Compassion fatigue

Working in a public hospital has its own set of pros and cons. The pro is that you get exposed to a huge bulk of patients. You have hands on cases and you get to practice and learn how to manage patients on your own.

I am grateful that I get to help patients and learn along the process. I am amazed with the medical profession overall but again, as someone who cares deeply about so many things, handling poverty-stricken patients still breaks my heart.

Patients who don’t have money to buy sutures for his wife’s cesarian section because the hospital doesn’t have enough supplies. Hypertensive disorders in pregnant women who chose not to seek prenatal care because they don’t have money. Women who keep on giving birth even if they obviously couldn’t afford another child anymore. Living in a country with backward laws for women. Needing the permission of the husband for tubal ligation consent. Grand multiparity patients who have chronic diseases but since they are not using any form of contraception, they keep on getting pregnant even to the risk of their own lives. Violence against women and children.

I am absorbing all these frustrating energy. I am having compassion fatigue. I feel like our country is just so far away from ideal. It hurts me that day in and day out it’s almost always like this.

Should I stop caring about things that I get upset about? Should I just be okay with how the system is. I know that in my own way, I am doing my part. I am helping by living a life of service. But until when will circumstances change?

A simple thought

Since I have been diagnosed with PCOS, all of the emotional breakdowns, fatigue, migraines, and feeling so defeated makes sense. At least now that I know what I am dealing with, I can do the necessary steps to control it.

Dear readers, I have Polycystic Ovarian Syndrome, it is a disease that is entangled with having high androgens and insulin resistance. The menstrual irregularities, insane migraine attacks, and weight gain now makes sense.

I was actually scared to get a diagnosis because I don’t want to believe that there is something wrong with my body. Now that the elephant in the room has been addressed, I know that I can manage this. I have to lose weight. I started calorie counting yesterday and today I ran for 20 minutes in the track. I can and I must because I want to live a longer life and of course to prevent diabetes, hypertension and infertility.

I’m actually terrified by the thought that I might not have kids in the future, but I’ve decided that I’ll take every challenge one day at a time. What matters for me is that, I do what I can so that tomorrow me would be proud. Again, I will not be perfect, and it will be messy. But I don’t want tomorrow me to say that, “I should have done better.”

I don’t want to fall into the trap of being too hard on myself again. Let us face whatever’s in front of us, one day at a time, one minute at a time on a moment to moment basis.

OB-Gyn thoughts

Becoming a medical doctor has been a dream of mine since I was in high school. I didn’t know what kind of specific doctor I wanted to be at that moment. This month, I began my OB-Gyn rotation. I remember this as my favorite rotation in clerkship. I just love the outcome of majority of cases. There are babies, and it reminds me of having a fresh start. Each baby that we deliver carries a lot of possibilities. Childbirth is a positive thing for me.

However, the work needed and the culture is not something that I want to subject myself to. To be honest I am surviving on, Omeprazole, pain meds and multivitamins.

I love the art of learning these information and all the skills that an OB-Gyn has but, the experience as a post-graduate intern has been draining for me. Maybe I changed? Maybe being a junior intern is just different with being a senior intern. The responsibilities are bigger and heavier.

I can’t actually believe that I am saying this, but I am on the process of discovering who I really am, and what I want my medical practice to be. I will just approach the succeeding weeks as part of my training to be a well-rounded physician and find ways to still be curious in the cases and gain skills. I will shift my focus to the patients. I will keep on studying and learning as much as I can for my future patients. They deserve a kind, smart, and competent doctor.

I will get through this. We will get through this.

Every single day is a new learning experience.

The rain caught up with me

No matter how beautiful the previous weeks have been, I still find myself sad, this day in particular. I keep thinking of the reason as to why I am feeling this way despite every blessing and beautiful thing that is happening. My rational mind says this is probably hormonal or medical, but my spirit junkie self says, this is part of being human. Moments of emptiness are parts of the human experience. We are all flawed and yet beautiful.

