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    August 31

    Activist!

    So, today after 6 months of hard work, our research project was finally revealed to the world.

    I had the auspicious task of presenting the project at the annual Prakash Vallabh Research Conference in Pretoria. It's a conference for all the primary health care research taking place on provincial level. The MEC of health was there, and he even smiled a few times (as I nervously cracked a joke or two, whilst trying not to give birth to my heart orally)

    I had very good comments, and was even given a business card or two to please forward our results to them. I may be published before leaving medical school - which in the world of evidence based medicine is a must!

    On another note, our new bed was delivered on Monday (thank you Mr Receiver of Revenue). Sadly though, Randy's old mattress was too small! Some kinda queen base set that was! So I have, yet again, blown the budget by purchasing an individually wrapped coil, extra lenght restonic mattress. ("Your partner could have a party on his side of the bed and you wouldn't even know sir") DARNIT I should hope I'm invited to any parties going on in my bedroom!



    Also, hammie is starting a new job tomorrow, I hope it goes well for him!

    Hope everyone is having a good week!
    August 25

    Post Exposure Prophylaxis

    No, it's not that bad. I haven't had a needlestick injury thankfully.

    Rather, we were working in the medical intake ward this afternoon, and a woman was admitted with meningitis. It took four of us to hold her down to be able to do her lumbar puncture, and the doctor performing the procedure commented: "I've never seen CSF this turbid before".

    That was just the start, after enough Dormicum to sedate a small army, the patient finally stopped screaming and shouting. It was clear she was very ill.

    A few hours later the lab called with the dreaded results. This patient had Neisseria meningitidis. A very infectious bacteria. So much so, that we all had to take prophylactic antibiotics. So 500mg of Ciprofloxaccin later, and a heck of a stomach ache (since I hadn't eaten anything in hours) I sit here now, typing this entry.

    Who said the government never gives me anything for free?

    The positive aspects of the day included me, actually hearing an ejection systolic murmur vs my colleagues who didn't. The consultant patted me on the back. It made me feel less like an imbecile (although, I must admit, just slightly, since the feeling has been strong this whole past week).

    Also I was given the opportunity to do a pleural tap - which sounds more exciting than it is. Who knew pushing a needle into someones lung and taking fluid samples could be so utterly ungratifying!

    I've discovered the world of podcasts - my favourite one, and okay, the only one I've ever listened to is Feast of Fools, who just won a peoples choice award. I especially dig Ms Ronnie! Check them out at http://www.feastoffools.net/
    August 22

    East meets West

    This afternoon I went to visit my parental units.

    When I got there, I had to drive up and down the streets of my old neighbourhood for half an hour trying to find my dog. She had escaped when the workmen had put a new window in, this after some darn kids threw a brick through my old rooms window on Sunday morning! Thankfully a good samaritan found her roaming the streets and took her to the SPCA where my father collected her later.

    The main reason of the visit was to speak to my mother. She has had great difficulty accepting and adapting to my lifestyle, and especially moving out. It is all understandable of course, but there's always a glimmer of hope. In the end it didn't become a shouting match, but rather we spoke, and even spoke some more over the phone when I got home. I'm feeling positive about things, and by the sound of things, so is she (or I hope!).

    I started internal medicine yesterday without much fanfare. It is far more relaxed then I had thought! Perhaps that is also not a good thing? I must confess to having the urge (and need!) to rip out a physiology textbook from my second year to look up some things. I was shocked today to be stumped by an anatomy question by a radiologist - have I really forgotten that much since my second year?

    All I know is that tonight I am going to bed a happy man, even more so than last week!
    August 20

    Tick Tock

    I passed my latest block! THANKFULLY! No more eyes, public health disasters or dirty winkies and fingers up old men's bums! (okay someone of my calibre should enjoy that sort of thing, but I have standards don'tcha know!)

    I am starting internal medicine tomorrow - one of the years most difficult blocks, and biggest challenges, but I am looking forward to it (I think!)

    The past 6 weeks have taught me a lot, mostly about inner fears that I have been suppressing, or well, trying to anyway. The fear of getting old. (nowadays it doesn't include getting old alone) Had it not been for the risk of erectile dysfunction I would have had a prophylactic prostatectomy!

    I guess it's something we all have to deal with though, it's not like our biological clocks, or mother nature allow us to stay young forever.

    Now uhm, where did I put my Indiana Jones-esque map to the secret fountain of youth again?
    August 15

    What a girl wants...

    Last night Hammie took me out to dinner to celebrate our anniversary. It was a superb restaurant, and very upmarket. So much so in fact that I was quoted as saying, and I can't believe I'm going to repeat this out loud: "I feel out of place here"!

    Anyway - to round of a perfect evening, I got in the car so we could leave, and was presented with, not only the gift that we all want, but also the question we all die to hear!

    The titanium ring was one we saw whilst window shopping three months ago, and my amazing fiance remembered exactly which one!

    I'm exuberant as a result!

    Now to plan a wedding, which will have to be after the 1st of December, because it's only legal in South Africa after this date!

