domenica, aprile 17, 2005
:: A & E Department doctors ::Just for the rest who's blur from my past postings, we refer to this A&E posting as Emed posting. (emergency medicine) and the ED means (emergency dpt). before i started this posting, i was extremely excited and apprehensive. to me, A&E doctors were probably going to have tempers as quick as their hands & minds. i found myself wrong, especially regarding the formal. They are definitely a bunch of super smart people but they are uncannily humane and considerate. able to offer comfort in both physical and emotional aspects. i thought that they would find us, over-zealous/gong-gong medical students a bother, or an obstacle in the already tiny ED, yet, they welcomed us, made us feel like we belonged and for me at least, i felt tt i could be directly involved in care of the patients at one point or another. they were not irritated with our lack of knowledge nor did they chide us for stupid answers (unlike some docs in other dpts), no one was mean, no one shouted at us (no one shouted at the patients or their relatives either), no one shooed us away like pesky mosquitoes. For that, i have the greatest respect for them. And it's inspired me to consider joining this group of tough, optimistic and wonderfully cheerful people.... only, I just don't think I'm good enuff.
What i like about Emed: you get to see a variety of cases, ranging from severe burns/heart attacks/hypoglycemia to things like um... ear wax. it's so varied, i get to see things from all specialities and it's a challenge to be able to find out what the problem is. what is also very satisfying is the ability to bring relief to patients, mostly from their breathlessness, chest pains... i get to do some medical stuff... and also some surgical stuff, eg. put decompression needle for tension pneumothorax and chest tube insertion, intubation and so on... i wouldn't consider a career in gs (general surgery) or surgery, it's too tough, and i guess, it might get boring after some time. i wouldn't mind a career in the medical side, but it would mean i rarely get to do procedures, and i would really miss that, i like to work with my hands. so... emed seems to offer a good balance of both. In Emed, also get to see super exciting things, but basically i think it offers short term rewards of seeing your patient stabilised or relieved.
What i don't like about Emed: there's no long term contact with the patient, thus, your patient could just pass away the next day and you might not know it. there's no seeing how the patient is eventually managed in the wards... in short, your 'relationship' with the patient and his family only lasts as long as the patient is in the observation ward. another things is that you're not involved in the definitive treatment of the patient, (especially in the case of chronic illnesses). and of cuz, the working hours are pretty chaotic. but hey, i'm not a person who loves routine either! ;)
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francesca chiu
2 eyebags & 5 wrinkles
on long-term dormicum drip
KIV IMH
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