tag:blogger.com,1999:blog-37286253.post4853229206657275819..comments2024-03-09T11:08:34.910+02:00Comments on other things amanzi: the baby storyBongihttp://www.blogger.com/profile/12918640034313468627noreply@blogger.comBlogger14125tag:blogger.com,1999:blog-37286253.post-35896462592220817732009-10-07T17:43:52.900+02:002009-10-07T17:43:52.900+02:00A classic case of projection: she simply transferr...A classic case of projection: she simply transferred her feelings onto you, leaving YOU to feel guilty for HER screw-up. <br /><br />Yup, she should have just given the anti-D. Stupid, craven registrar. To think how I cowered before the supposed might of that department too, only to discover that it was populated full of personality disorders. <br /><br />Aren't we all glad we've moved on...All Overhttps://www.blogger.com/profile/13574767950550068643noreply@blogger.comtag:blogger.com,1999:blog-37286253.post-32159760352267585492009-09-30T13:10:29.017+02:002009-09-30T13:10:29.017+02:00I think your reg was totally out of line - she sho...I think your reg was totally out of line - she should have just given the anti-D - it's done all the time - but she wanted the blood because she was only concerned about herself and covering her own arse. You're spot on about that her not caring about the mother.amanzimtotihttps://www.blogger.com/profile/00547897825508141342noreply@blogger.comtag:blogger.com,1999:blog-37286253.post-33695279382582192852009-09-29T10:22:40.282+02:002009-09-29T10:22:40.282+02:00I am not what i want to be
i am not what i am goi...I am not what i want to be<br /><br />i am not what i am going to be<br /><br />but.............<br /><br />i am not what i wasmalta fevernoreply@blogger.comtag:blogger.com,1999:blog-37286253.post-71814704707214464682009-09-27T20:05:15.776+02:002009-09-27T20:05:15.776+02:00You know, most of those women are crazy. Many of...You know, most of those women are crazy. Many of my unhappiest memories come from that department in that hospital.<br /><br />And ya, she should've just given the woman anti-D, really. I've worked in a lot of non-basic places since, and nobody worries about the cord blood, they just give it.Karen Littlehttps://www.blogger.com/profile/10446187228064686202noreply@blogger.comtag:blogger.com,1999:blog-37286253.post-19894333625162948342009-09-27T17:21:38.911+02:002009-09-27T17:21:38.911+02:00i have similar story from my intern days: a teen-a...i have similar story from my intern days: a teen-aged girl had a 2nd trimester abortion after being allegedly raped by her stepfather. she delivered in the early hours of the morning during my on-call. it was my privilege as intern to collect specimens for the forensic investigation.<br /><br />trust me when i say that obtaining 1cc of blood and a square cm of tissue from a 300g fetus at 3 in the morning is neither straightforward nor conducive to a good night's sleep for the next week or so.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-37286253.post-37446910875610822112009-09-27T17:00:57.914+02:002009-09-27T17:00:57.914+02:00travis, well done!! enjoy the ride.
to me the pro...travis, well done!! enjoy the ride.<br /><br />to me the problem had to do with the mother and consent. there was little or no attention given to the mother after a severely traumatic incident. then we went and further violated her baby not only without her consent but without her knowledge. i mean the physicality of it was not as bad or gruesome as many things i have done in the past but i do things for which i have consent.<br /><br />i suppose you could say out of sight out of mind, but it doesn't make it right. the baby felt nothing, but how would you feel if after having lost your baby you later learn that some snot nosed medical student was stabbing the corpse full of holes? i doubt she would have been so pragmatic about it all. ironically getting consent for a clearly logical procedure like this would no doubt not have been too difficult.<br /><br />also the reg was concerned about one person and one person alone. i.e. herself. she sent us into that dungeon not to do the right thing for the mother, but to cover her rear end.<br /><br />lin, yes the students and the people in his department feared that prof. later i discovered that bravado and arrogance often are used to hide ignorance, so as a surgery reg i pittied him. the fear was gone.