17 May 2009

medical dilemma

ok people!
i wanna talk about medicine now. so if u r sleepy it's best u find a pillow than reading this. hehe. ok so the story goes like this...
i was searching for my 'ponstan' a.k.a. mefenamic acid, which is an analgesic (painkiller). my cavities r getting bigger2 bigger. very damn painful...sigh.... but i couldn't find my ponstan anywhere. then i saw some paracetamol. since i was small, paracetamol is only used when i got fever. but when i go to MRSM, there's a government clinic there dat gve paracetamol to every outpatient! yeah, weird rite. there was once where my senior who was so heart broken (because of puppy love) and he ate 12 panadol with a coke! then he immediately fell unconscious. funny things people do when their heart broke into pieces.... iskiskisk....back to the paracetamol, it is not only for fever, ok! it can alse be used for simple headache, and pain.. but we seldom use paracetamol for pain, right?
sometimes when patient complaint of fever or pain, and we prescribe paracetamol, they said 'if u just gave this then y did we was admitted?'
most of treatment we gave are only 'to make them at ease', and symptomatic. means we just treat what the disease had caused, not the real 'troublemaker'.
but the thing is, most of the treatment available are either too expensive or not available at Makassar.
for example, cirhosis, there is no treatment except liver transplant... but sadly no such operation exist here. but even if they do have the operation, it would be too expensive.
sometimes, patients got too frustrated. they always become sicker and sicker at hospital, and blames the doctors.. that makes us frustrated too. we were so damn happy if our patients got well. i still remember one patient, Mr. A, who was almost dead. then, he was taken to the ICU, and i dunno what happened to him. a few weeks after that, i saw him at Internal Medicine ward, and he gave me a very wide smile! oh, i feel like i wanna cry! his wife, who always chat with me, also seems very happy. she said her husband can go home the next day. it is an exhilarating moment for me, though i am not da one who treated him. hello, i'm still a student, ok...

oklah, dats all for tonight. tomorrow i'm gonna start my day at Internal Medicine department again...
wish me luck!

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