Sunday, March 31, 2019
Personal Journey Into Medicine Personal Development Essay
Personal Journey Into practice of medicine Personal Development seeThe presence of the recompense is the beginning of a cure-goes the proverb. It is nigh matter I firmly suppose in. The ruse of healing diligents begin at the moment the unhurried sees the concern, non only when the medicine is prescribed. The practice of medicine is a combine of go to bedledge, shame and love for the populate we grapple and fellow human bes in general. Thats the combination of medicine that will treat the patient as a in tout ensemble and uph nonagenarian the WHO definition of health Health is a deposit of have intercourse physical, mental and social well being and non specifiedly the absence of dis succor or infirmitySince puerility, the idea of treating mass has inspired me. The dramatic art next verge to where we live was given for rent and most of the time, restores employ to occupy it. They use to see patients at home as well. During the spend school vacation time I used to stay with the doctors during their operative hours at home. I had the opportunity to see them interact with patients, provide them puff of air and give them medicines. The patients used to return for follow up and thank the doctors for the do and attention they had provided. I could see the gratitude expressed clearly in the patients eyeb tout ensemble and even though I was a child and a mere spectator of the whole process, my mind was adequate to comprehend how well a doctor empennage change an some other souls tone for the penny-pinching. The interest in the profession took its initial roots from there. When I was 12 years old there was an incident that further strengthened the interest for Medicine inside me. One night my best friends dad collapsed, the doctor next door administered CPR and he was aspiren to the nearby hospital immediately. Further we came to know that my friends dad had suffered from a myocardial infarction popularly known as heart attack. I was intrigued by this and wanted to know exactly what it was and the doctor explained it to me in a way comprehensible for a child of my age. The operative of the heart fascinated me. The intricate way in which our organs course how a doctor can change another persons behavior with timely action every(prenominal) these intensified my interest in Medicine during my childhood days itself.When I was a child, my parents left me with my grandparents. My parents had difficulty to take cautiousness of me in their hectic dress schedule. Even though my grandparents looked after me in the best way possible, I unceasingly missed my parents. I used to become a lack of love always, maybe from the absence of my parents proximity. in some way I resolved in my sub conscious mind that cryptograph else should suffer from the absence of care. This decision had a tremendous effect in my life when I entered Medical School. I always used to feel that all the patients whom I used to come in to contact with as superstar of my own relative.. My senior doctors wanted to know as to how I became wish well this and traced it back to my childhood. Now I believe everything that happens to us has a good effect in our lives sooner or later.My interest in inner(a) Medicine started growing in the early years of Medical School. When the clinics started in the second year, I found myself drawn tocellblocks the Internal Medicine ward more than whatever other specialty. There were a variety of cases, and at quantify a specific disease will manifest with vary presentations. Puzzling diagnostic problems which would fall into place with a specific interrogative sentence finding. All of us are do funny and hence, though ii patients may share the same disease process, two treatment plans can not be the same. The doctors who taught us were veterans in their respective fields and instilled within us great interest and love for the vast subject. At times I would think in awe that M edicine is wonderful, vast and contest. all day the senior doctors used to have case discussions of patients in aggregate starting from diagnosis and treatment of illness to offering support and counseling. The aesculapian checkup students were also wondered to actively embark in such assembly discussions and ask all our doubts. During my student period I always made certain to see as many another(prenominal) Internal Medicine cases as possible, the encompassing variety of cases always enthralled me and the different physiological systems acting with for each one other paves the way to list a variety of differential diagnoses as well. Our medical checkup school was always channeling seminars and conferences of which the insepar adapted medicine department took a great interest to participate. I had the fortune to participate in state conferences as well. Each day a week, the hospital used to conduct a meeting which included the entire departments and hospital staff di scussing the antiquated and evoke cases they have encountered this was a good experience and played a role in deepening my passion for the subject of familiar medicine. Our professors in versed medicine used to conduct seminars on what not to do in Medical Practice as well, exposing to us the pitfalls they had in their life and how to be cautious once morest them. Another thing I found interesting about Internal Medicine is that we can take care of all the patient macrocosm. There is no restriction to any age group or gender.In my third year of medical school, we had postings in a community health center. When I was working there, I came across a patient, he was a fisherman, and he had come for refill of medication for his hypertension. The doctor in charge asked me to examine him. Examination of his system showed Mitral Regurgitation. The doctor in charge asked me to write him a referral letter to the local hospital for further evaluation including ECHO and stating that his fi nancial condition is poor. Weeks later I saw him in our medical school, he was referred to our fundament for surgery, while I was speaking to him-he took out the old referral letter which I wrote from his pocket and thanked me for assist him out. He even called up my parents to tell them that I serviceed him. Though I couldnt be directly involved in the treatment aspect, the way in which the patient expressed his gratitude touched me a lot and made me sentiment that how much good we can do for people and improve the superior of their lives.During my internship period the idea of treating the patient as a whole and not only the disease process itself took a firm grip in my mind. As much as we treat and cure patients, I tacit that counseling them and giving advices on the rubber aspects of diseases is of paramount importance as well. In India the disease like Malaria,Dengue,Cholera,Tuberculosis,Chikungunya-just to name a few, are rampant. much(prenominal) diseases can be easily avoided with proper counseling and for that good confabulation skills are required. These are skills, I understood, that we gain with experience and no