29-4-2008:社區醫學at a glance

今日第一日去PSM上堂lu~本身10:00am先要番學o架,但我早D起身,諗住再上下網添啦,尋晚個wi-fi係咁斷線搞到我upload唔切D blog blog呀~但係試試連線時,我個password已經過期lu~咁多時間剩做咩好?洗衫﹗D污糟衫就好似lecture notes咁,唔洗就會越積越多,之後就會好難搞,正如上完堂要盡快溫書一樣﹗

去到PSM(preventive and social medicine) department,搵唔到尋日接見我o地o既Dr Shinde,但有另一個professor見我o地,佢好nice呀~同我o地簡單講講佢o地department其實做D咩,個架構係點,係醫療制度上有咩作用等等,之後有個lecturer帶o左我o地去GOPD,其實地點就係之前去過o既paedi OPD o個度(新building一樓<–新building就好似瑪麗醫院o既K座,main building大但係矮,但新building就好新好高~註:KEM o既新building都唔係美輪美奐o個種的,入面都係少少殘舊,印度人唔花錢係外表嘛~)~

GOPD作用同香港o既普通科門診都差不多啦,總之會manage D一般o既症,然後refer一D複雜o既case俾specialist o羅~不過係KEM呢,識人的話,都可以by-pass GOPD直接睇專科…o個個lecturer同我講解o左GOPD、referral system、公立私立醫療系統o既關係之類~後來我o地跟其中一間consultation room,跟D doctor睇症o羅~

出去食完飯,休息一陣,又番去上堂lu~下晝都係去同一個地方,但下晝就變成immunization clinic(疫苗注射診所)lu~即是少少似香港o既母嬰健康院,D小B出世之後就要參加vaccination programme,按照時間表番o黎打針,根據doctor所講,呢個immunization clinic係全印度首屈一指o架,因為佢o地o既運作好有系統,要登記啦、見醫生睇下有冇打針o既contraindication啦、打針、再見醫生做番health education,特別係餵哺母乳、避孕、小B o既生長健康等等問題~而KEM亦係做pilot programme o既地方,即是新疫苗,好似hepB、MMR(係香港其實唔算新啦~)就會係度做試驗~睇下對社會o既效果如何~

其實睇一個國家o既health policy就知道個國家有咩health problem了,疫苗o既品種KEM其實同香港差唔多,分別都係在於$$ o既問題,但係印度每個小B都要係打針時o黎食幾次維他命A,問下佢o地o既飲食究竟係邊一part出現問題,導致容易缺乏維他命A,維他命A好多o黎自蔬果,另外就係肝類、魚呀之類,但原來水果對佢o地o黎講係奢侈品,唔係人人食得起,蔬菜嘛,好多營養係烹煮時流失,魚類肉類就因為佢o地o既宗教原因會食得少D,$$都係問題啦~個doctor考我o地,世界上最平o既維他命C o既source係咩,我o地係度諗,咩水果呢?﹗原來答案係維他命C丸﹗聽到都真係有D心酸~明明係食物入面咁容易得到,但偏偏因為貧窮而要靠「藥物」﹗個doctor真係好好呀~講好多o野俾我o地知,除o左個clinic o既運作之外,仲discuss o左好多相關o既課題~

後來佢帶o左我o地番去department,以為要見professor,後來唔知點解入o左課室聽presentation,oh no no~又聽唔明D印度口音+勁快o既英文,同埋又暗暗地,風扇又吹下吹下,我o地絕對相信我o地已經丟o左中國人o既假了—-呼呼大睡!

好好o個個doctor放學時原本邀請我o地一齊去tea o架,但都要狠心拒絕佢了,因為今日一早決定o左要去MTDC遊客中心問問weekend出去trip o既資料~四點幾放,但五點半前要去到,都係一個難完成o既使命呢~我o地要先搭火車去churchgate,再過去個遊客中心~諗住慳番D行路時間,所以去到churchgate時搭的士,但問個的士司機識唔識路,佢扮識路﹗佢開錯方向時我o地拿拿聲決定落車已經太遲啦~唉,要走(其實已經要跑了)好多回頭路,又唔識路,又要時時問路人,我o地又跑下急步行下,終於5:25pm喘住氣入去MTDC o羅~

激死人了﹗激死人了﹗我o地咁辛苦趕到去MTDC,但佢o地乜o野information都俾唔到我o地,問巴士時間、班次,佢冇手頭上o既資料啦,打電話去問又一舊舊,o個個人又唔識上網check喎(即使o個度有好多新新靚電腦﹗)~實在太可惡了~最終都唯有放棄…

去食埋飯就番o黎啦~好累了~寫o左好多張postcard,又洗o左衫,之後又同大家discuss
weekend個trip D o野,而家先有時間打blog blog~我要瞓啦,goodnight~

聽日o既PSM attachment暫時都係去OPD,星期四五一勞動節假期,星期五我o地會出去外面o既clinic呀﹗要搭車去o架﹗

待續

前往其他印度旅遊blog

Comments

comments

在《29-4-2008:社區醫學at a glance》中有 8 則留言

  1. 在香港人,尤其是香港年輕人,上網找資料看來是常識,但對很多人來說,絕不簡單。看看你在印度上網的速度,當地人上網的知識和經驗,就可略知一二了。不過,坐在諮詢處的職責就是回答客人的問題,應該不致太差吧!也許這位仁兄是替工,原諒他好了。
    [版主回覆05/06/2008 16:14:00]replied

  2. "D污糟衫就好似lecture notes咁,唔洗就會越積越多,之後就會好難搞…" 好應境呀haha~ 你可以upload到blog已經好好ga la~ 我gor時都係去internet cafe, check得幾個email就成個hr ga la (學校lib d電腦更慢….) 印度的士即係好似香港的士咁樣? 我多數都係搭Rickshaw (電動三輪車).
    [版主回覆05/06/2008 16:21:00]replied

  3. 世上最平嘅維他命C來源竟然係藥丸~ 真係估唔到呢!感覺真係有點荒謬!
    好可惜呢~ 趕一大餐都係得唔到想要嘅資料,早知同doctor去tea好過lu~!
    [版主回覆05/06/2008 16:28:00]replied

  4. 最平而攝取到維他命C既食物竟然係維他命C丸…唉…
    [版主回覆05/06/2008 16:29:00]replied

  5. Re dad:
    Yup. I'm not expecting everyone being very proficient in computer and internet. But he is sitting at the counter, then I must expect him more ma~ Anyway, though didn't get any information from him, our trip went smoothly and we came back safely. That's ok la~

  6. Re sandy:
    haha…that's what I feel ma~
    so now I ask Day to upload the blog for me~ the wi-fi at the hotel was not so good. always got offline suddenly. the internet cafe is more stable, though slow~ i now send my blog script to Day and he uploads them for me lor~ so good~ but i may not be able to upload the blog after i leave mumbai la~
    in mumbai city, cabs are common, but in some less central places, i see auto rickshaw more common lor~

  7. Re mak sai:
    not only ridiculous, but also sad lor~
    that information centre was totally useless!!! i was sooooo angry on that day. but be careful: the useless one was the marharastra state's information centre; but the one of india tourism (national) was absolutely good lor~

  8. Re ga jie:
    that's really sad lor~ nutrients are best absorbed from food ma~ this is more natural~

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