being a a doctor and not a seamstress

Being a doctor

Now I feel I need to strike a very small   note for the NHS who in more ways than one has been responsible for me being here  today  and more than  almost  anyone  are responsible for making me who I am today and I  am not trying pass the buck  here  or pass the  blame   but I  think even I  need to accept a  modicum of responsibility  for me  ; and also it is all too easy to  denigrate all of he NHS but in reality if it were not for the staff who  do  and love what they do  and very often go  above and beyond what their work contrasts say they should’ be  doing  then and only then  would the  whole NHS grind to  a halt , and and this too is why i  intensely dislike all of those union officials yoou hear on the news, such as bob crow to name but one


and I remember vividly being  a junior house doctor running around  the   wards with white coat and pagers And pens hanging off me  and  when it comes too attire well you Had all the bloke  standing   on a ward round in their long sleeved shirt and tie and essentially  sweltering in the heat of the hospital corridors and then you had all of the female  junior doctors who  could  swan in  to work in a  t-shirt  and flipflops but so long as the t-shirt had some accoutrements such as a sequin or two then that could be considered smart . but we had to wear leather soled shoes and shirt and tie  . and a   consultant  siting us all down to congratulate all of us on our first step to  a long and productive   career and then the  same consultant saying to all of  us that  having lots of pagers was not  a sign of importance – in fact it was quite the opposite  the opposite  and also  having an  ever so slightly hang  dog appearance from working the night before, and listening attentively to the  consultant who was       dispensing his or her words of wisdom  and then there was  the outright   unbridled  fear at doing ones first night on call and realising that you were essentially the back stop for  all of the patients in in the hospital



and this is where consultants fell in to  two brackets there were those who ruled by fear and loathing and then thre were those who were just being bloody good and nice people

And  I  also  I remember Being a registrar in  anaesthetics  and the feeling you had when you turned up to the next patient who was in a bit of a state snd all the other junior doctors turned to you looking with a significant degree of relief that you were there and would take charge and everything would be ok and also I remember there were the surgical registrars and senior house officers  who were  the  complete opposite who turned up invariably with a significant degree of self-importance matched only  by their lack of understanding of their very own patient and my goodness they were  about as useful     as  a seamstress at a Velcro convention  and at any emergency situation  they were similarly useful.

and I do  appreciate i am giving the surgeons a bit of a tough time  here and it is not for me to speculate about their  reasons  for becoming surgeons but very quickly i realised that it would be quite useful to  be able to put  everything back together again after you had chopped out whatever bit of offending body part it was that you were removing and so   a significant part of your training was directed to stitching everything back together again but i could not be bothered  with all of that  i was far more interested in diagnosing the origin of a patients illness rather than stitching everything back together again I mean  I was not  a seamstress  and  as I  ever so slowly I rose up the training ladder of intensive care and anaesthetics ; well I  think it was a very comprehensive training where one felt like one could do everything that the consultants were doing and i to remember becoming  a consultant which necessitated an interview with 10 or 11  people all sitting around a table  snd   I was not  exactly sure how I was supposed took at everyone when you were giving your answers


and I do remember the patient who  we had collectively  saved his  life so that on  intensive care  unit   all he could say was that how unhappy he  was that the surgeons had not  sewn  up his skin  exactly so that the huge out stretched wings of  an eagle  tattooed to   his chest were   uneven , and the irony that he could even complain  was somewhat lost   on this fellow,   but I did not expect this to be otherwise anyway  sand.  this was consistent with my teaching on another teaching   ward round by a lovely consultant who said  to us all what do you think about when you see a tattoo, and he said you want to think about was  hepatitis C and low IQ  and  so began my intense dislike  for  any tattoo’s


ok and also I remember cocking up  completely and I  was rushing around like  all of the other junior doctors did  and I  was working on a cardiology ward where we had all of the patients coming in with infective  endocarditis; which meant  we had to prescribe a small truck load   antibiotics for each patient  and I remember  gathering up  every patient’s t drug chart  on the ward becsausae this was the most time efficient way to  do all of the  drug  prescriptions  for each patient  and  I remember  having the chart for one patient and i thought  it was for another patient   and I prescribed  penicillin  despite there being in very large red ink  warning  allergic to penicillin , and thank god the nurses had begun their  drug  round late

Sent from my Android device with Sync for iCloud Mail. Please excuse my brevity.



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