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housemanship
Houseman Bingo (Part 2)
June 9, 2020
Let's continue with the next part. :)
This bingo is actually for my own memories, housemanship has its ups and downs, so, I treasure all experiences I had encountered when I was a houseman :) Maybe this post can be helpful for any new house officers trying to read around about housemanship - though there are lots of other people posting everywhere, hehe :)
10. Activate blue or / and red alert.
In the hospital I had practised as a houseman, blue alert means there are some emergencies going on in the hospital involving outpatients, family members or visitors.
Recently, there was a patient brought in to our ED after blue code activated. She was at the outpatient department, to be specific during the process on blood taking for her appointment date when suddenly develop fitting episode. With a known case of epilepsy, she was finally admitted for further management.
Others can be as family member who is taking care of patient in ward suddenly found unconscious. It is not that the ward cannot do anything to him... of course they will especially for basic life support. But the emergency team will be called to attend the patient and bring him to the ED for stabilization :)
While red alert can be found mostly in O&G department, involving pregnant women - eclampsia (sawan), post partum hemorrhage (pendarahan banyak lepas bersalin), should dystocia (bahu tersangkut masa bersalin), cord prolapse (umbilical cord di pintu rahim masa nak bersalin) - all of these cases are emergencies!
11. Send patient for xray by self.
This happened when I was in Orthopaedics. We were planning to get check x ray (means x ray that is done after operation) to see in formality if the operation is successful or not. The patient was put on some case (I can't recall the name) but it was a bit complicated to set it up. The radiographer need to remove the cast/sling first before shooting the x ray, but requested for Ortho team to be there to reset it back after the x ray.
12. Explanation letter.
Need to do this when in Ortho as well for some reason - actually I forgot details of this patient.
-_-'
13. Send specimens to lab by self.
It is a normal routine for housemen, despite we have PPK (pembantu perawatan kesihatan) but they could be doing other stuffs too, like sending patient for xray / to OT, taking food trays from kitchen etc. So, in daily life, sending specimens is our task too - especially in emergency cases in ward, like resuscitating patient.
14. Sleepless oncalls
To be honest, I don't fancy oncalls / night shifts. -_-' maybe that is one of the reasons I prefer myself to float in ED (other than I still can't decide which departments to go as I love all of them huhu). ED practices shift systems.
Oncall usually means, working for at least 24hours plus plus plus, for example going to work at 7am today and punched out at 1pm the next day. For some hospital, it can be up to 5pm the next day. I had no experiences with that shifts, as my previous oncall shift was different.
In O&G - 7am-5pm, go home to come back at 10pm and finish oncall at 1pm the next day - though we can be stucked in the ward / labor room between that 5pm-10pm.
In medical - 7am-12pm, break till 4pm, then continue working till 1pm the next day. The 4 hours break were totally UNPRACTICAL haha as the morning round will finish around 11am plus, and for sure it will be really hard to get all task lists done within 1 hour. Haha.... kalau bertangguh, tahan la telinga kena marah dengan family members sbb tak siapkan lagi surat-surat discharge semua. T_T
15. Meconium bath in LR
Meconium = najis pertama baby. Despite wearing plastic apron, our clothes / shoes can be soaked with the patients' meconium while we are helping the delivery. Meconium can be light / moderate / thick.
Stain in meconium means the baby already pooed inside the womb. This can be a problem later if the baby aspirate the meconium as it can pass through the lungs and cause the baby to have difficulty in breathing upon delivery. This is not a simple case - it can even lead to death!
16. Feed and took selfie with newborn in ward.
I really enjoy the feeding session in NICU (neonatal intensive care unit), you can see how eager some babies react to milk (be in expressed breast milk or formula milk). Usually if the babies need intensive care and monitoring, they will be admitted to NICU where they don't stay with mothers. So, the time for direct breast feeding will be limited and all mothers will be consented for formula milk.
Different situation in post-natal ward or special care nursery (SCN), where the babies can be still under pediatrics team's observation but they are stable enough to be left with mothers. :)
17. Belanja misi food.
Usually after end of posting :) Haha.
18. Mortality summary.
Haaaa, I don't like this one. First, it means our patient had passed away. Next, they need good documentation especially in cases that family members would like to have a formal medical report to claim with insurance company etc.
