death

Yesterday was really a tiring, and sad day for me.

A child came in early morning with fit, that went into status epilepticus. I tried my best to help him. I started him on phenytoin, and he was OK for couple of hours. Then he developed another bout of fit, and was given diazepam by the SN. And subsequently went into respiratory depression.

The event that follows later really made my heart broke into pieces.

First, Miri wont accept the child if I intubate him, because they dont have a ventilator. So, I tried to deal with Sibu. And then, after Sibu accepted the child, and we'd intubated him, the child then went into cardiac arrest. We had to CPR'd him 3 times. By then, when I updated the Specialist in Sibu, they were like scolding at me...!! He was like, "Just now you told me he was OK, how come he suddenly went into arrest?", and "Did you intubate right??" and "Did someone gave the wrong medications?"

I dont know, at that time I should be screaming back at him for pissing me off, or what? I dont know my own reaction at that time.

It was a critical moment, and to be criticised of your action is something nobody wants to experienced. What are we? Just because we're district, does that mean we're some laughable joke to them?

We dont have enough staff as they have in specialist hospital. We dont have the proper equipment to help the child. We had to ambubagged the child manually after we intubated him. Child has severe encephalitis, that he had the symptoms 2 days before he came to hospital.. is it our fault that he deteriorate faster than we expected?? Things could had been better if the parent brought the child 2 days before, isnt it?

After dealing with the HQ to get the Medevac, and having dealing with pompous specialist and finally trying to revive the child into life 3 times, the child finally didnt make it.

ARGHHHHHHHHHH!!!!!!!!!

I dont knowhow I should react. Thinking what I can do to help, what should I've done earlier, or this and that, the fact is, what's done is done. Sigh.

the blade in me

Day 2: Incision and drainage of a back abscess.

Day 7: Refashioning of a partially amputated right big toe.

Day 8: ERPOC.

Day 9: Post mortem.

Some people may think, so what? Its no big deal. Every HOs did them during their HO-ship.

Not me. I never done any of the above during my HO-ship. And to do it all by yourself, without another doctor as an assistant?

"pat..pat"

love at first sight

I kinda like Limbang..

This morning I met the Lady Boss, who had made me in charge of A&E. This is because I've done A&E posting, and of course, I've done all 6 major posting.

Currently, I'm in charge of A&E and Isolation ward. But for the time being, since one of the MO is away, I had to cover his Male Ward.

Work start at 8am, which is great. My flat (or should I say 'apartment', for SPACEYYY rooms) is only 2 minutes walk from the ward. Means I can wake up late and still make it to work.. Sometimes, when the weather is nice, I'll walk to work. Which I just did 30 mins ago. After all, its non-urgent case, no need to waste petrol...Its breezing most of the time in Limbang. The walk is great at night time. No dogs. No kaki tembok. And good to keep the weight down. Not something I should be worried about...since I dont cook much.

During days of no oncall, I'll be finishing at 5pm or earlier. Depending on clinics attendance or A&E referral. Normally there's 40-50 patients per day seen at A&E, and the MAs usually refer to me about 5,6 cases only. Great life.

Clinics attendance is mostly 60-70 perday, most on Wednesday. I did few clinics, seeing psychiatric patient, medical patients, and even did few medical check-ups for SPA/Universities intake.

The cool thing being an MO, on first day, I can sign the MC..wahahaha. And I can decide to discharge patient as I like. But then I'd to do all referral, discharge letter..luckily no more phlebotomy!

And those physicians/surgeons in Miri General Hospital are nice. In view of border difficulty and limited resources, whenever there's problem in managing patient, we can just send them over.The difficulty with Hosp Limbang is, we're stuck between Brunei. In order to Miri or KK, we had to go through Brunei's border. And the border's closed at 10pm.

Home is great. My dear brother helped me to set up the Astro, fixed the water pipe for the washing machine, cleaned the house, cook the rice, brought my car to the workshop, went to the ATM to get some cash and a great companion.... yeah, he'll be a great husband later..caiyok!

I havent venture much into the town yet. At least there's KFC and SugarBun around if I need some fast food.And there's quite a lot VCD shops around selling pirated CDs..bole tahan! Should try to drive up to Miri, or Brunei or KK sometime later...

This is one week in Limbang.. Thank God for a good start, and hoping better experiences in the future :)

hello limbang

First arrived in Limbang on 28th Nov, my thought was, oh God please make this easy for me.

The airport is soooo cutee... Its kinda in and out airport, small and nice.

Luckily I had a friend (thanx Balqis!) in Limbang who helped me around. She brought me to the house, an old house, yang berbau hapak..

On Sunday, the whole family had to forget the niat nak pergi Brunei, coz mum and dad helped me to clean the house. Gosh, love you both!

So, akhirnya rasa sedih sebab on Monday, mum and dad went back to Kuching. Kire nasib baik, my brother is around to help, although I think he cant do much. I'm suppose to move into a flat (its so huge!), but unfortunately there's no water and electric supply. I just hope that lady in JKN will do the letter ASAP, so I can get my brother to do something.Or else, he'll just hog the PSP all the time.

At time of writing, my car and shipment havent arrive yet. I just went to the office, and the duty roster given by my boss said, by tomorrow I'll be looking after A&E and Isolation ward. Cool. Coz my medical/surgical knowledge sucks. And I think I can manage Paeds and O&G a bit.

I'll be tagging for one week, 8am till 10pm. And then I'll start oncall. Takut sehh..

No car, cant do much. I can walk to the ward, reallllllyyyyyyy near. But I need the stuff brought from Kuching, especially my IRON!!! Need to scrub the bathroom tonight. Because I had to wash my clothes by hand. Cant use the washing machine just yet, because the hose cant fit the kepala paip..sheessssshh kebab betol la!

And people in Limbang has this Sabahan slanga..aisehhh......

Nanti2 la cerita lagi. I had a bit of depression now, coz lots of thing cant be settle right now, because all these things are out of my power...haiya...

killing time

First, they told me that I had to stay in a house further than the other MOs, because the flat isnt available. Because the MO who was supposed to transfer back to T'ganu is still staying there until end of December.
Then, they told me that the house they gave me, has no water and electric supply, and I had to re-connect them myself, and pay a sum of deposit.
At first I was pissed off, but my brother willingly stay back in Limbang with me for a week, to help me settle the water and electric supply, and also help me to get the Astro and Broadband. And of course, help me to clean the house and get the groceries while I'm working.
Then, they told me the previous tenant lose the house keys, and that I had to lodge at a transit kuarters until they can get the lock done.
I'm pissed off again because this mean I have to look for a locksmith and change the whole lock in the house.

And they said, why dont I stay at the transit quarters for at least until end of December, until the MO move out. WHY DIDNT THEY SAY THIS EARLIER??!!
I'm double pissed off because that means, I cant settle my broadband, my Astro while my brother is around. That means no internet and no good TV shows for 1 month.
Again, I'm so pissed off. Because I've bought separate ticket for my brother, which is much more expensive, so that he can stay behind with me. That means, after 1 month, I have to move again.

piss off..piss off...shit..fuck...bitch...sial.....piss off...piss off....shit...shit...shit...

