Thursday, September 25, 2008

What does this mean?

Today i thought about what a lot of things mean and sometimes ignorance is a blessing.

Amongst the many thoughts i have, my patho write up on breast carcinoma in situ got me thinking about how i'd feel if one day my doctor tells me "we suspect this mamograph finding is something sinister", "the report shows that this is indeed cancer". As doctors, i realise we are usually the ones breaking the bad news but do we really understand what it means to the person receiving the information?

There are so many possibilities to how a person receiving bad news may react.
(1) Super anxious / depressed
(2) Fatalistic
(3) Calm because to true implication of a serious diagnosis is not experienced yet
(4) etc

Agree?

Anyway, it also occurred to me that after receiving a medical education, such bad news may impart unexplainable feelings cos u just know more than an average layman. The worst case scenarios are usually not very plesant. Hence in a way, igorance is bliss.

On the other, some doctors will feel that they have seen it all and come to the understanding that we all have to die anyway. Hence, they may appear nonchalant. Truly nonchalant? i dont know..

Hai..

Also, i was just thinking, each time u read about side effects of medications u're prescribed, how mentally prepared are u to let it happen to u? If u're a doctor telling ur patients about the serious side effects of their therapy, how mentally prepared are u to really see it happening to ur patient? I rmbr a case of stevens johnson after taking tegretol for fits. The pain i saw the girl in, i certainly cannot imagine myself in her doctor's shoes.

Perhaps all these feelings is out of my inexperience. Hope i will one day grow to understand it all :)