the STUDENT CLINICIAN: DIARY ONE
The feeling of ebullience just the moment you feel you are at a certain prestigious University is overwhelming. That moment, you feel your airways relax and phwex! Your big job now is to make a ‘massive catch’ at this big sea of different fish-sizes at the very end. Perusing the pages of medical school, you meet a world full of uniqueness and decency.
In the quiet environment of med-school, different students from various backgrounds interact together. These students have a similar goal -to become healthcare providers. These are doctors, nurses, pharmacists, dentists and medical laboratory students who in one way or the other must interact together to form a disease reduced mortality and morbidity.
As a student in medical school, some subjects/units are interesting while others are not-that-so-interesting but in all ways, we have to make an A grade or B grade on the unit in order to proceed to the next year. The different units that we are acquainted with change how we reason and interact with our environment- Both externally and internally. First, the units present themselves as tongue-wrestling terminologies that make you get a jist of what you are to counter-react with in your course. Honestly speaking medical school makes one be more careful, alert, secluded and that ‘more-careful-sense’ comes to age. You just transform from the ‘usual you’ and become someone ‘molded’ into a certain great creation.
Back in first year, that very second week you get into the Human Anatomy lab and that cadaver becomes your favorite book. Your mind gets wondering and drooled with many queries on how people look when they leave this world. When you take those closer, peeping studious looks at the cadaver on that aluminum supported cold table, you notice the stale looking internal organs: – the heart,stomach,liver and other internal organs that function actively inside you. You wonder on how the amazing creator molded us to be in such a great working and sophisticated embodiment.
This unit comes to try to make us understand the body functions and concrete body mechanisms. The love for it makes it simple. You just have to enjoy this unit even if you hate it. Its essentiality in medical school is just so credible even in the coming years in med-school. You come to understand the usual pre-campus queries; – how does the heart pump continuous without stopping? When we wolf ‘githeri’, ‘ugali’, ‘sukuma wiki’ and other 100% African dishes, where do they go? What happens? ‘And later we excrete them…’where does sweat come from? Andother miscellaneous thoughts that we just assumed back in high school. Sometimes some herbal old men always keep assuming that it is only spiritually capable for such weirdo things like this to happen. Continuously listening to such peoples’ reasoning can at times make you sick or feel as if someone has just administered a loading dose of benzodiazepines in your system.
Most students in medical school will tell you they knew this unit even before they got to medical school. It is a term known publicly by even those who do not do medical related courses. On completing the first year, the eagerness to commence lectures creeps in and most of the previous 2nd year class makes you know that pharmacology is a-no-baby-licking-thumb unit. You are required to learn and appreciate all drugs [even those you will never come across] that treat humans under the planet. In addition, you remember those pre-university years that you asked yourself, how does an antacid e.g. ‘tumbocid’ from Mac’s Pharmaceuticals knows that your stomach is the one paining and cures it? Why is it that ‘ventolin’ for asthma patients helps a lot in prevention of sporadic asthma attacks? How does ‘Carbamazepine’ stops seizures in epileptic patients? What happens? It just comes out interesting how you meet all those answers in lectures and you feel like you have reached that part of the world. This broadens your mind and the science of drugs that we did not know. And considering not all do medical courses, we are the limelight to act as a candle and guide others appropriately on the use of drugs to avoid their not-so-good repercussions.
This is a unit that most medical students would not guess what it was all about back in pre-university years. It was rare to meet some high-school graduates-who-are-med-aspirants talking about microbiology. Most talks could be pharmacology and anatomy. So most of them get to class plastering that naïve, ‘green’ look complement with a clean mind that would not know what this unit is all about. The flabbergasting nematodes, trematodes and you cannot imagine the dog tapeworm in your system inform of a hydatid cyst. How the hell did it get into a human? The shocking physiognomy comes out evident in the microbiology lab where you meet the lengthy-tapeworms and other minute-looking eukaryotes inside specimen containers. Some are heavily coiled in that murky-watery container that makes them even uglier and unprepossessing. There is no-much-to-look-at but you are required to remember 100% of their morphology in the exam room! Huh.
The observative learners will always win in microbiology and if you hate this unit, try faking intelligently. Immediately after the lecture on the giant human roundworms – Ascaris lumbricoides, you, you tend to take your hygiene to a certain ‘hyper-upgraded’, ‘super-level’ if at all there are such words. You wash your hands for extra minutes than the normal. those who had habits of frequenting those ‘kibandas’ around towns where you eat an enormous large amount of meal while standing for only half a dollar change their usual norm. Youimmediately buy the common deworming drug –albendazole just to make sure they have all being eliminated in your gastrointestinal tract. Frequent prolonged dry coughs make you think of the heart-lung-migration of the ‘Ascaris’ and ‘hookworms’ and you start wondering if in any case you might be affected. This unit just makes you skeptical and alert on daily activities of life.
The neurological disorders: – Guillain barre syndrome, Meningitis, MG, MS, Epilepsy among others, begin glooming the incandescent atmosphere of second year. In this unit, you get to read a wide range of disease under certain topics. The knowledge of assessing, diagnosing, caring, treatment and management of patients in wards on the day they are admitted to the day they are discharged from hospital. You remember those pre-clinical days where you never knew what happens when one is suffering a certain disease. You remember laughing to a certain man/woman who was shouting in a flattering way, peeing on herself or abusing people ‘anyhowly’ (if there is such a word) just because they had a neurological-disorder. You come to learn the heart, the counsel and the mercy that comes with the unit you study. You come to know of the depth and extremes of caring and giving a heart to somebody to make him/her rise the next day. Your mind broadens and your creativity to maintain the physiological standards of a patient until discharge increases. Some of the disease you learn in this unit makes you think ‘otherwise’ sometimes e.g. a mild-headache from a certain cranial angle of the head makes you think you have migraines, meningitis-like characteristics or raised intra-cranial pressure whilst it’s just a mild headache caused by premature-stress of all this units combined.
This is medicinal chemistry where you get to draw the structures of the drugs and the function of each moiety of a drug. E.g.,let us talk of a common NSAIDs (Non-Steroidal Anti-Inflammatory Drug) -meloxicam, which Treats symptoms of osteoarthritis (OA) and rheumatoid arthritis (RA). For a pharmacist you must pretend to be an artist by nature for once and draw this structures by heart. You must exercise that professionalism and know which functional group brings out the response. You exercise the joy and admiration that comes along with preparing and manufacturing of drugs.
This is the foundation that stands great in medical school. The joy that comes along when you are fully aware of what happens intrinsically; the excitement that pushes you to dive in this pool of knowledge that promises a healthy nation.
Hurray, to all those hundreds of thousands of student: – doctors, dentists, pharmacists, nurse and the other entire medical courses on the planet. This is us and we should embrace and deliver all what we are currently learning.
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Posted on November 2, 2015, in HEALTH ARTICLES and tagged chiromo units medical, health articles, kennedy mawira, kenSpe, kenya medical school units, lt3, medical school, nurses and pharmacists university of Nairobi, speranza ndung'u, student dentists, students doctors, students nurses, units in medical school university of nairobi. Bookmark the permalink. 13 Comments.