Archive for May, 2007

Time Waits for No Idiot

 

  I think I’ve made the classic mistake of the student who thinks he is superman and can handle everything – I’ve bitten off more than I can chew.

 I’ve taken-on three consecutive graveyard shifts this week, which is the last week of classes before ’study vacation’.  Each shift is from 10:45pm to 7:30am, and then classes – including tomorrow’s test- begin at 8:00am.  Because I do need a small amount of sleep, studying is something I do in between rounds at work – when the patients permit.

At the beginning of the week, I had a blocked nose.  Now I feel as though my head is full of water and my joints need a good grease.  Holding a textbook up now causes immediate exhaustion.  I think the pathogens are winning.

Whenever I whinge pitiously (and justifiably, I feel), people tell me the same thing: just think about the money.

I wish I could slap these people.  Of course I’m thinking about the money, but when I sit at the nurses desk at 4am with my Immunology book in my lap and a patient screaming out for her dead husband, I think about how much of an idiot I am.

I guess I shouldn’t have agreed to cook for 12 people on Friday night either. 

Welcome the birth of my new category – ‘idiocy’.  Something tells me it will become a well-worn addition in no time.

Where Does the Good Go?

I never used to like babies, but now I do. 

Babies are blank canvases, but as soon as they arrive, the painting begins.  The picture is always beautiful, in the beginning.  With time, though, the smudges and stray strokes being to accumulate, and the picture is less beautiful.  Even if the environment is conducive to great art, the picture may end up buried under a pile of trash, unloved.

 I’m tired of the metaphor.  How do we get from being babies to being people even we don’t know or like?  Where did all the bad come from, and where does the good go?

I’ve recently been made aware that I’m not as liked as I thought.  I’ve heard some things about myself that are difficult to hear, and yet it’s not untrue.  Nothing exceptionally bad has ever happened to me, so why have I turned into a sometimes agressive, bitter and nasty person?  At times, I can make people feel bad about who they are.

Why?  I never used to be like this.  Where did the good go?

For whatever it’s worth – I’m sorry.

Heroin Cheese

  I’m supposedly on a health kick, and, well, McDonald’s just doesn’t factor into the proposed diet.  I’ve been McDonald’s free for about 5 months, with 2 slip-ups.  I’ve also been cigarette free for a couple of months, and I must say, remaining McDonald’s free has proved to be an immesurably harder task.

 Why should that be so?  Isn’t smoking supposed to be highly addictive?  The answer is yes, but you might be surprised to learn that my addiction to McDonald’s may have a far greater physiological impact than the smoking ever did.

Cheese contains morphine. 

Not an analogous molecule – actual morphine, though the levels found in cheese are too small to contribute to an addiction.  This did, however, spark a scientific interest in the addictive properties of cheese, and it was eventually found that casein – a dairy protein found concentrated in cheeses – contains casomorphins, which are opiates not unlike morphine. 

 Perhaps this is why fast food is heavily dependant on cheese and cheese products. I know that when I choose Subway, I’ll make sure that there is cheese in the last mouthful – just so my brain can remember how much better it tastes than a Big Mac.

I guess I shouldn’t be surprised that it’s legal to market addictive drugs to little kids.  But I am.

One Sick Little Girl – Part II

Part Two – Waiting Rooms

My mind tells me that the room is a pure, featureless white.  Practically, I know this can’t really be true. Maybe it’s because nothing this side of the double-doors matters; what’s important is what’s going on behind those doors.

I’m in the waiting room.

 

What are you supposed to wait for in a waiting room anyway?

We’re still at the first hospital, it seems like we’ve only been here a few minutes, but in reality we’ve been here almost 2 hours.I’m frustrated because I don’t know what’s happening, and that scares me.

What happened there was explained to me later:

I do know that Gemma regained consciousness, but that she wasn’t really ‘all there’. She was vomiting and very restless – trying to roll onto her stomach, but the doctor needed her to be flat on her back. The doctor struggled to keep Gemma flat and prepare an injection of an anti-emetic at the same time, so mum jumped onto the geurney and, straddling her body, pinned Gemma flat with her hands and knees.

Surprised, the doctor turned to her, and said, “I’m sorry, I didn’t know you were a nurse,”

“I’m not a nurse,” she said, “I’m just a mother.”

* * *

 We reached the hospital ahead of the ambulance, and were told to wait in a consultation room in Accident & Emergency. The doctors were there as much as not, and my parents – though they never left the room – were no different. There is very little that I remember of this period, except that Gemma was brought in by the paramedics and was taken away immediately.

I do remember a doctor telling me there was a good chance I would be an only child.

 I also remember hearing someone say something about bringing in a priest.

Something about Last Rights; I don’t think I was supposed to hear this.

Something also about my sister being brain dead.

