Student BMJ November 1997: Life

Tamsin Radford
third year student,
University of Birmingham

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The not-so-secret diary of a medical student

Monday. A patient is shocked by the alternative communication skills of our manic registrar who comments: "Take off that horrible nail varnish - you look like one of the Spice Girls. I suppose you injured your foot by falling off your platform shoes." Famous professor wins a bet by persuading us to chant: "We're mad, we're barmy, we're in your cancer army." Wonder if medical school has turned us into sheep.

Tuesday. Feel our registrar may be becoming pessimistic when he comments about a patient: "Tell his relatives not to buy him any long playing records." Laura is also pessimistic as her bowels have reverted to pre-bran muffin sluggishness. She is cheered by the thought that it is now vest weather and spends a happy evening finding her thermals.

Wednesday. Discover that surgeons being decisive is a myth as a cardiac surgeon orders: "Bypass on - or actually, maybenot yet." Later feel inhibited going to the supermarket as I am reduced to wearing my horrible bar code patterned knickers and I think I'll be scanned at the checkout. Laura suggests that I'd come up as a jam tart.

Thursday. A colleague is mystified when an irritable lecturer asks him a question and adds: "and try not to answer as if you are a trade unionist in Leeds." Later my firm comes up with a way to save the NHS money as 10 feet of rubber cable lying around the hospital floor inspires us to consider multiple simultaneous endoscopies.

Back to cover page Friday. Saved from my head exploding in an ethics discussion by the lecturer discovering people playing cards. She feels her autonomy has been compromised and concludes it would be utilitarian to have a coffee break. A patient with a hand injury lies listening to the team argue about surgical procedure. He says quietly: "I just want to know if I'm going to lose my job." They don't hear him and the registrar wordlessly sticks an x ray form to the patient's chest on the way out. How long will it take for me to stop noticing?