask for fear that the leprosy of the patient may still be infectious. On probing, it was only his first week of medications. Was I being judgmental? I wanted to protect myself, but at the same time I did not want to appear offensive. I asked the Dermatologist also at the OPD if I need to wear gloves as I examine the patient. She said I don’t have to if there are no open lesions.
I was still half-hearted honestly. I was scared. But, I examined him nevertheless, with my bare hands. I met leprosy face to face and got hold of that disease which was thought to be incurable decades ago. People were isolated because of this long time ago. In the advent of the medications for this, it became easily treatable.
Leprosy and the healing touch.
One of my most favorite books in med school.
Day 64 Life of Pi
”Just sing with your heart and you’ll never go out of tune.”
I just sang my heart out, with all the confusions of the tenor’s gazillion “doo’s” and we won! Good job class 2014. 2014 is <3. :)
Day 62 Christmas. Chorals. Medicine.
Oscar Wilde (missdelaney—)
1st Pedia Patient.
We were given a one-month old baby girl, who looks otherwise well, except, she was positive for G6PD (glucose-6-phosphate dehydrogenase) deficiency. In a nutshell, this enzyme is responsible for neutralizing the poisons which may attack the red blood cells. She tested positive for this diseases via the newborn screening. For management, she was sent to the National Institute of Health to confirm the diagnosis.
Children with this disease may present with blood in the urine and anemia.
From now on, I will try to write the patients I see, in an effort to raise awareness on medical diseases and to help my fellow health professionals reading this blog.
A patient’s head studded with multiple pellets from an assailant. The hospital is a microscopic view of the Philippines.
I just learned that a medical student in our school just passed away from medulloblastoma, a brain tumor arising from the posterior fossa or cerebellum.
I am saddened by this. I just learned of this last summer. I asked someone from their class and she told me he was able to undergo surgery and adhered to the chemoradiation regimen. But, his body was not able to fight back the tumor, as it metastasized to other parts of his body.
A wounded healer. I could identify with the young man since he is also a medical student like me. I have my own share of struggles and woundedness. And yet, we still choose to share in the woundedness of our pateints.
I pray for him. I pray for all the wounded healers out here. To this brave young man, please pray for us so that we may become the best doctors we can be.
The small things
At the Emergency Room, patients get decked to us, one after another, waiting (or not waiting) for our turn to facilitate laboratories for new patients. The resident, after writing down the patient’s story and providing his plan of management, approaches the next intern-on-duty and asks him to do the urgent labs.
I was the monitoring intern that time. My patient was supposed to be for X-ray. He is intubated. We had to order for another X-ray because the patient exhibited signs of new-onset respiratory distress, almost breathing 40 breaths per minute. My resident was considering a possible pneumothorax[abnormal collection of gas in the pleural cavity]. He kindly asked me to endorse my patient to someone, since the patient must be accompanied by an intern to the Radiology area.
There. I asked my teammate to monitor the ER for awhile until I get back. We were there at the X-ray waiting for our turn. Then, my resident followed. He said he will accompany the patient for a while so I can go and monitor the patients at the ER.
He is one of the nicest residents I know. I have never met any resident who would do intern duties (accompanying patients to other areas of the hospital). The small things that count. I am sure he will be a good doctor in the future.
A baby going on roller coaster inside the uterus of a mother.
Patiently waiting to see the world outside.
Afraid of what comes next.
Oblivious of uncertainties.
but certain of a new life outside the utero.
Nine months of progression.
36 weeks of movement.
Of floating. And loathing inside the womb of his mother.
Thriving on love and hope.
Waiting to be caught outside.
And see the twilight ahead.
We just finished our Family Medicine Rotation. I’ll post my two cents worth on that rotation some time. =) Suffice it to say that I enjoyed it. A holistic eye-opener, both on my life as a student and on the lives of my patients.
Tomorrow marks my third week as an ICC. We will be having Radiology as our next pit-stop. Plates here and everywhere. There will be less patient interaction this time. To my fellow ICC’s, let’s do this.
I am excited to learn Radio. I feel so incompetent in readings plates. Seriously.
"So I listen to the radio, and all the songs we used to know."
Each time I extract blood from a child with leukemia, I pray that I do it one shot. If not, I catch my breath, let it go, and try again.