On being a GP

A few weeks ago I wrote a mock lecture for a friend who is a nurse to “upskill” her into becoming a doctor. It was something I wrote in jest with the intention of training her to do my job (so she could see my patients while I went home to sleep). I was going through the files on my computer today when I found that “lecture” again, and I got to thinking how actually, it’s not that hard to do my job! I will show you now why I say this, incorporating part of my lecture. Think of this as something like the general practice version of the 'The House of God' rules :P



Yes, these treatment options apply to everything.


OK, now that the basics are covered – and remembering that the safest thing you can do in general practice is to do nothing, here is a more detailed (using the term ‘detailed’ in a very loose fashion) run down on the medical aspect of illness, by organ system.

Now, if you remember just a few of those things, you have very close to the medical knowledge of an Australian-trained GP. (You don’t even really have to worry about knowing how to do a physical examination. I mean, have a look at rashes and things patients like to show you, but it’s rarely going to be essential that you lay even a hand on them!)

On asking the clinically-relevant questions

There's a question out there in medical land that apparently asks whether you are racist or not. The question is: "Do you identify as of Aboriginal and/or Torres Strait Islander background?" Now, the response to this question  – which in Australia IS of clinical relevance – is not what matters, but the fact that some people are unwilling to ask this question in this first place for fear of "offending" a person who isn't of this background.

Fear of offending a racist person is the reason some people give as to why they feel uncomfortable asking the question. They imagine they may encounter a racist person who'll take offense at not clearly being identified as non-indigenous. More specifically, though, they fear that they'll meet a non-indigenous person who they will offend by implying the negative stereotypes associated with people of Aboriginal and/or Torres Strait Islander backgrounds. But who's given this question that connotation? The racist person who holds those prejudices – and that is the person fearing to ask the question! You don't know the strangers mind that you'll be asking, only that you imagine it may believe what you (either consciously or subconsciously) believe yourself.

And briefly before I leave this topic, let me explain why I say that it is clinically relevant to know whether a person is of Aboriginal and/or Torres Strait Islander background. In Australia, there is difference in the life expectancy, the mortality rate, and the burden from disease between indigenous and non-indigenous Australians. This difference is commonly referred to as “the gap” between indigenous and non-indigenous Australians. Clinically, a person may be more likely to suffer from one or another illness (e.g. diabetes mellitus) if he comes from an indigenous background than if he doesn’t, and his/her symptoms may be more likely to be caused by a disease that is more prevalent in those of indigenous background than those that aren’t. This is turn is relevant to both the adequate diagnosis and treatment of this person’s illness. Further to that, the government may have incentive programs aimed at “closing the gap” in the health of indigenous and non-indigenous Australians, some of which can be quite helpful in allowing indigenous persons to overcome some other indirect/social difficulties in accessing adequate health care. So, asking whether a person is of Aboriginal and/or Torres Strait Islander background needs to remain a relevant clinical history-taking question, and one devoid of prejudice from the person who has been tasked with the job of looking after the health of a community consisting of people of all types of backgrounds. And perhaps we should stop fearing to encounter a racist person if it will only make us become the racist one ourselves.

On my religious and spiritual journey - Part 3/3

When I started re-evaluating my concept of God and what his will was, I went back to basics. I remembered a scripture in the bible of when Jesus was explaining the purpose of what Mosaic law meant. The law given to Moses had hundreds of commandments of what the Jews had to do and not to and when, etc. The purpose of it all was to ensure that the Jews worshipped God in a certain manner and also that they be protected from harm. Then Jesus implied that after his death, Mosaic law was to be abolished and he said that the whole of God's will can be summarized in only two commandments (not the hundreds given to Moses): 1) Love only God as god, and 2) Love each other as God loves you. That was it.

I concluded that God's will had nothing to do with guilt, and guilt was not a virtue to God! Sure, the bible still has those commandments about how to practice his worship and no idolatry, no fornication, etc, but also it tells me that God does not ask of me any more than I can give and that He will be the only one to judge my sins, errors, behaviors etc. I am not God; I have no place trying to judge other's sins or punishing myself for my own. God who knows what is in my heart, my intentions, why I do the things I do, why I desire the things I do, I believe is the only person fit to pass judgement on me. And that is my "new" thinking. That is how I came to stop feeling depressed about having to make religious sacrifice and how I overcame my guilt for just being human. If I had to do it all over again, I don't think I'd pick a different faith, I'd hope I just merely came to this conclusion faster.

So what is my philosophy? As I’ve discussed previously, my personal values are my family, participating in and enjoying life while I am alive, and not making a world a worse place for anyone or anything. I believe in God, but I also believe in humanity. I believe human's greatest quality is our ability to think and reason for ourselves. I sometimes meet with a religious group whose ideology I mostly share and I call myself a Christian because I do believe in the Bible being a holy book and I aim to follow the guidance provided in it by Jesus Christ. I worship God because I am grateful to him for all I believe he has been responsible in my life. I follow the things the Bible says because I believe it is wise and its mandates are for my overall good. I’m not scared of God that he will punish me in any way because the God I believe in is understanding, merciful, forgiving, and not vengeful. I believe he is far too grand to be offended or hurt by the actions, words, or thoughts of one little person as I am. I understand also that my belief in God may be mythical, as real as he feels to me. So I hold nothing back from this life that I may experience it in an afterlife that I am not 100% guaranteed will actually happen. Once upon a time perhaps my faith was stronger, but for now this is the God and the rules and the values I believe in. This is the type of God I respect, and the type of God I want to emulate.

I love God. My God. I love the type of God that lets me love him and not at the exclusion of also loving myself.