I remember someone explaining to me what meningitis was, and that the bacteria was growing in my sister’s blood, causing it to become toxic. That the fluid and membranes covering her brain and spinal cord were inflamed because of the bacteria. I remember my aunt running in from somewhere beyond the corner of my eye, choking me in a bear-hug. My mother looked to her sister and said, “my daughter…”

We walked through the hospital to the Intensive Care Unit, passing several members of the family. There was another waiting room, but this time, it was to be our home for a week. It was equipped with a toilet and shower. The nurses would bring us sufficient bedding later, and we would sleep there while the families of other critical patients would come and go.

By that afternoon, as the sun slipped lower in the sky, I still hadn’t seen my sister. Her name appeared on the ICU board – she was the only ‘Miss’ in a list of Mr’s and Mrs’. Someone realised we hadn’t eaten. I went down to the hospital cafeteria with my cousin Simone. I tried to eat, and to this day I still can’t eat raisin bread. I was aware that I hadn’t yet cried. When there was a reason to cry, I would.

Finally, I was allowed to see my sister. There was a nurse who dressed me in greens and gloves and a mask. As she dressed me, she tried to prepare me for what I would see. I walked into the glass isolation room and saw my sister lying in the bed. She was intubated, and her breathing was a mechanical event, accompanied by the insistent woosh of air from the ventilator. There was a nasogastric tube, a central line, and an IV line in her hand. Several IV drips slowly provided her with bright red penicillin and clear fluids. She was naked, but covered with a hospital blanket, her feet sticking out the end. Her eyes had been glued shut. When I asked why this was so, I was told that she was in a coma now, and this would prevent her eyes from drying out. The septic rash had intensified.

Only two people were allowed to visit at a time, but I wanted to go in alone. The nurses had to stay in the room the whole time, and I remember one of them singing Mariah Carey songs to Gemma, because they knew somehow that she liked her music. I noticed that there was no window in the glass room, and for a moment I considered that Gemma might like to know what time of day it was, but then I realised that it was pointless, because she might never see outside again. The heart monitor beeped; the ventilator sighed, and the nurse was singing. There was calm. I felt as though someone had control, and so it was irrational for me to worry, even when I noticed Gemma’s toes had turned black.

To be continued…

GAMSAT 2007

GAMSAT 2007 

The Scores are Finally Up!

 

 

GAMSAT 2007 was a bit of a nailbiter, but the long wait since has been an excruciating wait. 
Although this result isn’t in the top percentile (or anywhere near it), I was expecting a 56, so this is a pleasant result for me.  Having said that, all I’ve seen is 73, 79 etc.  Oh well, let’s wait and see if this buys me an interview at my school of choice – Griffith University.

 

I’m going to drink now, and a lot.  In moderation, of course…

Unlike Me

There are no guarantees in life, not for the present, not for the future.

All I know is that I’m here; don’t know for how long.

I love the way you live so intensely – enjoy every minute of life with space to swing your arms around – lauging loudly.

Unlike me.

Beurocrats, Start Your Engines!

Today was just another example of the sometimes frustrating beurocracy of health services here in Australia.  Don’t get me wrong, Australians enjoy comparatively good health care, but there are times when the protocol can seem inexplicable and unecessary.

 I’ve been a blood donor for about 4 years now.  For 4 years, I have been harrassed by mail and phone to donate again, almost exactly 10 weeks after my previous donation.  Of course, I don’t mind, because one bag can be used to help up to 3 people and only costs me a moment of discomfort. 

However, since the discovery of my haemochromatosis, the Australian Red Cross Blood Service no longer wants my blood.   I was amazed when the nurse told this to me from across her desk.  Stunned, I left.

Driving home, I tried to think why the blood was unwanted.  Haemochromatosis is a genetic disorder that results in the excessive absorption of iron from the diet.  If the iron isn’t required for haemoglobin, it is transported to the liver, heart and pancreas via the protein Ferritin.  This is potentially harmful.  The treatment for haemochromatosis is identical to a blood donation.

Unable to come-up with a good reason why the blood is refused, I decided to speak to my family doctor.  He confirmed what the nurse at the blood bank had told be, but expressed frustration over the issue also.  It would be a win-win situation – I’d get to stimulate the production of new haemoglobin by donating blood-thus reducing my harmful iron stores, and it buys someone else a little more time.

Until I can find a good reason why I shouldn’t, I’m considering omitting my condition on the next donation application.

Continue reading ‘Beurocrats, Start Your Engines!’

Grand Rounds Vol 3, No.32

Grand Rounds is up at Shrink Rap this week.  It was Bring Your Own Brain (BYOB) with the three shrinks, featuring a very clever interactive brain map you can use to jump from section to section.  Thanks to Roy, Dinah and ClinkShrink for their amazing podcast (basically just for going to the effort).

 My first Grand Rounds….yay!


One Version of Things

I'm a 24 year old gay medical student living on the Gold Coast in Australia. This blog started as a way to blow off steam (ie procrastinate) during the tedious med-entry period, and snowballed into a sort of outlet of self-therapy. It's my way of pulling back to look at the bigger picture. So here it is - the bigger picture. Or one version, anyway. I hope you enjoy it here.

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