Tag Archives: personality

Baby Now What?

I wrote about the day I gave birth (blog entry called Childbirth) and described the physical process. Harder to put into words is the emotional process that day and the next few days as my baby and I started on our journey together. I’ll start at the beginning. When I woke up bleeding that day, I knew Savannah (that’s my baby’s name) would soon be here. I was scared. That labour would be painful, more painful than anything I had ever been through. I was scared that when it came to it, I wouldn’t be able to physically push her out and might end up needing a caesarean section. I was scared that Savannah might run into trouble and have complications. I was scared that I was going to be a mother and I didn’t know if I’d be any good at it. The main feeling that morning was fear and anticipation. I could not wait for the scary bits to be over, to hold my baby in my arms, to be a mother.

I had a scan printout from 28 weeks of pregnancy which captured her face. The shape of her face was clearly outlined and you could make out where her eyes and mouth were. I must have built up an image of Savannah in my head although when I thought about it consciously in the days leading up to her birth, I couldn’t quite see a clear picture. It was a bit of a shock when she finally popped out and the midwife bundled her into my arms. I looked at her and I couldn’t quite compute what she looked like. Not like my subconscious imagined because every time I looked away and back, I felt a dart of surprise that this was Savannah. The face I was looking at was the face belonging to the baby who was moving about inside of me just a few hours earlier. She looked like her dad and she had lots of curly hair.

I handed her back to her dad as I delivered the placenta and was examined for tears (thankfully none!) and given a little clean. When she came back to me, she was rooting about so I got into position and stuck her to my still-normal-feeling breast. Lo and behold, she opened her mouth and started to suckle. That almost blew my mind. It was the reality check I needed. My brain was starting to connect the dots. I had a baby. For real. Trying to get milk out of my boobies.

So, did I fall madly in love at first sight as people often describe it? Not quite. Naturally I loved her but it wasn’t a sudden flood of emotion. Perhaps it was the exhaustion of the day but it was all a little muted. I was dirty, exhausted and hungry. At my midwife’s suggestion, I mustered up all the energy I had left and shuffled to the bathroom, half hanging onto my husband as my mother held her granddaughter. As I stood under the hot shower (which annoyingly kept stopping whenever I stood still), I started to feel less drained. When I was washed, and dressed and smelling of the lovely shower gel I’d used, I had tea and toast (inhaled it more accurately) then I sat half asleep on the comfy armchair and watched my mama hold Savannah.

3 hours after her birth, the wheelchair was brought in to transfer me up to the ward where I was to spend the night. I sat in it and was handed Savannah. This was when I felt an almost overwhelming feeling of protectiveness. She felt so small, so fragile as I held her close. I pressed my face into the side of her face and felt the warmth seeping into my soul. Up on the ward, my husband and mother settled me in and said goodnight. With the curtains pulled around my bed, it was the first time I was alone with Savannah. As she lay in the cot, I lay down and closed my eyes, my hand resting on her cot. I found it difficult to sleep. Every fibre of my being was attuned to her and I was listening for the tiniest sounds from her. I didn’t sleep much that night (or any night for the next few months). When we were discharged, I sat in the backseat next to her and watched her carefully as her dad drove us home. This watching continued for the next few days until I got used to her face.

So, in the first few days, I felt warmth, protectiveness, love and fear. The falling in love bit came later. The first time I felt that exciting, blood surging, butterflies in the stomach love for her was weeks later when she started smiling socially. Every time she smiles, I feel a surge of in-loveness that makes my knees a little weak. When she smiles deep into my eyes, especially first thing in the morning, I fall in love all over again. She looks at me the way my mother looks at me. With an unconditional deep love that is incredibly humbling. When she reaches out her chubby fingers to touch my face or grabs me when I go past her highchair, I fall more in love. When she laughs with pure unadulterated joy as I tickle her or throw her up in the air, it’s love like no other. Now many months in, as Savannah learns to express herself and her personality is starting to take shape, I feel love for her like I never imagined I would love. I thought the love I had for my mother was unmatchable but it is. It is the same yet so different. Every day, I fall more in love with this innocent, beautiful child. Every day, I feel her essence seep into my very core and wrap itself around all that I am. I know that this love is the forever kind. The I’d take a bullet for her kind. The I am all in and so vulnerable to be hurt kind. The best kind of love. I am in love with her. Totally, madly, deeply.

Being a Paediatrician

I knew I wanted to be a doctor when I was about 4 years old. I can’t explain now how I came to that conclusion or why I was so sure. I just knew and now I am a doctor. In my 2nd or 3rd year of medical school, as part of career guidance we were given a link to a website where we could input our data and get a psychometric analysis done on us. I had to answer a series of questions about how I felt about certain things, my beliefs, my principles, how I solved problems. Eventually, I answered the numerous questions and it took a minute or 2 to load. Then it gave me the list of medical specialities ranked according to the ones I am most suited. Pathology and neurophysiology came last as I would have expected but I was taken aback by the top 3 choices. It said: Paediatrics, Palliative Care and Neonatology. I poo-pooed the test and dismissed it. When I went into medical school, one thing I was certain of was that I loved children and I never wanted to see them sick and suffering. Therefore I sort of ruled out paediatrics very early on. Back then I thought I might end up being in Obs & Gynae (obstetrics and gynaecology) because it was a good mix of medicine and surgery and I thought the variety and acuteness would suit me. I also thought I could be a GP because it retained the versatility of all of medicine without having to make a choice.

