Friday, May 22, 2009

Just what the hell is this?!

I hate introductions, I hate small talk and right now I don't like a lot of things around me, and it turns out, it's not only me!!!

 

I'm writing this blog as an attempt to put in words what I think most of us are going through at this point of our lives, in this career and in this country. If I could, I would make a drama series, maybe a play to try and explain what we go through, but this is what I have and writing about specific incidents will not sum up what I have to say.

 

Lately, I just find myself staring into the distance, just watching people around me, thinking of everything going around me, analyzing, judging, trying to find a solution, and just continuing to sit there moving forward in my downward spiral into depression, and it doesn't get better.

 

I wonder what was causing me to feel so down.  Let me try to analyze what is going on:

 

I am not going to explain who I am, what my education is or what my life experience is, because that would be bragging, a waste of lines and everybody is proud of whom they are.  My point is, we are supposed to be highly intellectual people, the cream de la cream of society, in every aspect.  But here I am finding myself extremely weak, living in a weak, corrupt and powerless society destroying and antagonizing anything good.

 

Where do I start.  Maybe it’s the sense of not knowing what I am exactly, right now.  Am I a doctor worthy of respect from my patients, colleagues, residents, senior staff, the community and people I live around and even hospital workers.  Or am I nobody, just a porter, to drive papers and patients around, with everybody bossing me around and insulting for no good reason including all the previously mentioned categories, below or above me, and no matter how hard you work or how good you are people still hurt you just to feel their power.  Or is it that I find most of the people around me in their different categories lacking discipline, endurance, perseverance, knowledge, a good way of thinking, bigger values, just full of talk about how they want to fix things and become somebody when they can’t even commit to the simplest tasks assigned to them because they feel they are too good or too big for it, full of anger and taking this out on other people and neglecting what they should be doing, and the worst being living with and for all what is wrong, shallow and useless in life.  What have we come to?

 

Is it that we have lost the sense of self achievement, that we are getting no praise from anybody, nobody notices us or what we do or are capable of, we are being downgraded all the time by everybody and our rights and freedom taken away a piece at a time.  Or is it that we have lost cause and direction.  Or maybe that we have given up on learning, improving and moving forward because of all of the above.  Maybe, it’s because we can not see the light, that person to follow, a promise or somebody willing to reach out for us and understand truly what we are going through, nobody has any more time or patience for us.   Or maybe it’s that we’ve lost the sense of beauty and are no longer grateful to what we have.

 

We live in a place where people are treated like animals, have no rights, no freedom, people live in the sewers with rats eating them alive, being bullied, killed and raped by those in power and with money, who have no values, humanity, or even intelligence.  Why have people lost respect to each other, and treat you on who you are and how much damage a person can do to another?  It’s undeniable, and it’s there, you can see it everywhere.  We are insecure in every life aspect.  The people who are supposed to protect us are not, in fact they are the one being disrespectful and being bullies.  Where do we stand?

 

I have not yet started talking about what life matters we think about such as marriage and the limited resources we are faced with and who people in other carriers are doing so much better than us in every single aspect in life and are not faced with any of the hardships we are faced with or what we have gone through or will go through.

 

People have stopped smiling and stopped saying phrases such as “no problem” or “let me see what I can do for you”, nobody wants to help any more.  Instead they try to complicate things for other people for no apparent reason than to exert power.

 

Our close family and friends have no idea what we are going through and have no interest but to express their own pain and their own point of views.  We do not matter any more and people have stopped caring about, who you really are, how they are treating you and what they are saying to you.

 

We have lost the sense of real power, the power of big personalities, empathy, resourcefulness, truth and all that is good and right.  “It is time to start working and spend less time sleeping” as a wise man once said.  It is time to restore what is right.  But the question still remains, is it possible?

 

I have learnt one or two things with time, don’t put expectations and you won’t be disappointed and live for a bigger cause, be one of the big personalities and don’t get affected by the smaller people.  It helps.

 

Maybe I am being pessimistic, and maybe I am over doing it.  But this is what we are going through.

 

Our power is not to let this affect us, only make us stronger.  We still have the power of intellect.

 

As another wise man said “Sadness is a luxury, and as long as you are still ambitious, then you are not luxurious”.  So let us raise our head high and continue walking and dealing with life with what we are and not with how we are being treated.  Let us not let ourselves be them.

Sunday, May 10, 2009

Another day at El-Demerdash

It started off just like any other day at El-Demerdash hospital, by signing in at 8:15, then mingling with the guys till 8:45 and then heading to wherever the ...  we need to be.