I have been struggling to wake up early because at night, I feel like I have to finish everything so that tomorrow’s hassle-free environment is guaranteed. Even though I very well know that there will always be things outside of my control, I still want to at least have a say as to how the day will unfold. Right now, I am teaching myself how to be at peace and present.

Being present is probably the one area of my life that I am most struggling with. Sometimes I can’t control the scenarios that play in my head. What if this or that happens, what should be my plan A,B, C, and so on. How do I navigate each scenario? More often than not, these scenarios don’t pan out. The need to be in control comes from not wanting to be caught off guard with possibilities that could arise. I just want to know that I can handle anything, no matter what it is. That’s one lesson that I have learned when Papa passed away, that I should be ready for anything that could happen. In this world filled with randomness, anything is possible.

I am proud of myself for sleeping earlier last night though. I was kind of skeptical that I would be able to sleep early because I had spanish latté in the afternoon, but alas, my mind and body were both exhausted. I also didn’t watch kdrama and chose sleep instead. I also found myself scrolling through Facebook yesterday because I wanted to thank the Facebook wall greetings last week, and so I drowned inside the vortex. I’ve met so many people who have an amazing online presence but a shattered real life. It makes me sad to think that we are living in a world wherein posts and likes matter hence I try to keep distance with social media.

Bad days happen and negative thoughts arise. Even though I have worked hard to be in my current mental state, I know that days filled with self doubt and frustration will arise. Again, these are all parts of the human experience. On bad days, I may not understand what the point of living is but I have to soak in every single emotion and feeling. The contrast makes us appreciate every moment anyway.

Sunday Coffee

I used to have weekly check-ins and grab coffee alone way before the whole coffee shop obsession became a thing. I started doing this eight years ago when I got my first job. I dreamt of doing that as soon as I could afford it. I would do errands and cap off the day with drinking coffee and writing.

You see, I am a worrier, I have to unload all the mental chatter on a piece of paper or a digital platform. It probably lessened now but to be honest, there are times when the darkness still gets to me.

I’ve been used to having Plan A to Z just to be sure that everything is going to be okay. Now that I am finally at a place in my life wherein things are finally working out, not perfect but 1000x better, I can’t help but think about when the next shoe is going to drop. What is the next curve ball and if I happen to cross its path, what will be my approach? But isn’t it about time to breathe and just stay in the moment? Isn’t it possible that the worst part is over afterall?

I want to believe that everything will work out because still existing is a proof that no matter what comes your way, you can still survive. I guess bad habits die hard? But let me just enjoy this coffee, and how much we’ve surpassed and how we thrived in the past couple of years. At least, for this moment, while I’m sipping this coffee, let it be me staying here, at the present, just being grateful with everything that there is. Let me just feel that, hey, you are doing great girl. Inhale. Exhale.

Doesn’t it feel good? Isn’t it nice to just accept good things, and know that you’ve earned every single bit of it? You got this.

Good morning, beautiful

The anxiety and sadness creeps in, but I choose to face the monsters and fight them through. It’s probably the rain, or my hormones, but the gnawing feeling of not being good enough is here again. Mornings keep me hopeful though, it is a fresh start, another chance to build on the hope that is left. I know that every time I wake up in the morning, it is a chance to create the life that I promised to.

A weekend at home takes me back to the why of my existence. Here, we take care of each other, talk, laugh and make jokes. I am currently having an early grey tea together with some good cottage core instrumental music. The air is still cold but after two weeks, there is no rain. We can now dry our clothes outside and enjoy the sunshine. Amidst the tumultuous emotions that I feel, I take the sunrise as a sign that no matter how yesterday went, there still is today.

I go back to the city later this afternoon since my shift is at 7 AM. It’s quite sad because I don’t go home that often but then again, this is for a bigger purpose. The license to heal is a dream that I have not just for myself, but for the community. I only have to think about today, not the whole staircase, just today. Overall, I am still grateful for the tiny bits of time that I can still carve for family and friends.

