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| Before I hang my stethoscope |
The great divide,the ravine had been crossed with success. Wreaths of victory were ours for the taking. A few were maimed along the way,some were relegated,and our hearts would go out to them in tenderest pity. We dared not jest, deride or look with scorn at their estate, for all things,whatsoever they be, do happen in the stream of time for a reason. And who dares to insult reason! I have fed my eyes on a passage in holy writ that reads thus,' And we know that all things work together for the good to those who love God...'* We would hung as it were,our harps by the banks and cease to sing the songs of the homeland when met with one who would have enlisted in our joys,yet chance allowed him not the privilege. Our only consolation was the rolling of time. The remedy of time, non can comprehend. There is balm in the passage of time, we had come to learn. Scars it may return, but a balm nontheless.
The stethoscope, few understand it's significance. Many associate it with the practice of medicine and it's technicalities ,and rightly so. Yet one who has ventured through the rigorous training of medical school will understand that it goes beyond the practice, the diagnoses, or indeed the heart beat. It is a relic with ethos , a gourd of the experiences one has had, it is a symbol of the fraternity. All wrapped up in a 'leathery' black casing,or in silvery dull gray or indeed any other form,elegant or simple,decorated or plain, the stethoscope, a quintessential gift fit for a servant of the land, a servant of the common and nobbleman. It encapsulates the art and science to be found in medicine.
With the joys slowly abating,I begun to realize I ,like my corhorts, had just entered new enchanted territory. Things were about to take a new turn. That which we had to imagine to be real, we now had to imagine it was feinged. Patients were discussed,thought of,as cases to loose their individuality ,perhaps to save us the misery of attachement. Dummies did not cry or flinch in pain, blood was as good as your imagination would take you. Every aim at canulation was a straight hit, never to miss a vessel, no precious fluid wasted, no ounce of blood lost. A torniquet could be left tied with no risk of injury. There was no mistake too grave, no misshap fetal. But not so in the emergency unit, on the wards, in the treatment room or the theatre bed.
Like soldiers who with excitement receive their armoury and with a sudden gust of bravery rush for the attack and soon realise the perils involved, we saw life in a different light. At first we walked the corridors with 'steths' hanging round our necks, or cartridged somewhere as a bodily appendage where one need not ask whether or not you were part of the 'nobility'. Seniors would often have theirs tucked away somewhere as if to conceal their identity. Once in a while , it would be exposed to perform the ritual of patient examination, afterwhich it was back in the marsupial pouch. I saw this to be strange. Who would want to hide the very thing that sets one apart from all others?
somehow, the steth,togetehr with the white court seemed to have a force of attraction that I just didn't understand. Walking in the isles, in between bays, patients would glare at me, as if to whisper in tones heard only by my heart. "Doctor!doctor! the calls would ring out. I would often rush to look for one, for it took me quite some time to realise I was the 'doctor' . Yet my fears prevented me from engaging to close. I witnessed my consultants and other senior stuff perform resuscitaions, but I dared not be the last person the patient saw before his/her demise. Soon It dawned on me that others trusted me more than my mind could comprehend, more than my self confidence could allow.
Soon I realise my fear to fail would probably see more people helpless than my failure after an attempt. I took my apprenticeship seriously. At least to my best of ability. Like my colleagues ,I was an ardent student. A disciple of the forerunners , as it were. We followed through the daily rut. With our hairs on end at every turn, we were on the receiving end of another's labile mood.
At first, we were all engrossed in trying to find the book fitting case. One who found a classical case of meningitis, syphilis, down syndrome, Steven Johnson syndrome, or typhoid or the endless list of syndromes somehow felt the tinge of cloud 9. We would often grunt in discontentment when a patient was discharged before the case was presented to the class or consultant. Our desire to learn seemed to overshadow our sympathies. We could barely recall the names of the patients, yet seldom would we forget their ailment. Had we suddenly lost sight of our high calling? Had we become seered?
When faced with death, we interlectualised it,we explained the cause so as find reason to accept it's occurence. Nothing was to be left to the grip of chance. When helping a mother bring forth new life, we wore straight faces,and only smiled to show the mother all was well. If the first breathes turned to paleness, we did the ritual of lifesaving. If death ensued, we closed the case, and in learnt acts of simpathy, we counseled the patient. The irony ,so disconnected from the patient yet so intricately close.
The beauty of the ward, seeing one who was at the edge, ready to ebb away in utter nothingness, to remain no more in the land of the living, leave the bay with a dance of victory. Death evaded, perhaps to meet with it another day. Everytime one gets his/her hands and, upon consent of the patient, places them on the patients body, something happens that only the doctor and patient may understand. The patient feels the hands as messengers of hope, an assurance of life without ills. The doctor gently awaits communication through the palms perhaps what his eyes fail to see, the hands will feel, providing a little more information about the one who holds him in high esteem. What the hands fail to appreciate, the aided ear is implored. The stethoscope is placed upon the expectant patient. The body seems to writhe in malady, yet a rythym audible enough to help put the pieces together.
There was always a temptation to think I knew everything. I always had an answer to a patient's qerry. But I learnt that I always needed the hand of another, the ear of a colleague, the thought of a senior or peer. But one needed to know his tool and use it wisely, before it is hung . Hung around the neck.



