Sunday, September 12, 2010

Young mother's ........

Sometimes you wonder is there such a thing as the right age to have a child.I put this girl who is only 13years old under for generel anesthesia,her ceasarian was for a big baby and post date,thank god she didnt go in to labour.There is always a higher risk for GA in pregnant mother's but we dont have much choice when they're at this age.

Sigh she's barely a child herself,and she's going to be a mother .When we were going to put her under she started crying,was really anxious.Anticipated problems with her because she was overweight,true enough she developed bronchospasm,and little difficult to ventilate,although she's big,her physiology is still of a 13year old,plus pregnancy chnages has it's own problems.Even her op wasnt a very smooth one,a lot of blood loss,her baby was a whooping 4.15kg.

The reason i'm writting this is in many other places this would be considered as rape.When i first came and was in my O&G posting i was thinking what are this girls doing having babies at 13,14 the youngest was 11,but it is allowed here i was told as long as the village headman approves it.Maybe i'm just being skeptical but they're just to young.Even at 28 i think i'm not ready what more at 13.Plus the risk involved,any part of the labour process could have taken her life but of course who thinks of all that,childbirth genereally has no problems,but when it goes wrong,it goes really wrong,sigh.



Not sure where we should start in educating them,as i said before culture is a very delicate thing,probably this girl did not have a choice,or maybe she did,is she even old enough to decide if she wants a child,her next pregnancy will definately carry a higher risk,just hope it'l be alright.

Sunday, September 5, 2010

Why we became doctors.....




To honour the code,to serve the people,to get rich quick,past life changing experiences.We all have our reasons,no right and no wrong,just as long we're happy with the reasons we choose individually that's all matters.It would definately help to care a bit more,but a lot of factors come to play,we have our own stressors,problems,if we cant deal with our own how do we give the best to others.We all handle stress in different ways

Saying is always easy but it's practising what we say is the hardest.At the end work will always be work,we need to find that fine balance between work and play otherwise we'll be sucked into work so much it wont make us a better person at all,probably even make us bitter,passionless,revengfull,sad,depressed.So even if we're not into settling down we should do things to occupy ourselves or like they say an idle mind does worrying things.It could be anything finding a hobby,exercise,hanging out with friends,travelling,sigh anything except nothing:)

Good things,happy times will come,we just need to patiently wait for it.Bad times/worst moments will eventually pass.It helps having wishfull thinking and of course a little faith:)