Medical Ethics

Throughout my time here at St. George’s we have a medical ethics/clinical skills class that run over the course of 6 semesters. So far we’ve learned about ethical reasoning in the context of patient care, disclosure, informed consent, and medical research. We’ve had small discussion groups over topics ranging from patient assisted suicide, abortion, religious practices and beliefs, and intersex babies. The discussions were always very stimulating, and it’s interesting to hear other people’s opinions and assertions on the various topics. There is one thing (okay, well two, but one is a minor complaint) that particularly bothers me about some of the strong religious opinions some of the students have had in my small group. I can honestly say that I do respect everyone’s opinion, but I have a difficult time accepting some of the reasoning (or lack thereof) behind the more extreme religious beliefs. For example, last week, we were discussing our thoughts on patient assisted suicide. There were a couple of students who out right said absolutely not, they do not believe in it, or would they ever even consider a patients request for it, no matter what the situation was. This part was fine, that is their opinion, and I respect that. I don’t think that as a physician I would be able to participate in patient assisted suicide either, BUT, depending on the situation (and law for that matter) I can’t definitively say that I be opposed to it. I would have no problem recommending my patient to somewhere that did endorse patient assisted suicide, and had a criterion in place for the decision. My problem with these very religious opinions is that these people would not even endorse disclosing to their patients other physicians/centers that would support it. In my opinion, I feel that this physician would be forcing their own beliefs and values onto their patients. Alternatively, maybe it’s these same type of people that keep a balance to our society….

On a lighter note, I finally made it out to the beach today and the waves were gigantic! Okay, maybe they were not big enough for surfing, but definitely big enough to dissuade me from going for a swim. I waded in couple of metres, and attempted to keep my balance but I was repeatedly knocked over and sucked under, only to resurface as a walking sand creature. I think I'll be trying to wash out this sand for a few days....

A Side of Cheese

WARNING: THE FOLLOWING POST CONTAINS CHEESE AND OTHER CHEESE ADDITIVES. IF YOU HAVE AN AVERSION TO CHEESE, STOP NOW AND CLOSE THIS BLOG. If glanced at, side effects should not last longer than 1 week, if your condition persists consult your second term med student.

Ode to the toaster oven

The frying pan had lost it shine,
The foreman grill was bland
there’s only so much one can do
with a plain black pan.

And then it came into my life
This miniature little toy
My culinary skills were honed
My tastes were wrought with joy

Chicken tenders, fish fillets,
Stuffed peppers with some thyme
I haven’t tried the chocolate cake
I’ve heard it is sublime.

For those of you all missing out
It heats up like match
If this toaster was a boy
He’d be a fire-ey catch.

And so I must return again -
to study, its so mundane
and if I continue with this rhyme
I’m sure to go insane.

Okay, but seriously, this toaster oven is awesome! I’ve been cooking with it almost everyday the last week, and I get excited thinking about new things I can make in it. I guess this is what happens when you don’t have much outside class and studying…..okay, lets see what else has happened this week in Grenada:

New in exotic fruits this time of the year is the carambola aka starfruit (known for its star-like shape when sliced). It’s definitely a favorite – so much so, that I have chopped and frozen a bag of them. One never knows when something is going to go out of season around here.

Recent advances in the class schedule this week brought on the introduction of immunology, featuring the so-called professor “Wacky Jackie” – I have yet to form an opinion of her. I usually appreciate (rather than complain about) the eccentricities of a charismatic professor.

Women in Medicine organization has started up again this semester, and I’m expecting more events and involvement than last semester (we have a new executive council with a little more time on their hands).

Weather has been partly cloudy with scattered showers, and highs reaching 28 C. I’ll go test out the water temperature this weekend when I get a chance (just in case this was what you were skimming the post for).

Man of the House?

