White-coated ramblings: (7) Death happens.


Source: Google images.

Ever since my first shift at Internal Medicine rotation, I’ve accustomed myself to the fact that people die all the time; Internal Medicine  wards are the terminal station for the chronically ill, and I came to believe that Death lives in there. But I have always dreaded the moment I would witness someone die. It happened today.

In an Egyptian governmental hospital, It’s always the same scenario; relatives insanely knock your door asking you to come see the patient because he had “fallen silent”. He was an 80-something man with multi-system issues, and his pulse had gone unpalpable. My heart sank. My shift had almost ended, and I was there, on my own. He was on a wheelchair. Some worker should move him to a trolly so we rush him to the ER while I start CPR, but nobody was there. There’s only one working elevator at the floor that serves doctors, patients, and their relatives, so when arrests happen, you have to run to that one elevator and knock heavily shouting “arrest!” in order to get it as fast as possible. Meanwhile, the patient was still on the wheelchair, pulseless.

He got to the ER on the wheelchair, and CPR was started only when we moved him to a bed at the arrest room. I was afraid perhaps he would die because I was too slow, but then after all, I was on my own, and I did all it took to rush him there. Things get easier at the ER, at least there are residents with more experience than a lonely house officer.

“It’s too late, let him die in peace.” The resident said after multiple cycles of resuscitation.I froze.

“Wait, there’s pulse, he came back!” Said the nurse. He did come back, and I wanted to hug him for that. I think I was the only one in the room who was very thankful. To be honest, a part of me didn’t want him to die in my shift.

Then he had gone once again, we resuscitated. He came back again, but then he had gone for good.

And there I stood, facing a dead man in a room full of people who bore no emotion for him. I don’t know why I held his hand for a moment, but I kept staring at him, a part of me hoping for another comeback, and the other part relieved it was finally over. An eerie feeling. But then, this is life, and death happens.

White-coated ramblings: (4) I just need to whine..


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Oh how I hate this place!

You can be an ***hole, and you can be an Ob/Gyn resident, but I repeat myself!

Well, everybody hates Ob/Gyn rounds. It’s not just the heavy work and floods of patients, it’s also just about everything else you can imagine. I’ve been only 2 weeks through and I’ve never been so miserable!

For starters, you have like 20 twelve-hour shifts per month. Although ERs are closed until further notice (nobody knows why, probably for political reasons), the lack of patients’ flow doesn’t exempt you from being there. You just have to show up everyday to do some lame tasks and bear with all the crap and nonsense your residents come up with. You’re not allowed to leave until the last minute of your shift, why? Because residents say so! You have to put up with their vulgarity and rudeness, because there is no other way.

The only achievement I can count is crossing “scrub in” off my bucket list. Yet, surprisingly, I haven’t found any thrill in surgeries; it’s too boring! I have to say I haven’t learnt a thing so far, and I dread the moment I go home because it means tomorrow’s coming and I’ll have to go back again. Yes, I’m that miserable!

Source: Google images.

White-coated ramblings: (3) The resident/nurse superiority/inferiority complex!


Source: Google images.

– So what kind of doctors are you?

– A  house officer.

– What is a house officer?

– Basically the hybrid of a nurse and a porter!

Undeniably, we have a defective system, no I’m kidding, we have no system at all! If you’ve ever been to a hospital, you already know that a major part of a nurse’s job is giving injections, obtaining blood samples, blood transfusion, IV salines, inserting cannulae, and monitoring the patients vitals (blood pressure, temperature, etc.). 

Since the very first day as a house officer, I’ve been doing all of the above, and because there’s no such thing as porters, I’m also the one sent with patients’ files and blood samples to finish the paperwork. I haven’t done a single task that required any of the medical knowledge I earned in the past 7 years. I no longer even know what nurses are for, I mean beside mastering the art of  humiliating and delaying you!

  • Example: A patient is so feverish and needs an immediate IV antipyretic. I am the one responsible, so I go to the nurse and beg for the medication. She refuses, and demands the patient’s file first, which should’ve been with her in the first place. I don’t have the file, so I call the resident, and she tells me I should find it with the nurse. And the vicious cycle goes on until I find the file on the nurse’s desk! Meanwhile, the patient remains feverish!

