Phileosophie

I am at a strange cross roads in life. I have completed all the compulsory training I need to do prior to starting a career in cardiology. On paper, I should have been a shoo-in for the job because I had done all the right things and had tons of research to complement my other activities. But I didn't get the job. So I am now at this point in life where I could technically take a break, and I would love to take a break, but people around me are giving conflicting advice. I do not know if taking a break would somehow reduce my chances of getting a cardiology advanced training position in the coming year. Ideally I would love to have a year off, to spend time with my family, to do some humanitarian work and then I would locum around Australia so as not to deplete the bank account too much. But I don't know if this would be a bad idea from a cardiology perspective. I wish God would just talk to me. I wish He would tell me what to do, in all His infinite wisdom. Sadly, my faith o

The number of times I have felt slighted because of my gender has been countless. The number of times my male (and female) counterparts have silenced me, or taken me less seriously, are many. People will not acknowledge a problem that exists, if it does not exist in their world. If they do not experience the slights because they are any combination of rich, white, or male. We have come to a point where people will accept the presence of 'White Privilege' as a concept, but they do not truly believe that their accomplishments are any easier to come by as a result. And they do not care. Why would they when the establishment is in their favour? I have come to learn many things about being female. I have learnt that some times we play a role in our own destruction. We wait to be rescued, or to be handed a hall pass, because for many years we have not been expected to excel on our own merit. We wait for mentors, without realising that mentors pick people in whom they see something

I have spent the past 3 months working with a particular resident at my hospital. Some times when you walk around the hospital it is like walking in a Marcs/Country Road/CUE showroom. Many of our doctors come from affluent backgrounds - whose fathers, and sometimes mothers are doctors, university chancellors, business-people, lawyers, politicians. I often wonder if they have ever had difficulties in life. If they know what it means to earn your keep, and to actually have to work for their 'achievements'. Many of them live at home, or in homes paid for by their wealthy and protective parents. Their biggest problems is probably divorce between those parents. They travel extensively, with numerous photos of their exotic exploits posted onto Facebook. They are athletic, intelligent and beautiful. They will often go on to marry other wealthy individuals, usually surgeons, cardiologists, lawyers. They have massive impractical heirlooms on their ring fingers. They are entitled. They w

I once had a patient - he was young, by inpatient standards, but had lived a life of sex, booze and drugs, resulting in viral hepatitis and hepatocellular (liver) cancer. He came to our hospital because of abdominal pain and his doctors found that the cancer had spread to his lungs. He came to my attention one evening when I was asked to review him for severe pain. By the end of the evening, he had bled into his liver and this leaked (via the cancer) into his abdominal cavity. The surgical registrar came to see him that night. "Sir, you have bled into your abdominal cavity and there is nothing we can do about that okay?" the surgical registrar said gently. The patient looked up at the registrar. "Not even a transplant?" "No, that's not going to work." "Am I going to die?" "If you continue bleeding into the cavity. But we will ensure that you are not in pain." We asked if there was anyone he would like us to call. There was no