Assalamualaikum semua..
Today marks the end of paediatric posting for me.Alhamdulillah,it's been a year.1 more year to go.Hopefully I will pass with no extension,Amin.
So hari ni nak buat rutin every time end of posting which is to update blog about the posting ! Wee..
Kat sini paeds ada 6 tempat yg HO perlu cover.Ada 3 general wards,wad melor 5A,5B dan 5D.Basically,ward 5A adalah ward respiratory,kes2 yg masuk adalah yg macam asthma,tonsillitis,heart disease in failure,URTI dsb.Ward 5B plak adalah wad kes2 sawan,viral exanthem,nephrotic syndrome dsb.Ward 5D plak ada kes2 neonatal jaundice,sepsis,acute gastroenteritis dan OSCC case.
So first month aku dpt wad 5A,patient mmg ramaiiii,ada dlm 50+ org per day,houseman kdg2 ada 4,kdg2 ada 3 utk 1 ward.Ada 6 cubicle tp 1 cubicle oncology yg houseman xperlu cover.Admission kat wad ni mmg ramai, bila oncall plg byk kwn aku dpt 14 admissions.tu kira byk la kan..huhu..tak kira frequent branula setting lg.huhu..Byk gak blajar kat sini,sini plak byk deal dgn toddler,dah besar2 skit,senang skit nk bbh branula tp jenuh jugak nak memegangnya :P Memandangkan semakin besar seseorang itu,semakin struggle one can be.Hihi..
Next,aku masuk NICU,neonatal ICU kat sini ada 3 major areas.1 is intensive+semi intensive.Patient yg intubated and unstable babies suma kat sini.Tmpt ni MO yg jaga,HO jaga lg 2 areas.Lg 2 areas yg dimaksudkan adalah Convalesence room a.k.a cot room,kes2 yg simpler msk sini such as presumed sepsis for PROM > 24 hours (inadequatel treated),infant of diabetic mother (kena beware of recurrent hypoglycemia),infant of hypothyroid mother,rhesus negative mother,subaponeurotic hemorrhage etc.Another area is INTERMEDIATE iaitu tmpt babies yg require oxygen.Contoh kes adalah congenital pneumonia,meconium aspiration syndrome and premature babies.Babies yg lahir pramatang suma masuk INTER,tggu weight gain reaches 1.8kg baru bleh blk.
So aku kena ddk sebulan kat cot room,besttttt jaga babies.Every day mengadap kecomelan babies,cuma yg xberapa nk syok bila sorg nangis yg lain pn bersahut2 nangis esp feeding time.So every 3 hours dgr babies nangis.Eh,taklah.Tiap2 masa pun ada yg nangis,seb bek comel :P
After 1 month kat situ,aku p plak ward 5D for another month.Jaga cubicle neonatal jaundice dkt 2 mggu,cubicle AGE and OSCC 1 week and sepsis room another 1 week.Kat sini start ada geng colleagues yg best,weekend mmg heaven kat sini.Sini the only ward yg provide foods for doctors.So after round,tak pyh trn bawah g cafe,bley trus mkn kat pantry n sambung keja.Great,isn't it?
My final month in paeds,aku g Intermediate which means 3 bulan aku jaga babies.Kat sini admission taklah sebanyak kat cot room,tp once a patient discharges,mmg senak gak nk buat discharge summary.Babies plg 'tua' kat situ umur 6 bulan.Sapa yg kena buat summary mmg kena bertabah lah.Hehe..
All in all,i think paeds ni mmg posting yg agak relax lah,xbyk adrenaline rush,tp mind you,babies can deteriorate very fast.Jgn amik sambil lewa if nampak babies tak berapa aktif,sbb mgkn sumthing is not right.
The only thing to ponder about this posting adalah parents.Ada certain parents yg sgt memahami apa yg doctor buat,ada plak yg sorry-to-say lebih pandai buat decision utk babies mereka.Aku faham,bila dah dpt baby,mesti xsabar nk bwk blk,nak buat aqiqah,tunjuk kat org semua kan.Tp sebenarnya benda mcm tu only applicable dkt babies yg completely sihat.Ada jugak kes yg parents high EE,ada yg babies sakit mata,bengkak n merah siap bernanah2 lg,tak sabar2 nak bwk babies blk hari tu jugak despite being explained by our own specialists regarding risks kalau tak complete treatment such as blindness.Tp nakkk jugak bwk blk.Ada jugak yg babies baru lahir,tp condition xberapa baik,requiring oxygen.Siap marah specialists lg,sbb tak bg blk.Last2 balik jugak,tak sampai 3 hari,mai blk,masuk ICU in worse condition.
So,pandai2 la pikir ya kawan2.I know I'm in no position utk criticize your ultimate love towards your newborn babies,tapi just bear in mind,penat2 mengandung,takkan sanggup nak lose your babies just sebab nak balik cepat,tunjuk kat adik beradik and others.So,kalau babies baru lahir n tak sihat,tggu babies bg sihat dulu k ? :)
Despite the 'parents' issue which is a minor issue,tak ada mslh lain kat paeds ni.Really enjoyable,MO sgt2 baik and approachable,specialists pun sgt cool.Cuma tak berapa byk adrenaline rush as medical and surgical posting lah kan.
Peace ('.')
That's all I guess,so esok msk new posting O&G.You,babies will be deeply missed :)
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