For the past two weeks, my mornings have been quite a roller coaster of emotion, starting with my inevitable waking up and staring at my phone in anxious anticipation at 6am. The phonecall I wait for never comes, and I end up with a sinking feeling of mixed relief and dismay.
So what exactly have I been doing for the past couple of weeks since my return?
Well, I’ve been shopping.
I read up alot on an ongoing debate in America regarding the teaching of Creationism (now called Intelligent Design) in classrooms. Did some research on climate change and the differing opinions and hypothesis in the scientific community (i.e., Cloud cover and solar irradiation). Played a whole lot of playfish.
Oh yes. And fell sick and got semi-well.
I’m going to take a few paragraphs out now to rant a little at the doctors at the Silver Cross clinic that serves the community of my neighborhood. Some of you already know the entire shebang since I kept complaining about it. You can skip to the next dotted line to continue with the rest of the post.
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On my first visit to the clinic, I presented with a incessant nosebleed and mild fever, and informed the doctor that I had been in Australia for the past 3 weeks and only just returned the day before. The doctor told me the nosebleeds was due to the dry weather in Australia (disregarding the fact that my nose only bled in Singapore, and was fine overseas), and the fever was due to the nosebleeds. He prescribed me with nose drops and sent me off without anything else.
On the third day of my return (1 day after seeing Doctor #1) my fever continued to climb after the nosebleeds stopped, now spiking at 38ºc but fluctuating wildly with lows of 37.4ºc. I began getting severe headaches and a slight rash began to develop on my legs and back. So I go back to the clinic and see the attending doctor at the time, Doctor #2. This time my mom went with me to make sure I got some medicine, or at least some reasonable explanation.
Doctor #2 asks some questions and quickly realizes that Doctor #1 had put “returned from Australia 3 weeks ago” instead of “was in Australia for 3 weeks”. He then performs a general examination, finding no visible inflammation. No coughing or sneezing was present. He explains that I do not have a fever (fever has to be 37.5 and above), and the rash is due to friction in the dry weather of Australia (also disregarding that the rash developed when I returned). He says I have a non-localized minor viral infection and he can’t do anything about it.
My mom at this point gets a little flustered and asks alot of questions about H1N1 and whether I might be at risk. The doctor becomes visibly irritated with us (this is only 3 minutes into the visit) and gives curt, short, and rather uninformative answers, saying he can’t do anything unless we want a blood test, which he cannot do for us in the clinic either. After this visit, I was sent home with no medicine.
Now (1.5 weeks later) the rash has spread to my arms, up my back, on parts of my scalp, down most of my legs to my feet and soles. The fever comes and goes still, some days at 37.5, some days completely normal at 36.9. I’ve got a dry cough, and random muscular aches. And I have daily headaches and resort to up to 6 panadols a day.
In my opinion, I have a really mild case of H1N1. Minus the rash which seems like an extra symptom.
I suppose I am pretty miffed at the doctors at Silver Cross.
- take the time to listen to your patient and take down the correct history. There’s a whole world of difference between “returned 3 weeks ago” and “was there for 3 weeks”. Especially in a H1N1 hotspot like Melbourne.
- Try to explain your suggested diagnosis properly. I didn’t exactly buy the “dry weather in Australia” to explain my nosebleeds, given that my nose only bled in the much more humid environment of Singapore.
- Don’t just dismiss your patients. You may see dozens of patients a day, but a patient sees just one doctor. Getting irritated with their questions and treating them so flippantly is highly unprofessional, and definitely not what I have been studying clinical ethics to become.
- Ask more questions. I had to ask all the questions like “do you think it is contagious”, “are there any steps I can take at home to alleviate the symptoms”, and “I work with young children. Should I be taking an MC”. If he had just let me walk out of there, I might have gone back to work, and spread my unknown itchy sickness to all the kids.
Sigh… I understand doctors these days have to deal with alot of probably well but think they are very unwell patients who stream in droves to clinics. But their goals are not to waste your time. Ambroise Pare said a physician’s job is to cure occasionally, alleviate often and console always. It’s in cases like these you should push yourselves to practice the other two aspects of what makes this such an admirable profession.
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Anyway…
It’s the second week of October now. So the results of the Monash GMS interview should be out any time now. To be honest, while I hope for the best, I’m expecting the worst. I’m actually waiting for the email to come in the morning saying “Dear Yuying, we regret to inform you….”
My parents sat me down during lunch today to discuss what they feel I should be doing should I not make it to med school this intake. I know their qualms about me trying another year. I’m their first born, and the only graduate. And yet, unlike their friends’ kids, I don’t hold a steady job, haven’t started my career, and don’t have a rock solid plan for the future.
They discussed with me today the possibility of me taking a joint ACCA ICPAS course leading to a CPA in 3 years, all the while working at my dad’s office to learn the ropes. After getting CPA, I might get to be a partner, and take over the business my parents built from scratch.
I feel a bit of moral obligation to study accounting, to be honest, as much as the thought repulses me to no end. None of their kids has taken up accounting, and with the other two of this trio with someone formed ideas of their futures, that leaves just me to pick up the pieces.
Sure, I don’t mind so much. With this job, it’s stable, I know I can provide for my family in the future, my parents’ life’s work is safe. But my heart screams it’s not what I want.
But then again… Am I just being childish and selfish, clinging onto these dreams that are never meant to be? I’ve wanted to be a great many things in my life.

I’m so sure I want to be a doctor. I’m so sure I want to save lives, make a difference with these hands of mine. I’m so sure I was meant for something greater.
But what if this certainty of mine is wrong?
I need more time to think about this.