So, should I stay for 1 month at the transit quarter, and survive on no internet, and no Astro and have to move again after 1 month? The advantage would be, I dont have to pay the bills for 1 month, and I dont have to re-connect water and electric supply after the MO transferred. And hopefully he has broadband or Astro in-situ, so I dont have to apply for them.

Or should I just get a locksmith, and use my own money to change the whole lock. And make full use of my brother, while he's around?

How come moving houses in Ireland isnt that hard???

Arghhh... I want to:
1. Kill someone
2. Blame someone for my hardship (and you know partly its you, say)
3. Pray hard so that's the only hurdle waiting for me in Limbang
4. Pray double hard the job and the people and the hospital staff are nice to work with
5. Comfort eating
6. Go watch NewMoon now!!

buy and pack

I've been packing stuff the whole day.

Buy and pack. Buy and pack.

I realised that whatever motivation of moving to a new place, that I had when I moved to Ireland, is no longer there. Maybe because I'm unwilling to move. Maybe I'm just getting old (and I am old) and too tired with this whole moving process thing.

Not knowing the place, the people, is really getting on your nerves.

Where is your home? Is it near to the workplace? Hows the neighbours? Are the shops near? How do I pay my utilities? Where can I get the broadband or TV service? Does the home comes with this and that? Do I practically have to move my whole house with me???

How often can I get home? Hows the transportation?

And finally, how long do I have tostay there...? sigh..

double big day

piss off moment

Finishing HO-ship feels totally different..

1st, I dunno whether I should feel happy or not. The fact that I'm no longer at the bottom of the medical hierarchy, makes me glad. But then again, I'm scared of making decision. And at the same time I bet if I'm staying in SGH most of the HO I'd known here may not respect me as much as they respect other more senior MO.
Like last night when I decided to give IM Diclofenac Acid as painkiller for an old lady with close fracture of the neck of femur, the Ortho HO simply questioned my choice of analgesia. Clinically the patient was quite comfortable, and she wasnt moaning in pain, like those patient with ureteric stone.

" Hah, old lady? You give voltaren only? Give la tramadol..."

I felt like answering back, if only the Ortho MO wasnt there...

I felt like cramming the pain ladder schedule onto her brain. And the fact that Diclofenac Acid is the magic bullet for muskuloskeletal pain, she as an ortho HO should knew better.

P/S: Diclofenac acid is good for muskuloskeletal pain, Tramadol is better for visceral pain. If you're doing your A&E posting, you should know this, because the 2 main group of people who comes to A&E for pain relief are those with physical injury and those with oncology disorder/under RTU follow up. Know your painkiller wise, otherwise the A&E MO/specialist will question your analgesia of choice. Because our's is free health service, and the hospital budget for each patient is RM7 only. And of course, if you give Tramadol for a newbie, and she/he developed tolerance over it, the next few visit, you might have to settle on Pethidine or Morphine...

Because I'm so pissed off at that remark, I told my MO, CCP, about it. Anyway, he told me that happens when you're in A&E. People thinks you know nothing,but in fact, you know everything, because you've managed simple flu to a complicated diagnosis.

And then, he asked me, how come I know so much, but I didnt retaliate back at the HO.

I simply said, first I respect the Ortho MO, and second, that HO is a Russian graduate. So, I dont even bother to...

No bias here. But we all know how sucks Russian grads are sometimes...

There, you've made me.

Certain thing..

1. Amuk
There was a great hu-ha this week, when a 2nd poster datang mengamuk at OUR A&E. OMG, I've became territorial...
Somehow, the two HO, surgical HOs, I heard, datang membising at one of my colleague and my MO, in regard to their management of one of the RZ patient. Even taught my colleague how to intubate the patient. Laugh.
Kak Long was preeettty pissed off when she heard about that. And so does a couple of other MOs and my bos Chia. I imagined them being vampire waiting for the HOs when their A&E rotation is due..

2. Limbang
Another big news yesterday, when bos Wong told me how she failed to persuade the HQ to retain me as A&E MO. Sigh. Anyway, I dont really know how to react on that. Happy or sad? I dont even know what I want rite now.. But I've figured out if I need to go Limbang, I'll make sure I'll get the broadband, Astro and a washing machine...

3. Lundu
There's another A&E trip, organized by CCP, probably in the next 1-2 week, to Lundu. Its about 2 hours drive (slow, realxing drive) from Kuching. I havent decide on that yet, coz for me its too far. Mum would be worried too.But free food and hanging out with friend...maybe I wont bail out on that.

4. Robsten
And finally, I've finished reading the 4th book of the Stephanie Meyer's vampire series, Breaking Dawn. Good ending. Excellent! Now my hand is itching for the second movie, New Moon, to come out on November 20th! Great deal, I've finished HO-ship by then, so, maybe I can hang out at the cinema from noon to dawn...lalalala...

Early Goodbyes..

No worries. I'll live thorugh it.

Things nearly settled. Mostly thanks to my mum, who had helped me a lot eg with the hantaran, baju and katering..coz aku memang blur, and otak memang takleh pikir straight since the word LIMBANG entered my life..

Logbook dah antar, thanks to the MOs, who were willingly stamping and signing away my logbook without hesitation and questioning..

Limbang wise, I went to see pacik Junaidi, not much help. Keep saying, its a good place, not far from Kuching (which actually made me feel like strangling and eat him at the spot.. Bau is not far, Lundu is not far, even Betong is not far... how he can simply said Limbang is not far..). Anyway, he asked me to see the minah Ooi at JKN... Yeah, maybe after mum helped me with the appeal letter...

But then again, if my appeal didnt get through, takpe la.. After all, sapa kesah pun kalo aku kene stay Limbang 2, 3 tahun..? My mum je kot... Limbang maybe a nice place. Dengar cerita the weather is cooler, small town..bla..bla...bla...

After all, I'm used to stay far from home.. I'll meet new people...

Anyway, I'm trying to live as if I've only 1 month left in Kuching, try to enjoy the town, especially the eateries. And try to learn as much as I can, and to better manage any patient who came through the A&E, before I'm sent to Limbang. After all, you need all the stuff to prepare you before going away...and that includes my tummy and brain..

really pissed off

"Aku tak kisah. Aku mo tunang jak."

The above might have been a simple sentences uttered by that person, that normally just passed through my mind in a second.

But currently, I'm so pissed off at everything, including him. Yes, ko la tu say.

This couple of week has been tough. I'm struggling to complete my logbook. I'm struggling to settle this engagement thingy. And another bomb this morning, I'm posted to Limbang...which is further than Miri. Fucking shit ass. Yes, I NEED TO CURSE!

First of all, I dont want to get engage. The idea for me is to get married ASAP. The reason is this... so I wont get 'despatch' to the district. But no. My BF idea is lets hang around for another 2-3 years before we get married. If so, I would have stayed in Ireland and get a Surgical/Ortho scheme, for God sake. So, after enjoying 1 year of bermanja with my mum, I have to go away again...And he thought it's so easy to appeal to get transfer. Hah, pandai la. Does he know how many doctors from Semenanjung in A&E is stuck in SGH for years??? All of them!

Do people ever think that it's easy for us, studying far from home? Dont they realised the journey it takes, the homesick, and just the need for someone to cook and clean for you after a hard work?? Yes my mum is getting older, but I'm practically separated from her for like 6 years, I really dependent on her now...

