Structure is Key
Structure is key,
Without out this we cannot be free,
From the ups and downs of life,
And the ability to live with a wife, or family,
As strife is inherent in all kinds of life,
But it need not cut you like a knife,
For when you have an “approach” and a plan,
Whether it be to hang and get a tan,
Or follow a career which makes you the man,
That you are seeking to be,
You just have to navigate the tides,
And not get lost at sea,
So hold a peace in your mind’s sight,
And let “structure” be the guiding light.
Structure is the key to everything,
No matter how difficult and messy life seems,
There is always a way to handle the challenges peacefully and productively.
Recently I’ve been working in a new rotation called “General Medicine”, I’ve noticed that the same principles of stucture being the key applies here too. I turn up to work and there often seems to be a mountainous list of tasks to do. To get through seeing all the patients, organise consultations, and organise ward rounds with consultants to formulate solid patient management plans. Then on the tricky days I’m also on call, which means that I have to answer the pager which could be emergency patients that are referred, or ones who would benefit from another subspeciality’s input, and ward consults from other hospital teams.
It is the same when I am working in Emergency Medicine. I’ve learned how “structure” is essential to core business of an emergency physician who has to make some sense and bring order to evolving chaos. Here one strategy is going through the “board” (an electronic overview of all the patients in the department) and making sure there is a plan for each patient as well a strategy for staffing and supervision to handle the inevitible surge’s of patients (trauma’s, resucitations etc) that freqent the department.
But how about “life”?
Now when it comes to “life” – how does one structure this project? Perhaps the life arena is the hardest one to manage because it is so dynamic and multiple factors involved. Also there are pressing needs that trump any planning such as “getting food into the body”, “doing shopping”, “having rest”, or “spending time with one’s partner” who is otherwise is constantly waiting around for a life, just washing, cooking and cleaning. Perhaps managing the needs and goals of close loved ones (both family and friends) is the most challenging variable of managing “Life”.
We are not given much guidance on how to manage one’s life, or at least I wasn’t’, but what I’ve come to realise now, is that ironically doing less is the key to achieving more. This is easy to realise, but extremely hard to practice in a world where there seems to so many things that need to be done before we can sit in peace.
After working busy shifts in the hospital it is very easy to feel both depleated and defeated. In recent months, and years, I have found that by giving it “your all” to countless patients and their families, and despite simultaneously trying to be the best support senior, junior and other staff and colleagues, one can still easily leave work feeling that there was more that you could have done. This is not only heart breaking, but it is counter productive, because it leaves one ill equipped to then to come home and pick up the pieces of the most important project of all “life”.
As we head into the new year, at challenging time in my life when facing a fellowship exam is on the cards in addition to the usual mix of dream plans, responsibilities and goals – I take heart in reminding myself that “structure” is the key. I also look forward to the year ahead with a motto that I’ve always kept close to my heart – which is to give out what I would hope to get back, after all they say that “the universe is kind to the kindhearted”, and this has proved to be a personal truth that I am very, very grateful for.
Best of luck for your new year! May all you move one step closer to your most heartfelt wishes, hopes and dreams.
See you on the other side 🙂