Saturday, April 28, 2007

Words of reminder

(i very much prefer my initial writing about this, only to lose it during the bad internet connection...)

8am-5pm lectures/simulation/workshop is tiring but at the same time, here's

Human error is human nature- we're not trying out excuses but stating a matter of fact. stupid mistakes, lame mistakes or careless mistakes are all created annotation to make us feel less flawful, when the truth is human is fallible no matter how good/experienced they are. there'll always be hindsight bias where people would go in disbelief about how anyone could commit that straight-forward mistakes when actually it doesnt seem so when the event is taking place. ahh an easier example, can anyone explain why the handbag is in the kitchen cabinet and bread loaf is on the study table?
as we are aware that error is not acceptable, we still need to acknowledge of the possibility. just like u pray and wish ur loved ones to be treated in the best possible way, we meddies say our Bismilllah before anything. there's no 100% in medicine and we cant promise u anything perfect.

Profesionally human- while some chose anxiety over procedures and the absolute NO's for junior doctor, some others voiced out concern for the personal impact and long hours next year. any profesionals remains human. full stop. no amount of successful major surgery or finest advancement in medicine could trade human relationship.
Regardless, different people put different values to different things. i would still die with a smile being a mediocre doctor, provided that i've made small diff in ppl's life. less pay or not. know-it-all or not.


Be in the scene, understand- its a lot easier to point out what they should've been doing to manage patient who crashed during the simulation, only to find us fumbling with IV line and blood taking in the next slot. everything seems straight and easy when we are playing the role of observer but once we are in, it become maze.
I have been at both end. the one feeling beyond hopeless and the one trying to rise someone up from hopelessness. the former is nastier but only by experiencing it, i could do better with the latter.


A step forward and stop-we thought we're playing smart by writing up 24 hours plan for fluid balance in patient who's severely dehydrated, when all we need to do is actually give a bolus of fluid stat and re-assess.
We love to look for the future. we love to anticipate that it'll go this way and i'll continue that way. we thought that by having everything's in plan would make things easier for us but sometimes, it's ok to take a step at a time and reflect. we see how things go and we work from there.


Learning curve for everyone- we may failed our attempt to put first IV drip, or successfully did it for several times only to find it difficult to get on one of those days.
We need to overcome the nauseating first experience, to prove to ourselves that we could actually do it. once we're done with that, we feel less shivers down the spine. even so, bad days will never go away. only remember that there'll be tomorrow, day after tomorrow or next year. if u read this surgeon's writing on doing IV and taking blood in his early years of meddies, u'll feel the familiarity with how ur doing at the moment.



That's the take home message for all.

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