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They must have something that cannot be memorized and graded: a great doctor must have a huge heart and a distended aorta through which pumps a vast lake of compassion and human kindness.
So I told them the truth: the hours are terrible, the pay is terrible, the conditions are terrible; you're underappreciated, unsupported, disrespected and frequently physically endangered. But there's no better job in the world.
Between us in the last few weeks we’ve seen patients with itchy teeth, sudden improvement in hearing and arm pain during urination. Each one gets a polite ripple of laughter until it’s Seamus’s turn. He tells us he saw someone in A&E this morning who thought they were only sweating from half of their face.
He sits back in anticipation of bringing the house down, but there’s merely silence. Until pretty much everyone chimes in with: “So, Horner’s Syndrome then?”. He’s never heard of it specifically not the fact that it likely indicates a lung tumour. Seamus scrapes hos chair back with an ear-splitting screech qnd dashes off to make a phone call to get the patient back to the department. I finish his Twix.
This, of course, makes sense: a doctor must be psychologically fit for the job – able to make decisions under a terrifying amount of pressure, able to break bad news to anguished relatives, able to deal with death on a daily basis.
You’ve been trained how to examine a patient’s cardiovascular system, you know the physiology of the coronary vasculature, but even when you can recognize every sign and symptom of a heart attack, it’s very different to actually managing one for the first time.