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Healing Beyond Medicine

Patients, diagnoses, and treatments are my life.

As a medical intern, what else can I think of other than the whirlwind of patients? 

New challenges and lessons are what each day brings, but nothing could have prepared me for the encounter. An encounter that would leave a lasting imprint on my heart and impact my approach to patient care. 

It was a typical morning at the hospital when I received his case. He was diagnosed with dengue fever. After a thorough examination, I was asked to put in a urinary catheter as he was having burning sensations during urination. I discovered that he had smegma collected at the urethra, likely due to poor genital hygiene. This condition, though not uncommon, required a delicate approach to counseling the parents about the importance of that hygiene. 

As I walked into the consultation room to meet his parents, I felt a mix of emotions— empathy for the child’s discomfort and anxiety about how to broach the subject with his parents.

I took a deep breath, reminding myself of my duties as a doctor. My responsibility was not only to diagnose and treat but also educate and empower.

His parents’ love for him was evident, but as I probed further, I realized his parents were unaware of the essential steps of genital hygiene. They looked concerned and anxious as I gently explained the importance of cleanliness to prevent infections and discomfort. As I spoke, I tried to be sensitive and compassionate, ensuring I didn’t make them feel judged or inadequate as parents.

I drew parallels between routine hand hygiene and genital hygiene to make it relatable for them. Slowly, their apprehension began to fade. Their ignorance was now replaced by a genuine interest in learning how to take better care of him. I demonstrated the correct method and recommended age-appropriate techniques to teach him as he grew older. 

As I continued the conversation with his parents, I realized that connecting with the community was crucial. Any discussions about genitals were considered taboo, a resultant of a generational cycle of ignorance, and breaking it required not just medical knowledge but also cultural sensitivity. I understood that I needed to tailor my approach to suit their beliefs while ensuring his parents grasped the significance of proper hygiene.

Scrabble tiles that spell out “Shine your light.”
(Image courtesy via Brett Jordan via Unsplash)

His case instilled in me a sense of social responsibility. I immediately proposed a project for the tribal population, offering encouragement and support as they navigated this new chapter of a subject long considered taboo. Initially there was resistance but with time, they became more comfortable discussing their concerns and asking questions.

The success here encouraged me to host awareness programs addressing common health-related misconceptions and promote open conversations about hygiene and health. My aim was to empower parents and caregivers with knowledge to ensure a healthier future for him and children like him.

A physician’s room with an exam table under a window.
(Image courtesy of charlesdeluvio via Unsplash)

His incident taught me an invaluable lesson–that compassion, patience, and cultural awareness are as important as medical expertise. As a doctor, I learned the privilege of Healing Beyond Medicine was by building rapport and trust with patients and their families. Through these efforts, I hope to witness a transformation within the community. Parents should feel more confident seeking medical advice, and conversations around health must become normalized. Being a medical intern not only taught me medical skills but also the profound significance of doctor-patient counseling. Empathy, warmth, and understanding can bridge gaps and lead to lasting changes in patient lives. 

My journey with him and his parents taught me that true healing goes beyond prescriptions. It involves a genuine connection with the community we serve and a reminder that no issue is small and, if tackled properly, it can lead to a huge impact in the community.

Editorial Acknowledgments

Thank you to Tripti Mund and Yosef Baskin for their inspired edits on the piece.

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