{"id":15,"date":"2015-03-27T00:28:38","date_gmt":"2015-03-27T00:28:38","guid":{"rendered":"https:\/\/inmedblogs.us\/brittnimclam\/?p=15"},"modified":"2015-04-25T21:21:53","modified_gmt":"2015-04-25T21:21:53","slug":"learning-medicine","status":"publish","type":"post","link":"https:\/\/inmedblogs.us\/brittnimclam\/2015\/03\/27\/learning-medicine\/","title":{"rendered":"Learning Medicine…"},"content":{"rendered":"

\"brittni\"<\/a><\/p>\n

 <\/p>\n

So you might think that medicine would be different in the developing world than it is in the US. Which in some sense is true. In another sense, it might be the way we should all strive to practice a little more! Sometimes patients show up with a multitude of complaints, and they really only have a viral Upper Respiratory Infection or are constipated and need reassurance or maybe something simple over the counter. All history is done via an interpreter, and similar to some patients I\u2019ve met, the patient may or may not answer your actual question, or understand it, and there may be a long discussion followed by the interpreter turning to you and saying \u201cyes.\u201d It can be frustrating. I\u2019m learning to really work on physical exam and trust those findings, learning to ask before every test \u201chow will this change what I do\u201d and have a significant differential in mind before proceeding anywhere.\u00a0 Every test I order costs the patient something that might seem trivial to us, but is significant to them when the daily wage here is roughly equivalent to $1.50. \u00a0Prenatal care is roughly similar, except trying to determine the correct dates can be a bit of a challenge, UltraSound is done whenever it is convenient for the patient (and they can self-refer for that), and breech vs cephalic presentation is confirmed either manually or by fetal position xray.<\/p>\n

 <\/p>\n

And I\u2019ve never had so much fun. It is challenging to the utmost degree, heartbreaking when tragedies that could be prevented or resolved with quicker access (some of our patients travel days out of the hill tracks to get here), and joyous when recovery happens that only God can bring against all hope. The best and worst moments sometimes happen back to back.\u00a0I\u2019ll try and post a case soon also for you medically inclined folks \ud83d\ude42<\/p>\n

 <\/p>\n

And hopefully someday soon I\u2019ll post some pictures, at the moment I cannot get them to upload.<\/p>\n

 <\/p>\n

PS for those who really want to know, I matched to Duluth Family Medicine Residency in Duluth, MN last week. Yahoo!<\/p>\n","protected":false},"excerpt":{"rendered":"

  So you might think that medicine would be different in the developing world than it is in the US. […]<\/p>\n","protected":false},"author":30,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[1],"tags":[],"class_list":["post-15","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/inmedblogs.us\/brittnimclam\/wp-json\/wp\/v2\/posts\/15","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/inmedblogs.us\/brittnimclam\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/inmedblogs.us\/brittnimclam\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/inmedblogs.us\/brittnimclam\/wp-json\/wp\/v2\/users\/30"}],"replies":[{"embeddable":true,"href":"https:\/\/inmedblogs.us\/brittnimclam\/wp-json\/wp\/v2\/comments?post=15"}],"version-history":[{"count":0,"href":"https:\/\/inmedblogs.us\/brittnimclam\/wp-json\/wp\/v2\/posts\/15\/revisions"}],"wp:attachment":[{"href":"https:\/\/inmedblogs.us\/brittnimclam\/wp-json\/wp\/v2\/media?parent=15"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/inmedblogs.us\/brittnimclam\/wp-json\/wp\/v2\/categories?post=15"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/inmedblogs.us\/brittnimclam\/wp-json\/wp\/v2\/tags?post=15"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}