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Marinus van der Westhuizen

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I'm far too complex to describe "in a few lines". Darn did I just say that out loud?
January 17

Long time gone

I was kindly informed yesterday that it was time to update my blog. Here I thought no one read it.
 
It has been 4 months since my last entry. a LOT has happened.
 
I passed Orthos, went on to 6 weeks of paediatrics (which I didn't enjoy) and passed the integrated exam. Yes, I am indeed now a qualified doc (I would insert a smiley, but I'm not too sure about it at the moment).
 
December was a nice break - we had R's brother's wedding, which was awesome, I spent a lot of time with my friends from medschool, who have now all gone their separate ways. We moved to a lovely house just 7km away from the hospital I am working at - and I cannot tell you how wonderful it is to be 15 minutes away from home when you're dog tired most of the time.
 
Yes, indeed. I didn't want to believe it, but as an intern you work yourself to death (or others as is my case...see later...). I started at Helen Joseph on the 1st of January, and even had to be on intake that same day. BUT I guess it's better to jump in at the deep end hey.
 
When people joked and said they were slaves, they weren't lying. You do as you're told, and often you don't agree. But, I must say, I've come to realise that when I'm tired, I actually loose the circuit between brain & mouth that makes me appear like a decent guy - i.e. I fight back and stand up to people in authority! EEEKKK - ja, I did indeed become a doctor so I could be the boss, and now I'm back at the bottom of the food chain!
 
I guess that's life really. You go to primary school and are nothing till you're the big shot in 7th grade, only to go to highschool and become nothing again as an 8th grader. Then comes Grade 12 - where you're too "cool for school" (literally, and OMG for using that freaking saying, I really must be getting old).  First year varsity sees you a nothing again, until you climb up the medschool ladded and reach your final year. BOOM, back to nothing as an intern. My pathology professor once said: "you think things will get better once you're an intern, then as a MO, or even as a registrar. BUT definitely as a consultant. Truthfully it doesn't, you're always the bottom of the food chain, cause someone else will always know more about a certain subject that you do". That's life I guess.
 
BUT I digress. December also saw me spending MORE money on other things. I bought a 24" iMac for instance and my gosh, it's freaking awesome!
 
I also in all my madness decided that I wanted to do the Palliative Care diploma through another university (which starts in February) - and although I am currently feeling abysmal cause I have lost 6 patients this week, I think it might become a vital part of any South African doctor's education. I had an elderly gentlemen who has a massive primary lung carcinoma, with mets all along the blood vessels & up into his thyroid, that I just couldn't face after telling him his diagnosis. It's something they try and teach you in medical school, but fail somewhat. Breaking such bad news has been harder than 6 years of medical school.
 
People who don't believe in HIV (and there are people like that as I found out around the Christmas table) should come and spend one day with me and see exactly the amount of devastation, despair and grief that it causes. I don't think I could put it better than Darren Hayes "I can't comprehend that you can die from love". People should stop all their stigmatization of HIV. It's here to stay. My unit consultant has also said something else that I thought is true. We should re-evaluate how HIV is spread. Perhaps we were wrong and ANY body fluid can transmit the disease. Indeed, what if you can get it from saliva (and NO we don't mean litres and litres as researchers suggest).
 
I'm listening to Sarah McLachlan tonight (R says I usually do so when I'm depressed) and maybe I am. You expect to be a healer when you graduate, and it becomes quite the opposite I fear - you feel like you are just prolonging the inevitable. I guess it's all about making people comfortable on the journey out...
September 23

Ortho's

It's a long weekend, and I've been at home for most of it - not doing very much.

Finished Internal Medicine this week - and my assessment as student intern went well!

Starting Orthos on Tuesday - don't know much about the subject, but will hopefully exit a bit wiser in 3 weeks!

September 18

The past 3 weeks

Yes, yes, yes - I promised I'd stay in touch, and I haven't been doing so!

I passed medicine, and am hopefully finishing my 3 week internship block this week. It's been horrid - starting orthopaedics on Monday next week.

The most exciting news - I got married on the 31st of August - EEEKKK!!!

Also, bought an LG Prada phone - let us hope it gets here from the UK in one piece!
August 26

Medicine (Eek!)

6 weeks have passed, and I am writing medicine exams this week.

It's a scary thought, but then again, 6 years of studying is almost over!

We had our last intake on Friday night. I have been sick most of this block. Ward 20 is a pool of germs, and I actually pity any immunocompromised patient who enters it's doors. Then again, that's most of the patients entering the ward.

On the plus side, I have managed to do (well attempt) 2 I/C drains in the past 2 days. The first was an absolute abortion, the second an assisted success! This means I'm basically ready to start my internship, I've got most of the basics. The only 2 procedures I still struggle with, is intubation and CVP lines. Now if only I had time to do those during medicine the block would be a roaring success...