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Wow, suddenly I missed my housemanship. Haha, but like others, of course I don't want to repeat the phase again. Housemen leave home before sunrise, return long after sunset. Almost daily hehe.
Alhamdulillah. Thank you Allah for helping and guiding me through out the housemanship - with providing me good people around and experiences. :)
SM, Perak, Malaysia
200609
Found this in my phone gallery. Before I delete pictures like these, I feel excited to share it on the blog first. I have 9999+ images more to delete, seems like I have deleted nothing. Hahaha.
For this, I managed to achieve one Bingo. :D
1. No off for 2 weeks.
Yeah, it is possible for some department when you can accumulate two off days consecutively :) As a houseman, you are entitled to get one off day per week.
In my case, it was during surgical posting. We have this 2 weeks rotation for clinic which cover office hours (Monday to Friday, 8am - 5pm). So, you can either have your off day on Saturday or Sunday for each week. Otherwise, you can request to the team leader to allow you to work the whole 2 weeks and claim your 2 days off later.
Housemanship has flexible schedule though. It was hard to plan for holidays, sometimes.
2. Ate hospital food.
We called this - hospital diet. Trust me, almost 99% of the food are delicious! Usually the kitchen will serve different meals for staffs and patients. Even for patients, there are different food too - depends on each requirement, some may have high potassium diet, low potassium diet, low sugar diet, not to forget... we really care about patients' allergies too :)
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| Tomyam ayam |
3. Felt like quiting.
Hehe, I felt this way every time I failed to give my best, or unable to save patients, or unable to recall knowledge that I've learned.
Medicine is a continuous learning, every day is a learning process and we encounters lots of new things every second.
Feeling like quiting is normal, just don't quit before you have really tried your best or have a strong back up plan. Find something to look for everyday. :)
4. Did a vacuum dressing.
There are different types of dressing to the wound. Dressing means technique to cover the wound - some simply with normal saline, some with special liquid, some with iodine. For vacuum dressing, we are basically put some negative pressure / put some suction to the wound, with the aim to remove all exudates (layman terms = air bisa?) and encourage growth of new healthy tissue :)
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| Something like this - source https://www.wjgnet.com/2218-6190/full/v1/i3/13.htm |
5. Failed blood taking x5 on same patient.
It is actually common for patient with difficult blood taking which usually we ended up with taking blood from the artery. I encountered this when I was in medical department, especially when I was doing my solo HO night shift. It was hard to ask for help as others are busy too with their medical wards. T_T
6. Play with newborn in ward.
I enjoyed this especially in O&G department, hehe I called newborns as cookies fresh from oven. :) Their smell is soooo nice, especially after we cleaned them up. After a baby is born, the doctor will need to do basic baby check, to make sure the baby is generally healthy. If the mother has some pregnancy problem, like gestational diabetes mellitus, history of infection, big baby - we eventually will call the paeds team to do the check instead. :)
7. Kena 'buli' senior or MO.
Hmmm, sometimes I don't realised this, until another colleague mentioned to me something like, "Eh, kenapa kau pulak buat benda ni, bukan patutnya XX punya task ke?" Haha.
Bullied by MO, hmmm, not sure.
8. Get to know a supportive MO
There are lots of them to be honest. Get to know them and you will have more opportunity to learn more. :) Every department, I have my favourite MOs whom I found easier to discuss and plan for management as they will ask me back about the reasons behind those management. :)
"Kenapa aku buat macam ni untuk patient ni."
If my answer is "not sure, nanti saya baca part ni." And he/she will give due date to present back to him/her with the answer. Sometimes, even after studying that specific topic, my answer can be wrong. But I love how they were still being patient and explain the reasons.
These kinds of people, may Allah bless.
9. Punch out 4 hours after work.
HAHA.... many times during medical department, especially during postnight shift. You are allowed to go home after 1pm (during that shift system), but, what to do if the morning rounds sometime finished around 11am, and you have lots of task to complete before leaving the ward. Usually what made me stuck there was when I failed to complete my tasks especially the one involving office hours - like sending / receiving fax to / from another tertiary hospital about patients' previous records, requesting urgent radiology appointment, calling another office / klinik kesihatan - where the lunch break usually from 1pm - 2pm plus.
While I still have other pending stuffs to do like settling patients' discharge notes, assisting MO with procedures, urgent blood taking etc. Hahaha.