During my Obs & Gynae posting as a medical student, I found that although it was interesting the speciality did not set my pulse a-racing. There was no eureka moment. The specialists were nice but I didn’t feel any kinship with them. My paediatrics was my last medical school posting and the moment I stepped into the Children’s Hospital (BCH), I felt an excitement. Even though most of it went over my head and there seemed to be a lot of calculations and there was the issue of small people who were not well, I felt right at home. Over the 6 week placement, I grew to love BCH. I loved the patients, the child-friendly wards with their play areas, the kindness of the nurses and most especially, here were doctors I wanted to be like. Who I enjoyed spending my time with. Who seemed to derive pleasure from their work even as they were rushed off their feet with the number of patients. By the end of that placement, the career puzzle for me was solved. I was going to be a paediatrician. And to my surprise, the patients I loved spending time the most with were the little premature babies born with complex problems needing surgery to survive.

As an FY1 (first year after graduation from medical school), I met a patient in her 30s who had inoperable incurable ovarian cancer. We bonded as I tried hard to get some blood out of her for some tests her consultant had ordered. When the ordeal was over, I thanked her for being patient and she called me back to say she thought I had a way about me that would be perfect for palliative care. She said she didn’t know if I already had my career mapped out but that I should think about going down the Palliative care route. I thanked her for her kind words and left in a reflective mood. Despite my psychometric prediction, I had never given it much thought. I considered it over the next few days and concluded that although I was a listener and when it came to my patients very patient (unlike in my personal life then), I wasn’t sure I could handle all the emotions that are linked with patients who are dying. So I filed the idea away under ‘unlikely’ and didn’t give it any more thought until just recently.

Earlier this year, I stumbled across an online course on paediatric palliative care and signed up to it. As I worked through the course modules, I realised that I was into all the issues that were being raised and although a lot of it was challenging, it was exactly the kind of challenge I relished. A lot of it was to do with talking about options and choices. About spirituality and counselling. About co-ordinating care. About letting the dying patient and their relatives dictate the terms about how these last days/weeks/months should be handled. I realised that palliative care is not just about the advanced care pathway which outlines what to do when death is imminent but also about actively keeping the patient well enough to reach certain goals. It is about enabling the patient to die in a way that is most acceptable to them. It is about being there for the patient and their family so that when things become scary or unexpected, there is a comforting presence to guide them through the darkest hours/days. So I have come full circle and now I know that I would like to sub-specialise in paediatric palliative care. I wish I knew where my Obs & Gynae patient was so I could share the news. I wonder if she is still alive today.

I love being a paediatrician by the way. If I don’t end up sub-specialising, I would happily be a general paediatrician. There is a different vibe on a paediatric ward or in a paediatric hospital like BCH. There is a friendliness that is missing in adult medicine. People seem to go out of their way more to be helpful in the paediatric world. Nurses do not seem to be as difficult or as disconnected as they can be in adult medicine. The paint on the walls is brighter happier colours. There are toys, music and games everywhere you go. The best bit about my job is the children. It is such a privilege to work with kids. They are amazing little packages, mostly untainted by the negativities that come with growing up. They come out with the best statements and questions that make you stop and think or laugh until your belly hurts. Their bravery is comparable to none and watching them as they struggle with illness and develop ways of coping is inspiring.

Of course paediatrics is a complex speciality by its very nature. Our patients are often too young to tell us how they feel and exactly what their symptoms are so we have to be more observant than our adult counterparts and we have to go on what other’s (parents/carers) impressions are more than the patient’s own words. Many do not understand why they feel poorly. They just know that they are not happy and they want it to be fixed. Parents are often not at their best when they meet us because they are anxious and stressed about their sick child and are frustrated because they have no solution to put them out of their misery. So yes, it is often the most difficult part of the job having to face irate upset parents who want to find someone to blame for their helplessness. Who want to take out their frustrations on someone else and make demands because it makes them feel they are doing something…anything. Sometimes, these parents do cross the line of anxious and stressed parents to parents who are abusive (mostly verbally but occasionally physically). Unfortunately, it comes with the job but we deal with it in our own way. Usually by being patient and reasoning with but where necessary we call on services to support and protect us. Luckily, these horrible encounters are not an everyday occurrence.

I have so many examples of the beautiful little people I have come across in my job but I will tell you about a recent one. I was on-call over a weekend and covering the haematology ward (haematology deals with diseases involving the blood cells). A 2½ year old boy with severe haemophilia B came in with bruising which meant he needed an injection of factor IX (the bit of blood he doesn’t make enough of which is essential to prevent you bleeding without much force). It was my job to treat him so with his parents and a fellow doctor assisting, we held him still and I injected the medicine into his vein. He cried as I did it and when it was done (it only took a minute), his parents prompted him to say thank you. Through his tears, he turned to me and said ‘thank you’. Then as I tidied up, they got their things together to leave and he waved and said to me ‘bye lady’. With no resentment. Despite the fact that I had just poked him with a needle for reasons he was too young to understand. I thought wow! Only a child would be as forgiving as that. The momentary feeling of guilt for making the gorgeous little boy cry passed with that exchange and off I went, to do more things to other children which might make them cry in the short term but looking at the bigger picture, everything I do is in their best interests so when I go home and I go to sleep, I feel happy and satisfied. And thankful for another day where I have done all I could to make another child’s life that bit better.