BUT I still have to pass the exams! EEKK!!
August 22

Marburg Culprit Found

Paris - Scientists reported on Wednesday that they had finally fingered the culprit in the spread of Marburg virus, a singularly lethal disease that has baffled virologists for nearly four decades: the African fruit bat.

The researchers from Gabon and the United States examined over 1 100 bats from ten species, but detected the virus' RNA genome and antibodies only in Rousettus aegyptiacus, a common fruit bat found all across sub-Saharan Africa.

Marburg and its deadly cousin Ebola virus have caused large outbreaks with extremely high fatality rates - 80 to 90% - in humans and great apes.

No vaccine or drug therapy has proven effective in warding off or curing the disease, which causes horrendous symptoms including internal bleeding, high fevers, coma and renal failure.

Death from shock usually occurs a week after clinical onset of symptoms.

The world's biggest outbreak of Marburg occurred in Angola from October 2004 to July 2005, infecting 374 people, 329 of whom died, according to an official toll.

One step closer

The study reports finding viral RNA in four of 283 R aegyptiacus bats collected in Gabon and the Republic of Congo in 2005 and 2006. Another 29 bats of the same species tested serologically positive for Marburg, showing traces of antibodies providing immunity against the virus.

Neither Marburg-virus RNA nor specific antibodies were detected in any of the other species of bats tested, according to the study, published in the online science journal PLoS ONE.

"Identifying Marburg infection in the African fruit bats brings us one step closer to understanding this deadly disease," said one of the study's authors, Eric Leroy of the Centre International de Recherches Medicales de Franceville in Gabon.

Scientists had been trying to pinpoint the "natural reservoir" of the virus ever since the initial outbreak among laboratory workers in Germany 40 years ago.

Bats became likely culprits after the recent discovery of the related Ebola virus in fruit bats in Gabon and the Republic of Congo, and an outbreak of Marburg hemorrhagic fever in a gold mine in the Democratic Republic of Congo containing a large number of the nocturnal flying mammals.

The fruit bats that tested positive for the disease are the first naturally-infected non-primates ever identified, the paper said.

It is also the first report of Marburg in this area of Africa, suggesting that the risk of further outbreaks may be higher than previously thought.

(Courtesy of www.news24.com)

August 12

Long time

It's been a LONG time since I've added an entry. Life has been hectic and that's the main reason why!
I had a great holiday - I spent most of it in front of the TV having fun on the Playstation. It truly is addicitve, and I can understand why so many kids have become couch potatoes as a result!

I started with Medicine at Baragwanath 3 weeks ago. It is unbelievably busy, but very educational. I am also enjoying this experience. I've seen a lot of HIV positive people dying from AIDS these past few weeks. It is good to know the government has finally started doing something about the crisis in our country.

I worked the night the student was raped at Bara, and even though I don't know her personally, I sympathise with her. It shouldn't matter whether she was a student, cleaner, nurse, consultant or patient - things like this shouldn't happen in a hospital. She was serving this community, and the community stabbed her in the back. It's wrong and upsetting.

The scary thing is that not more than 6 months ago, I too was walking the same path from the gynae department to the bloodbank, at 2am in the morning for that matter. Nobody from the hospital, nor the university ever said to us "take your own car" - besides, they could just as easy hijack your vehicle! As for the statement that it is not a medical student's obligation to do so. Well, no single member of my class would be that stupid to refuse a request like this. Why you may ask, because we get ward marks, which are determined in part, by your willingness to help out with tasks like this. Quite often your ward mark is the difference between a pass & a fail for some, and for others between a first and second pass.

Nevertheless, it is good to see the hospital finally taking some action towards a safer work environment. Who knows, I may end up there for my internship, so let us hope it's a safer place from next year.

That's right, our internship forms have finally arrived. Sadly the department of health has imposed so many strict regulations that I'm not even sure I'll get a post in South Africa (nevermind Gauteng) Tongue out

Internship is a tough enough period without being separated from your family and loved ones.

Speaking of which, Tuesday is my 2nd anniversary with my honey! We're signing our pre-nup this week if all goes well!

July 08

How does that make you feel?

I finished Psychiatry this week. I'm going to miss it - although I didn't believe that I would initially! I've come to realise JUST how important mental health is. Especially after a patient said to me "why did this have to happen to me". I am not afraid to admit that at some point during my past I also had bad thoughts about those unlucky enough to suffer from this condition...mostly related to their substance abuse problems!

We are currently lucky enough to get 2 weeks of holiday. Then the real work starts with the latter part of the year, where I will be doing Medicine and Paediatrics.

Our internship process is STILL a complete mess, and I hope that somehow I'll be able to get a post in Johannesburg! More info to follow regarding that one!

I saw the Lion King last night, it was awesome and have 2 more shows to see this week - which I consider to be my holiday, especially since we couldn't go away anywhere!

My car is still fabulous, I'm starting to hate my cellphone (which is a bad thing, considering the amount of phones I've had in my lifetime!) and lastly I loved Shrek 3!
 
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