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Insight: (Physical, Psychosocial , Ethical) (Discovery, Stimulus, Reinforcement )

Indexing Title: MASuñaz’ Medical Anecdotal Report [07-02] MAR Title: My Personal Struggle Date of Medical Observation: March 11,2007.

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Insight: (Physical, Psychosocial , Ethical) (Discovery, Stimulus, Reinforcement )

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  1. Indexing Title: MASuñaz’ Medical Anecdotal Report [07-02]MAR Title: My Personal Struggle Date of Medical Observation: March 11,2007

  2. Narration: It was only the second time I was pulled out from my post in order to lead a medical team for another “Sama Sa Masa”. After my previous experience with my first “Sama Sa Masa”, I thought I would prepared for this one. I was wrong.

  3. Narration:I say this because I did not expect to be out of my post up until 10pm instead of the usual 11am –12nn. I was just thankful I was on duty, otherwise I would have wasted my time, it being a Sunday and all. I say “wasted”, not just because of the extra time I would have spent there had I not been on duty, but also because of my experience there.

  4. Narration: The event was a Tae Kwon Do competition among different dojos and there were some 1000 participants. Knowing it was a contact sport, it was natural for me to expect quite a number of injuries… and I was right. Injuries were mostly contusion hematomas and corneal abrasions. But there were a few cases that caused me to reflect as to why I was “wasting” my time there.

  5. Narration: First, there was a case of an 8-year old boy brought to me in tears because of swelling on the dorsum of his right foot. According to him, he sustained the injury when his foot and the foot of another fellow competitor clashed when they both threw kicks at each other. Aware that the impact could have been high, I immediately examined the boy and suggested that he have an x-ray.

  6. Narration:While doing this, the boy’s coach kept on scolding the him, insinuating he was overreacting. She was getting under my nerves because she was not the one in pain and there she was blabbering her heart out. What irked me however, was when she commented “ Ipatingin na lang natin kay Dr. *** ( referring to a doctor in the stands), surgeon yun eh. Asawa niya anesthesiologist”.

  7. Narration:I then lashed back at her saying “Doktor naman ako a!” and gave her a long cold stare. This finally shut her up and I had my way with managing the patient.

  8. Narration: Another case was that of a teenage girl who had a history of undergoing surgery for an ACL tear. According to her, she heard a snap during her last fight after her opponent landed on her right knee. I examined her and elicited an anterior drawer’s sign on p.e.

  9. Narration:I immobilized her knee and advised her and her coaches that she should no longer compete for the rest of the night because her injury was serious if indeed she tore her ACL again. I then called up my senior at the OMMC, telling him I was having her brought in for evaluation.

  10. Narration:I then attended to another patient and when I looked her way after 5 minutes, she was gone. I asked her coach were she was, and he played dumb. I knew he was lying. After a few minutes, I saw her fighting again. I no longer forced the issue. I realized it would only worsen the situation.

  11. Narration: Lastly, there was a coach who approached me, asking for ice. I asked him why he needed ice and he told me he had he had a competitor who could no longer walk because of a swollen leg.

  12. Narration:Thinking it might be a fracture, I told him I wanted to see the patient first because it might be more than just a contusion hematoma. He then answered me with “’wag na lang…BWISIT!”. I had to keep myself from retaliating. I knew I could hurt him but I was also aware that he could get his people to hurt me back.

  13. Insight: (Physical, Psychosocial, Ethical) (Discovery, Stimulus, Reinforcement)

  14. This experience got me saying “never again”. I also got reminded of quite a few things. First, it’s that I can only do so much as a doctor and that I can only help those who want to be helped. Otherwise, I would be wasting my time.

  15. Another thing I was reminded of was what my late father always used to tell me. Knowing I had a tendency to fight back (because I did quite a few times), he always told me to count to 10 before I reacted.

  16. This way, I would get to think of the consequences of my actions and he was right. This piece of advice kept me from getting into a number of fights over the years. Fights were I could have gotten hurt or, what’s worse, is if my loved ones could have gotten hurt because of my stupidity.

  17. My initial reaction to the way I was treated during this particular “Sama Sa Masa” was: I was a doctor and I should be treated with utmost respect. I did not deserve the crap they were giving me. I was better than them…

  18. But looking back, I realized that indeed I was better than them. I reacted in a more mature and educated fashion. I did not stoop down to their level. I actually ended up feeling sorry for them and proud of myself. Maybe my time was not wasted after all. THANKS, DAD.

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