Do you have “Dream”.
Absolutely, everyone has their own dream and make an effort to catch up their destination.
Life seem boring without challenging. Motivation and inspiration drive one’s breath to go on.
And my own dream is being child and adolescent psychiatrist…
By the way, any ways aren’t covered with carpet, the rough and difficult route color life colourful.
I found out myself 2 years ago when my rotation rotated to psychiatry department. I do love the way to approach the patients in mental aspect that rarely be met in other department. Most of doctors search for organic or medical condition and manage by medication and surgery perfectly but few of them search for the real cause of bio-psycho-social. Most of doctors try to advise the patients based on theory but few of them try to support and understand their patients’ feeling seriously.
Actually I realize that mental problems are the most common trouble of one’s life. No one never face suffering but how many of them can fix the trouble with matured coping. Mental problem vary from normal variant to mental disorder that closed relate to science and neurotransmitter which some of theory are proved already but most of them are questionable. I think it is such an interesting field and suitable with my character.
Once I dream to be the staff in medical school, have USMLE exam and train in residency and fellowship in USA…
The day of psychiatry training application is coming, this position is special due to the chosen one is internship only 1 year and start residency course immediately as well as get a special opportunity to be considered as a staff of Siriraj hospital, comparing with the common compulsory line to be intern 1 year follow by 2 years in suburb before coming for training. However only 1position is required.
Anyway this time I’m confused and still cannot make my decision.
Between applying in position of child and adolescent psychiatry resident that is my dream and being a doctor in suburb that no progression and waste my time 2 years … nothing must be confused, doesn’t it??
I desire acquisition of knowledge but lesson doesn’t appear only in school. I love teaching and being a teacher as well as doctor but class not only in a square room and in medical school, I can teach my patients, my junior doctor or my crews anywhere.
Progress can make my life flourishing, but I also yearn for experience of being real human.
I would like to going abroad to be an excellent physician, on the other hand I can be a good doctor that can take care of many patients after graduate in Thailand as well.
I’d like to go to rural district to get more experience…. It’s such an odd idea comparing with many of my friends who scramble for the way to be as close as downtown and facility for instance applying for fixing ward in large hospital or being in preclinic in medical school.
But I would like to make some benefit as a general practitioner as much as I can before I’ll take the rest of my whole life for psychiatrist. I do love to learn more in other aspect other than medical viewpoint for instance being in the position of community hospital administrator, being leader of hospital staff for health care, health promotion and health prevention, creating new project that is beneficial for my folk.
I have ever been suburb for 2 months when I was the 4th and 5th year for community research and family folder… I found out that I love this lifestyle. I can learn more from there for example lifestyle of folks, how to get along with nurses or other hospital staffs smoothly without conflict, how to be not only a good doctor but also perfect leader in community. I would like to be a little candle in dark place that much more valuable than being a common light in luminous area although merely short time of my life.
I realize that I’m too young including my though, my vision and my experience. hope to be much more matured and understand life better…
Am I a stupid girl if I will leave behind my best opportunity to apply as a staff of Siriraj hospital and go on being such a common doctor in rural area before coming training psychiatry.
Or apply as a staff of medical school to fulfill my dream to be a doctor as well as a teacher and I can make a benefit to society as well…
How can I do???
Monday, August 31, 2009
Ethic camp
On my weekend after new year celebration, I had an opportunity to participate in ethic camp at Chon La Preug resort, Nakonnayok.
The camp consist of workshop, buzz group and scenario that activate us to consider about physician morality, conflict between doctors and other health care occupation who must work together, and also relationship between doctors and patients.
The patients that were broadcasted in mass media as the plaintiffs to sue doctors, were invited to clarified their information in media in their views and expressed opinion about current physician. Absolutely we could not change their negative thinking to doctors. However instead of quarrel and being enemy, we took this chance to understand our patients’ feelings more, their view reflected us what most of patients need from their doctors that not only medication but also compassion and good communication to clarify patients’ status.
Actually in my view, because of media, people misunderstand the truth and criticize doctors as the offenders. On the other hand, we, doctors portray a complainant as a devil to destroy us either.
Everyone usually need understanding, empathy and supporting especially from their doctors that they trust and salute to. Just open our hearts, we will find out that compassion and communication skill can protect ourselves perfectly. No one is offender or devil at all in many cases, but misunderstanding caused from bad communication, I suppose. We cannot treat them only medication, but also treat their feeling as well, love and care our patients as our beloved person, advice and educate them as well as patients’ relatives clearly, frequently and sincerely.
I believe that virtue is the strongest shield, though mistake occur, forgiveness will always follow for the good doctors absolutely.