I hope you also have a morning filled with hope and the belief that things get better in time.

28 things I am proud of at 28.

I am proud of myself for:

1. Choosing to live.

2. Having the habit of reading.

3. Making time for writing.

4. Being a reliable sister.

5. Being a reliable friend.

6. Being a good listener.

7. Being a leader.

8. Being more disciplined than I was before.

9. Being a good daughter to Papa.

10. Making more healthy decisions.

11. Being a good dog mom and aunt to our four dogs.

12. Being in a healthy relationship.

13. Honoring the work that I do.

14. The integrity that I built.

15. Being a law abiding citizen.

16. Exploring.

17. Facing challenges.

18. Healing.

19. Choosing love.

20. Being responsible.

21. Chasing my dreams.

22. Being creative.

23. Following my bliss.

24. Carving out time for exercise.

25. Finding ways to be better than I was yesterday.

26. Being compassionate

27. Being relentless

28. Being more calm.

I’m writing this because, I’m often too hard on myself. I plan on reading this especially on days when I am filled with much self-doubt. I do have a long way to go and a lot of things to learn and improve on, but for today, only for today, I want to just take some time to appreciate how far I’ve come because I honestly believe that being an advocate for ourselves and giving credit where it is due is a must.

An empath’s growth

Last night I had dinner with two of my friends. The main topic of the conversation was the dilemma of being the person who is there for everyone. While I was listening to my friend, I thought about the past. I too, used to be that person.

I would be there for a colleague who needed money for a family emergency, until she ends up not paying. I was there for a friend who had big problems in her personal life, I would sit with her until 5 AM just to make her feel better and I would lose sleep for her. When my best friend broke down I would drop everything that I was doing and be there in a whim. In my past relationship, I would cancel on a prior commitment just to be there when he was in need. I was the person who would bend over backwards for anyone even if it means I would lose sleep, get sidetracked, and lose myself in the process. I was too much of an empath. I was too helpful, too kind, too compassionate.

I thought it was the right thing to do. I thought that always being there for someone is a basic human characteristic that we all should possess. Over time, I noticed that I would get sad randomly, and that I was absorbing the emotions of my friends. I was conflicted because I want to be a good friend, but constantly being there for others was taking a toll on my mental health. I found myself in a really dark place, for quite a long time. Can’t I just be present but not get dragged into the loneliness? Am I a terrible person if I establish boundaries on who gets to access the empath in me?

It took years of practice for me to not absorb the sorrows of the person I am talking to. I realized later on that I can both be be there for them but not be engulfed in their pain and sadness. I started establishing boundaries. I decided that my energy should now be intentional. Since I have a limited amount of energy, I have to be mindful of where I place it. I can be a good friend without suffering the side effects of being the reliable one.

I learned how to say no. I learned how to protect my time. I became more mindful when the energy starts to take a toll on my psyche. I now have an internal alarm system that tells me to take a step back and not go further, or just stay on my side of the fence. “Just listen, Kate. Be the knowing presence. Be present. It doesn’t mean that I should feel every single heartache. I can just be present. My friend’s story is not about me. What my friend needs is someone who will hold his or her hand while they are going through this painful process.”

When I started doing that, it was like a certain warmth came over my body. I felt at ease. I now know that I shouldn’t be losing sleep over someone’s suffering. I am an effective problem solver when I have a full night’s rest. I can still choose to keep my internal peace even if a close friend is going through a difficult time. My friend can count on me but I am now careful to not let other people’s state, affect my wellbeing. I still have people that I will run to on a heartbeat, however, I have limited that to my sisters and my partner. The rest would need thought before I bend over backwards to attend to them.

I can only give when my cup is full. I cannot give from an empty cup. This is one lesson that I have learned from Oprah. I am just one human being. I can’t save the entire world’s problems. But what I can do is be present in every moment and offer every person that I interact with that presence. I attentively listen to a person who is talking, I now keep my phone whenever I’m in a conversation with someone. I try to improve on being a better human, day in and day out.

