because I'm sleepy and tired. But I don't want to sleep yet. It's 11.30 pm, and tomorrow is working day. The day is too short. I'm sleepy yet I don't want to sleep.
And then I remember my nephews and nieces when they were just babies, 1 2 years old, always energetic. They simply refuse to go to sleep even when their head is nodding off, saliva drooling and wiping them off on my sleeves, and eyes partially ptosis (eyes closed involuntarily in medical term). And what do they do to keep awake? Mengamuk, merajuk, mengada-ngada mintak dokong, raised their brows so their eyelids won't shut (but I used to do that during certain lectures, hehe). Semua tak nak tido. I guess they really do feel that the day is short, and sleeping is just a waste of time, because they could have played more, do more learn more. Okay, simply PLAY more.
I want to play more
Yet I'm sleepy
But I still want to browse the net
Work starts at 730 tomorrow
And I'm missing the End of Year SALES!
Sigh
I'm going...zzzZZZzzz
-----
COMMENT:
AUTHOR: Ahmad Salman
DATE: 01/24/2007 06:18:38 AM
me too... yawn. darn architecture. hey guess what. ur nephews' and nieces' achuman druels also. on the sketch papers!!! ttido atas paper la.. got presentation in a week and ideas are not coming! argggH! (tarik tarik rambut...last2 abang aswi ade geng baru). hehehe (=P
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Wednesday, December 13, 2006
Wednesday, October 18, 2006
MRCP
MRCP - Medical Royal College of Physician, an entree program for specialization.
Is it a sign???
A friend of mine was studying for his MRCP, and currently questioning whether to take the January or May exam in UMMC. Then, the next day, this prof asked me why I haven't start preparing anything for MRCP. Hello! I've only started working, 2 1/2 months to be exact. I need to wait 18 months before applying.
But it does make me realize, I should keep this in mind. Being a slow person, I should get ready by now. But being a procrastinator, starting too early is not very reliable thing for me. Hehe
I still need to collect information abt the standard and policy for MRCP in malaysia. Whether we have to go through specialization here, or go straight to subspecialization. Today I found out that our salary will be upgraded to U48 once we get MRCP, and univeristies do look at it as a priority in choosing its applicants.
Heck! I still need to figure out which field I'd like to jump into. So, I think it's better if I go to several posting before deciding. I hope I can go to Medicine posting next, and then Paediatrics afterwards. I am considering Haematology and Nephrology. I've thought about being a paediatrics, I really like kids and babies, but then, I'm not sure how I can handle mothers...hehehe. Besides, sometimes I don't have the heart to see ill babies. Family medicine, I'm just afraid I might get bored as a general practitioner even if it gives me more time with family (or so they say because no on call). Why nephrology? Because I've always been fascinated by the kidneys. How great God has made it to function, as small as it is, as every other part of human body. Why Haematology? Well, influenced by my late father's illness really, but that's about it.
------
COMMENT:
AUTHOR: Ahmad Salman
DATE: 01/24/2007 06:26:21 AM
yeah.. we procastinators should get into the mood first kan ici... hehe. anyway. kawan maman pernah ckp nk tukar profession sbb tension dgn archi. die nk jd dokter, specializing in breasts. bengong tak? he doesn't know that all the breasts he sees are crooked ones. if the patients come with complete two of them. haha. or the one that grows hair on them. AHAHAHHA!!! or or...or. ow darn im crying here! bye.
-----
COMMENT:
AUTHOR: Ici
DATE: 01/25/2007 02:45:15 AM
sheesh! hehehehe
-----
Is it a sign???
A friend of mine was studying for his MRCP, and currently questioning whether to take the January or May exam in UMMC. Then, the next day, this prof asked me why I haven't start preparing anything for MRCP. Hello! I've only started working, 2 1/2 months to be exact. I need to wait 18 months before applying.
But it does make me realize, I should keep this in mind. Being a slow person, I should get ready by now. But being a procrastinator, starting too early is not very reliable thing for me. Hehe
I still need to collect information abt the standard and policy for MRCP in malaysia. Whether we have to go through specialization here, or go straight to subspecialization. Today I found out that our salary will be upgraded to U48 once we get MRCP, and univeristies do look at it as a priority in choosing its applicants.
Heck! I still need to figure out which field I'd like to jump into. So, I think it's better if I go to several posting before deciding. I hope I can go to Medicine posting next, and then Paediatrics afterwards. I am considering Haematology and Nephrology. I've thought about being a paediatrics, I really like kids and babies, but then, I'm not sure how I can handle mothers...hehehe. Besides, sometimes I don't have the heart to see ill babies. Family medicine, I'm just afraid I might get bored as a general practitioner even if it gives me more time with family (or so they say because no on call). Why nephrology? Because I've always been fascinated by the kidneys. How great God has made it to function, as small as it is, as every other part of human body. Why Haematology? Well, influenced by my late father's illness really, but that's about it.
