||[Dec. 17th, 2005|01:25 pm]
I love Saturdays. Mornings, to be spesific. You can lay in bed just enjoying the fact that you don't have to do anything. Of course, I should be working on my research (about the epidemiology of ankle fractures...) if I have any free time, but on a Saturady morning it's so easy to just decide that "I'll do a longer day tomorrow...Sunday is depressing anyway." |
This is why my research paper won't be ready any time soon.
After the major setback of most likely failing opthalmology, it was really nice to pass something in turn. Results from prescription-writing (OK, I have no idea how you write that word, I mean the piece of paper where you write drugs to a patient) came back. It was nice to learn something actually useful for a change. I mean everything is useful in the long run but...
Around here are 4 kinds of places you can go and search medical help: the smallest unit is primary healthcare center. And after we graduate we have to work a minimum of 2 years in PHC before we actually are legalized doctors. Also, after 4th year we can work as summer replacements for PHC doctors (with true responsibility and full rights). Then there are area hospitals which are smallest possible hospitals; and then central hopitals which are already a lot bigger institutions. Finally there are university hospitals, which provide the best treatment in all specialties and subspecialties, prestigious research etc.
So, we are of course trained in university hospitals. Which is awesome because we get to learn and do really challenging stuff. BUT, when it comes to working in PHC system, which we all have to do sooner or later, we have no training. For example, in university hospitals ER people come and are sent from PHC when fractures have to be operated or externally fixed. Or when sub-arachnoid bleed/ICH/SDH is suspected and there is a need for a MRI/CT and possible evacuation. Or when a malignant tumor is suspected and then treated if possible. All this is really intresting to see, but all I'm lately wondering is that how come they don't tell us about how to deal with the things that stay/are treated in PHC?
Like how to treat the minor fracture conservatively (in which position/angle you have to stabilize the orthosis), how to treat a chronic migraine/minor head trauma? How to treat the patient in terminal phase of cancer, who has been sent back to PHC? Of course these things were briefly mentioned before the professor went on to talk 3 hrs about Iliazarov external fixes in the use of complicated fractura cruris.
Or most importantly: how to work and diagnose when you don't have and extra CT lying around and extensive labs available?