21.11.04

the reality of paediatrics

read an article in the good weekend about the families whose baby were taken away from them because doctors reported their baby's injuries as NAI. it makes it so hard - sometimes you just can't tell if the baby's injuries are accidental or not. it's easy to see doctors as overzealous crusaders out to take away babies away from their evil parents; or parents whose lives were torn apart by incompetent doctors and DHS people who didn't really know everything and therefore did the wrong thing. All too often doctors have to act on insufficient information and lack of knowledge, but parents sometimes think doctors should know everything, fix anything, and put all their fears to rest. sure it's vulnerable when you're faced with a big institution and you have no idea what to do with your sick baby, but sometimes doctors don't either. sure some doctors pretend and act like they do, but in truth, many doctors are just as scared, especially in this age of medical litigation. i asked my electives hospital in taiwan about medical indemnity and they told me they don't need medical indemnity. i guess the patients in taiwan haven't clued into that one just yet. but getting back to it - we have to do something. the best we can. and sometimes it's not enough. sometimes we make mistakes. sometimes those mistakes are fatal, or tear families apart. but it happens. if, based on what we know, we think the child's injury is due to an NAI, but the parents look harmless, and the story doesn't fit the injury, we've still got to report it. the law's made it mandatory, for god's sake.

watched when harry met sally last night (i was procrastinating majorly, and meg ryan: oooh). i think man and woman can become friends. just because i'm friends with a girl, why does it have to mean i can't be attracted to her? and vice versa - if i am attracted to someone, why can't i be friends with them? sex complicates the friendship, true, but you've just got to work around it. and if it doesn't work, there it is. i can't help being attracted to someone even if they're not. but why does it mean i can't be friends with them? i think that's bullshit. it just makes it harder, when you finally work up the courage to tell them, and you've been friends for so long you forget how to be their boyfriend. actually, maybe i've just got the point of the movie. heh.

No comments: