Sunday, May 18, 2008

Good Read

Found a good read about housemen. According to the author, the house-officers are classified to few types: the "Don't know", "Don't know, don't care", "Don’t Know, Don’t Care, Bullshit Non-stop" and the "Know Something, Can’t Do Anything" type.

Very interesting read indeed. And I really agree that HOs make up an extremely important portion in our healthcare system, and hence their qualities inevitably reflect how good/bad our healthcare system is.

Having been inspired by the article, I think i have encountered a few more types of HOs:

The "Chipsmore" Houseman
The typical "Now you see, now you don't" HO. One of the most hatest type of all. If you happen to work with them, you'll find yourself developing refractory hematemesis soon. They'll disappear anytime during working hours, and be totally uncontactable. You'll practically get mad especially if you're left alone in ward handling every single thing helplessly.
After variable duration they'll reappear, giving all sorts of ridiculous excuses:
"Oh you called? Phone no battery i wanted to call you back one..but credit JUST finished.."
"Oh i went back to take shower la..sorry forgot to tell you.." (take shower..for freakin 3 hours?! during the time that you're on call somemore? Can't you see how busy the ward is?)

The "Forever-EL" Houseman
EL stands for emergency leave. Supposed to be for unanticipated emergency, but is frequently misused for various purposes. I have met one HO who's taking EL "regularly", using similar reasons every time - to attend relative's funeral. It's either his aunt, uncle, cousin, or grandparents, a total of 4 ELs in about a month time. If not his close friend revealed that all those were lies, we almost wanted to investigate why the mortality rate is so high in his family in that month.

The "Don't know, don't care, Dangerous" Houseman
I'm really concern about this. I think ultimately nobody can know everything, but one thing has to be sure: You are a SAFE doctor. Code of ethics no.1: Do good, do NO harm to patients. If you're not sure of something, pls spend some efforts to ask/ find out before you "empirically" do it. I've seen one HO attending a patient just transferred back from ICU, who developed SOB again in ward. No one can believe what she wrote in the plan:
"Noted patient breathless...SPO2 76%...some examination findings..
Plan: Nasal prong oxygen. KIV discharge today."

I can understand that new HOs can be quite helpless sometimes especially in handling the cases which he/she is not confident about. But once you're not sure, pls ask. Do not put patient's health at risk just to save your pride. No one will scold a HO for asking.

At the end of the day, what we're looking for is not how smart you are, but how safe you are as a doctor. And your attitude, instead of just knowledge, will certainly determine how far can you go in your career.

Saturday, May 03, 2008


Read this somewhere..a very meaningful story=)

........ 話說這位投資銀行家在墨西哥某海灣度假,看見一個年輕的漁夫在碼頭釣魚,手到拿來,不到半句鐘時間便釣了十多條肥大的活魚,塞滿整個水桶。




漁夫冷然回應:「哦,我現在不就是這樣生活嗎?我為什麼要等10至20年?」 .............

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