Maybe you should see a “real” doctor

brown and white bear plush toy

It’s been raining for a few weeks now, the trees look green, its gloomy outside, the air is moist with the smell of petrichor. Perfect weather for a cup of coffee and inspiration for a blog post eh? But apart from voices in my head coaxing me to slumber, my mind is blank. Writers block if I may call it, or as some argue “writers block” isn’t real, its just an excuse to procrastinate working on your writing projects. No comment.

So this is me..not loafing around waiting for inspiration to come to me, but hunting for it with a club in my hand, hoping to find something that looks like it, in the least.

Saturday afternoon, I got the news that the maid wouldn’t be coming for the weekend. Overnight she had developed a rash all over her body and on her face along with a temperature. Fever with rash huh? My mind got to deducing. There was a lengthy list of causes for it, I might’ve flipped the pages of my medicine textbook for some help,but nothing quite seemed to fit in.

I hadn’t seen her yet though, so how could I narrow down on a cause, right? She dropped that evening by on the way to the hospital, worriedly she looked and me and asked me what was wrong with her? “I feel so sick, everything is blurry and my face is swollen”. I sat her down and asked her a million questions about her symptoms like we do other patients.
Took a look at her rash too and acted like I knew a thing or two about what I was seeing. She said it burned and itched. At the end she looked up at me.”So, what do you think it is?”
“I have joint pains too does that have anything to do with this?”
“I haven’t gotten chicken pox before either, could it be that?”
Out of the inventory of causes for fever with rash, I had, at the max, been able to deduct a few, only to be left with a fair amount of weird and scary causes I couldn’t tell her she might have.
I hadn’t even acquired the skill of beating around the bush, so, unable to evade her question I said I didn’t know and she should go see a doctor.

We’re going to be doctors in a few months time *shudder* and I don’t know when we’re going to acquire the skill of dealing with what I might call common conditions. I wonder if it’s just me with this apprehention or if it’s a sort of end-of medschoollife-crisis that everyone experiences. For now, I just know that a good medical student is the foundation of a good doctor, but the transition from the former to the latter is not an inevitable process and most certainly does not occur overnight.

Well I’m just going to leave it there, that was my attempt on this rainy day to amuse you, until next time then.

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13 Comments Add yours

  1. nvikasnaidu says:

    Beating around the bush is both a boon and a bane 🙂

    Liked by 1 person

  2. KF says:

    As a “real doctor “ albeit recently retired, I can say every medical student feels this way and when you are a resident on your first day you feel entirely fake. Thank goodness the nurses are double checking your orders and will call you if you ordered 6x the usual dose of gentamicin (which did happen to me my first day . . . Before the age of mobile phones with pharmaceutical apps). That being said, your maid sounds like she was very sick and feeling like things are blurry etc could be a sign of viral or bacterial septic shock so IMHO she clearly needed to go to the hospital. Sometimes the best advice is, go to a doctor. In person. In an office/clinic/hospital with equipment. Now. “Curbside consults” are not always a good idea.

    Liked by 1 person

    1. Thank you ma’am. This gives us hope 🙂

      Like

  3. Welcome to my world! Learning to manage uncertainty is a key skill in primary care. Ask yourself 1. What will happen to the patient if I do nothing? 2. Do I have to do anything? You can cause more harm by necessary treatments and investigations but when you are starting out it is probably better to over-investigate until you gain experience and confidence. And always remember to safety net!

    Liked by 1 person

    1. Thank you for the motivation 🙂 we read your last blog post about how you search for clues about your patient when they come to see you. What a clenched fist or a twitch would mean. We hope to be as good as that someday 🙂

      Like

  4. Sharon says:

    Love the honesty!

    Liked by 1 person

  5. Good post. The bandaged bear is so cute. And I think it was good that you were honest with her.

    Liked by 1 person

  6. Nirant Gurav says:

    Beautiful stuff mate

    Like

    1. So kind, thank you 🙏🏽

      Like

      1. Nirant Gurav says:

        Pleasure always for beautiful stuff mate

        Liked by 1 person

  7. Chiru says:

    That’s right.. Its better not to experiment when we have no experience…
    Well advance congrats to you as you will be a Doctor in near future..

    Like

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