Cause and effect
Every symptom has a cause.Some symptoms can be treated symptomatically:
Cough - Procodin
Runny nose - Loratidine
Giddiness - Stemetil
MSK pain - NSAIDs
SOB - oxygen
But that should not be the end of treatment.
Every symptom has a cause.
And trying to find the cause is the harder and more important thing to do.
1) Symptom -> Differentials (history, physical, investigate and trace!) + symptomatic relief
2) Monitor
3) Diagnosis -> Confirm (reassess patient) + start treatment
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I need to improve. Half a year of HO-ship has gone, I still stand by the opinion that HOs are overworked and undertrained.
We are not merely glorified clerks and we definitely do not go from glorified clerks to clinical doctors overnight.
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I haven't been happy at work recently. Feeling more like a slave than a doctor. Rushing against time everyday. It hasn't been enjoyable.
And I've never stuck long at anything I don't enjoy.
Where do I go from here? Considering I have a 5-year bond to go, I really need to find THE passion in work. Maybe it's the routine-ness of this posting. Maybe it's the unexpected crap you can get sometimes. Maybe being a single HO in the team is mentally and physically tiring.
Maybe I'm just not the surgical type.
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If I don't enjoy orthopaedics now, will I enjoy doing sports medicine?
Seriously considering geriatric medicine. But then the grass on the other side is always greener.
Wish I had a more medical senior to consult with now, unfortunately there's none now.
Research? Sounds like a good option, but I know nuts about it.
Teaching? Maybe when I'm much older and more established in my practice.
Administration? Just read an article about medically trained administrators, sounds like a interesting option but I do like seeing patients clinically.
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6 more months to go. Counting down is so painful.
Wei Qiang converses @ 21:17
4 Comments:
hey there!
always remember what u're experiencing now as a HO is definitely not representative of what it will be like as a trainee/specialist. so dun judge the posting by the standards as a HO. think abt how it'll be like as an MO... and if u can't decide, there's no hurry to decide now! go do an MO posting and decide later!
i know but it sucks when u suddenly realise that what you've always wanted to do may not be as interesting or exciting.
And it doesn't help that everybody's rushing to do BST.
you remember me of course during your SIP. if you need advice, do drop me a line - silvertag
Thanks! I definitely will!
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