And what with his word that he'll settle everything?? I end up have to prepare stuff for the engagement, makan2 and hantaran. And I'm not the one who insist on getting engage, ikut adat and all that stuff. Kalau aku, just nikah and kawen je la. Why not, he's coming with his whole family, 13 of them.. You dont expect my mum, who's nearly full time teacher, and me, who works 24/7 to cook for all of them? To clean the house? Sapa nak buat? My brother's having exam and thesis to hand in. My father, who's the PPD, working til 5. What? My 11 year old brother? And he dare to ask my brother to help cleaning the house??

What in his life he's so busy about? He goes to work at 9, 10am, or whenever he likes. He stays at his sister's home. All he does over weekend is play PS2 with his friend, or going out with his friend, plays futsal or badminton. Hanging out with the girls, and he thought I'm not going to piss off at that!!

I'm SO PISSED OFF!!

I HAVE TO HAND IN MY LOGBOOK BY THIS FRIDAY.
I HAVE TO APPEAL TO STAY IN SGH.
I HAVE TO PRESENT ON WEDNESDAY.
I HAVE TO DO A POSTMORTEM.
I HAVE TO SETTLE THE FECKING ENGAGEMENT THING.


ARGHHHHHHHHHHHHHHHHHHHHH....

I FEEL LIKE KILLING SOMEONE RITE NOW!

Of maggots and wasps

What happened during last Saturday's shift taught me few things in life..

Case 1:
A 56 y/o man, came to A&E, complaining of bleeding and itchy penis. Initially my fellow male colleagues wanted to push the case to me. Reason was "ala M, kalau patient laki macam ni dapat doktor perempuan, mesti mereka sihat terus". Yeah, they thought it was a simple gonorrhoea case. Haha. Blah la korang. Of course, one of my ethusiastic male colleague clerk that case.

Turns out the patient has a huge, cauliflower like mass at the glans penis (or tip of the penis). It was fungating, ulcerated and slightly bleeding. Looks like a penile ca, probably warty in origin (i.e HPV, just like those cervical ca). The source? This 56 y/o man with 5 grandchildrens, pegi menggatal with one prostitute near his workplace 5 months ago.

He actually had the mass for quite sometimes, but only came few days back because of dysuria. Huh..

So, when my colleague referred the case to the Urology, they simply said to see the patient in the OPD. We then sent the patient to R6 for washing and dressing because the mass is badly bleeding. And guess what, when we did that... 17 MAGGOTS crawled out from the penis!!!!!!! EWWWW!!!!!!!

Oh ya,my ethusiastic colleague yang gila2 pegi kira berapa ekor ulat... Aku masa tu dah naik mual, blah terus dari sana...

But subsequently, we had to wash his penis with Hydrogen Peroxide solution, which basically burns the penis. Quite painful la. Mula2, rasa "PADAN MUKA, SAPA SURUH PEGI MENGGATAL". But then, when he cringed in pain, and he said, "takpe, asalkan sihat", kesian pun ada. After all, he only did one mistake, and he already suffered a lot. Macam mana dengan those young people yang menggila dengan seks rambang, dadah and samseng, all those people yang tak serik2? Kalau budak2 tu kene, jangan hydrogen peroxide, maybe aku akan cuci dengan pure acid...

Case 2: A family (a mother, her 3 kids and one young uncle) came to A&E, after allegedly stung by wasps. They were all shouting in pain, especially the mother, cause from the neighbour's story, the mother actually went back to the scene to save her youngest kid. So, she got stung quite bad.

The 3 y/o boy, was also in a great pain. My Specialist specially care for him, up the drip for him, cajoling him, applied the calamine lotion for him. The 6 y/0 girl was quite quiet. I was the one who attend to her, and I was afraid she may go into collapse, cause she's quite sleepy. I basically had to shake her now and then, to wake her up, in case she might go into collapse. The 8 y/o girl is stable, together with their 11 y/o uncle.

The pain was really bad, that my Specialist ordered IV Fentanyl for them. After case was discussed with the Paeds and Medicals, they were immediately admitted to the ward.

Yesterday night, when I start my night duty, my colleague broke the bad news. The 3 y/o and 6 y/o kid passed away at midnight of the same day. The other 3 are now in the ICU, the mother and her oldest daughter are now intubated. I nearly broke into tears, because cases like this, where sudden death was unexpected, really shocked me. A friend even said, the father may be in "impending collapse" as he might suffered from severe stress from all this.

For me, it's unfair when kids die. Especially those 2 youngest siblings. They were very beautiful childrens..huhu, sedih...

Lesson learnt:
1. Stay true to your partner.
2. The only person who deserve to punish those with sins is the Almighty God, not us.
3. We are no God, we can only help to alleviate sickness and pain, but death is inevitable.
4. Stabilize patient before you send the patient up to the ward... sigh...

Drool on this...

Part 2: Edisi Santubong

Akhirnya! Aku berjaya sampai ke puncak Gunung Santubong!

Cuti wiken ni yang aku apply sebab nak pegi beraya, akhirnya BURN sebab bos aku paksa aku pegi naik Gunung Santub0ng. Katanya, for physical training, mental torture and teamwork.
Akhirnya, yang aku dapat physical torture. Kuku kaki aku berdarah sebab aku mencengkam dengan sangat kuat masa nak turun gunung, kaki tangan aku semua cramp sebab penat memanjat, tangan aku calar2 masa sebab peluk pokok dan akar kayu, dan kaki aku gatal2 kene gigit nyamuk masa tunggu budak2 lain sampai turun gunung.

Teamwork? Bole la..
Mental torture? On the way turun, aku keseorangan kat dalam hutan tu. Bos aku kat depan aku, aku tak nampak or dengar dia. Ketara sangat dia pecut, maybe 30mins depan aku. Jihah pulak about 10mins belakang aku. Aku masa keseorangan tu, ada la, fikiran2 yang tak betol, termasukla masa aku lalu area yang aku tak familiar, aku dah cuak yang either aku salah jalan or aku terNAIK balik gunung tu...torture seh.. Macam2 la aku pikir, especially kalo aku sesat sebab yang aku tau masa tu, air aku dah nak abis, Pian dah bantai semua biskut aku dan bateri HP aku dah nak mati...ahahahaha...
Finally aku amik 2 jam 20 mins untuk sampai ke puncak, dan 2 jam 30 mins untuk tiba ke kaki gunung. After sampai kaki gunung, aku dan Jihah terpaksa tunggu 1 jam lebih untuk budak2 lain sampai, termasuk driver kitorang, Pian..
Sebenarnya, boleh panjat dengan lebih laju, andai kata aku tak berhenti dengan lama setiap kali aku nampak kerusi/pondok rehat. Dan aku boleh turun dengan lebih laju kalau bukan kerana kaki aku dah tak stabil dan menggeletar kepenatan..ahaha.
Aku tau la aku tak banyak exercise, tapi aku rasa naik gunung ni bukan sekadar memerlukan physical strength. Ia jugak memerlukan mental strength dan keazaman nak teruskan perjalanan. Sekuat mana seseorang pun, kalau dah naik gunung setinggi 2658 kaki tu, mesti jadik lembik jugak. At the end of the day, keazaman dan kesabaran nak teruskan perjalanan tu yang penting. Di ketika aku keseorangan turun gunung tu, betapa GEMBIRA nya aku bila aku dapat dengar bunyi kereta kat jalan raya, and nampak kereta merah Sharifah parking kat tepi jalan raya!
Finally, aku nak salahkan Sharifah yang tengah bergembira cuti bersama keluarga kat KL, sebab dia punya cadangan la kitorang terpaksa panjat Gunung Santubong tu. Kununnya nak jadik 'kepala' kitorang, last2, dia la yang paling last sampai ke puncak/kaki gunung. Siap beg dia orang lain tolong angkat lagi...Cess...Ni kene balas kaw-kaw pas ni...

