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Editorial
January 24, 2025
After working for years as a tropical doctor through Doctors Without borders (MSF), Josine Blanksma decided it was time for a whole new adventure: she became a general practitioner on Texel. And even though that may sound less adventurous than working in the tropics, she also finds the challenge she is looking for in her work.
“From an early age I have been interested in the world and how other people live.I wanted to mean something to other people. “Then you’re going to become a doctor, right?” my father suggested at the time. And so it happened.I started studying medicine,” says Josine Blanksma. “During my studies,I did an internship with a tropical gynecologist. I spent 4 months in Tanzania, where I did research at the obstetrics department in Dar es Salaam. It was particularly impressive to see how they performed 40 deliveries a day in one large room, where young women were giving birth alone. While the – frequently enough several – stillborn children lay in a corner of the room under a sheet. It’s strange to notice how quickly you get used to such a bizarre situation.”
“It was the rainy season and I walked through the mud with my boots on”
General practitioner Josine Blanksma
Care for women with fistulas in Nigeria
“I ended up in Nigeria through the same gynecologist for my internship. I did a project there in which we helped women with an obstetric fistula. Such a fistula is frequently enough the result of failure to perform a cesarean section on time
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this article is based exclusively on the information provided in the source material. for more details, visit the DOQ website.
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Editor: Josine, you’ve had quite a journey from working in tropical medicine to becoming a general practitioner on Texel. What inspired this transition?
Josine Blanksma: Well, after years of working in challenging environments with Doctors Without Borders, I felt it was time for a change. I wanted to continue making a difference but in a different setting. Texel offered a unique balance between community healthcare and the possibility to engage with a diverse population. It’s less about the location and more about the impact I can have.
Editor: Your work in places like Tanzania and Nigeria must have been incredibly demanding. Can you share a notably memorable experience?
Josine Blanksma: Absolutely. In Nigeria, I was involved in a project helping women with obstetric fistulas. These are often the result of delayed cesarean sections, leading to severe physical and emotional trauma. One day, during the rainy season, I remember walking through the mud with my boots on, heading to the clinic. That image stuck with me because it symbolized the resilience of the women we were helping and the challenging conditions we worked in.
Editor: Moving to Texel must have been a stark contrast. How do you find working there?
Josine Blanksma: It’s different,but equally rewarding. On Texel, I’m part of a tight-knit community where I get to know my patients personally. It’s fulfilling to provide continuous care and see the positive outcomes over time. Plus, the island has its own unique set of healthcare challenges, which keeps me engaged and constantly learning.
Editor: You mentioned that Texel presented its own challenges. Could you elaborate on that?
Josine Blanksma: Certainly. One of the main challenges is the limited access to specialized medical services. Being an island,we have to be resourceful and sometimes manage conditions that would typically require referral to a larger hospital. This pushes me to expand my knowledge and skills, ensuring I can provide the best possible care under these constraints.
Editor: How do you think your experiences abroad have shaped your approach to medicine on Texel?
Josine Blanksma: My time in Africa taught me to be adaptable and resourceful. I’ve learned to make the most out of limited resources and to approach each situation with creativity and empathy. These lessons are invaluable here on Texel,where we frequently enough have to think outside the box to meet our patients’ needs.
Editor: what advice would you give to young doctors considering a career in general practice or tropical medicine?
Josine Blanksma: I would say, stay curious and open-minded. Both fields require a deep commitment to learning and a willingness to step out of your comfort zone. Whether you’re working in a remote village or a small island community, the key is to approach each patient with compassion and a genuine desire to help.
Editor: Thank you, Josine, for sharing your inspiring journey and valuable insights. Your dedication to medicine,whether in the tropics or on Texel,is truly commendable.
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