textual matter book advice can help us with it. We can always treat the disease, but I think it is more important to isolate the important precedent of the same and eliminate it from the scene. For example- doctors treat childhood asthma attack, the root cause of the same might be due to passive smoking from a close family member if we just spend a few legal proceeding in delving more deep into the patient history we will be able to isolate the main cause and prevent the childs future attacks of asthma and with good communication skills to stop the family member from smoking and protect his/her health as well. The importance of rehabilitating a patient is another important thing which I found during internship period. In some cases, the patient is treated and some unavoidable residual problem may persist. The patient may not b e able to go back to work, if so, what to do next? In this aspect I found the meaning of rehabilitation-something I read many times in the textbook and regurgitated into the exam answer papers in a new and different light. It is again important to make the patient aware of support groups and help them find a livelihood which is meet for their present health condition. As an intern I saw that internal medicine doctors as primary care physicians doing this more than any other specialty the treating the patient as a whole and concentrating on the preventive aspect as well. This augmented the my love for internal medicine and made me aware of the fact that an internal medicine doctor is a unique combination of extensive knowledge, sharp diagnostic and treatment abilities with humanistic qualities of empathy, lenience and integrity.I have always felt a particular appetency and empathy for back up patients because they are always socially discriminated and the stigma surrounding AIDS even in this 21st century also is to such an end that a diagnosis of AIDS means social death. During my internship period I saw many human immunodeficiency virus positive patients. As tuberculosis and HIV go hand in hand, I saw many patients being treated for extended period of time and our consultants helped them through their ups and downs. Once again I was enlightened to the fact that humanistic qualities are important in a doctor treating patients with such a chronic disease touch by social stigma. As a part of our posting in internal medicine department three of us were sent to work in an AIDS hospice. The learning experience there was beyond any textbook knowledge that we garnered over the years and the summation of the time I spent there has helped become a better doctor and a better person I am today. There was a summation change in the outlook I had for this chronic illness. The interest in this disease which presents in mixed ways with a large phone number of associate d opportunistic infections , gave me the idea of making an AIDS Man-a full blown bank bill of a man with AIDS with all the possible opportunistic infections. This was in effect used in several health reading campaigns we conducted from our Medical School.I have always believed that doctors should not be anyones judge-dont think as to how this person got this disease. A patient should always be treated with the same care and compassion, no matter what the disease is or how he/she contracted it.The medical school I studied in is a charitable institution as well, catering to the needs of underprivileged sections of the society, so I was always close to the cradle of the basic human needs and emotions. I was a part of numerous camps that our Internal Medicine department had conducted which encompassed giving disembarrass medications and further follow up in our hospital by doing this we were able to reach our medical care to all the sections of society, notably the tribal population in our state. The health condition is the tribal areas were far worse than I had imagined-poor sanitation facilities, malnourished children, symptomatic but un-discovered cardiac problems in children and adults alike, various forms of oral cancers, pregnant women not seeking medical care, high maternal(p) and infant mortality rate, neonatal tetanus and so on. With our constant individual(a) counseling, health education sessions and poster campaigns we were able to instill the importance of medical care in their minds. A primary health center was complete in the tribal area in which I had the opportunity to participate and slowly, but steadily we were able to gain the trust of the local people there and provide health care for the community thereby amend the quality of their lives. It was during the internship period that I found there is a instructor inside me. I had the opportunity to go to different schools and communities to give health education classes on substance abuse, S TDs and so on. I found the art of providing health education and interacting with various people from all walks of the society a fulfilling experience.To speak to patients and families when they are helpless the most, is a challenge that the medicine has provided. We all know that people become vulnerable when they are sick. To help people take decision regarding the different treatment modalities which is best for which patient, to have help people take end of life decision, comfort the immediate relatives and ease the passing of terminally ill patients, to hold their hands and comfort them, to transit a tear from their eyes and an occasional hug for an old patient who has been abandoned by her children and tell her that we are all here to take care of you, has all given me a certain amount of satisfaction. My interpersonal and communication skills were polished and conk outed during this period of time. I was able to undercoat a good relationship with many patients who were und er our care during internship. They all touched my life as much as I was able to touch theirs.Internal Medicine is a dynamic branch as the internal medicine doctor not only treats the disease, but the patient as a whole. I want to achieve better train as a doctor make meaningful contributions to the society and I believe that research opportunities are one of the best to achieve that goal. The internal medicine residency program will foster my interest in academics, offer the best clinical training and provide research opportunities. I would like to nurture the teacher within me through patient education and involvement in student training. My personal reason for liking internal medicine is that it uniquely combines hard work, service, compassion, empathy and strong communication skills. In accession to the traditional education, a physician studying abroad will obtain a general global perspective on various health issues and hence encourage broad mindedness. I expect a challengin g environment in which to practice and learn the enormous volume and life experiences that encompass internal medicine. I am sure that Internal Medicine residency will be a fulfilling experience helping me to develop a strong foundation for the future years in this field.
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