White-coated ramblings: (3) The resident/nurse superiority/inferiority complex!


Source: Google images.

- So what kind of doctors are you?

- A  house officer.

- What is a house officer?

- Basically the hybrid of a nurse and a porter!

Undeniably, we have a defective system, no I’m kidding, we have no system at all! If you’ve ever been to a hospital, you already know that a major part of a nurse’s job is giving injections, obtaining blood samples, blood transfusion, IV salines, inserting cannulae, and monitoring the patients vitals (blood pressure, temperature, etc.). 

Since the very first day as a house officer, I’ve been doing all of the above, and because there’s no such thing as porters, I’m also the one sent with patients’ files and blood samples to finish the paperwork. I haven’t done a single task that required any of the medical knowledge I earned in the past 7 years. I no longer even know what nurses are for, I mean beside mastering the art of  humiliating and delaying you!

  • Example: A patient is so feverish and needs an immediate IV antipyretic. I am the one responsible, so I go to the nurse and beg for the medication. She refuses, and demands the patient’s file first, which should’ve been with her in the first place. I don’t have the file, so I call the resident, and she tells me I should find it with the nurse. And the vicious cycle goes on until I find the file on the nurse’s desk! Meanwhile, the patient remains feverish!

While you try your best to get the above mentioned tasks attained, residents (who mostly have narcissistic issues) can do whatever it takes to abort them. I have to admit that my residents so far are kind enough to teach me and thank me for my efforts, but I get sent daily to other departments to request consultations and interventions, and I almost always get shooed like a cockroach or treated like I didn’t exist. It’s so pathetic that some residents are so delusional they believe they are the Gods of their specialty!

  • Example: A 3-month-old boy needs a urinary catheter. The pediatric resident doesn’t want to catheterize him, so she sends me to surgery hospital looking for a urinary tract resident. I request the procedure, but the resident ignores me as if I’m a mosquito buzzing around his head. When he finally responds, he tells me to wait. I wait for an hour, but he never shows up!

The only reason I put up with this crap, is because I once believed I could help make patients’ quality of life better, which right now sounds very naïve and ridiculous! Now one only gotta do this for the sake of God and nothing else!

 

 

 

24 things before turning 24!


Source: Google.com

So, after all,  last year’s list wasn’t quite a failure. With studying and exams being eliminated this year, I hope I’ll have the time and space to meet all my goals this time.

Let me start with some items I couldn’t tick off last year:

1. Finish my novel(s).

2. Win NaNoWriMo.

3. Scrub-in, preferably in an eye surgery.

4. Reach my ideal weight.

5. Finish “Insanity” workouts without twisting any joints.

6. Learn to dance.

7. Earn drivers’ license.

8. Read 20 100 books at least, including the Qur’an.

9. Speak French.

10. Play guitar.

11. Volunteer in a cause.

12. Fall in love.. or not.

And now with brand new goals:

13. Pick a specialty; I haven’t yet determined whether I should be an ophthalmologist or a psychiatrist.

14. Prepare for a fellowship in the picked specialty.

15. Save a life.

16. Run regularly for at least 3 months.

17. Win half a marathon.

18. Buy a heart rate monitor.

19. Eat clean for at least a month without cheating.

20. Build abs.

21. Earn a belt in judo.

22. Go sky diving.

23. Attend a live concert.

24. Inspire more people.

What’s on your list this year??

White-coated ramblings: (2) Doctoring kids, AKA saving the planet!


Source: Google images.

First off, let’s just state the fact that crying kids are my least favorite creatures. Sick-screaming kids, on the other hand, are my personal imagination of an alien master plot to dominate earth.

So basically, my 12 hours at pediatric ER were witnessing vomiting, diarrhea, pneumonias, and the non-ceasing chorus of screeches mingled with the beeping of monitors. Such scenario would be somehow tolerable if it wasn’t in a governmental third-world hospital. Remember when I said it’s kind of like Grey’s Anatomy, except that it’s nothing like it?

Well, for starters, we deal with the lowest possible socioeconomic classes. Most of the patients are impecunious and ignorant (if not even illiterate), that never annoyed me; it’s not their fault and they deserve treatment. The disaster is that we, doctors, have to function with the least infection control measures (if not without any). The floor is dirty, and there are stray cats and cockroaches! I have seen a doctor collecting a blood sample without wearing gloves, the baby’s blood trickling all over her fingers, and when she was done and saw the shock on my face, she told me “don’t do what I just did!” There is a box of gloves sitting on the nurses desk, but few doctors care enough to use any. That sickens me!

