back from sabah

Ola..

Came back from Sabah few days ago. Followed by dissapointed day of no BTL (Dr LMH was quite hesistant to let us memBTL patient) yesterday and today was ASS-essment day. Quite OK although terkejut sket coz when I approched Dr E, I was going to ask her to let me do the MCQ next week. Tapi dia sergah aku balik, so tak pasal2 aku buat exam today.

Labour ward was damn busyyyyyyyyy...... So, I stayed on after the exam to help around..

But still managed to go to clinic and get a signature for my logbook..yey!

And yah..actually I'm still on leave today...

Sabah trip? It was OK. Ok la..aku lepaslah.. Just to let you guys know that despite ramai yang cakap aku macam anak jantan dan tak ayu...wei, aku lulus gak ujian menakel hati bakal mentua/ipar..nyehehe..

So, planning aku tak sure lagi. Quite blur actually, but insyaAllah kawen tahun depan. Persiapan? Hantaran? Risik? Tunang? Akad? Aku memang tak tau mende. And my parents pun 2x5 blur gak. Ahahaha.. My mum siap tanya, "Ada shortcut tak buat semua ni?"

I wish there is..hehe..

It was a very tiring journey. We're on flights every day. Asik2 tido dalam flights.. Tapi, makan terlebih cukup la. When I was in Sandakan, kene jamu 3 kali in short span of 8 hours.. cayala..

So berat sekarang, ialah 50kg...lalala...

Sekarang dah kene fikir pasal kawen. Terasa dah berakhir zaman kanak2. Has to be serious about everything, including future life/career. Malas ada..looking forward to it pun ada..

Penat la fikir.. Somehow the idea of berkapel sampai tua seems nice rite, say?

Ehehe...peace..

stress

I'm stressed.

Logbook.
Procedures.
Trip to Sabah.

The outcome -> zits. acne. pimples.

ARGHH!!!!!!

how to save a life

RULES:
1. Put your iTunes, Windows Media Player, etc. on shuffle.
2. For each question, press the next button to get your answer.
3. YOU MUST WRITE THAT SONG NAME DOWN NO MATTER HOW SILLY IT SOUNDS.


IF SOMEONE SAYS 'ARE YOU OKAY' YOU SAY?
"How You Remind Me" by Nickelback
(You remind me of nothing..nyahahha)

HOW WOULD YOU DESCRIBE YOURSELF?
"Standing in the Eyes of the World" by Ella
(Fuiyoo scary...that's like being stared by your specialists...)

WHAT DO YOU LIKE IN A GUY/GIRL?
"Leaving on a Jet Plane" by Chantal Kreviazuk
(Haha..aku ditinggalkan kekasih..sob sob..)

HOW DO YOU FEEL TODAY?
"Broken" by Seether
(Broken? Heartbroken? Broke, no money? hah?? hah??)

WHAT IS YOUR LIFE'S PURPOSE?
"A Walk to Remember" by Mandy Moore
(Yes! I knew I meant to be traveller...)

WHAT'S YOUR MOTTO?
"Stop and Stare" by One Republic
(Motto aku ialah being observant dan kaki skodeng..)

WHAT DO YOUR FRIENDS THINK OF YOU?
"Original Pranksters" by The Offspring
(Haha..kuang ajo korang sume..)

WHAT DO YOUR PARENTS THINK OF YOU?
"Nothing Else Matters" by Metallica
(Malas dah diorang nak pikir pasal aku..)

WHAT DO YOU THINK ABOUT VERY OFTEN?
"American Pie" by Madonna
(Nak pegi USA dan makan pai sedap..)

WHAT IS 2 + 2?
"I Drive Myself Crazy" by NSYnc
(Sampai nak giler aku nak jawab soklan math ni..)

WHAT DO YOU THINK OF YOUR BEST FRIEND?
"The Reason" by Hoobastank
(My friends are the reason why I'm sooo happy!!)

WHAT IS YOUR LIFE STORY?
"Time is Running Out" by Muse
(Argh!! Logbook!! Clinics!! Proceduresss!!! URGH!!!)

WHAT DO YOU WANT TO BE WHEN YOU GROW UP?
"Rest in Pieces" by Saliva
(Mau rehat...tapi tak mo jadik keping2...)

