Monthly Archives: May 2012

4C

nah.. the 4C here does not mean cash, car, condominium and credit card.

it’s a place, a ward where most of my experience, skills and memories made.. grateful enough to be given the chance and opportunity to stay in 4c for 2 months to work with dr lee lee, dr raj and karti. karti – my best ever partner since in ortho, being apart for the second posting till we meet again in medical. 🙂

before entering 4c (the so called acute male and ID ward), have been hearing lots of story regarding the ward, how chaotic, how busy it is, how difficult to set a line for the ID patients.. and it did scare me seriously.

after 2 months in 4c, i think i can proudly say that ‘i survive 4c, both the most luxuries and most difficult period with only 2 Ho covering the ward with EOD double shifts’. if given chance to turn back the clock, i think i will choose to spend the 3 and a half months in 4c with 2 weeks in cardio. it is worth to have the bad backache and bruises all over the shin n knee during the time in 4c.. thank you for all the trust given to me..

being the chronic ID Ho for 2 months, it did change my perceptions towards the RV patient.. from stigmatize them to desensitize till wanted to help them as much as possible. can’t deny that some of them memang sendiri cari pasal 1, but some of them are actually the victim of it..

i think i have to accept the fact that am a workaholic, obsessive and love to do procedures very much. i think the people who know me will know that my sepet eyes will *shine* when there’re procedures to do, lumbar puncture, long line, short line, triple lumen, IJC, femoral catheter, BMAT, peritoneal dialysis, pleural tapping, peritoneal tapping, defib… ops.. haven’t had chance to insert chest tube yet.

i will not forget the fun and joke we had together
– the symbiosis of staph aureus
– the dump dump
– the dinner, the cow..
– the real dua pek gong and the dua pek gong in the tokong
– the lace panties
– the dengue in hyperthyroid phase.. LOL
– many many more..

seldom feeling so reluctant to leave a ward, a posting that much.. i think i found the light (but am so lazy to study.. Zzzzzz..). thank all of you for all the inspiration, teaching, guidance and training given..to make me a better person and doctor.

the only thing i won’t miss.. is the poh peh sis*** who threw our CSF away without our permission. :p

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life and death

as a 3rd poster of the housemanship, may be am not qualified enough to talk about this topic here. and you may feel that am over  exaggerate the things here. you may think that i lost of PPD skills.. and yes i can tell you that am losing my patience towards certain people who definitely not my patients. and i am just trained to be a doctor, not a writer nor reporter, i won’t just tell you the sweet things you wanna hear here.

dear people out there, you are putting the patients life in danger,

– if you are the parents who think that being a doctor is such a glamour job, and force or mislead your kids who don’t have interest at all to be a doctor

– if you yourself as a doctor who has no sense of responsibility at all, cannot handle stress

– if you choose to become a doctor just because you have good results and dunno whats your interest (seriously i don’t mind if you quit after you found your interest)

keep on building up and opening medical courses and institution, mass production of the doctors (either local or oversea).. yeah.. you have quantity and doctor to patient ratio which ‘looks’ good, but how about the quality? are they properly trained? frankly speaking, the quality is just getting worse and worse when compared to our medical officers and specialists’ time. and imagine, when those not welly trained people finally become the medical officer who is going to treat your kids or even yourself in the future.. well, you may think that those people won’t be able to pass their housemanship and become the medical officer if they are not qualified. but in reality, there are people who are just hopeless enough until the department don’t wanna extend he/she more in that specific department.

did the people ever feel guilty when their colleague who also have been working since morning and have to stay back to finish the pleural tapping for them till late night and wanna teach them the pleural tapping while they’re still tagging but on the other hand they said they’re tired and wanna go back first?

did the people ever feel bad when passed over the branulla for a dengue patient by just putting the branulla together with the sticker and swab in the kidney dish on that particular patient’s table by just telling their colleague, later have to repeat the FBC at 6pm?

did the people ever feel irresponsible when carry forward the important stuffs like CT appt, chest referral, x-ray reporting… till the next day to their colleagues?

did the people ever feel that it’s a sin when they didn’t review the blood investigation taken and partly cause the death of a young patient? and of course, you can blame it’s the disease progression.. the patient is going to die soon anyway.

at the end, whose fault is that? the doctor themselve? the shift system? the politics? the medical school? the parents?