Friday, July 6, 2012

Hello all my zabors!!

As we are at the transition phase from studying to working, i want to share something i have read:


  • Don't lose yourselves. It's easy to lose sight of what's really important in life. We have all had the priviledge of sharing a dying patient's last moments on this Earth: No one has ever said they wished they spent less time with their family. No one has ever told me they wished they made more money, or spent more time at work
  • Stay true to your principles, whatever they might be. Whether is is "First do no harm", or "The needs of the patient comes first". And no matter what, stand firm by those principles. Eventhough you may sometimes encounter a patient who attempts to threaten or bribe you to do something that goes against what your beliefs are
  • There will always be patients who will frustrate you. Or deceive you. Or talk or cry too much. While you might not have the answers for their ailments, they are still people. And everyone deserves at least respect
  • Yes, out in the real world, you finally get to make real money. You finally start to pay off your loans, or are able to afford a mortgage, or to save. But never let that guide your actions. You are a doctor, and you priority is the health and wellbeing of your patient. Not how many tests you can put him through, or how many patients you can see in a day
  • It's OK to not have the answer. The 3-7 years of post medschool training might have taught you much, but it's not going to teach you everything about the human body. It's humbling to admit, but doctors really don't have all the answers.
  • It's also OK to be afraid. The first time you treat a serious problem with no real supervision. To realize, "I'm it?? I don't have to staff this with my consultant? I AM the consultant?"
  • The learning never stops. I hate to admit this, but after 2 years of college and 5 years of medical school, and 3 years of residency and 3 years of fellowship, the learning ain't done. Medicine is dynamic, so should you. But don't fall into the trap of feeling the need to read every journal. Find a few that is relevant to your field, and peruse it periodically. Thrash the rest
  • We are in the business of saving lives. Unfortunately, there will be some patients you will lose. Some, perhaps even because a decision you have made as his doctor. But remember, you are not God. You cannot win all battles. And there is a huge difference between losing someone because of the wrong decision, versus losing someone because of neglect or malpractice.


May all us enjoy the transition phase and continue to love life :)

Tuesday, February 28, 2012

Top 5 regrets of the dying

A nurse has recorded the most common regrets of the dying, and among the top ones is 'I wish I hadn't worked so hard'. What would your biggest regret be if this was your last day of life?A palliative nurse has recorded the top five regrets of the dying.

There was no mention of more sex or bungee jumps. A palliative nurse who has counselled the dying in their last days has revealed the most common regrets we have at the end of our lives. And among the top, from men in particular, is 'I wish I hadn't worked so hard'.

Bronnie Ware is an Australian nurse who spent several years working in palliative care, caring for patients in the last 12 weeks of their lives. She recorded their dying epiphanies in a blog called Inspiration and Chai, which gathered so much attention that she put her observations into a book called The Top Five Regrets of the Dying.Ware writes of the phenomenal clarity of vision that people gain at the end of their lives, and how we might learn from their wisdom. "When questioned about any regrets they had or anything they would do differently," she says, "common themes surfaced again and again."
Here are the top five regrets of the dying, as witnessed by Ware:
1. I wish I'd had the courage to live a life true to myself, not the life others expected of me."This was the most common regret of all. When people realise that their life is almost over and look back clearly on it, it is easy to see how many dreams have gone unfulfilled. Most people had not honoured even a half of their dreams and had to die knowing that it was due to choices they had made, or not made. Health brings a freedom very few realise, until they no longer have it."

2. I wish I hadn't worked so hard."This came from every male patient that I nursed. They missed their children's youth and their partner's companionship. Women also spoke of this regret, but as most were from an older generation, many of the female patients had not been breadwinners. All of the men I nursed deeply regretted spending so much of their lives on the treadmill of a work existence."

3. I wish I'd had the courage to express my feelings."Many people suppressed their feelings in order to keep peace with others. As a result, they settled for a mediocre existence and never became who they were truly capable of becoming. Many developed illnesses relating to the bitterness and resentment they carried as a result."

4. I wish I had stayed in touch with my friends."Often they would not truly realise the full benefits of old friends until their dying weeks and it was not always possible to track them down. Many had become so caught up in their own lives that they had let golden friendships slip by over the years. There were many deep regrets about not giving friendships the time and effort that they deserved. Everyone misses their friends when they are dying."

5. I wish that I had let myself be happier."This is a surprisingly common one. Many did not realise until the end that happiness is a choice. They had stayed stuck in old patterns and habits. The so-called 'comfort' of familiarity overflowed into their emotions, as well as their physical lives. Fear of change had them pretending to others, and to their selves, that they were content, when deep within, they longed to laugh properly and have silliness in their life again."

What's your greatest regret so far, and what will you set out to achieve or change before you die?




Just a random thought: Maybe we should wake up every morning with a thought that today is a gift for us to explore life. There are always lots of deadllines, to-do-list that seemed to be striking on us.. but never never forget to take time to appreciate how lucky we are to be healthy and alive to enjoy this special gift of life. A day that is not spent in loving life is a day wasted.. :)