------
COMMENT:
AUTHOR: Ahmad Salman
DATE: 01/24/2007 06:26:21 AM
yeah.. we procastinators should get into the mood first kan ici... hehe. anyway. kawan maman pernah ckp nk tukar profession sbb tension dgn archi. die nk jd dokter, specializing in breasts. bengong tak? he doesn't know that all the breasts he sees are crooked ones. if the patients come with complete two of them. haha. or the one that grows hair on them. AHAHAHHA!!! or or...or. ow darn im crying here! bye.
-----
COMMENT:
AUTHOR: Ici
DATE: 01/25/2007 02:45:15 AM
sheesh! hehehehe
-----
Saturday, October 7, 2006
Dah masuk gynae ward
Unlike in HUKM, where the gynae ward includes oncology and general gynaecology cases, kat PPUM they devided into 2 different wings. After one and a half month kat labour ward, I'm finally posted to a regular ward...gynae am. Banyak nye yang ici tak tau. I learned how to list patient going for operation, requests for urgent radiology, and some white lies to go with it (sebab doc gynae nak urgent, doc radio kata tak urgent, so kene cerita macam kes tu kes urgent).
Other than that, it's quite tiring here that the nurses can't set IV lines and give IV drugs other than setting IV drips. I'm not sure if it's their policy, making them 'wouldn't' do any of those things. So even if we don't have the man power, say like yesterday, where there was only me in the ward, and ward round sampai 10 am, discharging cases until 12 noon, and still haven't had the time to give IV drugs that was due at 8 am; the nurses couldn't help to give it...couldn't? or wouldn't? Maybe next time I'd ask if there's such policy.
I've always thought the nurses are better at setting lines compare to new houseman, and whenever we can't do it, we would call the senior nurses to help. At least I'm in gynae am, and not in gynae oncology. These people are usually chronic cases, veins memang susah nak carik, halus, and for old people lagi la susah. If I'm in trouble setting up intravenous (IV) line, then maybe I'll ask them and see how they response. Last time I asked a nurse, they said, oh susah ye, then walked away.
Last on call - khamis malam, I had to attend to a terminally ill patient. The nurses told me over the phone, patient is gasping for air. Dah la ici kat labour ward, it takes me at least 5 minutes to walk from labour ward to gynae ward. I just told the nurse to prop the patient up, put on O2 mask, take SpO2 and vitals. My fren yang on call gynae ward pegi operation (which they didn't have to, but since he went, I had to cover him...grrr) So sampai2 je, SpO2 tak dapat, vitals very weak, BP dropping, tachycardia (denyut jantung laju) and tachypnoeic (nafas laju). I can't feel any peripheral pulses, femoral pulses are faint, so I my attempt at taking ABG is useless. Called medical officers in charge, sorang kat operation, sorang tak dpt contact. I called the second time, and 5 minutes later finally diorang datang serentak, and I was 'let go' (it sounds like ici 'disuruh' balik pulak at that time).
I think 10 minutes after I left, I heard the patient had passed away. The patient is terminally ill, ovarian cancer recurrence, stage 4 already. The nurses told me they did pleural tap yesterday (keluarkan air terkumpul dalam lapisan paru paru), 600 cc keluar. That's a lot! I guess that night, it happened again or the lungs may have collapsed. I couldn't hear any breathing sound..anywhere. I think I did what I should have done, and I think it was the patient's time to go. I don't know what the medical officers did after I left, though. I was too tired post-call that I didn't ask my fren what happened to the patient.
This bulan puasa, is gonna be a very busy month for me. Ramai yang amik cuti, tapi ici mintak cuti one day before raya and first day of raya. Ramai jugak yang tanya kenapa ici tak mintak cuti panjang, ramai non-muslim yang boleh cover. Tapi tengok schedule, hectic jugak schedule diorang. Ici ada 5 on call in total, and 2 of them are weekends. 2 days before and after cuti ici kena datang everyday cover the ward, even though hari sabtu ahad. Ici malas nak complain, just take it as it is, tapi ada jugak kawan yang tak suka. The funny thing is, dia non-muslim. Oh well, siapa tak envy free time in this world betul tak?
