Welcome to Real Medicine ๐Ÿ˜ท


๐Ÿ‘ŒCan successfully rebut the advances of a patient in a crowded community health centreย ๐Ÿ˜‰

๐Ÿ‘ŒCan take a history and do an examination in a crowded community health centre

๐Ÿ‘ŒCan manage to trip while going UP the stairsย ๐Ÿ˜‚ (I’m still trying to figure out how that happened)

๐Ÿ‘ŒCan draw blood . . . ย from a mannequin

๐Ÿ‘Œ Can stare down a little toddler and make them smile/ cry ( She started firstย โ˜บ)

๐Ÿ‘ŒCan put up an IV line . . . ย on a mannequin

Above are a few of the skills that I have learnt in this short albeit packed week of my very first clinical rotation ๐Ÿ™‚IMG-20160203-WA0005

I’m on “Health and Disease in the Community” aka Family Medicine. It’s supposed to be one of the less stressful rotations and that has definitely proved true over the past few days.

We have weekends off , we end before 5 everyday and some days we don’t even get started until late afternoon. I think it’s designed that way in order to facilitate the bazillion projects and assignments we have to complete along with some supervised clinical consultations twice a week at a community health centre and a home visit to a patient with a disability.

We’re learning about practising EBM ( Evidence Based Medicine). Although not nearly as exciting as watching an emergency appendectomy , I think it’s been quite fascinating to learn about.

The visits we make to the clinic are quite cool though I enjoy talking to patients , taking their history and doing examinations. It makes countless hours of OSCE preparation feel worth it. I’m still taking forever while doing that but hopefully my technique will improve in good time. The CHC is really crowded , a far cry from the luxury a patient using the private health system would experience. I’ll definitely post a lot more about this dual health care system that South Africa makes use of in the future and why it makes me so madย . (My feelings are escaping )ย 

I’ve also started to see the importance of ย CHC because that is the first place where the patient will arrive completely undifferentiated and they are relying on the knowledge that you have to treat them so that they can get better or refer them if necessary.

Mandatory Pre - Clinic Selfie ๐Ÿ˜˜
Mandatory Pre – Clinic Selfie ๐Ÿ˜˜

I’ve also realised the need to be a brilliantย doctor and not just someone who passes tests. It won’t do for me to pass tests without retaining that information and using that to help my patients towards a better outcome. What good is a distinction if I can’tย make it useful ย when listening to my patient at the primary health care level? A good deal of introspection is in order I’d say ๐Ÿ™‚ย 


Lots of Lily Love โค (LOLL)


4 thoughts on “Welcome to Real Medicine ๐Ÿ˜ท

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