Yes it’s true. When living with roommates I find that you create a microenvironment reminiscent of the family. There’s always the ‘mother-hen’, the ‘father-figure’, and the ‘annoying brother/sister’ (no one has adopted that role yet). Anyways, the other night while studying I was interrupted with a knock on the door to open a jar of pickles. I thought to myself – why wouldn’t you just run the jar under a hot tap, instead of interrupting me (not that I mind being able to display feats of strength). But then I got to thinking about when I lived at home, if my father or brother were around I would just ask them for the same thing.

The other day I tried to remove the thermostat, and put it in a better location at the suggestion of my father (the settings don’t function and the thermostat is sitting right on the AC unit). So I pulled out my multitool (20 tools in 1 – beat that), and began to try to pry it off without any luck, and a lot of trepidation about ripping the wires completely out of the thermostat (you never want to be stuck down here without AC). So I screwed the thing back on, and began putting away my multitool when I heard a roommate incredulously ask – ‘what is that?’ (Reminds me of childhood days, when I would have a little ethnic food in the lunchbox). Okay, so maybe I’m not that useful in my ‘family role’. Another incident occurred in trying to tape up the AC vents which are situated so high along the wall, that even while standing on a chair, I still wasn’t high enough (and I’m the tallest roommate). So with no ladders that we could borrow, moveable tables to fit through our door, or anyone around that had excess growth hormone in their childhood, there was only one thing left to do: squat one of the other roommates while they’re standing on my shoulders so they could reach it (make sure you do your squats, you never know when they may come in handy).
It’s funny though, because if my father, brother, or Raz were here, I would simply leave those problems for them to solve. I guess when you know there is someone there to depend on for certain things; you subconsciously take advantage of it.

Alright, enough of my fluffy reflections. This week was definitely better than the last. I’ve gotten into ‘study mode’, have begun developing somewhat of a routine (I’m addicted to routines wherever I can make them). I am going to be a tutor for the Department of Educational Services, facilitating biochemistry for 1st semester students (I get paid a whopping 5 USD an hour), and I’m getting certified this weekend to be a CPR instructor so I can make a little cash on re-certs in hospitals when I go to the states (this is really annoying because my Canadian certification as an instructor, apparently doesn’t count for anything!). Anyway, I'm off to a physio study group yippee!

Back on the Rock

Well, I’m back. I apologize to those (mostly Nick) who have anxiously been awaiting my next post. In my defense though, we currently do not have internet access in our dorm. This week has possibly been one of the longest weeks ever. Thank God its over! When I arrived back in August for my first semester, there were so many new things to take in, people to meet, beaches to go to……well, this semester I arrived with the ‘been there, done that’ attitude, and the nagging thought of “Oh God, I’m going to be here for 6 months” (perhaps this is what has prolonged my first week). Anyways, to those that are interested here is a run down on the courses I will be taking for the next 4 months:

Neuroscience – supposedly very challenging, has been rumored to fail even the honour students.
Physiology – I was so excited to start this course, until we started the first few lectures and the prof started bringing back some nice physics and chemistry equations from undergrad (I thought I would be done with this stuff!).
Genetics – this course runs for only 4 weeks. Its interesting, but way too general, so in trying to work out the basis of certain concepts, often more information is needed than we have been provided with.
Immunology – this begins a few weeks in, right before genetics ends.
Parasitology – this course is also only 4 weeks long, but is the last 4 weeks of second semester.
Clinical Skills/Professional Development – Not bad, but the department is poorly organized, which leaves the class constantly questioning “what are we supposed to do? Where are we supposed to be? What does that test cover?”

So, on Friday night we went out to celebrate a friends birthday at the Beach House restaurant (excellent food, although a little pricey). This was followed by a party at ‘the White House’, which is just a white coloured house located right outside the campus gates, and is rented out by a number of our friends. I almost did not go out on Friday, but I know from experience, that staying in by myself would make me even more miserable. In retrospect, perhaps it would’ve been a better idea for me to stay in, as I had my first encounter with the effects of excess tequila……and let me say that Saturday, I felt as though I had some sort of stomach virus, complete with chills, sweats, porcelain worship, and bed confinement. So needless to say, I am completely ready to study hard, everything is out of my system – literally.