Part 1: Edisi Raya

incident report

SN:Dr M, call for you.
M: Hello?
Lab staff: Hello, Dr M ye? Ni nak kasi tau, lain kali, kalau hantar sample, make sure tulis nama ward kat form tu, OK.
M: Hah, mana saya tau tak tulis, saya tukang hantar je.
Lab staff: Hah, tu la, dah 3, 4 sample kami receive under nama S, tapi takde nama ward. Macam mana kami nak hantar result nanti?
M: La, bukan salah saya la, silap S la tak tulis. After all, tadi saya cop form tu kat kaunter depan, mereka pun tak cakap apa2, tak kasik tau ke tak tulis nama ward ke apa. Main cop jek.
Lab staff: Itu saya tak tau. Yang sample sebelum ni, kalau kami nak, kami boleh jek tak mau proses sebab tak ada nama ward.
M: Up to you la. Tapi yang saya hantar urgent tadi kene proses la, sebab itu patient Red Zone.
Lab staff: Ok itu saya akan proses, tapi next time kene la tulis nama ward.
M: Kak, satu, bukan saya yang isik borang tu. Kedua, akak kene la sound orang kaunter kat depan tu sebab diorang main accept sample je, tak cek dulu.
Lab staff: Itu bukan masalah kami bla bla bla...

At this moment, my options were:
1. To apologize and end the conversation
2. Ask her if she wants to speak to S herself, instead of "blaming" me.
3. Hang up the phone because obviously if someone dont want to listen to your explanation, whay would you listen to theirs, right?

So, I choose opition 3.

30 minutes later, the blood result came back with the footnotes as below:

Spoken to Dr M regarding the destination of the blood sample which wasnt mention on the request form. Dr M has rudely hang up the phone during the conversation. Therefore this will reported to the head of department for incident report.

Ahahaha. OMG, how stupid was that. But I'm neither worried nor scared.

1st, dah terang2 bukan nama aku on the request form, so, if she wants to blame me for being rude, I can always say, why did she call and accuse me at the first place. Pegila membising kat S. You dont simply kill the messenger when things go wrong, right.
2nd, if she wants to say I'm rude, I can always recount the numerous time when I request to trace a result via phone, I was always be answered rudely. Whoever agree with me raise your hand!
3rd, their system sucks. If an incomplete form can go through to them, then the receiving counter shoud be at fault to because they failed to check the form at first place.

Finally, can I lodge an incident report on them, for
1. losing blood sample numerous times
2. failure to process an urgent sample URGENTLY
3. rudely answering tracing phone call
4. delaying the process of simple blood test upto 2hours
5. just simply being annoying

Asystole sekejap..

WHATTTTTTTTTTTT!!!!!!??????????

Rathik and Nantha???????

1. I thought Rathik already has a BF sumwer in Semenanjung..
2. Why Nantha?? He's Lavania's ex..OMG! He's so a 'player'..
3. Why Nantha (again)?? Rathik cud have get a better looking guy... Nyahahaha...

OMG!! Stop all this dating among colleagues la people...Syuh..Syuh..Get a life outside the hospital!!!

other than job

Some said I've been talking about job too much, too often.

Sorry for that, for me being a doctor with minimal social life and tiring job.

This couple of days, job has been quite tough. Initially we're fed up with ILI-sx referral from PK/GP. Now, we've been seeing a lot of serious illness (fresh case). Outside doctors seem to be a bit lazy nowadays, and dont even bother to work up the diagnosis for us. Buta2 hantar, and I've to work up the diagnosis and investigation and refer the cases. Not only I'm tired doing referral, but at the same time, I cant clear the green zone faster!

Haishhhh...

Today was double tiring coz there were a lot of patients, and I'm stuck with one moody MO and one slow MO. I bet I'll end up being both in the future.

Next, Al-Fatihah to a colleague's father who'd just passed away.

On the other note, Hafiz AF7's father (who is my dad's friend) seen in A&E couple of days ago due to chest pain. He's OK.

Something else besides work, work, work..

Yes, my laptop is "happily" repaired. But it worth RM600, and since the motherboard repaired, few programme went haywire. And the motherboard becomes "super-hot" after only 5 minute of use. I'm afraid it'll burst into flame. Can I get my RM600 back then???

My car will be shipped from Klang on the 11th. The Proton guy has been bugging me to pay the rest of the downpayment. ZZZZZZZZZZZZ.... No car, no money la..

The landscape's done. Not much of colourful flowers I was hoping for. And the purple flower that we thought was flower, grew into brinjals..aahahahaha... Does that mean there's a possibility that our yellow flower turns into durian??

Speaking of which, I havent eat durian lagi la this year.. Maybe we should have a trip to Serian/Taei to get some...

A stalker in Toyota Vios has been hanging around our house this couple of days. Noted by my dad, whose hobby is "looking outside the window". Hehehe. Mum afraid it's my stalker. I'm afraid it's the burglars. Then mum said, yeah, burglars are scarier then stalkers. Nice one mum..

And for the record, I dont have many stalkers. Just 2, 3...

This Saturday is a compulsory trip to Kubah National Park for the ED doctors. That means me mingling around with the MOs. How awkward is that going to be.... And no cute colleagues as well, boring.....

Mamat's ramadhan attempt

Ini Apam, sejenis makanan
Ini bola getah, sejenis permainan
Ini budak ganas, yang melahap dengan ganasnya bola getah di atas, instead of kuih apam tuh...

a reply to an anonymous comment

I received a comment from an anonymous for one of my old post (titled "Under My..")

That person , he or she, was saying that being a teacher is not as easy as I said it was. No job in this world is easy, he said. That is for sure, I agree with that.

But please raised your hand, for those who think being a teacher is much EASIER (or should I say luxurious) than being a doctor...

He said, sometimes he had to complete his work til 5pm, although he was supposed to finish work at 2.30pm. SO??

By right, doctors should have the same working time as other profession i.e 7am - 5pm.
During my surgical days in Ireland, I had to be at the hospital by 6.30am before our ward round, and finishes by 7pm. During pre-op days, I sometimes finishes by 10-11pm. Meaning at those times, I worked16-17 hours.
During my medical days, I had to do oncall three days in a row. Meaning I worked 56 hours straight none stop.
During my O&G days, I had to do oncall every other day. Meaning you worked 36 hours straight, then you rest for the next 10 hours, then you worked for another 36 hours.
During my days in Paeds, on oncall days, I had to wake up as early as 4.50am to make sure I'll arrive at the hospital by 5.15am to do the bloods. Add up all the hours, I basically worked for 37-38 hours straight.

