Monday, November 24, 2008

Second clinical experience, a second to remember some great wisdom

My second hospital visit was not all that memorable. I did rediscover a problem I remembered from my days of volunteering in the ER: Standing around all day is unpleasant. I keep thinking there is some secret club of doctors and nurses who have found the “uber-shoe” that makes standing around interviewing patients for hours more enjoyable than soaking your toes in cool lake on a hot day. Still no luck finding the comfort cult. Let me know if you hear any chanting in your local hospital, “We love our shoes, our shoes are our pals

There is a certain type of person that tends to reject everyone else’s ideas while simultaneously rejecting all attempts to constructively suggest (I’m serious) that they might, in fact, be mistaken in this case. I heard once that in Japan among social equals it is rude to tell someone that they are wrong. The common response to something incorrectly spoken is to rely, “That is also an answer.”

I met someone this week who is the often the “certain type of person”. In the moment I let it bother me, but now I remember some my father told me once:

“Son, sometimes you have to let some people be right, because for some people that’s all they have.”

Friday, November 7, 2008

My first visit to the hospital as a medical student

In our second year of medical school we get the chance to visit a local hospital and perform some "real" interviews and physical exams. Of course, the patients have already been interviewed by actual doctors and their physical exams already completed. Regardless, it felt much more genuine than being in a classroom interviewing someone who was invited to come and tell us about their illness.
Our group was a little too excited to get to the physical exam, and I'm sorry to say that I skipped a few of the initial steps. It wasn't too bad. Dr. "I don't shake hands", who was our instructor for the morning, made it a memorable enough experience for us all that I don't expect to be forgetting again any time soon.
In the afternoon we got into a group of five and interviewed a gentleman who had a back injury. I got my first "Yeeeaaaoooww!" reaction while palpating his left kidney. He was in some real pain. I felt bad.
Upon reflection, (because that's what bloggers do right?) It seems that in my career as a physician I will continue to cause pain (poking people with needles, giving them noxious medication, eliciting pain responses, etc.) all in the name healing or obtaining the information I need to heal. A nurse friend of mine once told me that many of the things they do to patients are extremely painful and might be called torture if it was under different circumstances. I imagine he was referring to something like changing the bandages of a burn wound victim or like procedure.

I guess "Do No Harm" doesn't necessarily mean "Cause No Pain". It's probably why so many people are afraid of doctors: Sometimes the cure hurts.