FemmeFocus Junction

  It breaks my heart when I come across patients who have negative misconceptions about vaccination. We have come a long way in medicine when we used to have various infectious diseases wipe out a whole population, or leave thousands with multiple disabilities. The discovery of the Human Papillomavirus by Harold Zur Hausen as the causative agent for various cancers, such as the cervix, anus, and oropharyngeal, was a major scientific breakthrough. He won a Nobel Prize for this. Later on, we had the HPV vaccine coming around 2006, to prevent our youth from being infected with the virus, and decrease the rate of precancerous cervical lesions and other HPV related cancers.  The HPV vaccine has been available in South Africa since 2009. There have been numerous international studies showing that the vaccine works. The number of women diagnosed with precancerous lesions has declined after the introduction of the HPV vaccines. What we need to do as health care providers is to educate...

  When we are in medical school, we have a totally different mindset, we enjoy learning the science and the pathophysiology of diseases, and we are eager to save the world. Later , during our clinical rotations and patient interactions, we eagerly await hearing the cardiac murmur, lung sounds, and crackles, among other findings . Then we grow up a little more, and we learn the various blood investigations and imaging. As time goes by, we probably touch the patients less and spend more time figuring things out through the investigations.  There are certain clinical situations when a diagnosis has been made, and the patient’s prognosis is poor. We feel like we have done our part, and perhaps not much can be done from our side. There is still so much that the team looking after a patient with end-of-life issues can do. It is important to be straightforward with the patient from the day the diagnosis of cancer, or organ failure such as cardiac failure, liver failure, or dementia, ...