While you try your best to get the above mentioned tasks attained, residents (who mostly have narcissistic issues) can do whatever it takes to abort them. I have to admit that my residents so far are kind enough to teach me and thank me for my efforts, but I get sent daily to other departments to request consultations and interventions, and I almost always get shooed like a cockroach or treated like I didn’t exist. It’s so pathetic that some residents are so delusional they believe they are the Gods of their specialty!

  • Example: A 3-month-old boy needs a urinary catheter. The pediatric resident doesn’t want to catheterize him, so she sends me to surgery hospital looking for a urinary tract resident. I request the procedure, but the resident ignores me as if I’m a mosquito buzzing around his head. When he finally responds, he tells me to wait. I wait for an hour, but he never shows up!

The only reason I put up with this crap, is because I once believed I could help make patients’ quality of life better, which right now sounds very naïve and ridiculous! Now one only gotta do this for the sake of God and nothing else!

 

 

 

24 things before turning 24!


Source: Google.com

So, after all,  last year’s list wasn’t quite a failure. With studying and exams being eliminated this year, I hope I’ll have the time and space to meet all my goals this time.

Let me start with some items I couldn’t tick off last year:

1. Finish my novel(s).

2. Win NaNoWriMo.

3. Scrub-in, preferably in an eye surgery.

4. Reach my ideal weight.

5. Finish “Insanity” workouts without twisting any joints.

6. Learn to dance.

7. Earn drivers’ license.

8. Read 20 100 books at least, including the Qur’an.

9. Speak French.

10. Play guitar.

11. Volunteer in a cause.

12. Fall in love.. or not.

And now with brand new goals:

13. Pick a specialty; I haven’t yet determined whether I should be an ophthalmologist or a psychiatrist.

14. Prepare for a fellowship in the picked specialty.

15. Save a life.

16. Run regularly for at least 3 months.

17. Run half a marathon.

18. Buy a heart rate monitor/fitness tracker.

19. Eat clean for at least a month without cheating.

20. Build abs.

21. Earn a belt in judo.

22. Go sky diving.

23. Attend a live concert.

24. Inspire more people.

What’s on your list this year??

White-coated ramblings: (2) Doctoring kids, AKA saving the planet!


Source: Google images.

First off, let’s just state the fact that crying kids are my least favorite creatures. Sick-screaming kids, on the other hand, are my personal imagination of an alien master plot to dominate earth.

So basically, my 12 hours at pediatric ER were witnessing vomiting, diarrhea, pneumonias, and the non-ceasing chorus of screeches mingled with the beeping of monitors. Such scenario would be somehow tolerable if it wasn’t in a governmental third-world hospital. Remember when I said it’s kind of like Grey’s Anatomy, except that it’s nothing like it?

Well, for starters, we deal with the lowest possible socioeconomic classes. Most of the patients are impecunious and ignorant (if not even illiterate), that never annoyed me; it’s not their fault and they deserve treatment. The disaster is that we, doctors, have to function with the least infection control measures (if not without any). The floor is dirty, and there are stray cats and cockroaches! I have seen a doctor collecting a blood sample without wearing gloves, the baby’s blood trickling all over her fingers, and when she was done and saw the shock on my face, she told me “don’t do what I just did!” There is a box of gloves sitting on the nurses desk, but few doctors care enough to use any. That sickens me!

Another emotionally devastating thing was how the bed sheets were blood-drenched, urine-stained, and needle-studded! I have been to governmental hospitals in UAE and seen how the sheets were disposable and consistently replaced. What I saw yesterday was just so wrong!

Back to kids, in such an overwhelmingly stressful situation, I tried not to get involved. How could I manage patients I have no sympathy for? The kids seemed like noisy things who needed to shut up! The only kid I sympathized with was 4-year-old who needed calcium gloconate injections to treat his hypocalcimic condition. He looked so harmless and terrified, he persistently begged to go home  and I found myself trying so hard to sooth and lull him to stop him from moving his hand and displacing his cannula. I have no idea how that boy managed to break my heart!

