cuti!!
mau cuti!!!
mau cuti!!!!!
lalalalalala......
Mar 14, 2010
Mar 5, 2010
Life captured...
After 3 months in Limbang..
The house, before the lizards soiled it up..again.
Eating instant noodle the Korean way..straight from the pot
A drink to diabetes
Food pyramid -> protein, carbohydrate and water
Countersigning prescription, what a waste of ink
Re-learning LSCS by drawing the whole procedure
The OPD's MO room, before it get messy at the end of the day
Watching TV series with the nurses during my oncall nights
My 'nearly-empty' Isolation Ward
Severely cramp wrist after a days' work
The house, before the lizards soiled it up..again.
Eating instant noodle the Korean way..straight from the pot
A drink to diabetes
Food pyramid -> protein, carbohydrate and water
Countersigning prescription, what a waste of ink
Re-learning LSCS by drawing the whole procedure
The OPD's MO room, before it get messy at the end of the day
Watching TV series with the nurses during my oncall nights
My 'nearly-empty' Isolation Ward
Severely cramp wrist after a days' workFeb 24, 2010
laugh at me
HAHA!
I have to laugh at myself.
This last 2 weeks, I did 2 EmLSCS. One was for a breech in labour, and the other one was for an impending PE. I did it alone, with only staff nurse as my assistant. NGAHAHA.
The joke was this: During my HOship, I'd only did one LSCS, and even that one, the MO was assisting me.
Today, I did an open appendicectomy. NGAHAHA.
The joke was this: During my HOship, I'd never done an open appendicectomy. I'd only assisted once 3 weeks ago.
HAHAHA.. how did I managed to pass my HOship??!!
Therefore, I believed all we need is good anatomy theory, good handtie technique, good assistant, and of course be confident..
:)
I have to laugh at myself.
This last 2 weeks, I did 2 EmLSCS. One was for a breech in labour, and the other one was for an impending PE. I did it alone, with only staff nurse as my assistant. NGAHAHA.
The joke was this: During my HOship, I'd only did one LSCS, and even that one, the MO was assisting me.
Today, I did an open appendicectomy. NGAHAHA.
The joke was this: During my HOship, I'd never done an open appendicectomy. I'd only assisted once 3 weeks ago.
HAHAHA.. how did I managed to pass my HOship??!!
Therefore, I believed all we need is good anatomy theory, good handtie technique, good assistant, and of course be confident..
:)
Feb 5, 2010
haru biru
hahahaha...haruuuu biruuu
baru 5 hari start keje lepas cuti best. cerita yang aku dengar lepas aku balik cuti pun best.
1. dengar kes MO sorang mengamuk kat A&E, menjerit kat patient and tuding2 jari kat staff lab. hari tu ialah hari terakhir cuti aku..ahad la. maybe dia suda stress jaga A&E aku satu minggu, so hari ahad tu dia meletop!
2. dia juga membising2 ngan kakak2 misi, komplen2 kenapa tak kene kasi tau dia kene jaga wad Isolation aku..patient satu ekor saja dia mau komplen macam singa tak makan satu minggu. siap kata stressssss sampai suicidal..ala, lepak la..
3. dia juga telah menulis satu nota peringatan mengatakan dia tak akan lihat pesakit di OPD selepas pukul 1..yakni lunch break....katanya, dia bukan buat keje charity....ai yo yo.... resign and keje private la kalo gitu... ini spital gomen, spital tutup kunci pintu (seperti kegiatan misi2 wad Isol aku) pun pesakit masih ketok2 pintu nak jumpa doktor..
dah tu, bukan salah aku la pasal aku handover tugas ngan MO lain..mana la tau MO yang tu pakat2 suruh dia tengok patient kat wad aku..hampeh la jugak MO sorang tu. dah aku suruh dia takeover tugas, dia pi kasi ngan MO baru tu..dah tu, aku plak yang kene sound pasal tak sound awal2.... cis badigol amat...
dah tu, dia kan laki.. apa susah jaga sekali wad aku dan A&E tu... masa aku takeover wad dia tu, takde la aku membising. mampu lagi aku jaga wad MO yang lagi sorang tu jugak..memang la aku bising sebab aku kepenatan, tapi tak dak la sampai rasa suicidal dan menempelak pesakit..
aku kecik hati tol la ngan MO2 ni...aku takde la komplen banyak jaga wad diorang..cuma panas hati sebab tinggal ngan aku banyak pesakit, dan tinggal keje2 tertunda. patient isolation aku sekor je, and then jaga A&E bukan susah sangat pun.. elok, discaj, tak elok, admit la.. MA pun terer what??
susah la keje ngan MO cina2 ni, sorry to say la. berkira gamak2...
itu pasal la, hari isnin aku balik jek, misi2 and MA2 sume kata, "doktor marisa, iboh la kitak cuti lamak2 gik..sik tahan kamek orang sitok eh..."
kesian diorang...nanti aku cuti kawin lama2....nasib ah...tunggang terbalik spital ni nanti..
baru 5 hari start keje lepas cuti best. cerita yang aku dengar lepas aku balik cuti pun best.
