Niam Hew - MediSin: Losing the Heart and Mind of an ER Provider – What he thinks of his patients, the American people and Americas healthcare system

Special Smashwords Edition

Medi S in

Losing the heart and mind of an ERprovider:

What he thinks of his patients, the Americanpeople

and Americas healthcare system.

by

MEDISIN

Special Smashwords Edition

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ISBN: 978-1-938701-13-9 (eBook)

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Version 2012.11.26

This book, for what it is worth, is indedication to my beautiful wife and children, who are wortheverything. For my wife who has put up with my childish ways forover 20 years, and to my kids who are now paying me back. They arethe most important part of my life and their health and happinessis all that matters.

Medi S in

The American people, all of us, are infectedwith a disease. This disease is not found in nature. Its originsare artificial. Its creation is of our own design. You will notfind this syndrome in a textbook. There is no test available tomake the diagnosis. You cant go to a doctor and receive the cure.Everyone knows they are infected. The signs and symptoms areobvious to everyone, acknowledged by many; however, addressed byfew. There is a cure, but the medicine is too intolerable toingest. This book may help, but it is simply a single dose. Andlike most antibiotics, there is a strict regimen to follow;multiple doses, everyday, for many days. How many of us are able totake a simple course of Penicillin three times a day for ten days?Studies show that compliance is pathetic, and herein lays theproblem. Here is the presenting sign of the disease. Its a singlesymptom of what plagues our society, and we are ALL slowly dying.Physically, mentally, and socially. And the irony is that insteadof helping one another, we are spreading this disease. We are allcarriers.

Wall Street to Main Street. Rich and poor.Educated and ignorant. There is nowhere to hide, yet no need to doso. We are the problem and the solution. If I were an optimist Iwould argue there is always hope. Miracles can come true. However,I fear we are doomed to suffer a slow, painful and debilitatingdecay. Welcome to the America of today.

Before I start I must apologize.Unfortunately this book is the recollection of a good portion of mylife. And it is a life truly un-extraordinary. There may be a fewwho disagree, such as my wife and parents, but they are biased.Even this book symbolizes my lack of greatness. Im fine withthat.

By all standards, I am lucky. I have no rightto complain about my life. I have made mistakes, and hopefully Ihave learned from them. I may tell others that I would make changesif I could, but looking back on where I am now, if by some miracleI could alter my past, therefore changing my future and the life Ilive now, I would not change a thing. I have a beautiful wife andthree amazing children, children that are a paradox to me. I findit amazing that I would sacrifice my life in less than a heartbeatfor any of my kids to ensure that they are safe and happy; yet Ispend 99 percent of the time wanting to kill them, because theydrive me absolutely crazy. But that is another book in itself. Forthis story, my only point is that I make no claims of despair.

I am a PA. A physician assistant. I am not adoctor. I am not a nurse. And more importantly, I am not a medicalassistant, nothing against MAs. A physician assistant, or as I tellmy patients, a wannabe doc, is a licensed medical professionalwho is recognized by the government to practice medicine.

The practice of medicine is limited to a fewmedical professionals. In the past it was limited to MedicalDoctors (MDs). When we think of a doctor that is who comes to mindfor most people. However, there are other fields of medicine thatthe general public is often unaware of. There are other types ofdoctors treating patients in offices, operating rooms andemergency rooms throughout the world and their training isdifferent than that of the traditional MD. The closet relative tothe MD is that of the DO. A Doctor of Osteopathic Medicine. A DO isa doctor and by all rights deserves the same privileges an MD isgiven. Traditionally a DOs training is hybrid, combining themedical applications of the medical doctor and the manipulativetraining of a chiropractor, to obtain the most versatile physiciancaring for a patient. In truth, few DOs actually apply their dualnature and instead focus their treatments primarily on themedicinal side of patient care. In my opinion, it is a loss we allsuffer.

Other doctors include DPMs (Doctors ofPodiatric Medicine) foot doctors of which my mother is one. Theyspend the same amount of time as MDs and DOs in training to carefor smelly, crusted and decrepit feet. They deserve sainthood.Another saint of a doctor is the dentist (DDS). The thought ofworking inside the mouths of the average American everydayOMG!Other doctors who receive little acclaim are chiropractors (DCs). Iwas originally on the path to becoming a back cracker. A DCspends three years in training, and is by far the best manipulatoraround. I have never found a DO that can come close to theadjustment capabilities of the average chiropractor. Despite what amajority of the medical community claim, chiropractors have avaluable role in treating overall patient wellbeing. However, aftersix months at a chiropractic college I came to the realization,that snapping spines was not the path for me.

I left Chiropractic College and applied myundergraduate degree for a few years. I worked as a clinicaldietician in a nursing home for two years. Simply put, it washorrible. A career of implementing puree, low sodium diets woulddrive me to unspeakable acts. I knew I needed something else. Butwhat?

I struggled for a few years. I debated goingback to chiropractic school, and was reminded a few times a yearwhen a chiropractic schools admissions office would call me toinquire about starting my training in the upcoming semester. Maybeit wasnt so bad. Maybe I was destined to be a quackerpractor. Iwasnt one of the lucky ones growing up. I never found my niche. Inever knew, even in college, taking a variety of courses, what myultimate path was going to be. Nothing rocked my world. All I knewwas that the current path I was taking would lead me tounhappiness. I needed change.