And there I survived my first night shift ever! I’m not looking forward to my next one!

White-coated ramblings: (1) ‘Cause bureaucracy sucks!


So today was my first day as an intern doctor. Let me tell you something about hospital internships in Egypt, you know, it’s kind of like Grey’s Anatomy, except that it’s nothing like Grey’s Anatomy! I’ll be thoroughly talking about this, but not today. Stay posted!

What happened today was a cycle of pleading and begging. Why? Because Egyptian “public servants” are heartless and always bad-tempered. Originally, I was listed in one of the ministry’s hospitals, but I filed a request to be moved to my med school’s educational hospital (not today’s story), let’s just focus on the fact that I DID hand the request to the woman in the corresponding office.

Consequently, I should’ve found my name automatically listed in the hospital’s schedules, which hasn’t happened! You don’t want  to know the details, because it’s so boring, but to cut the story short, they lost my request, and I had to spin around and get shooed from one office to another to file a new one, begging  the employees to just answer my Goddamned questions!

On the plus side, I finally have been listed in pediatrics with cool friends. But we have a night shift tomorrow! Yep, my first ER shift ever is tomorrow! Stay tuned!

Scenes: (11) Graduation rituals!


Date: Thursday, January 2.

Place: Faculty of medicine, Ain Shams University.

Event: Fun-day (graduation ceremony).

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Copyrights: The accidental Blog © 2014

The most awaited day has finally come! One last day at college, but with no classes to attend or exams to stress for. No enough words can express how memorable the day was. Friends, laughter, music, photo sessions, autograph signing, fireworks and everybody just having fun!

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Copyrights: The accidental Blog © 2014

Copyrights: The accidental Blog © 2014

Copyrights: The accidental Blog © 2014

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Copyrights: The accidental Blog © 2014

Then came the most exciting moment; pot shattering! In old Egyptian traditions, when someone leaves a place and you don’t want them to ever come back, you break a clay pot at the doorstep. So every year, fresh medical graduates have this pot-breaking-frenzy at the gates of college! I saved my pot by the way! 😉 😛

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Copyrights: The accidental Blog © 2014

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Copyrights: The accidental Blog © 2014

This is less than half my class! Photo by: Horizon Photography – Sherif Elhosseiny.

Confessions of a semi-doctor: (18) THE FINALE!


I’ve been planning this post for months, but as I sit at my desk to type in, words seem to have fled. My last exam ended yesterday, closing the last chapter of my medical school years. I’ve technically graduated!

The journey was tough, the path was filled with traps and hitches, and there were times when it seemed I’d never cease to suffer.. But somewhere among all this chaos, somehow, good memories shone. Funny moments and amazing friends. For some reason, all the crap I went through no longer matters! 🙂

P.S. Until results are out, I need everyone who stumbles by this post to pray that my friends and I would pass our latest excruciating Ob/Gyn exam. None of us is by any means ready to study again for 6 more months!

Coming soon..

Confessions of a house officer!

Confessions of a semi-doctor: (12) Good times don’t last!


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Boom! School’s coming back! Well, ten days from now I’ll be doing it all over again; getting up early, following schedules, spinning everywhere and the whole dilemma of med-school!

The only good news is, this year is my 6th and FINAL year, oh yeah, 12 unceasing tough more months to survive before I rock as a doctor! 😀

Confessions of a semi-doctor: (10) Halfway there!


Source: ilovedoodle.com

*Sighs* It’s been 25 days since exams knocked the door; 25 sluggish-paced stressful nights with all their anxiety and insanity have passed! I’ve come across ten exams so far, which are for the record, just ONE subject! Yes, medicine is crazy!

I still am ahead of upcoming 25 harsh days, and it’s pathetic how all students in the country, no wait, all students in the world have finished their exams, started their vacation, finished their vacation and got back to school while we’re still stuck in the year before! Yep, did I ever mention that 5th year in med-school is 14 months??!

LOTS OF PRAYERS NEEDED!