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Tuesday, October 27, 2009

Piss on Bumight Day!


I dont know if I mentioned it on here, but I'm done with my pediatric rotation, and I'm rounding up my psychiatry rotation. As part of your grade, you have to interview a patient in front of an Attending, then present the patient. You get graded on both. I'd been feeling nervous about the interview the whole time and I finally did it today.

I went to go grab the patient I was supposed to be interviewing , the patient was schizophrenic. To put things into perspective, lemme give you background information. when naija people say "are you mad"? they are talking about schizophrenics.

First, psychotic patients are the toughest to interview, especially in a setting where you are being graded. Normally, I'd just have let him talk but in this situation, I had to ellicit certain information from the person.

First he thought that the EFCC were after him and had the satellite monitoring him. He believed he was a physicist and that the Nigerian government had given him 25 million naira which he donated to the hospital.

Every time I asked him a question, he would go round in circles and sometimes come back and answer the question, or just plain didnt answer my question. eg
Bumight: "so what brought you to the hospital"
Patitent: "there are different parts of the body. do you have an imagination?....I'm asking you a question. do you think before you talk"
Bumight: "The focus is on you right now, im..."
Patient: "i asked you a question...."

and on and on, and the interview dragged. Bear in mind that this was a timed interview. I had 30 mins to interview him, same as I would have had for a more cooperative patient. Anyways, so there were two of us being tested and the first person really got grilled by the attending physician. By the time it was my turn, he had left and so he had the residents grade me.
They asked me questions which I answered for the most part, and he kept going at it cos he was looking for a place to trip me and I wasnt really giving him much chance.

I felt so-so after the interview, but I wished the attending was there to grade me, cos I feel that the residents would be harsher on me because they would feel that I had it easier/more laid back oral exam. Of course the field wasnt a level one because I had a more difficult patient than my patner did, and she got a lot more pressure as it was the Attending that was grilling her.

This is not a pity post or a rationalization defence mechanism (cc Mizchif, lol) but I almost felt like I didnt have the opportunity to be happy about the outcome of my exam because of the difference in circumstance with my partner's exam.

To top that off, after the exam I had to go to clinic for another Attending and the secretary there was also trying to take a piss on me. trying to excercise her non-existent powers. like "twitch! step back you're NOT the doctor, u're just d freaking secretary!" Dunno why some people like drinking garri for other people's problems. I really had to hold my tongue, because if I had said something I'd have definitely ended up being in the wrong. She kept giving me side-eye throughout the day, like I cared! Anyways, that was my last day working with her, so I just brushed it off!

I'm going to write a proper post about about my experiences in psychiatry (Except you guys dont wanna hear about it - in that case I'll keep my stories of patients hitting on me to myself :D)
gosh! I've missed blogging.

Photo credit: here

PS: thanks for bringing it to my attention Sugarking, the description of my patient (written in bold) has obviously been changed (dude aint nigerian o! lol) but hopefully you guys get the idea. (delusions of grandiosity, persecution blah blah)

Monday, October 19, 2009

A blog in many parts: Dear Jesus

a little over a year ago, I opened my "Dear Jesus" blog. A couple of people have asked for access to the blog, and I had to decline because I felt it was something on a very primal personal level between me and the One to which the blog is addressed. This post is made up of excerpts from posts spanning over one year.

...ok, so we've never really talked about men before. It just seems like something you talk about with a mother, not a Father. I guess since you're the Father of all fathers, then I guess we can talk about this...

... I remember a time when i was afraid to let you choose for me, thinking you'll choose a boring short pastor who would only want missionary style sex. Lol. So since You know me,...

...i havent read my bible in a long time. I know daddy, its sad- obviously not meeting up with the "meditating on it" daily part....

...Daddy, im committing this into your hands, cos i know i cant do it by myself. Please do not put me to shame....

...I especially lift my friend xxx unto Your hands. Even as he's trying to find himself spiritually , I pray you erase all the doubts in his mind. I pray that You lead him back to you.
Even though I sometimes have the same questions that he has, I pray you continue to keep me. Please dont give up on me.
I pray for Zena's brother who has a brain tumor. I pray that you heal him completely....

...Do you remember the time I cried to you about the summer research thing? I was down and frustrated....

...I dont know what to tell you again...not that u dont know already, lol!...

...Sometimes I wonder how you look at me and what you think of me. I have tried to understand you for many years, and I'm still trying...

I'm thinking about doing a preceptorship in the summer. Neurology, Surgery or cardiovascular. what do you think? I have to study now...

...I'm going to strive to be the daughter you want me to be.
I love you Daddy,
B

Monday, October 5, 2009

thinking of having 3 children? this is why you should make it four!



I come from a family of five: my parents, two sisters and myself. In many ways, three seemed the perfect number of children.
Just enough to fit into the backseat of a surburban sedan with the parents in front.
Just enough to fit into the bed in the "middle room"
Just enough
Just enough for about everything and anything. And everyone was happy- everyone but me.

Yes, my elder sister was happy. of course she was happy, she was the
first born. The womb opener. She was the one that had the lavish naming ceremonies, the ones with the thick photo albums. I mean, there's a picture of the first time she cried, her first steps, and I'm willing to bet the first time she shat! She had the lavish 1 year birthday party, so much clothes... so of course she was happy.

Then there's my younger sister. The last born. The mummy's pet. In m
y house, we refer to her as my mother's child. That one is joined at the hip to her mother. We are only three, but this was the Joseph of our family (yeah, if it weren't so obvious, my mom would have bought her a coat of many colors!). So of course she was happy as well.

Then there's poor old me. The middle child. I didnt want to be mummy's pet, and daddy didn't want a pet either. Even worse, the age difference between my younger sister and I is just 16 months. Meaning that before I got any meaningful attention, "Joseph" was born. Hence, I grew up with the classic Middle child syndrome.

To make matters worse, my two sisters were very close growing up, and probably are still close. Growing up, I felt out of the loop. I mean, they both liked mummy while I was on the daddy team. So from an early age, I took solace in my books,

They say middle children lack drive, arent over achievers, relationships ae not of high importance to them , often end up alone, err, those words dont describe me. The only aspect I can relate with is being starved for attention. I keep my friends close - like, i really love my friends. I'm a very cuddly girlfriend, and yes- i love it when I'm being showered with attention. Hey, I'm a middle child starved for love, remember?

I think my drive and passion for my academics while growing up was in a bid to get attention. Right now, everyone in my house is quick to throw their love at my feet, but the damage has already been done. I'm not complaining though.

Note, if you're the 3rd child out of 5, you're NOT a middle child. If you're 2 out of 3, and ur siblings are of the same opposite sex, this does not apply to you. The worst hit are the 3 boys or 3 girls scenario.

Why am i writing this? First, this is a call for all middle children out there to bond together, lets take on the world! lol. Seriously though, one of my doctors talked about this, and I was prompted to google it. Now I know I'm not alone. I'm not crazy! this is real!! my friends have laughed at me for ages while I explain it, but finally I've been vindicated!!!

One thing I've learnt about blogville is that you are not unique. If you say "everytime I wake up, I jump up 3 times and then have a glass of water, I bet there's another blogger out there who does the exact same thing! lol. So I'm sure there are others out there. On the real though, are you a middle child? please share your experiences, and yes feel free to hate on the first borns and spoilt ass last borns too!


PS: they say the best match for middle children are last born children...err...so...







 

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