My first prescription

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The first phase of my clinical rotation in various departments at the Philippine General Hospital was full of doubts, angst, and frustrations. As a product of online medical school in my preclinical

years, the feeling of inadequacy has been part of the duty bag I carry every day through the hallways and the wards. I also have to face the reality of the country’s health care system, and in the dusty corners of the century-old hospital, I would find myself trying to answer the question: Do we provide quality care?

We held our consultations under the makeshift tents at the back of the health center, beside a golf course, which is both ironically and strategically located. Audel , one of my first patients, came in with the chief complaint of abdominal pain. As a clinical clerk, I was expected to conduct a comprehensive history and physical examination. I had to ask about his COVID vaccination and his sexual history, even though his most pressing concern was epigastric pain.

After the thorough interview and examination, I wrote on my prescription pad: “Omeprazole 20 mg/tab, uminom ng dalawang tableta kada araw.” That was the first prescription I made with my signature on it. It was another milestone in my med journey. As part of the prescription process, I explained the nature of his disease and the treatment regimen. The interview ended at 11 a.m. . He arrived at 7 a.m., consultations started at 8 a.m., and my interview with him started at 10 a.m.

 

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