The trust that accompanies the Patient-Physician relationship is a privilege.

We must value it and nurture it everyday. We owe it to our patient for giving us that trust despite the risks.

We owe it to the future doctors too, because the consequences of our actions will affect them.

Reflections on an Experience as a Geriatric Doctor in an Elderly Home

Last December 2019 my cousin who is a nun under the Congregation of the Daughters of our Lady of Pieta asked me if I would be okay to provide medical services to the elderly women they take care of in the convent. I, having not have done hospital practice since February 2019 (maybe I will write another blog on this one too… maybe…), immediately accepted the opportunity and agreed to visit them once a month regularly, and to be on-call whenever needed.

It was a first time experience for me to manage my own medical practice as a primary caregiver in an elderly home. I was very excited. I have experienced managing a clinic in a small primary and secondary school at my province (maybe I will write about that too…soon…) and that new challenge of another kind of patient population was exciting for me. It was an opportunity to connect with patients again, to review my clinical eye(s), and to be able to formulate my own system of patient-physician consultation and record keeping. I was given free reigns and I was very delighted and a bit nervous (of course we MDs never admit we get nervous, but it does happen).

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The Traveling Doctor

While traveling solo around Cebu – from the North to the South of the province, I’ve been to conversations with several backpackers on hostels I’ve stayed at. Some of them have traveled for 7 months to several years all over Asia or the whole world. I can’t help but admire them all and have thought to myself if I could do that too.

I really love traveling. You wouldn’t be reading all the things I’m writing in this blog if I didn’t. Sometimes I feel like it’s not just the destination, but it’s also that feeling of moving through places that makes me ecstatic about traveling.

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The Privileged Patient and the Grateful Patient

I have made a casual observation that charity inpatients are kinder and easier to empathize with than “pay” patients. Charity patients look at their doctors with such respect that they are afraid of disobeying their instructions. What you tell them, as their physician, is taken in full confidence. If the doctor says so, then it is so.

Of course this isn’t always the case. I have encountered charity patients that have gotten to my nerves but I have put forward this observation in order to present my view regarding that feeling of “privilege” among patients. Continue reading

Doctor in Training

Today I realized that I’ve just finished my 6th month as a junior intern/clinical clerk in medical school. This means I’m already halfway through. So far I’ve already had 2 months of Surgery (where I had my “baptism” into clerkship), 2 months of Internal Medicine, 1 month of Psychiatry, 2 weeks of Ophthalmology and 2 weeks of Otorhinolaryngology (ENT) rotation. I also had a week each of elective at Critical Care Unit and Anesthesiology. As of the moment, I’m on my 2nd week here at Pediatrics.

I don’t know how to begin to describe how I felt about my experiences as a clinical clerk, so let me start by saying that most of my expectations were wrong. The clerkship experience was admittedly different from what I thought it would be, mostly because I only thought of the fun and learning part. I was mostly unprepared of the physical work. Continue reading