WHAT DO YOU THINK WHEN YOU SEE THE PERSON YOU LIKE?
"Smile" by Lily Allen
(Nyehehehe... sengih...sengih...)

WHAT WILL YOU DANCE TO AT YOUR WEDDING?
"Stuck" by Stacie Orrico
(Either I'm a bad dancer, ataupun CD stuck..)

WHAT WILL THEY PLAY AT YOUR FUNERAL?
"Come Fly With Me" by Michael Buble
(Jom fly to heaven....)

WHAT IS YOUR HOBBY/INTEREST??
"Every Morning" by Sugar Ray
(WHAT?!! I hate every morning..sebab kene turun keje...)

WHAT IS YOUR BIGGEST FEAR?
"The Chronicles of Life and Death" by Good Charlotte
(Hidup susah mati pun susah..)

WHAT IS YOUR BIGGEST SECRET?
"Heart shaped Box" by Nirvana
(Rahsia..takleh kasik tau..)

WHAT DO YOU WANT RIGHT NOW?
"Anyone Else But You" by The Moldy Peaches
(Asik asik engko..asik asik engko..)

WHAT DO YOU THINK OF YOUR FRIENDS?
"I Will Buy You a New Life" by Everclear
(Meh meh...toksah jadik doktor, life's suck..)

WHAT WILL YOU POST THIS AS?
"How to Save a Life" by The Fray
(Daripada jaga patient jum kite jawab soklan2 nih..)

aku nak tag beberape orang untuk buat bende yang same
1) Lyana
2) Pulut
3) Hani
4) Amar
5) Nina

fecking shite

Gynae is not good for my health.

I cursed.
Impatient.
Angrier.
Stressed.
Tired.
Frustrated.
Grumbled.
Unhappy.

Its not the gynae itself that troubling. Its mainly the system i.e dealing with labs, radiologist.. The uncooperative staff nurses, who demand you to settle your job to ease theirs, but at the same time unwilling to help to make it easier.

And dont forget the annoying patients and relatives. And those who sulked at you because you wont discharge them earlier. Its kinda shit because these patients dont bother to take care of themselves and yet sulked at you for dealing with their problem slow.

Like those diabetic pregnies who dont bother to check their sugar levels, eat like its the end of the world when they already have foot and eye diseases, and to top that, few miscarriages..

Like those patients who dont bother to look for blood donors up til their operation is cancelled, then they shouted at you when they already called up few relatives to donate blood AFTER you told them their operation is cancelled..and you knew you've told that bodo sombong patient that blood has to be donated at least 1 day earlier, not few minutes before they're pushed to OT...

Like those husbands who demanded to know whats going on with their wives and whats the treatment plan is AFTER the specialist had done their round.. Yes guys, you think its easy enough to marah HO macam aku, konon tak pandai jaga patient...Kalau berani sangat, tanya la specialist depan2. Ini tak, masa specialist around korang buat muka bodo..

I hate this ward.
I hate being a doctor.

Arghhh...aku nak pegi backpacking!!!!!!!!!!!

I miss Galway...

revenge

SN L: "Dr M, there's one new case to clerk ah.."
Dr M: ...was busy on the phone, fighting over blood with the bloody blood bank....
SN L: "OK, Dr M noted, write in there ah..."
Dr M: ...still on the phone...

5 minutes later...
Dr M: "Wei, siut...bila masa aku noted pasal kes tuk???" (cilanat punya misi...)

REVENGE...

Dr M did a quick check on post-op patient's TPR chart. Noted one patient's temp was 39C. Not written in the casenote. No HO informed.

So, Dr M wrote this in the case note:

1620: Went to review patient. Noted temp was 39C!!! Patient's shivering and sweating. Clinically dry as well. Temperature checked 1 hour ago, and SN didnt inform HO.... (followed by full examination...)..

35 minutes later...
SN L: "Eh Dr M, how come you say this? Tadi I suda kasi tau you la pasal patient spike temp.."
Dr M: "Mana ada? There's nothing written, 'Dr M noted' kat mana2 in the case note pun..."

YES!!!

low apgars

Casenote 1:
One case from Betong, for breech n early labour. Which is so untrue. cervix was damn not favourable and os's closed. She's "low Apgar", and has difficulty understanding what we're saying, not conversing with others..

