Holiday season

Everywhere feels like jingle bell all the way.

Was in The Curve meeting up a new friend

Not bad settings..

I am counting the days to my Phuket trip..woohoo

Backtrack post :

Dont know why that other day, super semangat to go travelling , at least out of KL. And I was post call at that time.
Drove to Melaka to find my ol' housemate , ate supper and went back.

Jonker street rocks with its laid-back bistros. Should go there sometime again.

Naloxone effect

Gave a patient IV Pethidine to control his renal colic pain.

The effect, IMMEDIATE. His pain, gone within seconds. But its more of a sedative rather than an analgesic effect (pls correct if I'm wrong)

Later on I reversed it with Naloxone , due to fluctuating saturations.

And you could guessed what happened next......

Peripheral

Starting peripheral rotation for 2 weeks . Its a new thing in our department and I was chosen to be the first HO to do it (note : lab rat)

Basically, I'll be helping my MO to cover all the referrals from other discipline.

The good thing is , i wont be confine to one ward. I'd be more mobile .

And no need for blood taking except for paeds patient going for op ( oh no...)
And it'll give more exposure to those HO doing this rotation, other than the normal appendicitis (dull) , UGIB 2' to NSAID (boring) ,abd pain(yawn), MVA ..

Now i get to see, appendicitis in pregnancy, UGIB in non Hodgkin lymphoma, abd pain with dozens of differentials..(note : time to read up)

But on the other side , I have a feeling I have to write all the clerking notes for my MO (who would previously do this themselves), and rounds would finish LAST.

Fidel's day

Post call and went for Melissa's birthday.

Drinks and good company..


The next day, which was suppose to be my first day in surgical peripheral. ( i would be covering ICU, paeds, OnG, Medical and haemato referrals)

Dead and gloomy at work..haha.
Luckily I dont have to enter OT that day.

Getting credit

Some updates:
The hospital I am working with is undergoing accreditation .
With surveyors coming in and out everyday, alot of things have change

Its so nice to have each bed with hand antiseptics.

So nice to see the nurses' desk neat and tidy.

So nice to see things getting done in a split of a second.

So nice to have the operator picking up the phone immediately.

But when things get done according to the book, it might not be so practical at times, ;)

Hopefully the hospital gets the credit they deserve la...

Going on to the next topic, mmm...

I got another opportunity to slice ..ehem..operate on another patient the other day.
Yeah. another appendicectomy.

This time around , it is much better , and it took lesser time too.
OT time is precious.
From one side, the anaest was crossing her arm, looking at the clock ticking. Tick tock tick tock..
Another side, the scrub nurse was repeating , " Dr ..sudah lama la.."
And my MO is also adding to the pressure by saying , "Be fast, but gentle"

Not easy...

The thing about operating on someone is that one has to take full responsibility. The patient was discharged home soon after the operation. I really hope she lives until 100. :D and not coming back for anything like...err...hernia

Anyway, I am also looking forward for another chance . Greedy me. But practise makes perfect right ?

Other than that..not much . Social life has been . NIL. (fullstop)

A cycle

I am now near to working 3 mths in surgery and its when patient comes back for follow up.

And patients do remember their doctors well, even a HO.

There were a few occasions some patients came to approach me, just for me to stare back blankly. It took me afew seconds to remember them, but as memories of the patients came flowing back , it feels good to see them well and upgoing and following up on their health.

I do wish my patients well :D

Being dumb

After 3 mths working , I realised one thing.

Work never seems to finish. There is always more.

I dont mind working, but sometimes one can multitask up to a certain extend only.

And I realise ar..sometimes, during lunch hour, I'll be left alone in the ward.

And nurses are very smart people, once they see a problem, the first thing in their mind is to inform the doctor, usually the FIRST IN VIEW, because they have to document it down, if not they'll kena scolding.

So...

Those who are in the ward have to attend to the patient la, on top of the work they are suppose to do.
Recently I kena alot from the nurse la, they inform me things, but me having to handle more urgent things and getting frusfrated being bug from 10 different sides at the same time (as sometimes, noone else is around for them to pass over), I'll just ask them to call the doctor in charge of the patient.

Then they make those kinda face like this fella doesnt care, and gossip about me. Sienz..

Ai..dunno how la.

As work cant be finish,
and if one stays back to do work.
MORE work would pile up

So, should i just...
being "smart" rather ?