I hope that you, reader, can also learn how to establish and maintain healthy boundaries with your friends and family. Our energy is limited, so we can’t go around and let everyone take from our limited energy pool. We have to be mindful.

January

On multiple streaming subscriptions

It’s true that the happiness you get in new things only lasts in a blink of an eye. Lately, I find myself getting overwhelmed with having multiple streaming subscriptions (Netflix, Amazon Prime and HBO) and not knowing what I really want to watch. This is probably why I end up falling asleep whenever I open these apps. It seems like the movies are just too much and it feels like my life is not enough to see all the movies and TV shows that I want to.

On simple living

So far, simple living suits me. I ate hospital food that was served yesterday instead of ordering online. I still have trauma from the whole food poisoning thing that occurred last week but healing takes time lol. Mental note: always smell the food. You have an insanely sensitive gut, Kate.

2023 Vision Board

I am also on the process of creating my vision board. It actually takes me quite an amount of time to create my yearly vision board because I take every step into heart. I just love the Everything is Possible planner. It’s actually my third year using it and it just matches with my vibe. I am loving the habit tracker feature. As I wrote a week ago, I’m experimenting on building one habit at a time. So far, my January habit is waking up at five in the morning. It actually feels nice to be able to rise before the whole world runs after you.

On health and physicality

Writing on my 2023 planner made me aware of how much I’ve neglected my health and finances last year. I put working out on the back burner. I haven’t lost weight and I still have frequent migraines. This year I’ll be prioritizing my health. I’ll be getting lab tests, imaging, and bloodwork done. As a future physician, I have to walk the talk and have integrity. It is time to face my fears. So far I have have been carving out time for exercise. I’ve been doing yoga, Nike Training Club and dance fitness workouts. It feels nice to take care of your body. I hope I can continue this streak.

Hospital Rotation

I am currently rotating at the hospital’s Public Health Unit and we had our orientation yesterday. It’s a positive step forward that the hospital has this program since health promotion is a must. So far, I am leaning into this work of bringing health and medicine closer to the community. I just feel like this is the work that matters. Again, as much as I love the other specializations of medicine, I also want to help in giving access to basic health services to those who are in need.

On PLE review

For the Physician Licensure Exam review, I do as much reading and listening to lectures since this is our group’s last month of being a free elf. My current efforts are: answering Pharmacology and Biochemistry flash cards on Ankidroid on my idle time at work and attending Expert MD’s lectures. So far, I am enjoying learning. This is what matters for me. More than my goal of topping the boards, I still want to find the joy in learning information that will help my patients.

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This is it for the first few days of January, I hope we all have a peaceful and fruitful year ahead.

Waking up before the sun rises

I am experimenting on living a simple life for 2023. It’s kinda ironic because, being a doctor almost doesn’t support that lifestyle but here I am trying to live differently.

This month’s habit that I am practicing is waking up at 5 AM. I don’t want to fool myself in waking up at 4:30 AM so I decided that 5 AM is the magic number. It’s not too early because I can still get 7 hours of sleep, and it’s not too late for me to not be able to do my morning routine.

There’s just something about waking up before the world does that I find peaceful. No dogs are barking. I can hear the birds chirping. I can make and drink my tea in silence. I can write on my blog. I feel so primed and ready to face the coming day. I hope that I can maintain this habit in the whole January.

Amidst all the challenges that will come ahead, I know that the only step that matters is that I live my best life, and and that is one that is filled with peace. As long as I am doing what I love and finding as much balance as I could, I’m good. In 2023 I will wake up before the sun rises. I will choose to spend time listening to nature. I will live simply and love fully. I will keep on keeping on.

2023 is the year I become a licensed medical doctor. This is the year of growing, one habit at a time. It is a year of letting go of what brings you down and focusing on what matters. It is a year of little steps. This is about living a full inner life rather than doing things for the gram.

I wake up before the sun rises.