.........So mister/lady (who rudely call me 'dude'.. what kinda teacher are you?), you want to compare your working hours with mine?

Evidence is not that enough huh?

Teachers get school holiday, public holiday and weekends off.
Doctors get 10 days leave in 4 months, in which that 10 days include our public holidays and emergency leave.

You teachers dont have to apply for public holidays. We doctors HAVE to apply for public holidays and it's deducted from our precious 10 days leave.

And we doctors have to work on weekends. The only time when teachers have to work on weekend is when there are school activities and sekolah ganti...so you teachers can enjoy longer public holidays.

Interestingly, during darurat like jerebu and H1N1 crisis, schools get closed, and teachers get free off day. At the same time during those darurat, cuti doctor DIBEKUKAN.

I'm not saying, being a teacher is DAMN EASY. Or as I said in my post "loceng bunyi, dah terus boleh balik". My mum's a form 6 teacher in a town school, so she has more workload compare to the other teachers. But, she can still bring her job home, be home by 3pm (just because the Pengetua asked them to stay longer), cooked and cleaned, and have the afternoon nap. My sister is a pre-school teacher in a district primary school. Dont ask me how much more luxurious her life is...

Do you think, doctors can bring their work home? Can we bring our patients home, diagnose and treat them at our home? What about those times when we're too busy, we forgot to eat our lunch, and sometime even to tired to eat dinner because sleep is much, much needed? And if we can get a little nap during our oncall nights, that is a BIG blessing...

So dude, before you can easily comment on others blog, make sure you get the whole picture how my life is much more different than yours. I know and understand a teacher's life. My parents are teachers. I was born to, live, eat and sit with a teacher for nearly 26 years.

So dude, how long have you been a teacher???

jalan2 cari kereta

Suzuki SX4 Crossover

RM93,097.10

Down payment: RM43,097.10
Loan Amount : RM50,000

Interest 2.8%
7 years : RM712/month
9 years : RM580/month

Hmm..mau ke tak mau.... Lalalala...

A friend's day..

OMG!!

I SO NEED A HOLIDAY!!

I went for a self-detoxification + social gathering + quick date in KL last Friday. Luckily I was on 8-3 shift that day, otherwise I wouldnt be able to catch my flight.

Finally, Eka got married, to another doctor of Hosp. Selayang. Caya la! Also, I met up with my Galwegian colleagues, including Sazrina yang dah lama giler x jumpa. She has a kid now, a 5 months old girl named Raihana.. (ella..ella...ella....ey, ey, ey). A little catching up done..

Roque: absconded from her 2-years Medical scheme in Cork
Amira: completed SHO contract in UCHG
Nuna: Paeds HO, Hosp Kuala Pilah
Maedy: Tagging O&G HO, Hosp. Klang (hehehe)
Naa: Anaes MO, HUSM
Saz: Paeds HO, Hosp Seremban
Eka: Ortho HO, Hosp Selayang
Aini: Medical SHO, Roscommon Hosp
Shima: Medical MO, Hosp Alor Setar

Juga dapat jumpa ngan "pacik" si Pulut..ehehehe..And my pacik as well :P

Yani, Mira, Pulut, Lyana, Me, Kak Pia, Nuna, Naa, Roque

Us and the Newlyweds.. but Mira si berkaca hitam seems more prominent!

The bride is hiding...

....from the incoming groom

Maedy made it (she was tagging on that day!), with Aida and Kak Pia

Kak Ina with her youngest kiddo

Mangsa keadaan ... hehe

flu scare

Another lady succumbed to her death yesterday.

A severe pneumoniae due to H1N1 influenza.

The flu scare hasnt been that nice on the ED staff. Obviously, we're understaff. And its a joke when those SN/JM in nursery were whining about how THEY are understaff..

Statistically, the whole of Kuching will attend to nearly 700 cases of fever/cough/sore throat per day. Thankfully, the polyclinics will see up till 5pm(and their records would be up to 400 patients/day). After 5pm, patients will be diverted to us, the mild cases go to the fever clinic (a temporary clinic set up at the gynae OPD), and those categorised as mod-severe will be re-routed to ED. So, yesterday, the fever clinic staff saw about 100+ patients, and we saw the rest, as the fever clinic closed at midnight.

So, its no wonder if I havent got better cause everyday after I saw these patients, I'll get sick all over again.

Diagnosing URTI itself is kacang, but I spent most of my 'consultation' time reassuring the patients or their parents. After all, the hardest thing to convince the patients is that the H1N1 flu is just like any other flu is in a person's life...except it KILLS...

Of course after a better plan to categorise patients, we dont see those stupid cases where patient came to ED just because someone asked him/her too i.e asymptomatic patient who was simply a student of a college with suspected cases.. And of course, patient spent less time waiting outside ED to see us. And we dont have to argue with those rude patients who would simply barged in and demanded to see us earlier because he cant wait and follow his turn like other patients..

Tough. And boss said this will go on for at least another 3 months. And the hot season is coming to town, and Ramadhan's approaching as well. Hmmm...

Last advice, take care of yourself people. The best cure for all this is self quarantine. And drink plenty of water... ciao.

worse week ever

The worst week ever.

Felt like digging a hole and bury myself in it.

I had a bad bout of fever this week. Terrible chills and bad cough spasms. Only few days ago, my temp went up to 39 degree. And I literally knocked out on Thursday, after my night duty. The last 2 days, I've been coughing up blood, and my chest is severely tender from all the coughing. I lost 2 kilos, I cant eat because I felt nauseous and I vomited most of what I ate. And still I had to go to work. And I really hate it if patients (or their parents) came to ED complaining of simple fever and we're too slow to attend to them... because I felt mush worse and I still had to go to work! Stupid people! Just go to the polyclinic la!!!! Kenapa nak buang masa kat ED???

The MOs here sucks. They're malignant, backstabber (even with each other) and racist. Sikit2 nak marah. Even when its not my fault, aku jugak yang kena. Seriyesly, benci betol!! So what if people have been saying ED shift work is 'heaven'?? I just hate it.. I prefer waking up early, and go to work at the same time as others and balik pukul 5..

I hate the MOs.. I hate the MOs..... I hate the MOs....

And finally, having a colleague who persistently saying he has a crush on me, while knowing that I have a boyfriend is another bad thing this week. I already felt down from the flu and the workload and the MO thingy, I dont need another to make me completely down..

mixed feeling

I felt pity towards this guy yesterday. He's mental retarded patient and has been on antipsychotics for quite some time. And today his elderly father brought him in because he had suicidal intention secondary to severe backache..yeah no joke..
This 39 y/o guy suffers from tardive dyskinesia and tardive akathisia (yes, I still remember my psych days..after all, Prof did said I'll do well in Psych, which I didnt..ahaha). I guess it'll still be OK if he has this writhing arms movements, but to suffers for chronic back arching for 3 months?? He was moving all the time, he cant sit or lie down, because not only his hands kept unvoluntarily moving but he cant straighten his back (opistothonus)..

3 months man.. I wish to die myself la kalau macam tu..seksa woo..

