Monday, November 1, 2010

Hospital is hazardous...

Working in a hospital, exposed us to all kinds of danger. I personally never have thought of that. Until I've reached final year, when my working life is just right at the corner......

We, the innocent, young ones in the past, when been asked why did we choose of becoming a doctor. And majority of us answered - to save people & to help people.

And when reality really hit us, we would have doubts many many many many times. No doubt of that one.

Let's just stick to the word "hazardous"

Hospital harbors bacteria which are very resistance to antibiotic treatments. Resistance would mean, these bacterias are very strong that normal antibiotic would not work. Of course when we are all fit and strong, we would not get the infection easily , or we would manifest in a milder way. But when we transmit to a weaker person, the person might manifest severely.

In easy words -- the strong bacteria infects the strong u -- > u'll get a flu..
You transmit the flu to a weaker person ---> person gets pneumonia.

I've experienced a bad cough, it took 3weeks to recover. I got the cough from pediatric ward when the ward was swamped with pneumonia kids. My phlegm was all green and yucky and i coughed terribly. I go home every weekend and somehow, I think i transmitted it to my mom.
She was caught with severe cough for 3MONTHS ! She took multiple antibiotics but it did not recover as fast. Sorry mama =(

secondly.. Why hazardous? We take blood and insert lines everyday. We are predispose to needle-prick injury and hence, at risk of HIV or hepatitis B or C infection if we accidentally poke ourselves after drawing blood from infected patients. The risk of getting these infections are small ~1% . But 1 is still a number.
Trust me, injury happens. It is not as easy as u think it is.

Thirdly.. hazardous because we are exposed to TB patients especially in the medical wards. Some would say, if your body is strong, you won't get TB. but how strong are u ? even a normal person with sound immunity system gets the infection. We would wear mask, but it is really difficult to explain. When they come to us, they complained of cough. The doctor will talk for 1hour maybe, to get the history right before diagnosing? and only then you realized its a TB. OH-NO. dingdong !

Xrays are used not only in Xrays room. But sometimes in the wards for patient who are bed-ridden. And in Operating Theater especially during orthopedic surgery. Exposure to Xrays is hazardous OK?

The last , final thing i could think of is medicolegal issues. It is HAZARDOUS, no kidding. Medicolegal and ethical issues are just mind torment. I would not explain much because there are too many things that fall under this category.

Patient go wrong, the family bombard you with many many questions --> not satisfied--> court of law..
Or, doctor managed wrongly -->court of law.
Or, patient wanted to kill himself - can't take the suffering of the disease, asked help from doctor --> doctor in dilemma
( purpose is to help, so is killing a patient to reduce the suffering is helpful? ) dilemma sux !
Or, patient got raped, asked for an abortion where medicolegally, we are prohibited to do so. Dilarang sama sekali !(again, wanted to help but can't) Unless,if to be pregnant is dangerous to the mother.

Study medicine is massive. Work is massive too! I would not say doctor has the worst , terrible most and toughest job ever. But, it would be nice to have people around that understand us. And it is not just doctors that are exposed to these hazards. But also the nurses and medical attendants too !


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