The camp consist of workshop, buzz group and scenario that activate us to consider about physician morality, conflict between doctors and other health care occupation who must work together, and also relationship between doctors and patients.
The patients that were broadcasted in mass media as the plaintiffs to sue doctors, were invited to clarified their information in media in their views and expressed opinion about current physician. Absolutely we could not change their negative thinking to doctors. However instead of quarrel and being enemy, we took this chance to understand our patients’ feelings more, their view reflected us what most of patients need from their doctors that not only medication but also compassion and good communication to clarify patients’ status.
Actually in my view, because of media, people misunderstand the truth and criticize doctors as the offenders. On the other hand, we, doctors portray a complainant as a devil to destroy us either.
Everyone usually need understanding, empathy and supporting especially from their doctors that they trust and salute to. Just open our hearts, we will find out that compassion and communication skill can protect ourselves perfectly. No one is offender or devil at all in many cases, but misunderstanding caused from bad communication, I suppose. We cannot treat them only medication, but also treat their feeling as well, love and care our patients as our beloved person, advice and educate them as well as patients’ relatives clearly, frequently and sincerely.
I believe that virtue is the strongest shield, though mistake occur, forgiveness will always follow for the good doctors absolutely.
Volunteered doctor in Ranong, Thailand
This is another activity that is my memorable time. My friends and I went to rural area in Ranong as volunteered doctors last year.
This was my first time as a 5th year medical student to take care and also prescribe for lots of patients without consulting and signing of my professor… OH MY GOD!! The patients will still be all right after visitting us??? ><
In order to be perfect in being a real doctor (without professor) first time, we must do homework much; reviewed common problems that anticipate to meet and also dose of medication as much as we could.
After finishing our class around 4-5pm friday, we hurried up to catch the bus that would depart from Bangkok around 6-7pm and take a whole night in non air conditioner bus about 8-9 hrs… Opps!! I could not deep sleep on the seat that could not lean down, so chatted with my partner and counted the stars until my friend feel sleepy. However due to lots of fatigue, finally I was unconscious and slept on uncomfortable seat. We arrived our destination around 4am and pave mats on the floor as line of troops without discriminating gender due to not enough area.
The morning started at 6am after we took a bath and had an excellent breakfast that was prepared by folks for us. Then we began our duty immediately by history taking, physical exam and prescribe for our patients.
And everything finished around 5pm with about 900 patients (10 doctors). Wow!!! It’s impossible… almost 100 people per one of us anyway I must be the most clumsy and service slowest of us, I supposed.
We ended up my exhausted day by traveling to view waterfall that is not far from our place, had another excellent meal (from people around there as well) and catch the bus going back siriraj to start our work on Sunday….
It’s such an impressed experience, I’m proud to make a little benefit to society though it’s not a big deal… but hopefully I’ll have some chance for this job again
This was my first time as a 5th year medical student to take care and also prescribe for lots of patients without consulting and signing of my professor… OH MY GOD!! The patients will still be all right after visitting us??? ><
In order to be perfect in being a real doctor (without professor) first time, we must do homework much; reviewed common problems that anticipate to meet and also dose of medication as much as we could.
After finishing our class around 4-5pm friday, we hurried up to catch the bus that would depart from Bangkok around 6-7pm and take a whole night in non air conditioner bus about 8-9 hrs… Opps!! I could not deep sleep on the seat that could not lean down, so chatted with my partner and counted the stars until my friend feel sleepy. However due to lots of fatigue, finally I was unconscious and slept on uncomfortable seat. We arrived our destination around 4am and pave mats on the floor as line of troops without discriminating gender due to not enough area.
The morning started at 6am after we took a bath and had an excellent breakfast that was prepared by folks for us. Then we began our duty immediately by history taking, physical exam and prescribe for our patients.
And everything finished around 5pm with about 900 patients (10 doctors). Wow!!! It’s impossible… almost 100 people per one of us anyway I must be the most clumsy and service slowest of us, I supposed.
We ended up my exhausted day by traveling to view waterfall that is not far from our place, had another excellent meal (from people around there as well) and catch the bus going back siriraj to start our work on Sunday….
It’s such an impressed experience, I’m proud to make a little benefit to society though it’s not a big deal… but hopefully I’ll have some chance for this job again
Personality Development
Don’t compare yourself with anyone in this world, If you compare you’re insulting yourself
No one manufacture a lock without a key
Life laugh at you when you are unhappy, smile at you when you are happy and salute with you when you make others are happy
Every successful person has a painful story, every painful story has a successful ending, Accept the pain and get ready for success.
It is easy to judge the mistakes of others but difficult to recognize our own mistakes.
It is easier to protect your feet with slippers other than cover the earth with carpet.
