Skip to main content

A Bad Microbiologist

When there is good, there is also bad. As human we could not run away from making a mistake. Mistake is the norm of the nature. Even in the nature, there will be some mistake happening everyday but that mistake make it perfect. The imperfection make everything beautiful.

A bad person can only be a bad person if he or she kept making the same mistake over and over again. With this definition in our mind, a bad microbiologist would be equals to those that repetitively make the same mistake throught out their career.

One mistake that many microbiologist neglect is the mistake of not seeing a patient and relies only on a piece of paper - Pathology Request Form. For many microbiologist, this request form is the utmost important thing of all.

I do agree that the form was very important. It contain a crucial information that would help in making a diagnosis, hence delivering the right treatment to patient. We who are working in the lab would make a big fuss if a clinician decided to sent a request form without proper information on patient presenting complain, examination finding, and indication for the test. The completeness of the pathology request form reflect the quality of the result that will be provided by the lab. As saying goes - rubbish in, rubbish out. A bad pathology request form, a bad result will then followed.

Nevertheless, one of the most important thing to do as a microbiologist is to see the patient themselves when in doubt. I have seen quite a lot microbiologist or microbiology student, colleagues of mine, some service microbiology medical officer; go to see patient themselves. We are actually trained to do that. When we found something peculiar or something that was not right for example: a patient with a rare kind of bacteria, or a patient who get opportunistic kind of organism but that patient was not immunosuppressed, or a patient where clinically does not have infection but some bacteria grew in their blood culture, we will go up and find that patient, and clerk them ourselves. It is easier when compare to listening to housemen mumbling or MO speed talking like the day will end in 30 seconds.

If you work in the hospital, and you never see a microbiologist in the ward, then you know you have a bad microbiologist around. (Unless your hospital do not have a microbiologist).

I am saying all of this not to say a microbiologist that never went to the ward is all bad. In fact, they maybe better than the one who frequently wandering around the ward. I am saying this because in my opinion, and for other junior doctors who feel like doing microbiology, microbiology is not entirely microscopy and culture. We are not farmer or cultivators. We are medical doctors. And what we did everyday is for patient. What we care is not about that E.coli which did not want to grow on MacConkey agar, but what we care is - patient.

So for every person who want to do microbiology, this career does not equals to sitting on a chair and look at the microscope. Most of the time in our daily work routine is on the phone discussing about patient clinical presentation or in the ward checking up on patient. This is what a microbiologist should do.

As a conclusion, a clinical microbiologist is still a medical doctor in heart. So if we were all still calling ourselves doctor... we should not based everything on a piece of paper. Talk to patient, listen to their story, from there, finding the cause of the infection is way easier compared to looking at a microorganisms, who will never talk back you.....

Comments

Popular posts from this blog

Astro Remote volume not responding

I have been looking around for solution when my Astro beyond remote start having problem where it does not want to control the volume of my astro anymore.

The strange thing is, the remote seem fine and only the mute and volume won't respond.

After realizing that the remote cost around rm250 to be replaced, I start thinking that this is not an ordinary remote control.

After a few minutes of research (only) I found out that this remote can be programmed to be synchronize with our television.

Hmmm. So the remote problem must be cause by it some programming error.

Haha.

Turn out of you have similar problem like this, all you had to do is to press OK button with volume down until it bleep 4 times then it will be ok. This method canceled the volume control for the television ( meaning that you can only control the tv volume not the decoder).

Later I found out that if you want, you can use your tv only volume to control the astro thus no hassle to have 2 remote at the same time.

Master in Pathology (Malaysia): A Guide To Apply.

Well, I got carried away in previous post talking about my experience taking entrance exam for Master in Pathology. You can check it here:


Master In Pathology: My Experience Entrance Exam That was not my first attention on trying to write such post. My intention was to share on how to get into that entrance exam in the first place. So here it is. A step by step guide on how to get yourself into the entrance exam. 
A Guide to Apply for Master in Pathology (Mpath) 
1. Make up your mind. I've seen a few of my friends who apply for this pathway and get confused before it begin. Ask yourself, are you really interested in Pathology? Do you know what pathology is? Do you know what kind of work are you going to do in Pathology. 
Most of the time, people thought pathology MO or specialist were all just sitting down drinking coffee and chit chat all day long. No work to do. Think again. The best thing to do is to get yourself into the department itself. Work as a pathology MO first, in a few…

Becoming a medical officer in Malaysia: Are you still a real doctor?

To recap from my previous post, a person must completed 5-6 years study in medical school, pass their professional exam, enter 2 years house officer training program, pass their exam and completed their logbooks, then a person can now be called a fully registered Medical Officer / Medical Doctor.

A Journey of a Junior Medical Officer

After 7 or 8 years experience, a house officer will be given a full registration under Malaysian Medical Council. This registration process is a lengthy process which takes up months before it will be completed. Most doctors will apply for full registration 4 months before they finish their house officer training program. The registration will be processed only if all the criteria has been fulfilled by the house officer which includes log book, review by a board of specialist, no disciplinary action recorded, and other paper work stuff that need to be settled. A full registration means that the doctor now can practice as a doctor independently. They can wo…