Me: Kitak mesti beranak potong kak ah, sebab palak baby di atas.
She: Auk
Later,
Bro J: You tau ka kepala baby atas atau bawah.
She: Tau, bawah... (????)

Me (after explaining all the risks of LSCS):Paham kitak apa klaka kamek?
She: Paham.
Me: Apa dipaham kitak?
She: Sik tauk... (?????)

Bro J: Kak you apa nama?
She: "S"
Bro J: Suami apa nama?
She: Sik tauk...
Bro J: F*#K!

Haha..should've seen his face man...

Casenot 2:
OMG, it was damn busy yesterday. Ditambah pulak dengan all this pregnies with false labour, and few stupid referrals, and some annoying patients yang entah la.. bila dia nampak doktor malam2 baru la nak komplen, sedangkan dah ada symptom during office hour... Takde keje malam2?? Tido senyap2 suda la..Palpitations during contraction? Epigastric pain when not eating??

Does the rain affect your contraction pain?? Too many false labour last night!

Casnote 3:
Yang aku bengang, A and the other HO was covering the back.. And it was as I said before, it was super busy in the front because Y has to be the runner, so me and one of the MO had to do the clerking.. Si A boleh plak suruh aku tolong jaga belakang and review few suspicious CTG kat belakang, because she's busy with one patient, and the other HO is preparing another patient from LSCS. Melampau seh.. takkan nak suruh MO clerk sorang2 kat depan?? Sepatutnya 2 person is enough to cover the back la...

Karang aku jadik macam Bro J, "If I can cut myself into 8 ah.. " Siap dengan hand motion lagi...

Cerita pun dah berterabur....arghhhhh.....

Casenote 4:
Oh ya... I hate GW. I dislike the SN's, especially those with annoying voice who kept reminding you of your jobs and that they're not suppose to do it and then start threathening you that how your bos will be angry if you dont do the jobs. Yeah, feck off... Just say you're lazy la. Full stop.

The girl who shout prolapse

Nyehehe..
Aku akan ingat 31/1 sebagai tarikh aku memalukan diri sendiri..

That day, around 4.30am, I went back to the Labour ward. I was just finishing clerking a case in Gynae ward (nasib baik patient tengah tido2 ayam jam 3am tu). I was in OT (4 LSCS & 3 ERPOC) from 4pm the day before, till1.30am that day. I'd managed to get 1 hour and half sleep at room 27 (Gynae Ward). Lepas tu baru tersedar yang ada satu kes kene clerk..ngeh ngeh..ngeh..

When I went back to Labour ward, it was really quiet la..BCY was at the back, Akak and A were at the front counter. Akak was pengsan-ing, while A was clerking the last patient. Aku jadik budak baik went to the back to do few VE review. Noted, already 2 patients for KIV LSCS on the white board (sigh) Akak cakap aku punye pasal patient kene LSCS, sebab pakai tudung warna pink, konon 'panas' la..huk aluh..khurafat seh..

Sekali I went to VE this patient, dengan kepala separa-mamai.. I was like, "Eh, amende ni??" ALAMAK, cord ke?? So I shouted out, "CORD PROLAPSE!!!" hehehe..

Bila aku rasa2 balik, la..swollen anterior cervical lip la.. Tapi by that time everyone, seluruh isik Labour ward, has already arrived di pintu bilik itu. Aku sengih sorang2.... Pacik SH dah muke bengang, bila aku cakap false alarm la..eheheh.. Tetiba patient tu full os, so, bila placenta out, dia tanya aku, "Hah, where's the CORD??"

Hehe..matila aku kene laser hari tu.. Tapi aku cakap la kat diorang, "Waaa...you guys punye reflex bagus la..Next time I'll shout out shoulder dystocia pulak.." And everyone was like, "Wei.. Marisa, jangan main2.."

Kamon la Marisa, patient tu sah2 dah ARM brapa jam lepas, os nearly full, takkan la prolapse..DANG!! Yang aku bengang, BCY cakap dia dah notice swollen tapi dia tak tulis dalam case note..hulamak, stupid, idiot, kuang hajau..

Aku patut jadik jahat dan stay tido di Gynae ward sahaja...