Louisville Medicine Volume 63, Issue 12 | Page 14

REFLECTIONS THE NEED IS STILL GREAT Teresita Bacani-Oropilla, MD O n a brief visit to my former hometown in the Philippines, it was curious to see dozens of Indian youths, male and female, clad in white uniforms and blending with the morning crowds. Purposefully walking or riding pedicabs and taxis, they were headed to the same place, as medical students of the Davao Medical School Foundation. Created in 1976 to fulfill a need to train local doctors to care for patients in the provinces and rural areas, DMSF has since been recognized by the World Health Organization (WHO), and has become a center for medical studies in that part of Asia. These medical students and any other foreign nationals would become eligible, upon graduation, to pursue certifications required by their countries to practice medicine there. Evidently, there is a need for more physicians to care for their populations. We sometimes wonder if, in our own territory and backyard, physicians are still that needed. Is the medical field saturated? Have doctors become superfluous in number? Is it time to stop training more doctors? From our own ranks we witness colleagues who, despite their own busy practices, set aside time, resources and efforts to do ‘doctors’ volunteer work. Let us not forget the physicians, young and old and medical students included, who, with other allied professionals, man free evening clinics or do surgeries on Sunday. Many doctors volunteer to monitor school athletes. Others have started and continue to run organizations such as The Healing Place which fights addictions, and SOS which helps supply missions. We hear of colleagues who join regular missions to operate gratis in clinics in Haita and other countries. Alumni join classmates, bring their 12 LOUISVILLE MEDICINE own supplies, hold clinics in rural areas in the Philippines, remove huge thyroids, myomas, fix disfigured faces, repair harelips and cleft palates. Some specialize in eye problems and literally give sight to the blind by removing cataracts that have lingered for years. How about one who sets up a rudimentary clinic in Uganda educating people on health issues, hoping they can eventually be self-sufficient enough to improve health in their own environs? That clinic included a dentist to remove decayed teeth and help people to prevent further dental caries. And those in our own area who promote prevention of mini epidemics by emphasizing the use of vaccinations? It is so heartening to see what doctors can do not only here but in other places around the world. To see the hangar of the Royal Flying Doctors in Broken Hill, Australia, is amazing indeed. A doctor looks at the assignment board for the day, and flies off to see his patients! Maybe an injury in the outback? And what do we think of those brave ‘Doctors Without Borders’ members who are, as of now, helping the refugees in Europe. Their lives are on the line. We need not look elsewhere for areas where doctors can help. Every place has its own unique problems and temporary or permanent ways to solve them. In the face of man-made frustrations that confront physicians of today, contemplating on, “Why and what for are we doctors, anyway?” might help in their resolution. The idea of stopping to encourage or train more physicians because of barriers put in their way has not reached its time. The great need for them still outweighs these inconveniences. We must remember that “Nobody was ever promised a beautiful rose garden without thorns.” Dr. Oropilla is a retired psychiatrist.