Tuesday, July 5, 2011

Don't forget that you were once a med student

I went to the OT with Nad and Chee Guan today. First, we were sarcastically insulted by the anaesthetist. Don't what was his problem. We were only at the counter talking to the nurses and he, out of nowhere, just insulted us for no reason. Was he just dumped by a medical student recently? Jeez... Then a nurse shouted at us to wear our name tag from across the OT waiting area. Pleaseee....do you have to shout? And please, doesn't the fact that you are shouting at us show that you are already aware that we are medical students? And after the operation, we got screwed by the doctor when we asked him to sign our log book. He scolded us for not knowing what the case was all about when in fact WE KNEW! We have read the case note from cover to cover. He said Prolonged latent phase is not a diagnosis and not an indication for C-sec. Ok, fair enough. We were wrong. Then guess what his answer was? POOR PROGRESS. Jeez...! Poor progress is just as non-specific as PROLONGED LABOUR. And he said "Poor progress MOST LIKELY due to big baby, eventhough the baby is 3.9kg. Hello! Did I hear you say MOST LIKELY? Doesn't that indicate you don't know for SURE what is the reason for the C-sec as well? And you were the MO who was actually carrying out the C-sec!

And he went on and on about us wasting time in the OT observing the surgery and that he was sure we have not learned anything from watching the surgery. That we shouldn't WASTE out time coming to OT. Might as well spend our precious time studying. JEEZ! What kind of advice is that? And telling us coming just to fill our log book is useless and not important. That I agree...log book is a nuisance, yes. BUT, hello, how can we prove that we have watched 10 C secs, done 20 deliveries, draw blood for 30 times if we don't get our logbook signed? You were a medical student and a houseman not so long ago. Perhaps, you are so high and mighty that you have forgotten what is it like in our place, so down and lowly. 

Firstly, we could see very clearly the entire C-sec, from how you held the forceps to how you pulled at the baby's head so hard that we fear for the baby's brachial plexus! We were actually discussing every step of the C-sec while we were watching you and of course, cringing as well while watching you pull at the baby's head. And fyi, our lecturer asked us about C-sec during exams! 

Okay, my rational side is telling me to forgive you because you had been a very good MO to the HO, teaching the HO patiently during C-sec and for reprimanding us, which I have to take it as an advice that is supposedly for our own good, eventhough I do not agree totally. And for signing our logbook in the end. 

I don't know to think of you as nice or mean. Please lah...doctors, can you not treat us like crap?! And don't sprout nonsense. We may still be medical student but we actually go back and research the answer you tell us. So we know if they are fact or nonsense. Reprimand, scold, insult or ridicule all you want, as long as at the end of the day, we actually learn something. Scolding us for no particular reason is just a waste of your ATP and time.

PS: The correct diagnosis should be Abnormal or Poor uterine action causing prolonged labour, according to Prof Shirley Aye and Prof Soe Aung's notes. 

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