No one can go back and change the beginning but anyone can start now and create a successful ending.
If a problem can be solved, no need to worry about it
If a problem cannot be solved what is the use of worrying.
If you miss an opportunities don’t fill your eyes with tears. It will hide another better opportunity in front of you.
“Changing the face” can change nothing but “facing the change” can change everything.
Don’t complain with others, change yourself if you want peace.
Mistakes are painful when they happen but year’s later collection of mistake is called experience which leads to success.
Be bold when you loose and be calm when you win, heaten gold become ornament, beaten copper become wires, depleted stone become stature so the more pain you get in life you become valuable.
No one manufacture a lock without a key
Life laugh at you when you are unhappy, smile at you when you are happy and salute with you when you make others are happy
Every successful person has a painful story, every painful story has a successful ending, Accept the pain and get ready for success.
It is easy to judge the mistakes of others but difficult to recognize our own mistakes.
It is easier to protect your feet with slippers other than cover the earth with carpet.
No one can go back and change the beginning but anyone can start now and create a successful ending.
If a problem can be solved, no need to worry about it
If a problem cannot be solved what is the use of worrying.
If you miss an opportunities don’t fill your eyes with tears. It will hide another better opportunity in front of you.
“Changing the face” can change nothing but “facing the change” can change everything.
Don’t complain with others, change yourself if you want peace.
Mistakes are painful when they happen but year’s later collection of mistake is called experience which leads to success.
Be bold when you loose and be calm when you win, heaten gold become ornament, beaten copper become wires, depleted stone become stature so the more pain you get in life you become valuable.
Teenage pregnancy
This is my experience in 4th year to make a research in community hospital. Absolutely, this is one of compulsory programme for the 4th year to create 1 community research per 1 group. And I had a chance to go to Koa Yoi Hospital, 30 beds hospital in Pechburee.
The first day of us start at antepartum clinic, because we had never passed Obstetrics department before (5th year curriculum), we looked clumsy to approach patients and just followed the instruction of generous nurses.
After finishing the morning antepartum clinic, we met the administrator of the hospital and found out that he is specialized in Obstetrics. Wow! it’s no doubt that this small 30 beds community hospital is capable of ceasarean section including complication cases and there are lots of antepartum cases in ANC
In ANC we realized that most of pregnant are teenage, the data was inspected and we found out 46% of ANC pregnant is lower than 20 years old.
That is not a trouble?? Or they disregard . Almost of folk here haven’t thought teenage pregnancy is a trouble at all because it is too easy to find teenage pregnant in this society. In addition their mothers as well as their granny were teenage mother as well.
So we start and use this problem as my community research
The activity that impressed me much was workshop for elementary students; Prathom 5-6 about sex education. Due to the children are cooperative and the topic is interesting, everything was all right
The other subplan is visiting and approach night-working teenage girls. Their family problems and their background were not different from the character in soap opera. These life story teach me to open my eyes, be broad-minded and understand others more. However their lifestyle and vision could not be changed after 2 visits absolutely but hopefully my advice can give them more advantages, Give up smoking, have safe sex and return to have a school life again if it is possible.
Absolutely, I got such a memorable time for creating my first own research, managing intervention. Though it just a simple research that take only 1 month, I am very proud and got much advantage for this.
The first day of us start at antepartum clinic, because we had never passed Obstetrics department before (5th year curriculum), we looked clumsy to approach patients and just followed the instruction of generous nurses.
After finishing the morning antepartum clinic, we met the administrator of the hospital and found out that he is specialized in Obstetrics. Wow! it’s no doubt that this small 30 beds community hospital is capable of ceasarean section including complication cases and there are lots of antepartum cases in ANC
In ANC we realized that most of pregnant are teenage, the data was inspected and we found out 46% of ANC pregnant is lower than 20 years old.
That is not a trouble?? Or they disregard . Almost of folk here haven’t thought teenage pregnancy is a trouble at all because it is too easy to find teenage pregnant in this society. In addition their mothers as well as their granny were teenage mother as well.
So we start and use this problem as my community research
The activity that impressed me much was workshop for elementary students; Prathom 5-6 about sex education. Due to the children are cooperative and the topic is interesting, everything was all right
The other subplan is visiting and approach night-working teenage girls. Their family problems and their background were not different from the character in soap opera. These life story teach me to open my eyes, be broad-minded and understand others more. However their lifestyle and vision could not be changed after 2 visits absolutely but hopefully my advice can give them more advantages, Give up smoking, have safe sex and return to have a school life again if it is possible.
Absolutely, I got such a memorable time for creating my first own research, managing intervention. Though it just a simple research that take only 1 month, I am very proud and got much advantage for this.
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