Better Health: Smart Health Commentary Better Health (TM): smart health commentary

Article Comments

The Story Of One Medical Professional’s Lack Of Compassion

It affected me.  Not just it, but the fact that it didn’t seem to affect my colleague.

I was a lowly fourth year medical student, delivering babies for all I was worth. Looking back, I realize I enjoyed it. The whole ‘joy of a baby coming into the world’ really gave me joy that a baby was coming into the world. Call me sentimental but I saw each birth as beautiful. Somehow I could look past the meconeum and the amniotic fluid and the episiotomies and see what was actually going on. It was a happy time for the mother (mostly). It was the beginning of hopes and dreams. It was a new start for the baby (obviously) and for the mother, and in a sense, each new birth may have signified a potential new start for me.
She was excited about her new baby, but there was a cloud over her entire admission. The reason she had come in to the hospital was because she hadn’t felt the baby kicking for the last 24 hours and she was worried. Quite soon we were worried, too. Not only could we detect no movement but we couldn’t hear the fetal heart beat with our fetoscopes. My registrar was one of those amazing people who really felt for each and every patient despite the massive torrent of humanity that moved through the labour ward on a daily basis. This patient was no exception.
Actually we all new what had happened, but the registrar wanted to make sure. I suppose she just didn’t want to tell the mother her baby was dead before she had confirmed it on sonar. Actually I think she wanted to use the sonar to show the mother there was no heartbeat to avoid problems of denial once the news was broken. Whatever the reason, I followed the whole drama as it unfolded, as did my fellow fourth year green medical students.
I remember sitting there in that small labour room where mothers are usually introduced to their new babies while the registrar ran the sonar probe over the mother’s swollen abdomen. I remember her bringing the probe to a standstill over the heart. We could clearly see the heart, but there was no movement. The heart was not beating. As we actually already knew, the baby was dead. All that remained was to tell the mother. With genuine sympathy and very sensitively, the registrar broke the tragic news to the mother. I saw her face drop as the realization of the loss set in. I could see her fighting back the tears. I was, too.

Finally it was over and we all slowly filed out to leave the mother to absorb the blow. Of course we still had to decide how to deal with the problem of getting the baby out, so we didn’t have the privilege of dwelling on the human drama that had just unfolded before us. Still I took a moment to allow myself to feel it. This involved no small amount of swallowing back the tears.
The registrar turned to us.
“And that is that. Which of you is going to deliver this baby?” My colleague was the first to speak.
“Excuse me, but when the baby is delivered, can we practice endotracheal intubations on the body?”
I felt nauseous and slightly dizzy. It hadn’t occurred to me before then but suddenly I realized the entire humanity of what had just happened had gone completely over the head of my colleague. All he was interested in was the possible so called “learning opportunity” that he could get out of the “situation.” Quite frankly he had felt nothing for the baby, and he had felt nothing for the mother. I couldn’t help wondering what sort of a doctor he would one day turn out to be. I never wanted to be like that.
In the end I was the one that had to deliver the baby. There were a lot of tears.

*This blog post was originally published at other things amanzi*

You may also like these posts

Read comments »

Comments are closed.

Return to article »

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

Read more »

How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

Read more »

See all interviews »

Latest Cartoon

See all cartoons »

Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

Read more »

The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

Read more »

Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

Read more »

See all book reviews »