Why I chose psychiatry. Rowbotham, I. 2009. http://dx.doi.org/10.1192/bjp.195.3.201abstract bibtex A mature student of mature years, I had watched in wonderment from the first rumblings of Tomorrow's Doctors. I had seen two great eras: Surgery and Medicine. Next came the Pediatrics and the Age of Endoctrinement, then, as a meteor paints the sky with its single daub of brilliance, Psychiatry. Seven weeks of revelation followed. I could understand its language, follow the puzzling, yet attractive logic and uncertainty; there were also many people. Our course organizer, and head of year, made sure Psychiatry formed a good chunk of exams (wake up!). Psychiatry at FY2 (getting serious) was another positive experience. Then came Orthopedics (deeply enjoyed but never intended as a career). I set 4 months to decide, but the Damascene moment came during the second week, when I was asked to review a frail elderly man, debilitated with Parkinson's disease, who had been given a new hip. He had become agitated 3 days post op and had 'punched' the physiotherapist (how?) and 'throttled' a nurse (serious cricoid trauma was, fortunately, avoided). What I subsequently found may have decided my choice of career. Clearly frightened, he believed patients were being systematically murdered (they were being discharged), addressed me as Dr Death (justifiable given my spirited drilling technique) and claimed police were outside to interview me about the killings. He was plainly terrified and, after further investigation, plainly psychotic. Owing to his severe Parkinson's, I prescribed Quetiapine 25 mg, had a further rootle through his notes and found he was already on it, a fact recorded in the A&E admitting notes but never entered on his chart. A simple mistake was corrected and this man was allowed freedom from his demons. Psychiatry's die was, if not fully set, cast. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
@misc{rowbotham_why_2009,
type = {Professional {Personnel} {Attitudes} \& {Characteristics} [3430]},
title = {Why {I} chose psychiatry.},
abstract = {A mature student of mature years, I had watched in wonderment from the first rumblings of Tomorrow's Doctors. I had seen two great eras: Surgery and Medicine. Next came the Pediatrics and the Age of Endoctrinement, then, as a meteor paints the sky with its single daub of brilliance, Psychiatry. Seven weeks of revelation followed. I could understand its language, follow the puzzling, yet attractive logic and uncertainty; there were also many people. Our course organizer, and head of year, made sure Psychiatry formed a good chunk of exams (wake up!). Psychiatry at FY2 (getting serious) was another positive experience. Then came Orthopedics (deeply enjoyed but never intended as a career). I set 4 months to decide, but the Damascene moment came during the second week, when I was asked to review a frail elderly man, debilitated with Parkinson's disease, who had been given a new hip. He had become agitated 3 days post op and had 'punched' the physiotherapist (how?) and 'throttled' a nurse (serious cricoid trauma was, fortunately, avoided). What I subsequently found may have decided my choice of career. Clearly frightened, he believed patients were being systematically murdered (they were being discharged), addressed me as Dr Death (justifiable given my spirited drilling technique) and claimed police were outside to interview me about the killings. He was plainly terrified and, after further investigation, plainly psychotic. Owing to his severe Parkinson's, I prescribed Quetiapine 25 mg, had a further rootle through his notes and found he was already on it, a fact recorded in the A\&E admitting notes but never entered on his chart. A simple mistake was corrected and this man was allowed freedom from his demons. Psychiatry's die was, if not fully set, cast. (PsycINFO Database Record (c) 2012 APA, all rights reserved)},
urldate = {0195-01-01},
journal = {The British Journal of Psychiatry},
author = {Rowbotham, Ian},
year = {2009},
note = {http://dx.doi.org/10.1192/bjp.195.3.201},
keywords = {*Life Experiences, *Psychiatry, *Surgery},
}
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