Tuesday 5 April 2016

Flipping BHTs at Warp Speed

"Present this case to the specialist. I am not familiar with this patient," said my MO to me during a morning round. My friend who 'covered' this patient in the morning review was nowhere to be seen, carrying out one of the many things we have planned earlier with other patients seen by the specialist. Contrary to what the MO believes, I wasn't that familiar with the patient.

But familiar enough.
I have been taught, since tagging period, to know all the patients.

So- flipping through the BHT as quickly as I could- I presented the case to the specialist.
He asked me why the antibiotic regimen was changed a few days ago.
More flipping, then I remembered that the patient had some abscesses and that was why the initial Abx regime was started. I almost forgot about the abscesses because the bandages covering them were gone now, since they were resolved.

I told the specialist that.
The specialist added, after more flipping, that it was because of that, but her condition wasn't improving, hence the change- and her condition has been improving since, hence sticking to the current regime.

It was like he was teaching me, indirectly.

He reviewed the patient, and the ever-grateful father thanked him a lot, saying he has been helping ever since the child was born (she was admitted into the NICU for various reasons).
My specialist smiled, gestured to the rest of us and said 'We ALL helped one way or another'.
The father thanked us all again.

After that patient, my MO patted my back/shoulder before moving to the next patient.
Small gesture, probably meant nothing, but it made me feel better.

This was also the specialist I presented a newly-clerked case to a few days prior, and he argued my diagnosis- raw and unfiltered by any MO- but then I justified my reasons for my diagnosis, and he listened, and after having looked at my plans for a while, said, 'Continue the plans, then'.

And my heart exploded with pride and gratitude.

I have moments when I feel horrible, but I'd rather not dwell on them. And to be honest, small horrible moments tend to fade if you don't focus on them.
I do remember a lot of more negative moments, too. I can't help it, I'm not like a colleague who easily dismisses negative things and moves on. I tend to dwell. But I'm trying.

Good thing my moments here are more positive than not.

My first month assessment is coming soon. God knows how scared I am.
I'm reading old presentations from medical school since I lost my paeds protocol.

I should read that too.

There are so many things to reeeaaaaaaaddddddd!

2 comments:

  1. Hey, hows it going? Im in the process of applying for hsemanship now, find this really interesting. Love your blog! I trained in UK so really no idea what to expect! Where did you train? And Keep writing :)

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    Replies
    1. Hey praveena, thank you for your kind comment! I have a friend here from the UK too; our system requires some adjustment period, but she's doing more than fine here in her first posting, so I'm sure you will too!

      As for where I train, I'm very sorry but I cannot disclose it for privacy reasons (I tend to pour half my heart out here lol)! I can tell you it's somewhere in the Peninsula and quite some distance from Klang Valley; a district hospital with HO-teaching capabilities.

      Whenever it is, good luck for your housemanship! May you persevere and serve with good intentions, and may your bosses be nice, and your calls not-too-eventful :)

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