Another emotionally devastating thing was how the bed sheets were blood-drenched, urine-stained, and needle-studded! I have been to governmental hospitals in UAE and seen how the sheets were disposable and consistently replaced. What I saw yesterday was just so wrong!

Back to kids, in such an overwhelmingly stressful situation, I tried not to get involved. How could I manage patients I have no sympathy for? The kids seemed like noisy things who needed to shut up! The only kid I sympathized with was 4-year-old who needed calcium gloconate injections to treat his hypocalcimic condition. He looked so harmless and terrified, he persistently begged to go home  and I found myself trying so hard to sooth and lull him to stop him from moving his hand and displacing his cannula. I have no idea how that boy managed to break my heart!

And there I survived my first night shift ever! I’m not looking forward to my next one!

White-coated ramblings: (1) ‘Cause bureaucracy sucks!


So today was my first day as an intern doctor. Let me tell you something about hospital internships in Egypt, you know, it’s kind of like Grey’s Anatomy, except that it’s nothing like Grey’s Anatomy! I’ll be thoroughly talking about this, but not today. Stay posted!

What happened today was a cycle of pleading and begging. Why? Because Egyptian “public servants” are heartless and always bad-tempered. Originally, I was listed in one of the ministry’s hospitals, but I filed a request to be moved to my med school’s educational hospital (not today’s story), let’s just focus on the fact that I DID hand the request to the woman in the corresponding office.

Consequently, I should’ve found my name automatically listed in the hospital’s schedules, which hasn’t happened! You don’t want  to know the details, because it’s so boring, but to cut the story short, they lost my request, and I had to spin around and get shooed from one office to another to file a new one, begging  the employees to just answer my Goddamned questions!

On the plus side, I finally have been listed in pediatrics with cool friends. But we have a night shift tomorrow! Yep, my first ER shift ever is tomorrow! Stay tuned!

iRun: (2) It gets better!


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You might already know that my last run was an utter failure. However, on the bright side, I’ve been running since then 2-3 times weekly. A friend recommended this “C 25K” app, and it helped a lot. So, last Friday was “Cairo Runners” wake-up run (a 8K route), and I needed to test my progress.

Well, last time I ran a Kilo and walked the rest, this time I ran around half the route. That’s something!

23 things before turning 23: Review!


Source: Facebook.

So, in case you haven’t already stumbled upon my list, I had until my 23rd birthday (yesterday) to cross these 23 things off. I haven’t fulfilled half the list, but I’m pretty satisfied with what I managed to meet. 

  1. Finish my novel(s): I’m not proud to declare that my “Work In Progress” is still in progress, but in my defense, senior year ate up both my time and energy.
  2. Win NaNoWriMo: Same as above, plus, my finals started in November!
  3. Scrub-in: Preferably in an eye surgery: Didn’t happen! :/
  4. Score an A in at least one subject: Now this sounds ridiculously hilarious, because my score, in fact, has dropped big time! I’m so grateful that I actually passed, and thank God my cumulative score went unaffected.
  5. Be among the top 1st 500 students in my class: LOL! Okay, let’s say I managed to cling to the top 791! (My class is around 1500).
  6. Reach my ideal weight: Well, I’m happy to announce that I’m halfway there.
  7. Finish “Insanity” workouts without twisting any joints: I didn’t, but I finished 2 rounds of Turbo Jam, and 2 rounds Body Beast! That’s definitely SOMETHING!
  8. Learn to swim.
  9. Learn another sport: Started Judo a month ago. :D
  10. Learn to dance: Not yet!
  11. Improve my photography skills.
  12. Earn drivers’ license: Still postponing! :/
  13. Read 20 books at least, including the Qur’an: Finished only 5! :(
  14. Inspire someone(s): Well, some friends claim that I did. :D
  15. Speak French: In progress.
  16. Play guitar: I wasn’t that lucky..
  17. Bake a successful cheesecake: Done, more than once! :D
  18. Go skating: Not yet.
  19. Climb a mountain, scuba-dive or jump with a parachute: My most precious achievement! Check this post!
  20. Volunteer in a cause: Not yet.
  21. Join a book club: I did actually create one. Wanna join?? Here!
  22. Visit brand new places without traveling abroad: Go to number 19.
  23. Fall in love: I wasn’t that fortunate.

Coming soon: 24 things before turning 24!

iRead: (7) Paper Towns.


Source: Goodreads.com

“There are so many people. It is easy to forget how full the world is of people, full to bursting, and each of them imaginable and consistently misimagined.” – Paper Towns by John Green.

