Medical Posting

Salam.Hari ni cuti sekejap,so bleh la update skit pasal medical posting after dah abis.Alhamdulillah,my 2nd posting went well. Start posting 1/10 till 29/1 if tak silap.

Awal2 masuk macam risau gak pasal takut banyak sgt kerja and banyak yg tak tau.So awal2 kena masuk wad 3B,wad gastro and hemato.Duduk sana lama gak,sebulan.Best sgt kat sana,keja mmg la banyak tp dapat colleagues yg best,so macam xkesah sgt.Medical ni x stress,tp workload byk.Surgical dulu stress n workload byk.Hehe..Duduk wad ni bleh blaja macam2 n bleh buat procedure mcm2.Antaranya,peritoneal tapping smpi mcm xlarat nak buat sbb ddk sebulan,every day mesti buat dlm 2 tapping.Dah tu,ddk sebulan,mesti jumpa patient yg sama utk elective admission for tapping.Siap kenal dah.Hehe..Then,bleh buat BMAT,2x ja aku berjaya,hat len urghh.haha..tp best sbb ada kwn yg mantop buat bone marrow aspiration ni.Wad kami ada 4 org specialists in total,3 gastro and 1 hemato.Aku jaga gastro side,ada consultant yg sangat baik,bila buat ward round mesti ada teaching skit kami HO yg mcm blur ni.Hehe..That’s good u know.Barula kata doctors in training,mmg ada training yg betul.

Time ni after aku tagging for almost 2 weeks (sbb my specialist yg jaga HO ckp kami xyah tag smpi 2 weeks :D),baru start shift system.Honestly aku suka shift system sbb ada hari yg hg bleh bgn lmbt.Hehe.

Then,after that,aku msk plak wad 5C,best ward ni.Ward ni wad medical pompuan.1st day kat sana aku bgn pkl3.30 n smpi wad pkl4 pagi psl ada 3 saja HO utk 1 wad.Wad plak penuh siap extension lg,so aku jaga 17 patients waktu tu.Mmg penat gila lah.Huhu..Tp best sbb specialist style mengajar.Ada plak specialist yg aku kenal since dia kat HUKM lg,depa ckp dia garang,tp aku rasa tu normal la,tak garang sgt,sbb dah biasa kot time final year dulu specialist kat HUKM lg garang ! Haha..colleagues plak best2 psl tak berkira kerja.Duduk wad ni pun 2 minggu jugak.
After 6 weeks,aku masuk plak CRW (Cardiac Rehabilitation Ward) or Unit Rawatan Jantung if tak silap.Kat sini ada 2 HO yg kena cover both CRW and CCU (Cardiac Care Unit),patients 28 org,so sorg kena cover dlm 14 patients.Mmg time nak present tak ingat sapa yg typical chest pain,sapa yg atypical.Huhu..sorry.Tp specialists kat sini teramat baik.Aku rasa bleh conclude la,mmg cardiologists baik2 eh? Dah tu morning rounds mostly MO yg present,syok gila.Weeee :D

Duduk sini mmg busy sbb patients ramai,dah tu sat2 complain chest pain,so kena la g bagi S/L GTN or Morphine baru baik.Kadang2 geram jugak pesakit yg dpt sakit jantung ni mostly smokers,so bila balik kita dah advise stop smoking tp smoking jugak,tgk2 mai balik sakit jantung.Haiyaaa...sendiri mau ingatla kan..Then duduk sana 11 days,pastu change ke ICU.Benda plg aku terkilan adalah tak sempat tgk COROS or Angiogram,time hari angiogram mmg busy.Huhu..
Dkt ICU sat ja,3 days,mmg jobless.Mostly continue antibiotic,sedation,and continue anaes management.Hehe..Dah la sejuk,pastu bgn g keja pun lmbt skit tak apa,just kena punch before 7 la kan,specialist pkl4.30 baru mai round,MO tadak.Kna present trus kat specialist.