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Enough with 9 for this post, gonna share the rest in the next one :)
SM, Perak, Malaysia
200609
Review on Unifi Mobile™ Pek Jasa
March 26, 2020
After more than 10 years of being a loyal Celcom customer, I finally decided to turn my back to it. To be honest, I think Celcom is one of the strong telcos in Malaysia. I have never tried any other Telcos anyway.
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| Cute little simcard |
But after paying almost RM110 per month (actually RM98 + tax) for my First Gold Plus plan, I realised there are few other choices out there that offer almost similar plan with cheaper price T_T.
- 20GB free weekend Internet (5GB every Saturday & Sunday)
- 20GB weekday Internet
- 100GB free Super VideoWalla for 12months
- unlimited calls to all networks
- unlimited social apps
- ** unlimited Hotspot within those 40GBs
Sounds okay.
But look at this one!
UNIFI MOBILE™ PEK JASA - (RM 59/month)
- unlimited data
- unlimited calls to all networks
- unlimited SMS to all networks
- no contract
- 10GB Hotspot
I have surveyed for Maxis, Digi, U-Mobile too, but none of them are interesting as how I am attracted to Unifi -_-' Maybe due to the reason that lots of my colleagues in ED use Unifi, most of them have given generally nice feedback.
It was a hard decision to make and I hope I don't regret it.
So, good bye Celcom!
2007-2020
On 10th February 2020, I finally decided to proceed with the plan :) I went to the nearest TM point and inform the officer about what I want. Alhamdulillah the process was smooth, with the help of the officer. If you want to apply the same Pek Jasa as I am, don't forget to bring your working ID as well ya.
It is still early to give thorough feedback on this new data plan, but generally for the past 1 month:
- I have no problem assessing the Internet (on Unifi) as the data is unlimited. When I was using Celcom previously, it was really hard when the month approached the few last days. My job requires me to be on Mobile Data for 24/7, there are lots of PDFs to be downloaded, not to forget lots of movies/dramas to be watched on off days.
- Unifi coverage is not that broad compared to Celcom. There was one time I went to Sendayan for a Paediatric course and it was really hard to even get 1 bar! I don't know why but seems that friends using other Telcos have no problem with their coverage. Ehemm... but no problem so far in Manjung.
- I can feel the difference of paying the bill! RM59 vs RM 98.
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| I just knew that Unifi gives free LTE hotspot for 999GB till 1/4/2020. Alhamdulillah, I can use mobile hotspot to connect to my laptop :D |
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| The charges breakdown. |
I am currently on Day 2 of staying at home due to some reasons that (maybe) I will share later. Please pray for me and my ED team :)
SM, Perak, Malaysia
200326
Enjoying The Cool Sea Breeze at Padang Kota, Penang
February 10, 2020
Last Saturday, we had a chance to spend about half a day in Penang. We had a wedding event that we planned to attend, it was Haziq's university friend's wedding, held at Kompleks Tabung Haji Bayan Lepas. After having discussion, we decided to stay overnight so that we have few hours to spend around.
Friday, 7th February 2020.
I was on my postnight shift, while Haziq finished his work schedule at 5pm. Alhamdulillah I had a good night shift at that time. After completing my work for that shift, I stayed for 1hour+ to get my assessment done. 2 more assessment to go and I need to study actually while writing this blogpost. Haha.
Arrived home around 12pm, got my lunch and started to pack my stuffs. Girls being girls, I still need time to decide on clothes to bring and so on. And since I got married, I tend to wear the same color attire as my husband. Not sure why, but I think I grew up with this kind of thing - I mean, almost all my mother's clothes have their matching pairs with my father's.
We started our journey to Penang around 6.30pm, passing by Pantai Remis --> Terong --> Changkat Jering (this is where we can finally get onto highway). I wish the WCE highway will be complete very soon, anyway. For now, it only cover Beruas to Lekir. We also dropped by the pasar malam to get few snacks.
Finally, arrived Penang, to be exact our hotel room, at around 10pm. It was the last minute deal (always like that though). The hotel is Grand FC Hotel, located very close to Transfer Road where we planned to have our breakfast the next day. :)
You can get cashback when you book your room with ShopBack!
Kindly click and register HERE if you haven't get your account with ShopBack, yea. You can get free RM5 if you register with the link.
