The Medic Journal

The musings of a fourth year English medical student

Thursday, 3 August 2017


I am just over half way through my medical degree and wanted share what I've noticed about this crazy job I've signed myself up to!

You will never work a 9-5

This may seem obvious, but if you work in the NHS (and probably in the private medical sector, too) a ‘normal’ working day doesn’t exist. Even if you do purely clinic-orientated work, normal working hours don’t exist. Nothing ever runs on time, and your moral duty often results in working well beyond your set hours. You may need to get to clinic/General Practice early so that you can plough through the mountain of important paperwork. And you never get paid those extra hours you put in. There’s no ‘flexi-time’; you can’t take time off because you had no lunch break and worked an extra 3 hours the day before.

There’s a reason it is a vocation rather than a career

Adding to the previous point, your job extends well beyond your set working hours. Doctors have annual appraisals, and they need evidence to show they keep up to speed with advances in their speciality. This includes reading journals every week, attending conferences, teaching, potentially juggling an academic role alongside their clinical role. Medicine is seen as a vocation because these extra hours are part of the dedication required. This is the standard, and shows that when you decide to be a doctor  you decide to commit a lot of yourself to the job.  Of course, anyone who wants to be exceptional in any field has to put in crazy hours – it’s not unique to medicine!

Listening and watching is just as important as book knowledge

I’m not the smartest medic out there. However, as Osler once said “Listen to your patient; he is telling you the diagnosis”. I have learnt so much more from patients by taking a step back (sometimes literally) and observing how they act, their surroundings and what they say, than from what is written in their notes.

You need a backbone and a tough skin to survive the medical environment

People are rude. When I started my first placement I was absolutely petrified, and I get nervous every time I start a new rotation. People will try to walk over you, and I’ve learnt the hard way that standing up for yourself gets you more respect than just sitting back and taking it. People are a lot nicer when you’re keen, polite but also not a wallflower. Chocolates definitely help as well.

The best doctors love their jobs

You can be the smartest student and work harder than anyone else, but if you don’t love your job then what’s the point? The doctors that have inspired me the most have been the ones that wanted to teach and get genuinely excited when they talk about medicine. Of course it’s not always fun, there are lots of stressful and sad moments. But the doctors who really seem to love their jobs are the ones I aspire to be like, regardless of how many letters they have after their name or how far through they are in their training.

Sunday, 9 July 2017


Wow, I can't quite believe it has been two years!

I was told age 15 that the jaw pain I was getting was due to an overbite, which could only be corrected by a bimaxillary osteotomy. 

So, four years of brace-wearing later I had the operation. It took five and a half hours under general anaesthetic and it has changed my life.

In short, I have no regrets of going through with it. However, post-op was not smooth sailing. I've documented throughout this blog that I have struggled with depression, and I was right in the midst of it around the time of the operation. 

After it, I struggled with full time studies and the healing process, which must have contributed to the deterioration in my mental health. I'm not saying for a second that it was the cause, but it didn't help. 

Mental health aside, I physically felt like shit for a long time afterwards. I was frustrated I couldn't do all the things I used to do - I felt like I couldn't be me.

Luckily I haven't had any serious long term complications. My bite has moved back a few mm, but I am still thrilled with my results. Unfortunately I have a small amount of pain on a daily basis on my left side. 

At a recent appointment with my surgeon, he showed me that the side where I feel this pain shows some condylar resorption on x ray. He seems to think this is the likely cause. I have to say I know nothing about this but from what I have read about, my symptoms seem to mirror those described. Nothing can be done to alleviate this and we can't predict how long this pain may continue for. 

It was a long process and massive chapter of my life. Having this operation, plus a previous operation to remove your wisdom teeth for preparation, is a serious undertaking. I am so glad I did it, and am grateful to have the NHS who paid for everything. Being an outpatient and then inpatient has helped me so much in my medical training as well. I hope I can use this experience to be a better doctor one day. 

Pre op

Same day post op

6 months post op

© The Medic Journal | All rights reserved.
Blogger Template Developed by pipdig