After that,aku msk nephro ward a.k.a 4D for another 2 weeks.Syok gak la,bleh buat banyak peritoneal dialysis (PD),consultant baik wpun ada time garang sket esp time grand round on Tuesdays,colleagues ada gak yg best,ada yg xberapa best.Huhu..Specialist ok la,though sometimes inappropriate words keluar dari mulut dia =.=’

Then saat yg ditunggu2 telah tiba ! Akhirnya aku dapat gak g old hospital.Seronok wey dok sini.If hg jaga 18 patients pun okay sbb almost everyone pun stable.Specialist yg jaga pun best,suka mengajar.Round mmg awal,7.45 specialist dah sampai,patients pun ramai,tp bleh manage lg la.Colleague pun best,keja dok makan 3 hourly,then buat keja amik darah suma and trace result.Yg tak syok bila nak trace result tu sbb org Lab style tak mau bacakan result.Dah tu bila tggu kertas lab result,tgk2 patient hyperkalemia/hypokalemia (common sbb byk patient nephro yg line-related sepsis for continuation of antibiotic).Otherwise,mmg best sgt dok sini.Nurses pun baik2 ! :)

Abis dah 3 months,so after old hospital,aku balik ke hospital baru and jaga ward 4C,wad medical lelaki.Wad ni specialist dia ID team (Infectious Disease),baik2 belaka.Sempoi dan baik dgn HO.Colleagues kat sini mmg terbaik ! Kerjasama sgt penting sbb kat sini almost every day patient collapse.Patients kat sini mostly pesakit TB,drug abusers and RVD patients.So mmg mostly immunocompromised.Kat sini mmg la banyak sgt buat procedure,esp short CVL,intubation and lumbar puncture.Yg lain2 mcm pleural tapping tu tak yah cakap la.Tp best sbb suma colleagues style helpful.Then ,there’s one time yg we all had makan2 with specialist and consultant ID.Makan cheesecake,they gave it to us as a token of appreciation.My specialist once said we are the best HO team that he’s ever worked with ! (but he also mentioned that the last good team was when he was an MO in nephro).Glad to hear that :)

Then I only have 2 more weeks to go.I was then sent back to old hospital (syurga dunia bg para houseman kot).hehe..syok dok sini Cuma ada sorg colleague yg x best,konon2 best treatment to patients padahal hmmm...then ada keja yg xbuat,carry forward kat org esok,mmg tak best la keja dgn dia ni.Sorry if u are reading this,but if I have the power of extension,aku rasa nak guna ja.Tak best la,dah la nak end my posting,dapat plak keja dgn org mcm tu.Sorry aku terpaksa marah dia,mmg meletup dah tak tahan staff nurse asyik complain kat aku,HO lain pun complain.Dah tu bila SN malas nak cari dia utk inform dia utk buat sesuatu keja,SN mai srh aku buat,tension la kan.Tak psl2 kena buat keja org len,bkn xnak tolong tp mmg lemak la.Even specialist pun marah bila dia srh refer case tgk2 esok pnya round still tak refer lg.Adeh..tak syok lgsg keja dgn org cmni

All in all,aku rasa seronok gila ddk medical.MO and specialists baik macam angel .Hehe..tak penah aku dgr any of them cakap ‘Housemen are useless,hopeless,stupid etc’.Mmg baik,if u don’t know u can ask them sbb they are nice.Then u learn more :)
Pernah terpikir nak jadi MO medical tp mcm erkkk tak sanggup ja.Penat kot.Case kat casualty tu almost semuanya medical.Huhu..

Oh ya,regarding exam,kat sini examnya written paper,soalan mmg mcm final year medical student Cuma byk tanya pasal management la.Time aku kluar soalan Bronchial asthma,interpret ECGs,UGIB,Leptospirosis and DKA secondary to UTI.Soalan types of ketone bodies pun kluar weh.Tu blajar time 2nd year kot.Ok gak la soalan time kami.Bleh la jawab dari dok blur2 kan.Hehe..

To all my medical posting mates,MO or specialists,If u are reading this,I just wanna say Thank You for all your guidance,I really enjoyed my 2nd posting and I love all of you.Hehek :)