Another crafted piece by John Green that gets you engaged from the very first page. Portraying people’s perceptions and how it reflects on their expectations, this book puts you in a state of emotional tornado. Impulses of anticipation, mingled with moments of fun and agony. It makes you both wonder and wander as you read on. The thing is, the more you read, the more you realize it’s not just about Quentin and his quest of Margo; it somehow happens to be about you too.

I started this book before my final exams (like 3 months ago) and was reading as fast as turtle, but I heard myself gasp when I finished the last page, because for some reason I wanted this book to go on forever..

Scenes: (12) Hiking at Saint Cathrine!


Caution: This post is so interesting! :P

When I listed “mountain climbing” on my bucket list, I didn’t expect any chances, but it turned out I was unaware that fate had other plans! :D Spending the new years eve at Saint Cathrine mountains, southern Sinai felt like a dream, or an episode on National Geographic!

Needless to say, it wasn’t easy whatsoever! The nine-hour bus ride was so tiresome, but  as you arrive to the mountains and let the night cold breeze tickle your nose, and see the literally twinkling twinkling little stars, you just feel numb! I’ve never seen something so beautiful! I wish my digital compact camera could capture the scene! :(

We started climbing just before midnight. The 7 kilometers until the top were a slippery steep path with endless hitches (I couldn’t make out what they were, because it was jet-black dark. Our torches could barely illuminate one step ahead.) The temperature was probably sub-zero, but of course we were sweating! I’m glad and thankful for the fact that I was the fittest among my friends! :D

As the path ends, a whole new challenge begins! 750 rocky steps until the top! Taken the fact that we spent the prior couple of hours slipping and tumbling, that was distilled torture! I lost my friends in darkness, and took the steps with only one friend and a single torch!

Around 3 a.m, we made it to the top! I proudly was among the people who made it early! The weather was FREEZING, and we had more than 3 hours until sunrise, so we had to descend some steps down to a shelter, seeking some warmth!

When the golden lights of threads began sneaking into horizon, it was time to get up to the top once more. Enough talking, see for yourself!

Copyrights: The accidental Blog © 2014

Copyrights: The accidental Blog © 2014

Copyrights: The accidental Blog © 2014

Copyrights: The accidental Blog © 2014

Copyrights: The accidental Blog © 2014

Copyrights: The accidental Blog © 2014

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Copyrights: The accidental Blog © 2014

Copyrights: The accidental Blog © 2014

Copyrights: The accidental Blog © 2014

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I thought the hardest part was over, but as we started descending, I instantly realized I was so wrong! I could now see what the hitches were; small pebbles and sands that make it impossible to stay steady! I slipped tens of times!

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Copyrights: The accidental Blog © 2014

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I’d started thinking about my cozy bed at home and was beginning to get angry before something SO special happened! For the first time in my entire life I saw snow! REAL SNOW! I almost cried and kept jumping like a kid! :D

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Copyrights: The accidental Blog © 2014

Copyrights: The accidental Blog © 2014

Copyrights: The accidental Blog © 2014

I was home by 8 p.m that day, and no words can ever describe how accomplished and delighted I feel! :D :D

Scenes: (11) Graduation rituals!


Date: Thursday, January 2.

Place: Faculty of medicine, Ain Shams University.

Event: Fun-day (graduation ceremony).

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Copyrights: The accidental Blog © 2014

The most awaited day has finally come! One last day at college, but with no classes to attend or exams to stress for. No enough words can express how memorable the day was. Friends, laughter, music, photo sessions, autograph signing, fireworks and everybody just having fun!

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Copyrights: The accidental Blog © 2014

Copyrights: The accidental Blog © 2014

Copyrights: The accidental Blog © 2014

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Copyrights: The accidental Blog © 2014

Then came the most exciting moment; pot shattering! In old Egyptian traditions, when someone leaves a place and you don’t want them to ever come back, you break a clay pot at the doorstep. So every year, fresh medical graduates have this pot-breaking-frenzy at the gates of college! I saved my pot by the way! ;) :P

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Copyrights: The accidental Blog © 2014

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Copyrights: The accidental Blog © 2014

This is less than half my class! Photo by: Horizon Photography – Sherif Elhosseiny.

2013′s blogging review!


The WordPress.com stats helper monkeys prepared a 2013 annual report for this blog.

Here’s an excerpt:

A New York City subway train holds 1,200 people. This blog was viewed about 4,300 times in 2013. If it were a NYC subway train, it would take about 4 trips to carry that many people.

Click here to see the complete report.