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?

The why

Yesterday, I had a meeting with event organizers composed of medical staff. I was tasked to host a lay forum and a fashion show, one was for menopause and the other was for pregnant women. I instantly said yes when I was offered to host the event. It’s one of the things that I do which I truly enjoy, and it’s also a change of pace from my usual routine of going on duty then going home.

As the meeting was about to conclude, the organizers asked if we have questions about the event. One thing dawned on me, I wasn’t aware why we have these events. For the menopause clinic, I believe that its a way of celebrating women’s month, but for the pregnant fashion show, I asked them, “Why did we have this event?”

People got silent for a few seconds, and they told me to think of a reason and just include it on the script. Oh my God, people have been preparing for this event for more than a month and yet they couldn’t answer me what the fashion show is for.

I figured out that the reason why people are so burnt out in our workplace is because they do not have a north star, a clear purpose. That is all that I was thinking about. These hardworking people do not know why they are organizing this event in the first place. I wasn’t surprised that they weren’t aware. I just got sad.

That meeting made me reflect on what I am doing. Amidst the burnout that is slowly creeping in my body, I still feel connected to my purpose. I know that I am training so that I will have the skills and competencies needed to practice as a medical doctor and to serve the community. I know that I want to help people have access to proper care and make them feel safe and supported despite them battling diseases. I know that if I study well, I could help provide answers and let them take charge of their health even if they don’t have money.

I see medical training as somehow like being an army. You have this rigorous training which is physically and mentally taxing, but at the end of it, you come out as a stronger and more equipped person. You know what to do and you are able to make quick decisions especially when the life of a person is literally on your hands. I see training that way.

If I am not clear with my why, I could have quit a long time ago.

I also see medical training as something like that of studying to be a priest. “It is a calling.” That’s what my friend who is studying to be a priest told me. Medical training is indeed a calling. It is a call for me to serve. How do I know this? There are tons of careers out there that I could have chosen and yet, I chose this torturous and bittersweet path. Why? Because I just couldn’t shake it off. I tried to get away from this itch, but I just couldn’t so I gave in. Now that I am seven months away from being a doctor, as hard as each day of training could be, my heart knows that it is in the right place.

So much thought came from that meeting. I remembered how a clear why changes the way you see and do things. I just hope that more people are clear with their why, maybe then this world will be filled with passionate and aligned people.

Recenter

On putting yourself first

I’m starting to put myself last. That is what I have noticed in this past week. I am getting caught up with the whole OB-Gyn drama. Of course, this has to stop. There is a better way of living. There is a way to chase your goals and still be healthy, calm, and at peace and that is by putting myself as a priority. So I promise that today, I will put myself first. I will fill my cup until it runneth over. I will learn as much as I can in the last few days of this rotation.

Refocusing

At yesterday’s prenatal clinic, I just had an epiphany. When I start focusing on my patients and how to best serve them, I suddenly feel at peace. Aaaaah, this is what I am training for. I want to serve them in the best way that I can. I had an advanced maternal age patient yesterday who had long-standing hypertension and was referred to our hospital since hers was a complicated case, and I talked to her about the plan and explained the importance of her adhering to the plan. I saw in her eyes that she was glad that she can understand her situation. When I get to encounter patients in the clinic, that’s when everything starts to make sense again. I like feeling that way.

Turbulence

There has been friction recently at work and I have been thinking about it for quite some time and maybe I shouldn’t be but as an empath and sensitive person, it baffles me when I sense that some people don’t just care enough as long as the consequences of their actions do not affect them. They care, and they don’t have the intention for bad things to happen to you, but they just don’t care enough. As a person who is the complete opposite of this, it is sad when I work with people who are not vibrating on that same level. Anyway, I have to accept that it is just the way it is. You cannot force concern and empathy to suddenly arise in other people. What I can do is just be who I am and improve on everything that I still have to work on. Inhale. Exhale. Not everyone will have the same heart as you but it’s okay.

Just grateful

My heart is filled with gratitude for my teammates who are just some of the most amazing people I’ve met. I’m grateful for my family who provides me the best chance to thrive. I am so blessed with my partner who is holding my hand as we face this rollercoaster of life. I am filled with love and joy even if sometimes I tend to forget. It’s a beautiful Sunday morning as I am writing this and I my heart is beating calmly. This is what matters.

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.

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.

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.

Unlock your fullest potential

There are epiphanies that we suddenly realize as we grow old. If we are to compare ourselves from who we were a year ago, five years ago, and ten years ago, we’d notice that we changed a lot because of our experiences. I find this constant process of discovery as an interesting journey. You have these expectations about who you are and who you will be and yet you surprise yourself that you have turned out different. As we tread these changes, I think the consistent theme in these different phases of our lives is, we can be at peace with where we are when we are making sure that we fully unlock every version of ourselves, and hopefully before our last breath, we can say that “I have exhausted everything, I did everything that I possibly could.” There will be no regrets nor what ifs.