<br /><br />greg, if she continued along in o et g, and didn't deviate into dermatology, i'm sure she would have become pretty similar to her mentor. good point.Bongihttps://www.blogger.com/profile/12918640034313468627noreply@blogger.comtag:blogger.com,1999:blog-37286253.post-80482140791059953652009-09-27T16:23:14.961+02:002009-09-27T16:23:14.961+02:00When I was in medical school there was a story whi...When I was in medical school there was a story which I can only take to be a "medical school urban legend" of a medical student who was always able to get blood from patients when no one else could, then is was discovered he was doing cardiac sticks.<br /><br />Considering the trauma of some even minor autopsy, this blood-drawing barely raises an eyebrow, and it was done for a clear medical purpose.<br /><br />The only potential shame could have come from getting some anonymous blood to substitute for that from the right source.<br /><br />One wonders if registrars like this become like the profs that they fear.Greg Phttps://www.blogger.com/profile/18422487877167541900noreply@blogger.comtag:blogger.com,1999:blog-37286253.post-66977054450029489712009-09-27T09:14:00.076+02:002009-09-27T09:14:00.076+02:00sheesh...but I remember that Prof! It's no exc...sheesh...but I remember that Prof! It's no excuse but people have done crazy things to avoid his wrath.lindariemerhttps://www.blogger.com/profile/09001678713849810344noreply@blogger.comtag:blogger.com,1999:blog-37286253.post-34798474321027795902009-09-27T03:29:13.235+02:002009-09-27T03:29:13.235+02:00What you did wasn't wrong. It might have save...What you did wasn't wrong. It might have saved that woman's next pregnancy.<br /><br />But your resigistrar? She was wrong in asking you to do that to cover up her screwup.Lisahttps://www.blogger.com/profile/14568601798297965180noreply@blogger.comtag:blogger.com,1999:blog-37286253.post-78501629466865817062009-09-27T02:40:26.605+02:002009-09-27T02:40:26.605+02:00I too agree with shadow. In fact, I would go furth...I too agree with shadow. In fact, I would go further: I see 'nothing' wrong with this (in the moral, right vs. wrong sense).<br /><br />And I have thought a fair bit about it. As a second-year resident, I was instructed to help an intern get blood from an unsuccessful code of a likely SIDS baby. The reason for this blood is still a bit unclear to me, but at the time was "to see if we can figure something out". <br /><br />After much thought, the only bad part of it would be wasting money on useless tests in the case I described...but in the case you described, determining the Rh status seems quite reasonable to me (but wouldn't the mother have already required RhoGAM much earlier?).<br /><br />HHHamhocknoreply@blogger.comtag:blogger.com,1999:blog-37286253.post-24233679451897736242009-09-27T01:29:09.313+02:002009-09-27T01:29:09.313+02:00I would agree with shadowfax. I think you performe...I would agree with shadowfax. I think you performed a necessary "evil" in order to benefit the mothers life. I would have done the same.i_gasnoreply@blogger.comtag:blogger.com,1999:blog-37286253.post-72464432465550927222009-09-27T01:06:06.565+02:002009-09-27T01:06:06.565+02:00I understand the horror and the trauma of what you...I understand the horror and the trauma of what you had to do -- but was it wrong? I suppose in certain belief systems it could be wrong to "desecrate" a body, or I suppose there might have been an issue of consent, but those seem trivial concerns, and there was a real, live patient who stood to benefit from that information.<br /><br />Suffice it to say that on the basis of pure pragmatism I would not morally condemn you on that matter.<br /><br />(I'm sure you're much relieved)shadowfaxhttps://www.blogger.com/profile/11648279307230813762noreply@blogger.comtag:blogger.com,1999:blog-37286253.post-78314989194046194952009-09-27T00:47:49.289+02:002009-09-27T00:47:49.289+02:00The horrors of medicine, or more so, a medical stu...The horrors of medicine, or more so, a medical student! At least you've moved up the pecking order and no longer have to do the "dirty work"<br /><br />ps. Ive been accepted at UCT for MBChB!! As I am a white male, Im sure you can appreciate the euphoric state I am in at the moment!! Never dreamed of getting in there...:D:DUnknownhttps://www.blogger.com/profile/12020889095568995304noreply@blogger.comtag:blogger.com,1999:blog-37286253.post-8912346738307029942009-09-27T00:45:09.754+02:002009-09-27T00:45:09.754+02:00Sometimes we find it difficult to forgive ourselve...Sometimes we find it difficult to forgive ourselves for things done outside our control.Jabulanihttps://www.blogger.com/profile/12847825459654555235noreply@blogger.com