{"id":44160,"date":"2019-03-04T16:42:38","date_gmt":"2019-03-04T15:42:38","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=44160"},"modified":"2019-03-08T12:18:01","modified_gmt":"2019-03-08T11:18:01","slug":"karen-donnelly-doctors-with-irish-borders-is-this-going-to-hurt","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2019\/03\/04\/karen-donnelly-doctors-with-irish-borders-is-this-going-to-hurt\/","title":{"rendered":"Karen Donnelly: Doctors with Irish borders\u2014is this going to hurt?"},"content":{"rendered":"<p><span style=\"font-weight: 400\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-44162 alignleft\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2019\/03\/Karen_Donnelly.jpg\" alt=\"\" width=\"142\" height=\"146\" \/>&#8220;Are you a Protestant or a Catholic?\u201d my patient gruffly asked as he lifted his non-invasive ventilation mask. <\/span><\/p>\n<p><span style=\"font-weight: 400\">It was 3 am on my first night shift as a quaking foundation year one doctor in Northern Ireland. This gentleman had become more unwell so I carried out an assessment. I deduced that he needed an arterial blood gas and the medical registrar\u2019s review. Conscious of my thick Dublin accent and the predominantly unionist district general hospital in which I was working, I could feel a lump gather in my throat. I needed his radial pulse, yet over the brim of his non-invasive ventilation mask, I didn\u2019t know how to respond. <\/span><\/p>\n<p><span style=\"font-weight: 400\">We stared at each other for a moment.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Working as a foundation doctor in Northern Ireland, I\u2019ve come to the simple conclusion that the movement of British and Irish doctors on either side of the border should be as straightforward as it is necessary. Integration fosters understanding. Understanding negates hate. On a daily basis Northern Ireland quietly yet palpably rises above the sectarianism, provocation, graffiti, banners, flags, and fear. <\/span><\/p>\n<p><span style=\"font-weight: 400\">Like many people living and working here, I worry about the return of friction at the Irish border. Will I have my car checked? Will I have to roll down my window? Will I be late to the ward round on a Monday morning? <\/span><\/p>\n<p><span style=\"font-weight: 400\">In the countdown to 29 March, we mustn\u2019t forget that the peace process extends into our ambulances, our GP practices, and our accident and emergency departments and wards. Even if it\u2019s not always obvious, we mustn\u2019t forget the impact that the movement of our British, Irish, and European healthcare professionals has on both sides of the border. We mustn\u2019t forget the relevance of this to the weary foundation doctor facing an agitated patient under the bedside lamp. We need a frictionless border. We need a border that supports our peace process, our patients, our healthcare professionals, and our care.<\/span><\/p>\n<p><span style=\"font-weight: 400\">So that night the whooshing of the non-invasive ventilation machine broke the silence. I swallowed the lump in my throat. I decided to go with my gut and tell him the truth.<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u201cI\u2019m an atheist,\u201d I replied. <\/span><\/p>\n<p><span style=\"font-weight: 400\">\u201cEven worse!\u201d he retorted as he wryly smiled and held out his wrist.<\/span><\/p>\n<p><b><i>Karen Donnelly <\/i><\/b><i><span style=\"font-weight: 400\">is an academic foundation year two doctor in Belfast, Northern Ireland.<\/span><\/i><\/p>\n<p><b>Competing interests<\/b><b style=\"font-weight: 400\">:<\/b> I have read and understood BMJ policy on declaration of interests and declare the following interests:\u00a0<\/span><span style=\"font-weight: 400\">I have been employed by the Southern Health and Social Care Trust, Northern Ireland in the past year. I have been employed by the Belfast Health and Social Care trust in the past year. I am currently employed by Queen\u2019s University and the Northern Ireland Medical and Dental Training Agency as an academic foundation year two doctor.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&#8220;Are you a Protestant or a Catholic?\u201d my patient gruffly asked as he lifted his non-invasive ventilation mask. It was 3 am on my first night shift as a quaking [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2019\/03\/04\/karen-donnelly-doctors-with-irish-borders-is-this-going-to-hurt\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":44163,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[223],"tags":[],"class_list":["post-44160","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-guest-bloggers"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Karen Donnelly: Doctors with Irish borders\u2014is this going to hurt? - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2019\/03\/04\/karen-donnelly-doctors-with-irish-borders-is-this-going-to-hurt\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Karen Donnelly: Doctors with Irish borders\u2014is this going to hurt? - The BMJ\" \/>\n<meta property=\"og:description\" content=\"&#8220;Are you a Protestant or a Catholic?\u201d my patient gruffly asked as he lifted his non-invasive ventilation mask. 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