The next question is, “How do you unlock your fullest potential?” I can only speak based on how I approach life and what I have learned overall, and that is by breaking it in to tiny, actionable steps. 

1. Make an irrevocable decision about the life that you want.
       When you know where you are going, there will be less mental burden about the decisions you’ll be making. Decide what kind of life you want, without any sort of guilt. Do you want to be a millionaire? Do you want to travel all over the world? Do you want to live a simple life on a hill or in the middle of a forest? Ask yourself this question everyday, “What do I really want?” and listen to your gut’s honest answer. Write it down. To be honest, I feel sad whenever I meet someone who is just wasting precious Earth time wandering aimlessly. We all have moments of uncertainties, but at some point, you have to choose your path. Ten years from now, what does a beautiful life look like to you. Make it as detailed as possible and then that’s it, that’s the life you want.


2. Schedule it. 
      If it’s not scheduled, it’s not getting done. This is just honest advice. If you keep on saying that I want to be financially successful, or have a family, or a car, and you’re just sitting there on the couch and praying to be abundant, I hate to break it to you, but it’s not happening. You have to put it in your calendar and make time for each step that will take you closer to the kind of life that you truly want. Start small. Take those baby steps which might seem insignificant at the moment. You’ll see that those tiny actions will accumulate and result to something great, something that only sheer hard work could ever do.


3. Eliminate anything that brings you down. 
      Are you spending so much time on social media? Do you have thought patterns or belief systems that aren’t helping you rise? Well then it’s time to let go of them. Turn your phone off when you have to focus and just concentrate on whatever task is at hand. Stay in the moment you are in. If it’s not making you a happier and better person, then let go of it. It could be a bad habit, or a dragging relationship, or even people who disguise themselves as friends. Choose your energy. Make sure that even if you plummet in to negativity a few times, you still take steps to keep yourself on a higher energy vibe.


4. Ask for help. 
      You are not an island. You belong to a species of organisms who need socializing. The news, COVID, financial setbacks, illnesses, they all are heavy to carry alone. The thing is, you don’t have to face every single one of them on your own. Ask for help. Be brave to humbly seek assistance whenever you need it. I can’t tell you how this simple step changed everything for me. I used to be the person who wants to prove that she doesn’t need any help from anyone. It’s pathological. This attitude has allowed me to be strong, independent, brave and extremely self-reliant, but it also made me a loner and somehow it closed my doors to opportunities and relationships that could have been good for me. Be self-reliant, but when you need help, please ask for it. 


5. Surround yourself with people who want to see you win. 
      Be careful who you spend most of your time with. If you just gossip, drink, or watch TV with your friends, I hate to break it to you, but you are not with the right people. If you want to become successful, you have to make sure that you are in an environment that will allow you to grow at the level that you want to. Talk about goals and how you are achieving them. Discuss ideas, passion, and creativity. Generate that energy of relentlessness. Assess if the people you are with want to see you win. Filipino culture taught us to value family, but sometimes extended family members can cause too much toxicity. You will get opinions you didn’t ask for or unwanted visits and demands. If that’s the case, stop complaining, save up, and move out. If they are not helping you, just get out of that negative space. You can’t possibly grow in a soil that isn’t capable of providing the nutrients that you need to achieve your highest potential.


6. Expect setbacks. 
      This is not a world of unicorns and rainbows. But I guess you already know that. Following your passion or chasing a dream can be equated to going through loopholes with fire on its outlines. It’s like running on a track with lanes with shards of glass or burning coal. It’s kind of morbid but there will be times when you will want to give up because it’s hard and painful. Circumstances will get out of control just when you think everything is okay. Expect setbacks, my love. There will be highs and lows but just hold on to hope. Keep the faith and know that nothing is permanent, even trials.


7. Have a go-to person. 
      To say that we have that one best friend is false in my opinion. I have a friend that I confide in depending on what I am going through. I hope you have these people. They will give you honest advice and a listening and non-judgmental ear. Having real friends is very comforting. They get you back to your senses when you are getting off track. They will patiently hold your hand when you are still healing. How do you have these people? Be a friend. Be a listening ear and a shoulder to cry on for others, and when it’s your turn to be punched by the world, someone will always be there for you.


8. Come back stronger. 
      When setbacks happen and you feel like you can’t take another blow anymore, rest. Allow your body and your mind the time and space for recovery. Stop pushing when you know within yourself that you are mentally and physically exhausted. This time frame varies for every person. When you are already rested, roll up your sleeves and with courage, start again. You have learned the lessons, and now it’s time to use that wisdom in getting back up. Know that you are strong because you have gotten through the unthinkable. Nothing is impossible for someone who doesn’t have the phrase “give up” in their vocabulary. 


9. Give. 
      Having a generous heart will allow abundance to flow in your life. I have proven this repeatedly. Whenever I feel like there isn’t enough money or when I am scared, I give. It may be my time, or any form of help that I could give. Surprisingly, abundance follows when your heart is not guarded by the scarcity wall. Volunteer for an advocacy you believe in. Serve. Just give not because you want something in return but do it because it feels good to make others feel better.


