Archives for 2008

I know it has been a while since I last wrote. Been a bit busy lately. And in my moments of downtime I’ve found myself doing a different type of writing. I’ve been writing some fiction. Mostly because it’s a bit therapeutic. Anyhow, back to Medical School related matters.

On Friday we had two guest lecturers for our two-hour session of a class called Understanding Your Patient. During the first hour, a professor spoke about understanding cultural differences among our patients. He primarily focused on the latino culture because there is a huge hispanic population in the local area. One thing he mentioned is that in general, the hispanic population would put up very little resistance when talking to a physician. But that does not give any indication that they agree with what you are saying to them.

And that is a very important thing. In this class we have discussed the idea of getting a patient to cooperate and accept the treatment plan. And this applies to everyone, not just the latino community. In order to have the best results, doctors must team up with the patient for a common goal. The idea of white-coat-wearing-doctor dishing out his wisdom on health and a patient obediently following instructions is outdated and just doesn’t work.

During the second hour he gave the time to a local Mexican woman who talked to us about various herbal and traditional remedies the Mexican people use. She told us that many times they turn to those first, because going to see a doctor is just too expensive. She also brought samples of the things she talked about.

I learned that they use a camomile and spearmint tea for a of different things. She shared remedies for many common ailments. There is one treatment, for headaches, that I plan to try. It involves soaking a pinto bean in rubbing alcohol. In the event a headache, the bean is placed on the temples. Supposedly this relieves the pain. I’m quite interested in trying it out. Cause every once in a while, when I don’t drink enough water, I get some pretty annoying headaches.

Anyways, I hope to be able to post with a little more frequency this month.

P.S.
Remember the disclaimer. I’m not offering medical advice on this site. So try that pinto bean thing at your own discretion.

It’s getting busy now. It must seem like I say that a lot on my posts. At least I feel like I write that a lot. But its once again the week before exams. The lecture schedule is tapering off. We have only 3 lectures on Thursday (as opposed to the normal 4) and then no lectures at all on Friday.

I’ve been posting less in the past 2 months. It was an attempt to cut out some distractions. Although I do enjoy writing here and it can be, at times, quite therapeutic. But as it goes, school comes first. After all, I would have nothing to blog about if I don’t pass the year. And JeffreyMD.com would no longer make any sense. Cause I’m not planning to move to Maryland anytime soon.

Even now, I should be studying. I’m sitting here writing this post in the library. But I saw something in here that looked out of place. It looked so out of place that I actually found an excuse to walk by the aisle a second time to get another look.

I saw someone sleeping in the library! No, this was not the normal exhausted looking medical student. This was an older woman. And she wasn’t sitting at a desk either. She was sitting in a chair placed in the middle of an aisle of books. She took up the whole aisle. You couldn’t get by her.

I suppose one might think she was a student. But something tells me otherwise. She didn’t look that clean. Behind her chair there was what looked like a small piece of luggage. In front of her was some push cart filled with her things. I couldn’t get a good look at what exactly was in there. It just struck me as an odd sight to see.

I don’t want to assume she is homeless. But I’m afraid I’ve already done so. That may be a by-product of living within 20 minutes of downtown Los Angeles where I have often seen homeless people going around with a suitcase. Regardless, she does not look like a student. And, technically, I don’t believe non-students are supposed to be in the campus library.

I attend a university whose motto is “to continue the healing and teaching ministry of Jesus Christ — to make man whole.” Is her presence in the library a lapse in our security? Or are they intentionally allowing her to escape the nasty heat outside and sit a while in the cool of the library’s basement where she is no bother to anyone. She really isn’t in the way, even if you can’t get at the books she is sleeping in front of. She’s in a part of the library that hardly has any traffic anyways.

I wonder if I, hoping to one day become a good, Christian, physician should have gone up to talk to her. From the little experience I have had in life, I know that every one has a story to tell. Maybe she would have been grateful for it. But maybe she would’ve been annoyed at being woken up. I know I don’t like that.

Well, as the title implies, this was just a random post. I really don’t have anything to write about except that which I already have. It’s possible I’m just avoiding my physiology notes right now…

So with that, it’s off to Physio-Land to study the hormonal miracle of life! 🙂

Everyone loves February. It’s the cute little month with only 28 days (most of the time). And it also has that special holiday, Valentine’s Day. But someone also referred to it as Singles Awareness Day. So I guess there’s a mixed audience when it comes to that day.

This month I also had a couple of hours of lectures covering topics like sexual relationships with patients, dating, marriage, and adultery. Those are the ones I can think of right now but I don’t think I’m missing any February-related topics.

The class where we learned about sexual relationships — I think the lecture was titled “Sexual Boundaries” — was called Understanding Your Patient. The course director is a practicing psychiatrist. I’ll sheepishly admit that I would probably have a hard time explaining what that class is all about. At least not very succinctly. Listing some of the other topics discussed in that class might help paint the picture, though. We’ve talked about how to partner with our patients with a goal of better healthcare (as opposed to giving orders). We’ve discussed breaking bad news to patients. We’ve talked about aging and the difficulties associated with it. We’ve also talked about child abuse, red flags that we might encounter, and the responsibility to report our suspicions to the appropriate higher-ups.

We spent two whole hours talking about sexual boundaries. The take home message for those two hours? Don’t have sex with your patients.

We heard about doctors having their license taken away for getting involved with their patients. We learned that psychiatrists, because of the intimate nature of their work, can never get involved with their patients. A surgeon, who after operating on a patient, may be able to date the patient as long as number of years has passed. I guess the point was that “they” don’t want a physician to abuse his or her “power differential.”

A few days later, in a religion class called “Wholeness for Physicians,” we were talking about adultery. The instructor, who is a practicing psychologist, warned us that it is very easy for physicians to go down this path. Doctors at work, he told us, are constantly being attended to by the nurses. There is a very friendly relationship there (hopefully). And when the doctor goes home, he or she hears, “Honey, I’m tired. Watch the kids.”

Eventually the doctor begins to compare the spouse with the attractive young nurse. It can be a recipe for disaster. I think I understand the dynamics now.

So that was my experience during the month of love. That was the extent of my foray into anything close to relationship or romance — I listened to lectures about it.