On the other note, a colleague asked me out yesterday. Pandai dia usya.. While both of us were doing our bloods, he suddenly asked me, had I got engaged or not..Of course I'm not engaged yet la.. And suddenly after we've finished handing over to the next shift's people, he came over to me and asked me to a movie. Well, bluntly speaking, dah lama aku tak diusya orang. HAHAHAH. So my stupid answer to reject him was, I dont really watch movies, biasa layan privated CD only.. :P

And finally last night, mum showed me something that made me laughed so hard. This is a page from Dudin's Sivik's project..

zoning in the green

1st day in A&E today..
Since I started quite at the end of the week, I'd only to tag till this Sunday, and start my shift duty by next week..

Anyway, I started in green zone, where cases are mostly GP-based.. I felt like a GP myself...
No Grey's Anatomy or ER's feeling yet.. definitely not Scrubs... (how I wish it's like Scrubs err..minus Dr Cox..)

Some MOs are OK, some teaches, some gossip and complaining too much, some let me do what I want, because they heard I'm a final poster ... which I dont want to simply do cause my managements might be wrong..

And yeah, a lot of referral as well.. which is an eye-opener for me.. Not that I'd never referred before..but at least I can finally put names to faces (esp those Medical MOs). Oh ya, referred one case to the Surgical MO yang separa lelaki itu, kes hernia. Punya la banyak tanya, nasib baik aku tembak betol..ahahaha... aku dah cuak bila dia tanya nama over the phone..

"so, patient ckp tak reduce since bila, coz I nak tau kalau strangulated or obstructed dah kire emergency.."
"err, since 6 pm yesterday."
"ada BO flatus tak?"
"ha ah, ada BO satu kali today."
"so, what do you think, irreducible ke, strangulated ke, obstructed ke?"
"irreducible"
"kenapa?"
"patient stable, not in shock and no symptoms of bowel obstruction."
"Ok, nanti saya turun jumpa. U apa nama?"
" dot dot dot. Terima kasih.."

Seriyesly, aku lupa tanya since bila tak reduce, yg aku tau pacik tu ckp satu hari. Dan lupa nak tanya dia ada BO/flatus ke tak. Aku juz tanya ada vomit ke tak.. Nasib baik, memang betol, pacik tu start rasa tak reduce kol 5.30pm, dan ada BO pagi tu...wahahahahah...naseb baik...kalo tak mati aku kene tamparan wanita MO surgical tu!!

Jangan buat lagi....jangan buat lagi...................... thorough history!!!! thorough PE!!!!!!!!

And the worse thing about A&E is, the SN are totally unhelpful, they have only one glucometer yg dipegang oleh one SN (so you have to look for her if you want to use it), and you cant even find the termometer (and I'm bringing mine to work tomorrow!)...

Anyway, the bomb was on me early this morning, when I met the head of HOs, Dr W. utk lapor diri. She thought I was with the army (under ATM), coz she saw I'd only to do 1 year HO-ship here. Of course, I'd to tell her that its my last posting, and then she asked me, whats my plan after that..

Well, I did say I wanted to try few months as HO here and there in Med/Surg/Ortho.. since what I did in Ireland is totally different from here..

And she insisted they're all the same..

Yeah... the idea was this. They are lack of A&E's MO, couple of them are pregnies and delivering soon, and she wants me to stay as an A&E MO if that's the case...

Which I dont want to.. cause I'm quite stupid and I cant handle too much stress... ahahaha, bole ka?

Ciao

Today I said goodbyes to few dearest patients (and their mums) of mine..

To Zevier. The 4 mths old boy, who came in with meningitis and then intubated by me (in front of Dr B..uhuhu..pressure...). He's still inpatient, and the mother is now counting days for him to complete his antibiotics. From an unconscious kid, to an irritable kid with a huge fontanelle and now to a more active, smiling kid... I can say he improved a lot. Now and then,the mother will approach me requesting a wonder drug for lactation... she and few other mums.. Made me feel like a drug dealer la pulak...

To Mohd Afiq. The 3 mths old boy, who currently admitted for pneumoniae. Previously a prem baby at 25week, with weight of only 750gm. The one who had been in nursery for 2 months. And has spent nearly 3 weeks in convalescent unit. So, I became quite a good friend with the mother, who'll see me review her kid and other kids (esp I/O Rina and Suriana... these three babies basically has the same birthday.. the first to go home was Suriana's then Mohd Afiq followed by Rina's) and who will whistling away while poking their kids for RBT. Yep, the mother will say, "hah, vampire dah datang" or "takpe besar nanti kita cucuk dia pulak".. hehehe...

To Lenny. The 10 mths old girl, who came in with AGE then developed a pneumoniae and subsequently a SVT. the one that failed to thrive because she was only fed condensed milk by the mother.. who's family a hardcore poor. The kid who I am struggling to get aid assistance from the JKM... which was bullshit-ly difficult..

And finally, to Mohd Haziq. The 1 month old kid, with syndromic facies who developed a nosocomial pneumoniae after he was admitted and now had to depend on the ventilator. Yup, tried extubating him yesterday, but he was gasping away like a dying fish, so we had to intubate him again..sigh.. He's cute little thing, and yah, the mother is one of the mothers yang selalu mintak "ubat tambah susu"..

So, after saying goodbyes to them, kasik Lenny and Zevier duit angpau dan susu, aku pun blah dari ward tu. Terasa sebak ada gak, coz I do hope all 4 of them to go home well.

Hey, despite what I hate about Paeds, I really enjoy this rotation because I love having these great bonds with kids.. Now, dont get me wrong, I'm not Jacko...

Under My...

And I thought it'll be hell till the end..

Tomorrow is my last day working in Paeds. Yey!

Frankly speaking, the last 4 weeks in Isol wasnt so bad. I got to work with the nice MOs, and had managed to escape the DayCare. The MOs I've worked with in Isol are great people who I can joked and laughed with. Bukan macam kat ward lain..hehe..I'd only few oncalls since starting Isol, and the workload in Isol aint that bad. Thats a plus as well... Furthermore, I've been upgraded to ICU HO, so, I only had to cover the 4 patients in ICU... which was a cool thing, coz the cases there are much more interesting..and twisted...

Cuma:

Sangat hampa dengan the new taggers. Especially those graduated from UM. Punya la tinggi my expectations of them, tapi sayangnya, they are just theoritically knowlegeable (yes, I can hear them blabber about the lysis syndrome among themselves, while I'm struggling to finish all the Plan D's). When it comes to real work, they kept whining and complaining and sighing. Its shit la because: you're a HO, you do the jobs. The MOs talk and think and give orders.

Menghampakan coz these UM graduates refuse to see the acute cases. During the rounds they just kept silent and dont even bother to write in the casenotes. One discharge summary takes ages. Lepas tu boleh komplen sebab terpaksa buat kerja orang lain. Hello??!! Aku penah buat discharge patient nursery yang duduk 2,3 bulan la...imagine brapa jilid casenotes kene baca... After abis round, they will either do discharges or trace results. Tak volunteer pun nak buat blood or refer case or getting a CT/MRI/appointment. Again, you're a HO, not a clerk or kak PPK. They can trace blood result and do discharges la..