1. dengar kes MO sorang mengamuk kat A&E, menjerit kat patient and tuding2 jari kat staff lab. hari tu ialah hari terakhir cuti aku..ahad la. maybe dia suda stress jaga A&E aku satu minggu, so hari ahad tu dia meletop!
2. dia juga membising2 ngan kakak2 misi, komplen2 kenapa tak kene kasi tau dia kene jaga wad Isolation aku..patient satu ekor saja dia mau komplen macam singa tak makan satu minggu. siap kata stressssss sampai suicidal..ala, lepak la..
3. dia juga telah menulis satu nota peringatan mengatakan dia tak akan lihat pesakit di OPD selepas pukul 1..yakni lunch break....katanya, dia bukan buat keje charity....ai yo yo.... resign and keje private la kalo gitu... ini spital gomen, spital tutup kunci pintu (seperti kegiatan misi2 wad Isol aku) pun pesakit masih ketok2 pintu nak jumpa doktor..
dah tu, bukan salah aku la pasal aku handover tugas ngan MO lain..mana la tau MO yang tu pakat2 suruh dia tengok patient kat wad aku..hampeh la jugak MO sorang tu. dah aku suruh dia takeover tugas, dia pi kasi ngan MO baru tu..dah tu, aku plak yang kene sound pasal tak sound awal2.... cis badigol amat...
dah tu, dia kan laki.. apa susah jaga sekali wad aku dan A&E tu... masa aku takeover wad dia tu, takde la aku membising. mampu lagi aku jaga wad MO yang lagi sorang tu jugak..memang la aku bising sebab aku kepenatan, tapi tak dak la sampai rasa suicidal dan menempelak pesakit..
aku kecik hati tol la ngan MO2 ni...aku takde la komplen banyak jaga wad diorang..cuma panas hati sebab tinggal ngan aku banyak pesakit, dan tinggal keje2 tertunda. patient isolation aku sekor je, and then jaga A&E bukan susah sangat pun.. elok, discaj, tak elok, admit la.. MA pun terer what??
susah la keje ngan MO cina2 ni, sorry to say la. berkira gamak2...
itu pasal la, hari isnin aku balik jek, misi2 and MA2 sume kata, "doktor marisa, iboh la kitak cuti lamak2 gik..sik tahan kamek orang sitok eh..."
kesian diorang...nanti aku cuti kawin lama2....nasib ah...tunggang terbalik spital ni nanti..
Jan 22, 2010
48kg
OMG..imagine la betapa penatnya aku yesterday. Aku tak dapat tido nyenyak coz I was oncall the night before. And even when there wasnt a call,aku stay up kat ward to prepare discharge letter. Aku stat keje kol 7 am, just to make sure aku dapat cover all 4 wards in time. I only ate 2 piece of toast for breakfast. By 12pm, Alhamdulillah semua keje setel. Yang patut balik, setel. Yang ke MGH, setel. 12.30pm, I reviewed all referred case from A&E. Lepas tu ke OPD untuk rescue the other MO. Then an ERPOC at 2pm. Followed by CME at 2.30pm. Then, to OPD again. By 5pm, OPD setel, then to A&E again. Then home by 6pm. Dinner was 2 packet of curry maggi. Then the oncall starts again...
Penyeksaan ialah..
Mengcover 4 ward, dan 3 dari ward tu ward orang lain. Patient berlambak2. Yang menyampah, banyak je yang boleh didiscaj, tapi tak buat. Last2 aku jugak yang kene buat. Imagine this, the day aku cover ward tu, about half of the patient aku discaj. See??!! I mean, kenapa nak simpan patient lama2? Once diorang sihat, terus discaj la kan...Nanti stay lama2 kat spital, bertambah pulak sakit yang lain2.. Ke malas nak buat discaj? Tinggal sume dirty work kat aku??
And then yang bengang, yang patut cepat2 refer MGH, tak pulak buat..menyampah tahap dot dot dot...
And then, kene review patient A&E gak. Luckily, my MAs are so understanding, especially chief MA...
Lepas tu pegi OPD. Dan kesian kat MO yang sorang lagi coz dia hampir hypo melayan patient OPD. Pregnant plak tu, tak ke kesian?
And then, aku oncall pulak..Lunch break gone la sebab kene cover lunch hour...Dan aku jugak postcall 2nd call...
Lepas tu, opis asyik2 rush aku suruh hand in borang naik pangkat, and matron plak asyik2 remind aku pegi CME...
