Friday, July 22, 2011

being human*

I took a detour this week and visited the Medico-social work department. I was interested in what kinds of things they dealt with in order to get a better idea of what the hospital was like. They gave me a list of services and then mentioned what they do with dead bodies. At no point since I had set foot in the hospital had I thought about loss of life or death. There is really no indication in the hospital that people die, even when I've walked around the ICUs and wards. It kind of struck me how much I had failed to see this obvious aspect of the hospital, as I had spent so much time focused on getting appointments with doctors and observing their work as much as possible. I had nearly removed the patient from the equation, reducing them to an abstract concept I only get to ask the doctors about.

I also had the opportunity to observe a few surgeries. And by a few, I mean around seven. The call volume is so high at this hospital, I couldn't keep up with the doctor I had been following, but I managed to catch the beginning, middle, and end stages of various surgeries within a four or five hour span. At no point did I feel discomfort watching people go through these invasive procedures or feel squeamish about the blood, etc. I remember even thinking how desensitized I was to the human aspect of the surgery. I really didn't know the people or interact with them, so that might be a factor.  It's strange, but I think it might be necessary to preform surgeries well. Again, seeing open abdomens, blood, unconscious bodies (some people were only anesthetized from the waist-down, so some semi-conscious bodies), death never really crossed my mind. Perhaps I have so much trust in these doctors myself, that I failed to realize this important factor in medicine and medical work. The people here are so good-natured and dedicated, it seems difficult for me to comprehend that things can go wrong. I may get the opportunity to follow a resident while she's on call next week, so maybe the late night shift will bring to light some new perspectives.

*"being human" shirts are really popular in India. I suspect it's because the hippie tourists from the west think it's really deep.

Friday, July 15, 2011

Now for some field work!

Bangalore traffic.
Hello world! I've officially started busy-bodying in the hospital & it's been a lot of fun. The doctors are amazingly welcoming and have been quite interested in my study. What I'm basically doing is following around whoever can tolerate me (and willing to stand still long enough to read the consent form) and also conducting interviews with whoever has a moment to speak. In a previous post, I mentioned that a doctor had asked me to come in between some ambiguous hour and I had to wait a lot. In India this hospital, I have discovered, there is no system of appointments. The patient volume is too large and a much more informal system of getting in line to speak with a doctor and jumping in when possible seems to work organically without much chaos and unfair line jumping. It works a lot like traffic in Bangalore or any sense of line-standing in general. It's taken getting used to, but I've gotten the hang of it.

Since starting, I have met a few foreigners who are doing internships/electives/studies at the hospital as well. There are three French girls, two American boys, and two girls from Dublin. It's kind of nice to not speak Hin-glish and to speak with a little less reservation. Also, a natural topic of conversation is what differences exist in Indian & Western biomedical healthcare.. soo that's kinda nice.

hi! (Hampi, Karanataka July 9, 2011)
It's surprising how tiring interviewing people can be. Especially since my tape-recorder broke (what kind of horrible anthropologist am I) so I have to write like the wind & listen with five ears. I took a break last weekend and went to Hampi and I'm going to Mysore this weekend. Hopefully, I'll get a chance to visit fellow Cotlow-er Claire & compare notes.   Hampi was awesome. It's a holy city with a lot of temple ruins and nice people. I went with the American boys and the French girls and none of us really wanted to leave.
guess which ones are Peter & Jon