The resident had 5 requests in store for us, the 5 interns that were only here today to get them done in 1 hour tops and go home or wherever the.... we were going or at least that's what my friend and I thought was going to happen.  Well we thought wrong.

Looking at the requests paper, my friend Islam and I decided that we were going to take the 2 patients that needed interventional radiology, thinking that it was a cool thing, that we could learn and see something new and that it wouldn't take much time.

So we took our patients down to the clinic and rushed in to get an early spot, and waited, and waited, and waited, and waited.................... and waited.

Sitting down with the other interns in the modest airconditioned waiting lounge we started chatting about all kinds of different stuff.

The first thing we discovered was that one of our patients' name was "Soso 3antar" who was incidently married to "Beblawi Ta2awi", and I promise you and I swear this is all true and the names are written as so in their IDs.  We had a good laugh about this for a good 3 hours.  We made all kinds of jokes about it.

Islam and myself decided that we should go check on our patients just to make sure that they were Ok and hanging in there.  But of course both our patients had disappeared.  As we rushed outside the patients' waiting room I found me patient and approached him:

"3am Aly enta ro7t fein"

"Ana mesh 3am Aly"

"Tab fein 3am Aly? Ra7 fein?"

"Wanna eh eli 3arafny? Ana Ma7moud, matrakez shwaya ya doctor!!!"

To my relief, 3am Aly was sitting behind me on the floor leaning on the wall witnissing this comedy show and comforting me that he was still there.

Islam's patient had gone back to her room because she decided she needed some money and that she couldn't trust her roommate with it!!

Anyway, again we had decided to go get something to drink, which took no more than 10 mins.  By the time we had reached the clinic again, my patient had finished everything and was heading back to his room.  After 3 hours of waiting, it turns out that I was not needed for more than 5 mins.

So I decided that I was not going to leave Islam alone.  We were in this together.
So we started to wait again, and he began telling me about the story of his patient who was going for a BM biopsy and just as they started touching her :

"Ana 3atshana, hatooli ashrab, 7amoot"

After drinking some water brought to her by the doctor

"Ana lessa 3atshana, hatooli ashrab tany, 7amoot"

"Tayeb ya mama ba3d man khalas, yalla"

"A3ooth Belah men al-shaitan al-rageem, Besm Allah Al-Rahman Al-Ra7eem
AAAAAAAAaaaaaaaaaaaaaaaaaaaaaaaaaaaahhhhhhhh!!!!!!!!"

"Eh ya mama dah...... bas ehdy keda e7na lessa ma3amalnash 7aga"

"tayeb tayeb
A3ooth Belah men al-shaitan al-rageem, Besm Allah Al-Rahman Al-Ra7eem
Ketab 7ayaty ya 3en ...etc"


Back to where we were, it had hit 3 o'clock when the doctor finally called Islam's patient, and after 5 mins of examination she turned out to be just fine and didn't need anything.  After we had wasted 6 hours waiting, nothing, zilch, nil.  We had wasted 6 hours doing nothing at all.

Except that we had met "Soso 3anter" and exchanged some useless info.

Thank you Demerdash!!

Thursday, May 7, 2009

Feeling it ..

It's been more than four years since i first entered the OR to attend surgeries either watch or assist , mostly they were orthopaedics. But, it wasn't until recently - the past few months - that i attend to the whole process of the surgery including anaesthesia and disinfection and draping and not just the cutting..
I think i am never afraid of going under the knife and think no one should be. I realize of course that every single step of any surgery carry the risk of complications, but, i never got to see how the patients feel. Some were positive about the process, others were really nervous and agitated and most of them recite verses from the Holy book whatever it was. One patient had the bible with her inside the OR.
Last night , i scrubbed in to assist on a hernia surgery, the patient was around 60 with a calm endearing face that i liked to look at. when the anaesthetist was ready to do her magic and told the patient she was about to proceed, he looked at me and stretched his hand towards me. I have never seen this before and have never held a patient's hand in my own , but i did it last night.
I held his hand in both my hands and smiled positively at him and felt his hand weigh down in my mine as he went to sleep.
That was a priceless feeling ..
and a priceless lesson ..
It's the little things that pass unnoticed that would make the huge difference.

The patient is well now.

I know El Demerdash might be a horrible place and patients could be ... let me pass such description, one actually told me " shokran ya asta " a couple of days ago .. but it doesn't matter whose fault it is .. True we don't have the money , but we have our human spirit which is priceless..

For all of you out there , share with us and everyone else your stories of the human-human contact warmth .
There must be some beauty some where there.