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So not my thing

Posted Oct 30 2008 3:22pm
So... psychiatry... ummm... well...

That would be my entire spectre of spontaneous comments on the subject of psychiatry. I can elaborate, of course, but it took me a while to figure it out.

I don't like it, really. But at the same time, this is the best rotation this year, not counting the eternal favourite of infectious disease, where they teach you a better exam of any system than the entire internal medicine department combined. And all in the three short weeks. But that's not on topic, is it now?

I can't really decide about this thing and it's probably the 'fault' of the teaching staff. You see, I do deeply dislike psychiatry. I don't like their pathology. I don't like problems I can't touch and see and detect on labs. I hate it when patients lie to me and try to be manipulative. I hate it even more when they succeed. Which happens a lot. I'm freaked out by the more outlandish problems. And I can't empathise with depressed patients. I am fully aware of the fact that they are sick, I just have trouble listening to the same two sentences for the entire duration of the interview. "I have messed up my life and wish I could do better." "I don't feel like trying to do better." Yes, I know. A disease. But it's really unsettling.

On the other hand, I am actually being taught around here. People are trying to get stuff into my head. They explain. They relate patients to what they teach in lectures. I have rediscovered my need to read about a condition I have seen on the ward. Hence, this is one of the best experiences I have had this year.

Now if only I could convince the patients to stop lying to me and get a somatic symptom other than insomnia and I'd be a happy med student.
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