There are many website you can choose from for the accommodation, anyway. Just survey around to see which is more worthy :)
Grand FC Hotel, Penang
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| 2 single beds combined together. |
Pro:
- a new hotel - so you can expect clean and new rooms with functioning toilets
- private parking space (on first come first serve basis) - you can avoid getting penalty / pay for parking fee outside.
- walking distance to famous breakfast along Transfer Road - will share more on this as it was my very first experience having breakfast at the side of road like that haha.
- good security - the hotel lifts require the assess card to go up. But you don't need the card to get back to the lobby.
- easy check in - since we already paid online for the room, there was no problem checking in. Oh, prepare RM50 for deposit.
- wifi - acceptable.
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| Super clean toilet with functioning water heater |
Cons:
- thin wall - basically you can hear people closing their room doors but it was not that loud to be irritated with. Bearable much.
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| The branches look like our lung (I mean the bronchus - bronchioles) :D |
After done with check in, we went to Padang Kota just to enjoy the sea breeze. Haziq had only been once to Penang (during his graduation), hence there were lots to show him. Hehe.
Let's start with Padang Kota.
I used to come here a lot. My uncle's flat was just few meters away from the seashore. It was the eve of Thaipusam, though I expected a bad traffic jam... it was almost clear!
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| Buskers all over, there was a booth for henna too. |
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| Luckily his voice was nice. :) There was a huge crowd anyway, I bet this busker team managed to catch the audience's attention. |
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| Not to forget, you can get your foot massage here. Not sure how much it is. I feel it is too public to get the massage hehe, so we decided not to try though the pressure shown by the masseurs and masseuses look promising. |
If you bring kids here, they are surely going to enjoy the playground and all the blink-blink merchandises sold there.
After enjoying few songs, we went to Padang Kota Lama Food Court to taste some pasembor. There are too many choices of stalls, we just chose the closer one. Here there was quite a bad memory for me though it was actually nothing to bother. It was when I bought the drink.
Me: Nak tembikai ais satu.
Uncle 1: Aaaa okay2 bayar sana (refering to Uncle 2 who is in charge on the money).
After paying, I stood there to wait for my drink. Uncle 1 told me to just sit first and come back later to pick up. I went to my husband who was queuing to pay for pasembur, then after around 5 minutes I went back to Uncle 1.
Me: Tadi ada order tembikai ais, dah siap ke? (there were lots of watermelon juices on the counter, I thought maybe one of them is mine)
Uncle 2: Sudah bayar belum?
Me: Sudah, ni tengah tunggu nak ambik je.
Uncle 2: Saya tak rasa adik dah bayar.
Me: Ehh, saya dah bayar lah, ni baki tadi uncle bagi.
Uncle 2: Iya ka? Macam belum saja.
Me: Adoi, sudah bayar la uncle.
Uncle 2: Hmm takpelah, saya halalkan aje lah kalau tak mau bayar.
I was like... what?
I got a bit irritated.
Me: Uncle 1, tadi saya sudah bayar kan? Saya tunggu sini tapi uncle kata pergi duduk dulu.
Uncle 1: Ya lah, betul betul, you sudah bayar.
Hmmm. Tak best betul perasaan ni.
Tembikai ais je pun!
I understand that you can't remember the customers' faces but if this does happen a lot, can you imagine how many times the customers may be paying twice? Maybe you can consider giving our receipts, uncle?
Luckily the pasembur recover my mood. ;)
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| So many choices, yummy! |
Till next post, gonna show you how the Art Street looks like at night :D
AEON SM, Perak, Malaysia
200210
Best Combo
February 2, 2020
Alamak... teringin pulak nikmat dunia ni.
Tomorrow's post-night mission - laksa & cendol by the beach :)
Please pray for my uneventful night shift, guys :)
200202
SM, Perak, Malaysia
Are You The Heart of The Brain?
February 1, 2020
Found this on Facebook. :D
Sometimes, I feel like I am the heart, but at the same time I am the brain. Lol. Every single morning that I need to work, I surely need to calm myself and keep saying 'it is another day, I can face this.' It is not that I don't love the job, sometimes it feels so hard to face the people and the challenges. Dealing with human's life, somehow I feel like my own life is at the edge too. -_-'
Now that I am going to complete my housemanship really soon, it is difficult to think that in the future, I am not going to have my MO to counter check my clerking or management. And if I am fated to a district hospital, I will not have any specialists to counter check my management too!
