Monday, August 4, 2008

Suwerte ka!

Monday, August 4, 2008
when a cup overfloweth
Time and again I've encountered people of whom I've promised to be the topic of my posts. Well here is one.
I've come from my hospital duty tired from lack of sleep. The tour of duty was not that different from most of my duties... I was told to work faster and probably threatened by way of brusque manner which brought me to choking back my tears. In truth, I cried. It's my only release besides photography of my frustrations. Of those who are not familiar with the medical field, there is this ladder you are to climb ( I suppose in all fields there is) and you start beneath the food chain. In terms of responsibilities and work, if your senior says "jump", you don't have to ask "how high", just jump. But that is what I am used to, today we encounter medical students (clerks/interns) who are not used to work, so imagine the students asking us to do jobs that they are supposed to do. Imagine being at the bottom of the food chain being pushed further down, maybe to nothingness...
In any way, me being myself just took it all in. Cried a little. Wiped my tears and faced my patients red-eyed. In more ways than one, I try to convince myself that everything I go through are for my improvement. For whatever it is, I am yet to know. Thankfully my patients were kind enough not to ask, one even tried to boost my mood after witnessing my near to breakdown event. I am glad that I am reminded that what I am doing is not entirely wrong, that there are people who do appreciate what I do. Looking back my duty is not entirely tiring when it came to work, just from the lack of sleep.
That's not my story. Just a prelude to let you know how much I appreciate what happened to me on my way home. After my duty, I had to stay at the hospital to complete my other responsibilities (census). It was past 9 that I left the hospital, and wrestled with wanting to stay for another 30 minutes to watch "Cinderella" (the japanese version), yet another one of my de-tox activities. But the lack of sleep won me over so I went on my way home. I have this thing for walking, I love walking. My day won't be complete without it. On my daily route, I pass by Chowking, to which I usually buy my breakfast/lunch/dinner. Entering the fastfood chain, I was glad there were not much customers, meaning I would be leaving with my food, fast. Waiting for my food, I notice another customer who ordered after me, asking the cashier of their other branches preferably near Araneta avenue. I took no interest in that but I was intrigued in how hyper she is versus my dwindling energy at that time. She seats by me and tells me the story of the new BPI freebie system. She tells me of how purchasing at least a thousand pesos with BPI credit card system, you are able to avail free meals at Chowking. She was so thrilled in that she will be able to give whatever freebie she take to her grandchildren and to her other relatives. It was a refreshing conversation as I rarely do have any other conversation with strangers unless they are patients I tend to. She told me of so many things but one thing struck me most is that she was happy that whatever she could take from this she would be able to give to others. And there I was fighting of my sleep when she told me "Alam mo, swerte ka." (You know, you're lucky/in luck). "Po?" was my only answer to that. She told me not to leave for she would be giving me one of the meals she was able to avail. Despite my protests, she was persistent, I finally relented to her when she told me that I shouldn't refuse whatever gift that was being given to me. With repeated "thank you's", we parted ways. I didn't ask for her name. I wanted her to be one of my angels. She didn't realize a far greater gift she gave me. A memory, a reminder I could keep for my lifetime. As for the meal... I hope that it filled an empty stomach.

Monday, June 30, 2008

ER: T.he O.ne S.top S.hop ME.dicine (naaaah)

Monday, June 30, 2008
The One Stop Shop MEdicine, not necessarily
When I entered Emergency Medicine, I had the illusion I would be doing things that I used to watch in the TV series E.R. How wrong I was. Along with technology, Emergency Medicine (EM) has evolved to a one stop shop for patients. I grew up in a province and the only time I've seen the inside of the emergency room was when I was rushed to the hospital because of high grade fever, from what I remember was I was in critical condition then. Connection? Technology has made it possible for people to get answers with just one click or to make things happen with just one push of a button. I've noticed that people who grew up with this exposure are impatient (STOP! Hear me out) as compared to the people who are used to doing things the manual way. Yes, I am used to technology but still I would rather go through the library (nope, not the online version) browse through hundreds of books and read through them.
I am not generalizing the whole health care system in this. I have received patients who simply couldn't afford to wait in line in the clinic simply because they couldn't wait to get their questions answered immediately. They expect it to be as simple as one click of a button. Some patient's I'm grateful to have because they are very willing to be interviewed for a while. Some simply expect that when a person has fever, the automatically have dengue and immediately ask for a CBC. Other kinds of patients just wouldn't want to walk around the different departments for their laboratories to be done. Hence the ER provides a way for them to be catered without them having to walk around.
Science have evolved with technology, yes, there are things we can do now that we aren't able to do before. Then there are things that are done faster than before, which brings me to patients expecting their laboratory results to come out like a instant photo machine. It can be done in some cases but in most cases that wouldn't be the norm. Let me just beg off with this, that some laboratory exams would require chemical reactions to occur, and it takes a while for that to be completed. Hopefully in the future mankind would be able to manufacture a one click diagnostic machine. That would be a great improvement, but still I would like my diagnostic exams to be accurate rather than fast. If being fast would mean more mistakes, I'd rather take a diagnostic examination that would be slow and accurate... but that's just me...

P.S. I still do get to do things that I used to watch at E.R. and maybe more. I get to see a wide range of cases, out-patient, urgent, critical... patients with vague symptoms having more serious problems. I learn, day by day, person by person, patient by patient, case by case.
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