Gerak Khas Attachment: Day 2

Ok. I start my day quite early today. I came to the ward 7.30, greeted one of the HO. She said, "kenapa awal sangat?". I answered, last year, when I came to the ward at 7.30, all HO finished clerking. She said the usage of paperless system, and some changes in timetable make HO work start a little bit later than before. Alhamdulillah for us future HO!

Then I and other student joined her for morning round. So, when the specialist came, we joined her for ward round. Today's round witness less drama than yesterday. But I see how the specialist scolded the HO on malaria patient. That was really scary and very much worrying, so folks, please ah don't forget your parasitology. Also seeing patient with cerebral toxoplasmosis. She is Retro Viral Disease patient, but the first antibiotic giving her maculo-papular rash so the Dr. need to change to antibiotic that free from sulphur compound. It took to reference book and one phone consultation to solve that problem.

Then I meet my primary schoolmate, Fikri. Have a chat after round and Alhamdulillah his mother is doing good. After rounds, I have rest at pantry, before joining one of Junior Medical Officer, doing pleural tap for a patient with pleural effusion. While assisting a little bit, I was asked to take his BP reading by automatic machine. Then I did one of the biggest mistake of the day. I use hand rub sanitizer in front of him. His face changed to a sad expression. I did not mean to offend him. But I was told by my colleague not to do it again.

Right after coming out from that procedure room, I was confronted by another HO. She asked me a favor. I was asked to clerk a patient. I was like, what??? I never clerk any patient before. I asked her if she will be with me. The answer is NO! I need to do it by my own. Then I clerk the patient according to guidelines stated in Oxford Handbook of Clinical Medicine (note that Oxford Press never pay me for this, lol).

I clerk the patient, but my clerking is not deep enough, I didn't notice that she had gout, didn't notice her previous hospitalisation and other relevant medical history. But I learnt something today, that clerking is not as tough as I thought before. So, people please revise your history taking skills ok!

Then the doctor asked me to take her BP and I missed it! I need to polish up my skills. It is sort of hard to take manual BP after leaving CVS block 3 semester ago. Then I was asked about iron deficiency anemia signs and symptom. It was ok, but I need to read more. Well, one of the toughest thing I need to master is understanding what the doctor and nurses ask. Abbreviation, low voice, high noise contribute to its difficulties. Last time, I was asked to find ECG sheet for the patient, but end up ordering a new ECG reading from a nursing student.

p/s: this one is off record ah, I saw a 7-days houseman crying in front of the computer. Take note ya folks. Learn how to manage your emotion from now ok!

Gerak Khas Attachment: Day 1

So, basically, today is just like other normal day to others, but for me, my heart start skipping most of the beats this morning. Today is my first day doing attachment this year. Although I had gone through this last year, but it is a whole new experience! (Just because I learnt all the preclinical component)

I reach Hospital Sultan Haji Ahmad Shah, Temerloh (HoSHAS) at 8. Heading to administration office, seeing En. Moorthi. He send me straight away to Pejabat Pakar. At the office, I spent a lovely 15 minutes waiting for the doctor. Dr. Raj, HOD Medicine was informed to have morning prayer. After a while Dr. Sharifah ask me to go to Kenanga Ward 14 wait for her there. I went upstairs, heading to that ward, seeing Dr. Kavitha. She asked me to see Dr. Sharifah first, but I said she asked me to wait for her at the ward.

Then, I started hanging around. I followed Dr. Kavitha and Dr. Chong (the HO) until Dr. Sharifah came and supervise us. She is very much interactive. Explaining me about atrial fibrillation, describing the pulse, and some ECG reading. Then, she also asked me to examine a patient abdomen. I did it wrongly. I didn't see the patient's face, didn't sit to inspect. I go straight to palpate the abdomen, skipping inspection. Then, she showed the exact way. Once again I do wrong. I percussed the abdomen by left hand which look so weird. Ok..that's was embarrassing.

Then one of unforgettable thing, is when Dr. Sharifah told this one patient that he is HIV. He shut his eye tightly. Then he open his eyes and said, "Tak ape lah doktor, dah nak sakit nak buat macam mana". He looked deeply to his pregnant wife. Thank god, his wife and baby is so far safe from that disease. I just observe this situation quietly while piling my condolences on patient's family. Then seeing around, a patient with Horner's syndrome. He is affected by lung cancer. I noticed, a lot of patient having dengue fever and leptospirosis. The most famous non-infectious disease is chronic kidney disease. So, for future practice, those disease are of importance!

Until next time fellas!

iskandariah yang saya rindu

eid adha

HAPPY EID EVERYONE!

THAT'S ALL, THANK YOU.

nur ya nur kasih...

tau..cerita ni dah basi berulat dah lamanya...

tapi saya baru habis tgk cerita nih bulan puasa baru nih...

cerita Nur Kasih ni tak adela best sangat..(jgn marah yer peminat drama ni)

tapi yang saya tabik, seni videografi drama ni memang superb.

memang setiap kali cerita arahan kabir bhatia, scene mmg macam tu..

tapi saya suka identiti nya!

macam cerita Adamaya yang saya pernah tengok, cerita tidak se'klise' Nur kasih, tapi teknik penggambaran masih boleh diperbaiki (macam pandai buat penggambaran je!).

semua episod die best...tapi paling best episod 4..memang kelakar...

minit ke 17:30, mase die ajak nur amina masuk bilik, remy ishak tu pose macam die hero hindustan pulak....hahahahah

pastuh mase minit 32:18, ayat mak die macam mengundang bole tahan jugak laa...

18 tahun ke atas je eyh!

jadi kesimpulannya..cerita ni memang best, jadi tak rugi tengok!

p/s tak sabar nak tunggu filem yang dijangka keluar awal taun dpn

nantilaaa

ok...

dah lama tak tulis blog.

macam da bertahun. tapi malas la.

tengoklaa..kalo rajin!

aku nk tulih mcm2, tp malas...mcm mana nk buat kn..

tlg bg semangat sikit, anyone?

paediatrician....

salam

rasanya macam dah berbulan tak menampal apa-apa di dinding blogger ini. sibuk dengan banyak urusan, setiap minggu ada exam, presentation bla...bla...bla...

okeh...itu tidak penting. yang penting, lepas exam kita balik malaysia yer?

paediatrik

saya tak tahu, dulu saya kurang minat budak2 kecik ni. mereka sangat mengada (macamla diri sendiri tak pernah jadi budak), tapi sejak akhir-akhir ni rasa macam minat sgt kat budak2.

1) sebab diorg comel

2) sebab sakit diorg banyak dan pelik

3) sebab mereka beritahu perkara sebenar..budak kan tak menipu..

4) sebab mereka ANUGERAH....

antara sebab lainnya, blog ni citer pasal paediatrik....