Tak tambah lagi family members yang request nak discuss pasal patient ngan aku...
I'am so damn exhausted..
This is not only torture, this is cruelty. At some point, naik sakit hati towards the 2 MOs yang tinggal ward with all those patient yang patut boleh balik. But at the same time, God really taught me of how strong and patient I can be. And he showed me how nice and kind the staff all around me...
Thank you kepada semua SN and MA yang byk tolong aku. Despite betapa busy life is here, I really enjoy the work..
And yeah, 2 days of this, berat aku sudah turun ke 48kg.. easy job...
Penyeksaan ialah..
Mengcover 4 ward, dan 3 dari ward tu ward orang lain. Patient berlambak2. Yang menyampah, banyak je yang boleh didiscaj, tapi tak buat. Last2 aku jugak yang kene buat. Imagine this, the day aku cover ward tu, about half of the patient aku discaj. See??!! I mean, kenapa nak simpan patient lama2? Once diorang sihat, terus discaj la kan...Nanti stay lama2 kat spital, bertambah pulak sakit yang lain2.. Ke malas nak buat discaj? Tinggal sume dirty work kat aku??
And then yang bengang, yang patut cepat2 refer MGH, tak pulak buat..menyampah tahap dot dot dot...
And then, kene review patient A&E gak. Luckily, my MAs are so understanding, especially chief MA...
Lepas tu pegi OPD. Dan kesian kat MO yang sorang lagi coz dia hampir hypo melayan patient OPD. Pregnant plak tu, tak ke kesian?
And then, aku oncall pulak..Lunch break gone la sebab kene cover lunch hour...Dan aku jugak postcall 2nd call...
Lepas tu, opis asyik2 rush aku suruh hand in borang naik pangkat, and matron plak asyik2 remind aku pegi CME...
Tak tambah lagi family members yang request nak discuss pasal patient ngan aku...
I'am so damn exhausted..
This is not only torture, this is cruelty. At some point, naik sakit hati towards the 2 MOs yang tinggal ward with all those patient yang patut boleh balik. But at the same time, God really taught me of how strong and patient I can be. And he showed me how nice and kind the staff all around me...
Thank you kepada semua SN and MA yang byk tolong aku. Despite betapa busy life is here, I really enjoy the work..
And yeah, 2 days of this, berat aku sudah turun ke 48kg.. easy job...
Jan 2, 2010
2010
Goodbye 2009. Sorry for the late entry.
There had been good memories in 2009. Alhamdulillah, I went through housemanship smoothly. Despite the scary stuff people warned me about each posting, actually I found great friends, built good relationship with MOs, and learned valuable lesson throughout each posting.
Yes, the new year resolution is to be thankful and optimistic.
Got engaged last year, something which had been put on hold for quite sometime. Broke up with my current fiancee twice during our courtship, and even went out with some guys to burn off the anger. Hahaha..ya ampun... And now we're engaged..Fuh!
I got to know more interesting people during my hosuemanship. Dapat kawan baru, and they are such great and kind people. Thank God for letting me know all these interesting and nice people, not those backstabber, those we-all-know-who.
And despite my concern and whining on being 'deported' to Limbang, I found blessing in disguise in this small town. I simply love it. I love the town, the workplace and the hospital staff. I love being 'single' here.. Freedom!
For this year, because of the huge amount of time I have, I plan to study, and think reaaalllly hard on what major I plan to do in future. I think, maybe Emergency Medicine..haha!
Anyway, I wish everyone a good year ahead of us. May God bless us in every good deed we do, and forgive us for all our wrongdoings. Amin. Take care, and love you all.
There had been good memories in 2009. Alhamdulillah, I went through housemanship smoothly. Despite the scary stuff people warned me about each posting, actually I found great friends, built good relationship with MOs, and learned valuable lesson throughout each posting.
Yes, the new year resolution is to be thankful and optimistic.
Got engaged last year, something which had been put on hold for quite sometime. Broke up with my current fiancee twice during our courtship, and even went out with some guys to burn off the anger. Hahaha..ya ampun... And now we're engaged..Fuh!
I got to know more interesting people during my hosuemanship. Dapat kawan baru, and they are such great and kind people. Thank God for letting me know all these interesting and nice people, not those backstabber, those we-all-know-who.
And despite my concern and whining on being 'deported' to Limbang, I found blessing in disguise in this small town. I simply love it. I love the town, the workplace and the hospital staff. I love being 'single' here.. Freedom!
For this year, because of the huge amount of time I have, I plan to study, and think reaaalllly hard on what major I plan to do in future. I think, maybe Emergency Medicine..haha!
Anyway, I wish everyone a good year ahead of us. May God bless us in every good deed we do, and forgive us for all our wrongdoings. Amin. Take care, and love you all.
Dec 22, 2009
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.
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.
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