    Love to all!
    August 14

    Happy Anniversary

    Happy Anniversary Randy

    ILYM (and it's my day!)
    August 13

    Transposition

    Tomorrow it will be a year since I met Hammie!

    Last night as I was brushing my teeth, I looked around my bathroom and thought to myself that I would never have imagined being here 365 days ago.

    I am extremely happy! (in that regard anyway!)

    It hasn't been a very good week. I was sad. I am still unsure as to why, but I figure it's just the exams from next week once again getting the better of my emotions. Somedays I wish I could have been a vulcan. Then again emotions is what keeps us human.

    The thought of "why did I choose to become a doctor" ran through my head quite a few times this week. Not just whilst catheterising patients in a room where the stench of urine is so overwhelming that it hangs permanently in the air, but also whilst driving home late at night after another research meeting.

    My part-time job is taking up virtually as much time as my studies I fear, or rather that's what it feels like. I wouldn't survive without it though (and I don't just mean monetary gain). The people at work are great, and really good to me. At least there I feel wanted, not like the outcast with the white jacket who's just good enough to draw some blood (if you're lucky). Also people seem to appreciate you more, just this Friday, a patient sent a six page letter thanking the staff, in which I was also mentioned. I guess that is what makes it all worth it, just a bit of gratitude!


    August 08

    Urology. What? Oh YOU'REology

    So yesterday morning I got chased out of the urology ward around 07:40. No good reason, just leave please. It was a good way to start the block. NOT!
     
    Now if paediatricians are paedophiles and gynaecologists are perverts, then urologists must be the biggest dicks of them all! (BTW a colleague commented that they all seem to have moustaches, and it's true, they do!). I'm amazed that you can have a conversation about erections without batting an eyelid (especially the poor patient who is confronted by a doctor, a sister and four medical students). I guess that's the only way to solve the problem though, is to talk about it! As Hammie puts it: "erectile dysfunction is like putting a marshmellow in a parking meter"
     
    I noticed yesterday morning that "overnight" my blog was transferred to become a Windows Live! one. I guess that's not a bad thing hey? The new Windows Vista is so pretty.
     
    I also heard the Scissor Sisters' new song, and I like it, I really do! I cannot wait for their new album to be released.
     
    After the disastrous weekend at work, where I was on call, had 5 patients and 2 machines broke down in one day, I nearly fell asleep in tutorials yesterday. I should have known you can't write with your eyes closed...Anyway next week sees exams upon us again
    August 06

    A slice of life from a rural community...

    "Rural may be defined as a place that is distant from other places, but more importantly doesn't have a KFC"

    That's one of the definitions our university uses to describe rural areas. I returned after 10 days in the bush to a freezing Johannesburg. It has been the coldest weather the city has experienced in years, and a stark contrast to the bush where I had been wearing short sleeves and shorts! I also came back sick, but nothing that my prophylactic antibiotics couldn't cure.

    I guess that's one of the funniest things, taking a fieldtrip with a bunch of self medicating med students means you can pretty much be guaranteed to be treated for any minor (and relatively major) ailment.

    Tintswalo Hospital is located in Mpumalanga in the Bohlabela district. It is reknown for it's capacity to deal with a large variety of medical conditions and with a bare minimum of resources. Although we didn't get to really work in hospital, the two days we spent in clinics and wards there were not only eye openers, but also uplifting. No wonder so many doctors actually request to do their community service here.

    Sadly the nearest Woolworths is somewhat 200km away, and after three days in the bush I was ready to sell a vital organ for a milkshake.

    On our trip we visited many clinics and patient homes - or tried to anyway. The roads are virtually non-existant in many parts of this area. So, here in JHB, we complain of potholes and not enough lanes on the highway, there people not only have to walk long distances (cause they are all so poor that they cannot afford cars) but also have to cope with the lack of roads.

    I learnt about ecology, water treatment, malaria control, TB DOTS programmes and most importantly the human spirit. People with far less than I could ever imagine were not hesitant at all to invite you into their homes, and to offer you gifts such as fruit grown in their gardens (even though they wouldn't have a proper meal that evening then). Proper meal, what am I saying - most people cannot afford enough mealie meal for a month, never mind meat for a day.

    I made my unprofessional debut on a local radio station - speaking about Hypertension; I overcame my greatest fears and held a "bobbejaan" spider and a scorpion in my bare hands; I put a burmese python around my neck (and have a picture to prove it); I saw wild dogs for the first time ever, and marvelled at the king cheetah.

    BUT I also yearned for home, not merely for the comforts of having an en-suite bathroom, in fact, never mind that, just even a bath or a normal shower (the bush showers had large gaping windows for goodness sakes!), but also for family, friends and human contact. Most of all love and human contact. The years of migratory labour and unfaithfulness made sense and seeing as my one year anniversary is coming up, I was again reminded of how much it sucks to be alone. I have also, again  realised just how much Hammie means to me.

    The moral of the story, be grateful for what you have but never stop aspiring to becoming a better person and to strive to make a difference not only in your own life, but those around you in your community.