Nangis lah kau di situuuuuu.
But let's pray for the best anyway :)
I am considering to continue my studies, but with this contract doctor thingy, I am surely not entitled for Masters program, so... need to save few thousands to take parallel papers. From the experiences of my MO, they spend at least RM 4,000 - RM 8,000 for a paper and can you imagine if you fail? T_T
But again.
Let's pray for the best and do the best!
Balancing with working life and time for families too. InsyAllah, may Allah ease :)
SM, Perak, Malaysia
200129
Things I Would Love to Improve in 2020
January 1, 2020
Alhamdulillah, we entered another decade. It is 2020, guys! The year I've been looking for since I was a kid. All those 'Wawasan 2020' chants, I believe most of us still remember how excited we were when we need to draw things we imagine in 2020.
2020 means I become a year older, approaching 30's. Of course I feel old, but somehow we need to grow and move forward. We can never rewind the time, except in memories. Thus, I believe, 2020 is the year I would like to restart documenting my life, so I can recall and appreciate all things that going to happen later. :) sure, gonna use them to reflect myself too.
I started my 2020 in hospital, in which I had my night shift. Didn't have the opportunity to count down, but I was lucky enough to see live fireworks at 11pm (early one I guess). Emergency department (ED) never fail to have guests, I must say. Patients kept coming and cases that I've been expecting were real - those with burns and accidents. In medical setting, we call accidents as alleged MVA (motor vehicle accident) - it can be either motorbike (MB) skidded, motorbike vs motorbike (MB vs MB) etc - trust me, there are so many short forms for medical documentation which are not official but understandable.
Oh, back to the title, I rarely have new year resolution (I think) as growing older, I learned to put less expectation but still work hard to achieve something if I have put my mind for it.
So, this 2020 may see another part of my planning - to list down things I would love to improve and maybe you can try them too.
1. Prepare proper medications at home.
- I realised, there are a lot of cases in ED that really do not require patients to see treatment. It is not that the situations are not serious, but we do believe there are few cases that can be observed and proper care at home.
- For example, you have fever started around 8pm, instead of going to see doctor at 12am (4 hours later), why not you try to take Tablet Paracetamol 1 gram first, then observe the temperature trend. It is way better if we have thermometer at home so that the observation will be way better.
2. Read more.
- Since I have been binge-buying books during the previous Big Bad Wolf, I have been telling myself to read at least few pages per day OR to finish reading a book within 2-3 weeks. So, by the time the next Kuala Lumpur International Book Fair start, I have solid reason to buy more books.
- For now, I am controlling myself not to buy books even restrain from entering Popular bookstore.
- I decided to read more fictions, as I realized my brain is too tired to consume all facts / reflections in non-fiction books.
3. Travel more.
- Housemanship is obviously the phase where all junior doctors find it hard to juggle between work and life. After spending at least 10-15hours at work (the formal working hours), I find that my off day is only to be spent for sleeping or lazying around. I am too tired even to think, thus decided to sleep in my comfy duvet.
- This year, I would love to plan more trips around Malaysia and to attempt travelling around Asia or maybe Europe.
- I would love to plan for umrah again :)
4. To decide on further study plan.
- I am a family person, even before marriage, I love to spend time with my parents. Just, housemanship restrict me to do so. Even though my working place is just 2 hours away, I am honestly tired to drive and as mentioned before, I prefer sleeping.
- Studying is a another constraint. When I have spent 3/4 of my day at work, the time I have left is only for sleeping and relaxing. I find it hard to spend hours to do revision like when I used to be a student. I decided that I will try my best to study as much as possible during working hours. It works but honestly I still need to read back all theories - pathophysiology, the side effects, indications & contraindications of each stuffs.
- Haven't decide yet on which specialty I would like to further. A part of my heart says 'just stay as chronic medical officer' but due to current dilemma in health system, a part of my heart are considering to migrate - in which, I surely need to further my study to secure a better place.
All in all, I also have a plan to update my blog with at least 2-3 posts per week. Not sure how it is going to be, but will try my best. Short posts should be okay, I think.
Vampire at Night
December 19, 2019
I saw this post in my draft, just the picture below.