Yang bengang, I know tagging is hard. But tolonglah, if postcall people can struggle to keep their eyes open and their hands moving buat keje, you should be able to... Mengantuk tak yah cakap la, but be part of the team la..tolong la buat keje. Time tagging plak,bukan nak tolong amik darah ke, clerk case ke. Ini boleh pegi lunch sampai satu jam, lepas tu duduk kat kaunter, buat bodo. Tak pun review patients sendiri sampai berjam2. Takde pekdahnya.. Ada sorang tu pulak, mencebik bila suruh clerk case. Fine, aku tau jam dah dekat kol 11pm masa tu, tagging dah nak habis... tapi, kalau keje ikut masa, sila jadik cikgu la. Loceng bunyi je terus bole cakap "class dismissed". Aku ingat lagi, masa kat O&G, aku dan KP terbabas day tag sampai pukul 2am sebab banyak giler patient. Dan pagi esoknya pula, terpaksa start tagging balik kol 7. BRAPA JAM JE DAPAT TIDO????

Hah.. ini graduate UM? Buat geli hati ada la.. Maybe because they thought they're from top class Uni, diorang ingat diorang bole act like this. Yeah rite.. bole blah..

Hari tu Chan cakap,bila dia dah start keje, baru dia sedar, bukan ilmu yang menentukan semuanya. Semuanya terletak pada motivasi nak keje and niat nak tolong orang. Jadik doktor bukan senang adik2 oi. Toksah la nak gembira sangat kalau dapat buat Medic, atau kene hantar oversea or masuk Uni high class buat Medic. Semua orang bole blaja buat Medic, tapi tak semua boleh survive jadik doktor. Yang berhenti jadik doktor during tagging tu pun budak UM jugak...

Ada komen?

Ke ada budak UM nak baling batu kat aku...

Sorila, buat masa ni, dari pemerhatian aku... Budak USM, Unimas, MMC, PMC/Ireland dan 2 ekor budak IMU itu lebih baik mutu kerjanya... budak Rusia/Ukraine tak yah cakaplah..memang lambat sket sebab diorang punya silibus lain giler ngan budak Msia...

haih...

I'd managed to abstain from the internet for like nearly 2 weeks. Yey ME!

I'd been busy studying for my PALS course, for my tutorials and the other reason was, I was just too lazy to turn on the computer.

I met Izah yesterday, it felt good to get in touch with an ol fren. We had sushi together, gosip pasal budak2 sekolah, and finally we talked about wedding. Huhu..

I've applied for leave again in July, and I'm hoping to go to the Rainforest Fest this year. Although there have been talk about cancelling it because of the Influenza...Tak kisah la..

With the 4 days leave, I'm thinking of travelling to somewhere. Izah suggested Sabah, I was keen of course, but I dont have any really close friend there. Well, unless Rafli went back to Sabah..haha.. aku sungguh pemalas...

Dah lama tak backpacking, and I really want to go somewhere with a friend/friends..

Jum la kawan2..kita jalan2.... huarghhh... Eve when I was a HO in Ireland, I still managed to go to Belgium with Nuna, tour around Europe with my family and even daytrip to Dublin with my colleagues.. Ini, kat Malaysia, jalan dekat2 pun susah???

Anyway, the other thought was, maybe I should just stay back at home and bukak balik buku2 medicine/surgery/ortho, and recall balik ilmu2 lama before I jumped and dive into A&E. Takut sehhhhh....

Eka call hari tu, she asked for my address so she can send me her wedding card invitation. She suggested that I should get married soon, or else I can forget about my application to "pindah-hospital-ikut-suami", because the moment the JKN sent me to district, it'll be either 1-2 years before I can say "I'm A MARRIED WOMEN, GET ME OUTTA HERE!!!"

But getting married is leceh, why cant I just akad and get over and done with? hmm....

kene bomb!

I'm doing maternity cover this whole week.
A colleague asked me, how was it. I told her it was tough.

Imagine this. You had to cover 2 cubicles of babies in the nursery. And at the same time, you had to cover those babies referred from the mat ward. And you had to run to OT or the LW whenever there's an emergency.

Worse still, I had 3 oncall this week. Every EOD. And 2 of them is passive calls. HAHA me..

I was scolded by the Anaes specialist the other day, it was OK, I can accept that. 2 of my babies died this week, it was OK, I can accept that. I had prem delivery every day, it was Ok, I can accept that.I was postcall, I had to attend 13 LSCS within 6 hours and I didnt eat anything at all, it was Ok, I can accept that...

I'm not born tough, although some people would say 'aku ni kasar orangnya'. I cried few times during my internship, some due to stress, some sebab kene marah orang atas.. Luckily aku muka tebal, and I dont really care cause I just dont really care..

But I saw a friend cried at the lab today. She was waiting for GXM done, and she was scolded by the MO at the nursery earlier. I was there when she was scolded, so I know the story. When I bumped into her (when she was crying), I was actually going to get the pager from her (cause she was covering me during lunch time). And then I saw her red eyes...

Halamak... my reflex was pat her back, gave her a big hug, and said this to her..

" the walk is tough my friend, dont take it too hard, dont take it to heart.."

She then smiled...

Ok, fine, so some of us are slow, some are fast. Some are smart, some are just OK. Some are charming, some has attitude problem (like me). But we're human being. Nobody likes being scolded. And I always believe there's a better way to teach than to defame a person...

For her and the new HO in nursery, I know its tougher cause Big George has been scolding them and criticising them (behind their back) every day this week. Every little thing pun dia bising2. Didnt write the babies name on every sheet of paper, kene bom. For writing 'vitals stable' instead of the values of the vital signs, kene bom. Didnt update the investigations chart, kene bom. Diorang tak tau ke, penat tau hari2 kene marah. Nasib baik aku cover maternity this week, kalau tak aku bomb balik orang tua tu...

What to do? NAK BUAT MACAM MANA...

CEPATLAH HABIS POSTING NI!!!!!!

guitaring

I've been strumming away my guitar lately.
Something I had not done (much) since I started working (here) :(

In Ireland, I normally plug in my guitar and amp-ed up after a good, tiring oncall.
Or sometimes, just when I'm bored.
In my previous post, I did mentioned how I really like Blunt's and Faulkner's song. That actually encourages me to play guitar even though till now, I'm suck at it.

Unlike my guitar-mate, Roq, I've short fingers and thus I've difficulty esp with power chords and picking....lalala.

Since I came back to Malaysia, I noted almost everyone plays guitar. HUAAA...
Almost those who plays guitar has a good voice.
And those with good voice, ACCIDENTALLY blessed with good look.

No wonder people do queue up for AF, OIAM, Mentor etc auditions...

Well, I now kinda like to think that, I played guitar not because I'm good at it, or that I'm going to make it as my career (since I'm basically stuck being a doc), I played because it's a way to release tension.

When I strummed, somehow this weird song just came out of my mouth. My mum might think its a song from somewhere, but really, it's just a way for me to CURSE.

Bengang

Fine..

I HAVE ATTITUDE PROBLEM.

I guess what Rob (my ex-Ortho Reg) used to say to me is true. My recent HO assessment further convinced ME that I do have an attitude problem.

I.e aku suka carik gaduh and melawan orang.
Cant help it really..