10. Surrender. 

For me, life is 50% what happens to you and 50% of it will come from your actions. We can do so much with our precious 50%. When I wake up every morning, I do my best to keep things in order and accomplish the tasks that I need to do so that my dreams will come into fruition. But I also know that there will be circumstances and forces which are out of my control, and so when I pray I surrender that 50%. “No matter how this day goes, I will do my best and the Universe will do the rest for me.” It was hard for a control freak like me to utter the word “surrender.” However, I sleep better ever since I accepted that things will get out of control, schedules will get ruined, annoying people will pop up, but how I perceive these circumstances and my legwork is all that matters. Surrender your dream and each moment and eventually you’ll get there. 

100 Lessons Learned in 2020

As 2020 ends, a lot of realizations come to mind. It has been an admittedly chaotic year. All of us, to a certain degree, are traumatized. I wish I could say that I was on cloud nine but let’s be realistic. More than a million worldwide deaths due to a pandemic is heavy. In fact, I am in awe of how human beings can still handle everything, probably because we don’t have a choice, but, from the farthest corners of my heart, I am proud of all of us just for surviving. Here are the lessons I learned this year. I hope you create a list of your own too.


1. There is magic in spending time with family.
2. Despite the odds telling you that you can’t, you absolutely can.
3. Do not look for what isn’t there, appreciate and be grateful for what you have.
4. The love that is for you will not be forced, it will come as a surprise.
5. Make the first move.
6. Have a power passe.
7. It’s okay to not be okay.
8. Take life one moment at a time.
9. Get a pet.
10. Be mindful of what you consume (social media, news, tv).
11. Yoga does wonders.
12. Meditation will keep you sane.
13. This is not the time to be harsh on your body.
14. Listen to your mentors.
15. When you’re sad, watch Kdrama.
16. If you weren’t productive this year, it’s okay!
17. Quit coffee.
18. Write on your journal.
19. Keep writing on that gratitude list.
20. Watch more movies with your little brother.
21. Think twice or thrice before you post.
22. Stay true to your goals but be flexible with your methods.
23. Communication is key.
24. Everbody’s having a hard time, exude grace.
25. Stop overworking, nothing is more precious than your health and wellbeing.
26. When you’re feeling helpless, help someone.
27. Keep on doing your art.
28. Accept what is.
29. Feeling shitty? Take a bath.
30. Do the workout that is fun for you.
31. Spend time with nature.
32. Stop waiting, start doing.
33. The government, the economy, or any external situation won’t change. Do what’s good for you.
34. Social media is a myth.
35. Structure is key to pandemic anxiety.
36. Keep your study table sparkly and sacred.
37. Stop counting calories
38. Comparison is poison.
39. Honor your body.
40. Drink lots of water.
41. Make an effort to call your family.
42. Everything takes time, especially worthwhile things.
43. Alcoholic beverage is a no no.
44. It’s okay to not be the best.
45. Music is therapeutic.
46. The pain of loss will always be there, but you will learn to live with it.
47. Savor the present moment, you never know when it’s your last day.
48. Make time for your art.
49. You can adapt even in the worst of times.
50. Say I love you.
51. Give yourself a treat, watch netflix.
52. Meditate upon waking up instead of scrolling on your newsfeed.
53. Give yourself a self-care day.
54. Create a schedule.
55. Invest in a good planner.
56. Trust the process, even if the path isn’t clear.
57. You don’t need to follow every self-help guru.
58. Microsteps are powerful.
59. Invest in high-quality content books.
60. Cleaning relieves stress.
61. Just have three goals for the day.
62. Pause and breathe before you react.
63. Be kind to yourself.
64. Breathe.
65. Keep on learning.
66. Stick with the study methods that work for you.
67. Any negativity goes down the drain.
68. Talk about ideas, not people.
69. Focus on what you can control.
70. Are you feeling angry? Put your rage on a page.
71. Have a consistent sleeping schedule.
72. Spend time with nature.
73. You don’t need to add that item to your shoppee cart.
74. Eat less.
75. Learn from every person you encounter.
76. Understad another’s point of view before criticizing.
77. Stop the hate language.
78. Say goodbye to expectations.
79. Be the change you wish to see.
80. Wear your mask.
81. Engage with life. Don’t be passive.
82. Eat meals on time.
83. Prepare for the worst during a typhoon.
84. Recovery takes time.
85. Volunteer.
86. Stop keeping things that you don’t need. Give it away.
87. Honor your pain but don’t dwell.
88. Stay curious.
89. Pray.
90. Trust that the universe has your back.
91. Stop weighing yourself every damn day.
92. Do your best and fuck the rest.
93. A person’s rudeness is a reflection of their own pain. It’s never about you.
94. Maintain boundaries.
95. Unfollow any influencer that makes you feel shitty about your body.
96. Be patient.
97. Choose love.
98. Have faith.
99. Keep going.
100. Surrender.