I bet this post was drafted when I was in medical posting (at least a year ago).
Usually only in medical posting, we have huge number of bloods to be taken before 6am for a night shift houseman. Honestly, the process of blood taking is not that long (it can be as short as 1minute) ONLY IF:
- the patient is cooperative,
- the patient does not have any chronic kidney disease / on chemotherapy,
- the patient is not obese,
- the patient is not dehydrated,
- the patient is not a kid or elderly,
- the person doing the blood taking has good experiences.
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| Add caption |
The are two ways to take blood - from venous and from artery (in Malay, we call artery as nadi - the pulsating one).
For difficult blood taking, somehow taking blood from artery will be the best way instead. Just, I believe it is painful compared to via venous, but only arterial blood can give the best result to see the good is our oxygenation in our blood system.
Few problems you can encounter during blood taking (venipuncture) / branula insertion:
1. Delicate / running veins
- Usually these can be seen in elderly
- Our veins are elastic - the moment a needle is inserted into the vein, our vein will hold the needle in place (like... hugging the needle) - there will be no way for blood to escape - like a seal.
- But for elderly, their veins are less elastic --> hence, blood will slowly go out in from the hole in between needle and vein, leading to hematoma.
2. Neonates
- I believe many of us have seen the current issue about blood taking in baby.
- It is difficult to be honest - you need steady hands and at least one assistant. Usually taking blood from neonates without assistance is doable, if you cover the other limbs nicely and know how to retract the skin well to properly expose the veins beneath.
- But, to insert branula to a baby can never be done alone. Trust me, I have tried once, the branula was successfully inserted (just the way for blood taking is done), but the secure the branula will be another issue. Assistant is obviously needed to secure the branula on the baby's hands.
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| Gebu gebas |
3. Advanced kidney problem
- Especially patients on regular dialysis.
- In these patients, the blood vessels will slowly constrict (smaller diameter) --> hence the difficulties.
- They also will have one side of upper limb with fistula / prepared for future fistula, so we lost chance to take blood from one limb.
- Don't ever poke patient on the same side of limb with fistula - we are going to risk the pathway for him to do dialysis later by introducing injury / infection.
There are lots of more actually, you can further read about difficult blood taking here. I believe I have encounter almost all difficulties as shared in the link.
Not to mention, other situations to be taken into account - like, patients pergi mandi/solat/toilet, nak kejut patient dulu untuk bangun tidur, nanti ha terkejut tiba-tiba kena cucuk.
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| blood taking trolley |
I must say, blood taking / branula insertion is surely painful. But, reminds ourselves that blood is like our identity, it reflects the condition of our body - is the water enough? is the kidney / liver okay? is the blood sending good amount of oxygen? is there any infection - is it bacterial / viral?
So many things can be checked from the blood. Blood is precious. But don't worry much if you think doctors are taking lots of blood, we at least have around 4500 - 5500ml of blood in our body and usually the maximum amount taken daily is maybe 10ml - it is like 0.2% only hehe :)
20191219
SM, Perak
Latest Me.
December 18, 2019
Oh my, my last entry was in August, that was at least 4 months ago. There were obviously multiple life events happened in between those gaps, and I am looking forward for all the future uncertainties. :)
1. I am a wife :)
Alhamdulillah, on 16th of August, I became a wife to my husband, Haziq. The marriage life is going okay so far, alhamdulillah, still trying to understand each other's differences and preferences. I realized it is definitely true when people said you will never know someone until you get married to him/her. You wake up in the morning with him by your side and finish the day with him too - on good (non-night-shift) days. So, basically you can observe each other's liking at every minute of life if both of you are on off days.
To have a doctor as my husband is a blessing in disguise. Alhamdulillah.
Previously, I have no idea how to live my life talking about medicine at home, in the car, etc - practically everywhere and almost every time, like breathing medicine. But, right now, I am very glad to have someone who can genuinely listen to what I am sharing about - all the struggles of working, all the happiness achieving success at work, all the sadness of unable to revive patients, the lethargy, the hunger yada-yada.
Thank you for being there, my understanding husband. :) May Allah bless us with mutual understanding and love, always.
