Thursday, July 25, 2013

So you think you can doctor

As this academic year draws to an end, it amazes me how fast time flies. Perhaps the word 'academic' isn't even right in this context because I have certainly been doing nothing remotely 'academic' since I graduated from Medical School last year.

This time last year, I remember starting out as a wide-eyed house officer, clueless to so many things. Starting a weekend day ward cover less than 2 weeks into my career as a junior doctor, I did not sit down for 12 hours that day and became hypoglycaemic. I remember going up to my SHO and helplessly asking him for help because I could not cannulate someone who needed IV Fluids. I remember someone going into acute pulmonary oedema on me into Day 2 of my career. The only achievement I can hold my head high to is that I *touch wood* did not burst into tears during any of my medical on calls or nights, even when faced with the most horrendous situations.

This time in 2 weeks I turn into an Orthopaedic SHO. Perhaps I had made too many snide jokes about my wanting to be an Orthopod in the past, that this is payback time. Perhaps I might actually want to be an Orthopod after this 4 month stint, who knows.

At this point in time, it is one year of my career as a doctor down....an indefinite number of years to go.

Don't get me wrong, there are times like now when I am on my set of nights with my nose dripping relentlessly and feeling rotten, that I wish I did not have to do night shifts, and I question my obsession (or ambition) to be a Cardiologist as such. I do think that it would be nice to have a job where I had normal working hours and did not bear such huge responsibility of whether someone lived or died just because of the mistakes I made.

Recently, I notice myself losing my temper all too quickly and my impatience mounting by the second when things are slow and don't go my way. I am uncompromising and demanding and I get annoyed when people are slow to understand things that I say.

And then I check myself right there. I detest stereotypes and the typical stereotypical female doctor lusting after a high-flying, stressful job is one of a Tiger Alpha Female who makes everyone else shudder from head to toe as soon as she turns her eye on them.

The role of a female surgeon or a high-flying, competitive medical specialty such as Cardiology paints the exact same stereotypical picture. As with my entry before on sense of style in the work environment, I refuse to conform to such stereotypes just because the 'norm' is such.

And yet there are days when I find myself so excited about ECGs and chest pain and heart failure and PCI's that it is sad. Even when my days on Cardiology were as a glorified secretary, sitting at my favourite spot on the ward typing on the computer furiously and doing referrals for CABG surgery to Southampton, I missed it when I was away and on call. With the same pace on Colorectal Surgery which I once loved and actually wanted to do, I feel no such attachment to my job and in fact, got so bored towards the end of my normal days on surgery that I was becoming rather cavalier about stuff.

It seems there is such a long path ahead to trudge on in this competitive journey of pushing everyone out of the way en-route to clinching that training number - it makes me wonder if I really have what it takes to become a Cardiologist.

Or more importantly, do I really want to....that badly?

But for the moment, let's live in the present. Now that I am fully GMC-registered as a fully qualified medical practitioner, I can doctor.
Or at least let's hope so.