*Michelle's Blogging..*

Name:
Location: Singapore

A Singaporean girl who graduated from a Medical College in the UK and currently working as a doctor, spending most of my years abroad burying myself amongst medical books, speaking Queen's English and trying to adapt to life in Britain. But I still remain a true blue Singaporean who loves my plate of char kway teow and enjoys the sense of closeness when speaking "Singlish" to my fellow countrymen. Why "The Chinese Doctor"? Because that's what my patients call me since they don't know my name!

Tuesday, December 29, 2009

Beauty of one's dialect

I recall a patient whom I saw in A&E who presented with giddiness. She was a lovely, smiley old lady, not one who turns cold and hostile towards you just because u're not in any way related to her. She did show some discomfort though, and I attributed it to her giddiness.


I started my history taking with asking how she was in Chinese. And she replied in Teochew, hoping that I would understand what she would like to tell me. Being Teochew, I understood her, and similarly, started conversing with her using my very limited Teochew. I liked listening to her accent. It was that of a typical Teochew, and it reminded me strongly of how my late Great-grandmother spoke. Grandpa still speaks fluent Teochew, but somehow, the accent isn't as strong as that above his generation.

For some strange reasons, she could tell I was Teochew, and started asking me where exactly did my ancestors originate from in China. Grandpa did mention this to me once, but I could not quite get the name, so I wasn't able to tell her exactly which village my family came from. She did though. It was a memorable conversation because I could literally see her "glow" when she found out that I was Teochew too. I did wonder if she was still giddy after all that excitement.

I managed to remember which province she came from, and after finding out my roots from Grandpa again, I was surprised that she came from the same place as my ancestors. It was a pity I cannot remember her name. I was even planning to visit her in the ward to let her know that my ancestors came from the same village as her. I know, for sure, that it would delight her tremendously.

The ability to converse in my own dialect, albeit limited, has brought some joy to some of elderly Teochew patients. Most tend to ask for my surname, and like what my elders told me, one can tell roughly whereabout my ancestry is from with that.

Today, I went to see my patient who just had a liver transplant. As usual, I spoke to him in Mandarin, only to realise later that he was Teochew. It was a great pleasure looking at him because I know he is recovering after such a major surgery he had. He was talking endlessly, and telling all of us doctors that we're hopeless for not being able to speak dialect. He glanced at me, and said to the rest, "Look at her...so young. How can she speak Teochew? Can u speak Teochew?"

I nodded. And he continued by asking me more questions to see if I could reply.

I could, but in short sentences. I was too embarrassed to converse properly with him, because it wasn't long since I actually started to speak Teochew to anyone (I never dared to...my parents always say my accent isn't perfect), and sometimes, I tend to "gather my words" before I say them out.

"I'm right. U can't speak Teochew. Teochews don't answer this way." he said with a cheeky smile. To be honest, all I wanted to see was that smile. The words didn't matter.

I had no idea what he meant. Perhaps my accent isn't anything comparable to my grands, but I am confident it was understandable (I don't see how bad it can get if grandpa understands), and I was sure I got my words right.

However, it's on days like this which makes me go "if only I can speak better Teochew...".

Tuesday, December 08, 2009

Traumatic call

Goodness gracious. My call last night was a nightmare.

First case was one in resus...extremely ill +++. One look, and I knew the ending point for this poor patient is nearing. Pupils were dilated and hardly even reacting. 5.5L of fluids poured in like there's no end to a "drought" with an effort to bring up the urine output was to no avail. Instead, he turned "gurggly".

I've seen a pretty reasonable number of very ill patients whom I know will go off within a short period of time, and most of them turn "gurggly" before they arrest.

Spent a great amt of time updating the family and reinforcing poor prognosis as well as the decision to not intubate or send the patient to ICU due to his poor premorbids. The family's response came as a surprise for me, as I thought they would have expected the worst outcome by looking at the patient, and knowing the underlying condition.

But apparently not.

I guess it's understandable that family members would want the best outcome for their loved ones, which sometimes the route they choose to reach the "ending point" might not necessary be the wisest one.

When my fellow partner informed me that one of the patients arrested, I knew on the spot who it must be.

Anywayz...

I spent the ENTIRE night clerking. No sleep. And still, unable to finish clerking all the cases. Bah!
The situation got so bad, that at some point, I just gave up tracking how many are pending, and how many I've seen. I think one can tell that I'm rushing through (yet trying to maintain patient safety to the best of my ability) frm my scribbling. The handwriting just got uglier and uglier, and I'm amazed when my ex-Senior from A&E could still say she loves my handwriting...gosh.

Should be doing revision now whilst waiting for exit ward round, but my brain's going on strike. And I still got a 5.30pm transplant meeting to attend, since I'll be presenting my cases to a big crowd.....sigh...that's life of a pathetic MO...