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| Source - https://www.marriage.com/quotes |
2. I move to a new house :)
It is an apartment, people said it is bit pricey for monthly rent but we both agreed this is the best bet we can get with the price - a lovely 3 bedrooms apartment, on a good level, with nice view plus fully furnished IKEA furniture and we basically the first one to rent the unit - so you can imagine how brand new and fresh items we are dealing with. :)
I am sure all of us agree that a comfy, lovely home is what we are looking for after a hectic working day :) Hehe.
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| View from the apartment. |
A room is specially allocated for our activity like studying, ironing etc.
Another room is the guest room - especially if the family members are coming for overnight trip :)
While we use the master bedroom.
Since the kitchen is kinda fully equipped as well, we have a target to cook at least 2-3 times a week. Sounds so lazy but that is the best plan we can try to do. Our schedules are quite tight, working at the hospital for at least 10-14 hours a day and coming home with lethargy - we can't afford for frequent home cooked meals.
Trust me, the moment we returned home at 10pm-11pm after working the whole day since 7/10am, we feel too tired even to stand properly. However, we are trying our best to at least complete these three things - 1) make sure our solah is done, 2) eat dinner/supper and 3) take bath.
3. I am in my final posting :)
Reading my old post about starting my housemanship, I feel grateful to see how far I have become. 3 months more towards the end of housemanship and there will be another battle of being a doctor.
Anyway, my final posting is emergency medicine (ED - emergency department). :D
I chose this department anyway, instead of anesthesiology, just because I would love to learn how to be a good front liner and to practice and develop more confidence to deal with emergencies.
Anyway, my final posting is emergency medicine (ED - emergency department). :D
I chose this department anyway, instead of anesthesiology, just because I would love to learn how to be a good front liner and to practice and develop more confidence to deal with emergencies.
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| During moulage in ED. |
ED can also be called as ETD (emergency & trauma), A&E (accident and emergency) or ER (emergency room) - this place witnessed hundreds of patients coming everyday (at least for minor specialist hospital) and of course it can reach up to thousands for state hospital.
So far, I am enjoying and appreciating all moments in ED because this is basically the place I can practice to give a plan as a MO. There are too many things to learn in ED - doctor skills, knowledge, empathy, how to improve patience, how to break bad news etc.
And this is the place I feel 'stupid' when encounter patients from departments that I've left quite long time ago. Since I just finished my Paeds posting, the knowledge is quite fresh in my brain and the skill of blood taking / branula insertion is still okay. Alhamdulillah. But when it comes to other departments stuffs, it takes me a while to come down to few differential diagnosis.
Still, I can't really tolerate patient who come to ED at 3am, with complaint of headache since 1 previous hour. We gave tablet Paracetamol (equivalent to Panadol) and the symptom resolved. The reason for this headache was the patient sleep late at night. T__T. Boleh tak rasa nak nangis? Kecemasan ialah untuk kes-kes cemas. T_T. Even if you have persistent headache and it is affecting your life very much (like taking frequent MC), you can go to outpatient department (OPD) or any klinik kesihatan for further management. Usually they will try to investigate the reason, make future plans and most importantly, you can continue follow up with them.
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All in all, I guess 2019 is amazing so far alhamdulillah. It has all the adrenaline rush, happiness, tears and smile. Adorable 2019.
* Moulage (French: casting/moulding) is the art of applying mock injuries for the purpose of training emergency response teams and other medical and military personnel.And this is the place I feel 'stupid' when encounter patients from departments that I've left quite long time ago. Since I just finished my Paeds posting, the knowledge is quite fresh in my brain and the skill of blood taking / branula insertion is still okay. Alhamdulillah. But when it comes to other departments stuffs, it takes me a while to come down to few differential diagnosis.
Still, I can't really tolerate patient who come to ED at 3am, with complaint of headache since 1 previous hour. We gave tablet Paracetamol (equivalent to Panadol) and the symptom resolved. The reason for this headache was the patient sleep late at night. T__T. Boleh tak rasa nak nangis? Kecemasan ialah untuk kes-kes cemas. T_T. Even if you have persistent headache and it is affecting your life very much (like taking frequent MC), you can go to outpatient department (OPD) or any klinik kesihatan for further management. Usually they will try to investigate the reason, make future plans and most importantly, you can continue follow up with them.
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All in all, I guess 2019 is amazing so far alhamdulillah. It has all the adrenaline rush, happiness, tears and smile. Adorable 2019.
20191218
SM, Perak
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