I mean, you cant just stay quiet if someone just start blaming you foir doing something you didnt. Or refused to help you even though it's their job. Or insisted on you helping them when they wont help you back..ahh...you know the story bla bla bla.. Aku bukan dayus OK..
I'm a human being. I've reflexes. I have a brain + emotion + tongue. Aku balas balik la..rite?

People just assume that because they're older, they are more senior in the "business", they can just pijak2 you anytime.. Haha..pissed off la.

And the other thing that has been making me mad is my fellow colleague.. Aku bengang bila new people datang lambat to work. Aku bengang bila they wont heed your advice. Aku tambah bengang bila those yang dah lama2 buat perangai..

Ok la, I dont have a life. I go to sleep early and I wake up early. I arrived at the hospital at 6am sharp. And earlier when I'm oncall. Because someone stupid rules is that the oncall people has to come early to do bloods. When, it should be, that the oncall people get more sleep so that they can prepare well for oncall...HAHAHA~

One last ramblings. Aku benci bila drive balik keje petang2 and these cars suddenly menyempit2 dari tepi just nak masuk lane. Terpaksa la aku kasik masuk rite. Luckily its my mum's car. Kalo kete aku, aku dah lama biar jek...lantak ah kete aku hancur...one day, aku rasa nak rammed jek..padan muka AKU.

weird vs unique

People remembers beatiful, unique names.

But sometimes, too weird of a name can be bad for you. Or for your kids.

One, kids nowadays arent innocent as they used to be. They can be cruel too. They can joke and mock around with your kids name if its too weird.

Two, it complicates thing..especially when it comes to making important documents i.e IC, passports.. The last thing you want is the officer to spell your child's name wrongly, and therefore instead of a unique name, your kids might end up with a weird name.

Three, kids with weird names has high tendency too be hospitalized. This is true. All the while, I've been in P2B I've noted this and came up with a theory. And this theory has been acceptably agreed by all the HOs working in P2B..

These are the names I've stumbled upon: Matheliviona, Venison, Tychia, Nur Qismiyah, Nur Qistina (pengaruh SpaQ), Geolynton, Izz Adzhad, Elyzalyne, Alevyes Ellzee, and finally this..

(At first I thought the radiographer was pissed off as someone must have been bugging him to do the CXR, and thus he wrote this on the X-ray's pocket...Turns out, its a real kid's name!)

In English...it literally means, REALLY DESPERATE..
(must be tough enough for the mother to think of a name when he was born...)

brag

Sorry, but I need to brag.

The other day, during my passive oncall, I successfully intubated a 28-weeker baby. EFW at that time was only 920g.

I did call my MO, but I think she was quite sleepy and forgot about me. So, instead of waiting for her at the LW, I decided to intubate the baby myself. After one try, the ETT was in. YEAY!

Although I had to double confirm with my HO colleague who was there attending another delivery.. Cuak la beb..

We transported the baby back to NICU, hook her up to Babylog, and when I call my MO again, she was surprised.. Nampak sangat tengah mamai the first time I calledher..Eheheh..

Anyway, the baby's weight was actually 1155g. ET tube was a size smaller for her, but what the heck.. The Babylog says no O2 leak, so its OK..I suppose...

I'm so damn happy, I didnt get to sleep at all that oncall. I end up slept for 2 hours after ward round the day after, and lucky for me my fellow colleagues were considerate. They woke me up to let me know its time to go home...awww so shweetttt...

No BO

That mother brought her baby in yesterday.

The story goes back to last weekend. Her baby is G6PD deficient. The enzyme-deficient disorder that cause haemolysis whenever the RBC is exposed to certain stuff eg mothballs and kacang parang. The baby should be admitted for observation for at least 5 days due to high risk of severe jaundice. The mum refused. Reason?

She's para 10, and that baby of hers is going to be adopted by one of her relative who is staying in N9. The flight is in 2 days time. She didnt want to miss the flight and insist on 'transferring the care' to Hospital Seremban instead. Fine.

So, my boss said OK, as the baby's bilirubin level was acceptable, baby wasnt jaundice, feeding well and had passed urine and bowel motion. Off you go, he said, provided she'll go and check the bilirubin level as soon as they arrived in N9.

And yet, the baby was admitted yesterday. "Tak lepas naik plane" the mother said

Yesterday story was this. Apparently the baby hasnt passed motion at all, since birth. Not even meconium stool. And everyone in the team including the SN were pissed off at her because when we asked her during previous admission, "Baby dah berak ke belum?" She answered, "Dah."

So, when we asked again this admission, she claimed that the baby never passed solid stool since birth, only mucuos. And she thought it was normal. For a mother of 10, that is suprisingly stupid and lame answer.
The reason she brought the baby in is because "Tak lepas naik plane" when the MAS officer noted the baby was ill-looking.

So, fed for the last 8,9 days and no bowel motion? Yes, the baby's tummy is hugely distended. Very unwell and septic looking.
Diagnosis: Sepsis due to enterocolitis secondary to Hirschprung's disease.

And worst still, my boss said, this could easily be diagnosed and managed early if all of us would have ask the right question instead of just asking "Baby dah berak ke belum?"
Yeah, the blame is on us. When the baby hasnt passed stool and the mother dont bother about it, yes it's our fault...

out and about

Can I sum up my week?
I know I'm getting lazier day by day when it comes to writing a new post.

I started new ward last week. There are a lot of patients, but all of them are manageable. Plus, I have 4 other colleagues who are sekepala and rajin2 belaka. Thank God! Other than that, the MOs here are better... I suppose...

I went for clinic on Wednesday, and thank God again, it wasnt busy. And I had to see those who were ex-prem/G6PD deficient/asthma. Which were the kacang-est cases ever.

My last call for this month was on Thursday, which was a passive call. I was free up till 11pm. Then I had few stupid reviews from Mat Ward, 1 LSCS, 1 TMSL and few vacuums. Thank God again, none of them were 'flat' upon delivery. I'm glad to know one of my ex-colleague is now an MO, I think she's one of the best HO I ever work with during my HO-ship in O&G. I like those HOs yang tetap merendah diri dan keen to teach walaupun dah very senior, instead of those yang mentang2 dah senior, suka mengarah orang, tak mau dengar cakap orang dan suka curi tulang. Belum jadi MO sudah tunjuk belang.

This week, there were few birthdays. Roque's and Mamat's on the 22nd, and Kak Pah's on the 25th. HEPI BEDAY!!

This weekend, I got to hang out with few colleagues and bergosip sampai muntah darah. BURP! We're all agreed, its time for the underclass HOs to get together and membenteras jenayah kot putih. Ini termasuk:
1. belajar cara mengampu dan mengipas buntut.
2. belajar menggunakan high heel 24jam dan becoming flirtitious.
3. belajar mengontrol air muka dan senyum 24jam.

I managed to finish work early today. Paid my RM 2k credit card bill, bought a one pound chocolate cake, fill the car tank, bought a new battery for my Swatchie, and arrived home around 12.35pm..

And I managed to watch Hafiz AF7 performing (although its a repeat). Jum Undi Hafiz. Persetankan orang lain. Its time for Malaysian to be less bias and judge others from their talent and not by their look.