But I've already planned my cuti, and that's 2-3 november, and 27-30 nov. Actually, as a houseman, diorang bagi 9 hari cuti for 4 month punya posting, and tak boleh bring forward kumpul cuti. Sebab tu ramai yang nak habiskan cuti masa ni. I decided to use it bila betul2 nak habis posting, rehat sebelum masuk posting baru. And the good thing is, masih rasa lagi musim perayaan tu. So bole la ici beraya kot. Maybe just rehat. But I do want to meet my frens. Rasa macam tersisih pulak, takde social life langsung ici nih. Hari tu Shiida call, tapi ici pulak tengah tido tak larat. Post-call la katakan. Kesian dia, tak di layan pon. Sorry ya Shiida, hopefully I can make time for u guys. Dah lama tak jumpa. Buka puasa pon tak tau la boleh get together ke tak.
Rusydan pulak gi Perlis this 3 weeks before raya, kerje. Hampeh. Jumpa pon weekends je kot. Raya ni pon ici takde nak bershopping, pakai je la baju bertandang ici buat masa kawen hari tu. I really hope to see my frens masa cuti nanti!!!
Okay laa, nak gi dah. besok ici keje, cover ward from 730 am to 11 am. Hmm, maybe I'll stare at the calendar (again, and again, and again...), tengok bila ada time for a quick gathering.
Other than that, it's quite tiring here that the nurses can't set IV lines and give IV drugs other than setting IV drips. I'm not sure if it's their policy, making them 'wouldn't' do any of those things. So even if we don't have the man power, say like yesterday, where there was only me in the ward, and ward round sampai 10 am, discharging cases until 12 noon, and still haven't had the time to give IV drugs that was due at 8 am; the nurses couldn't help to give it...couldn't? or wouldn't? Maybe next time I'd ask if there's such policy.
I've always thought the nurses are better at setting lines compare to new houseman, and whenever we can't do it, we would call the senior nurses to help. At least I'm in gynae am, and not in gynae oncology. These people are usually chronic cases, veins memang susah nak carik, halus, and for old people lagi la susah. If I'm in trouble setting up intravenous (IV) line, then maybe I'll ask them and see how they response. Last time I asked a nurse, they said, oh susah ye, then walked away.
Last on call - khamis malam, I had to attend to a terminally ill patient. The nurses told me over the phone, patient is gasping for air. Dah la ici kat labour ward, it takes me at least 5 minutes to walk from labour ward to gynae ward. I just told the nurse to prop the patient up, put on O2 mask, take SpO2 and vitals. My fren yang on call gynae ward pegi operation (which they didn't have to, but since he went, I had to cover him...grrr) So sampai2 je, SpO2 tak dapat, vitals very weak, BP dropping, tachycardia (denyut jantung laju) and tachypnoeic (nafas laju). I can't feel any peripheral pulses, femoral pulses are faint, so I my attempt at taking ABG is useless. Called medical officers in charge, sorang kat operation, sorang tak dpt contact. I called the second time, and 5 minutes later finally diorang datang serentak, and I was 'let go' (it sounds like ici 'disuruh' balik pulak at that time).
I think 10 minutes after I left, I heard the patient had passed away. The patient is terminally ill, ovarian cancer recurrence, stage 4 already. The nurses told me they did pleural tap yesterday (keluarkan air terkumpul dalam lapisan paru paru), 600 cc keluar. That's a lot! I guess that night, it happened again or the lungs may have collapsed. I couldn't hear any breathing sound..anywhere. I think I did what I should have done, and I think it was the patient's time to go. I don't know what the medical officers did after I left, though. I was too tired post-call that I didn't ask my fren what happened to the patient.
This bulan puasa, is gonna be a very busy month for me. Ramai yang amik cuti, tapi ici mintak cuti one day before raya and first day of raya. Ramai jugak yang tanya kenapa ici tak mintak cuti panjang, ramai non-muslim yang boleh cover. Tapi tengok schedule, hectic jugak schedule diorang. Ici ada 5 on call in total, and 2 of them are weekends. 2 days before and after cuti ici kena datang everyday cover the ward, even though hari sabtu ahad. Ici malas nak complain, just take it as it is, tapi ada jugak kawan yang tak suka. The funny thing is, dia non-muslim. Oh well, siapa tak envy free time in this world betul tak?
But I've already planned my cuti, and that's 2-3 november, and 27-30 nov. Actually, as a houseman, diorang bagi 9 hari cuti for 4 month punya posting, and tak boleh bring forward kumpul cuti. Sebab tu ramai yang nak habiskan cuti masa ni. I decided to use it bila betul2 nak habis posting, rehat sebelum masuk posting baru. And the good thing is, masih rasa lagi musim perayaan tu. So bole la ici beraya kot. Maybe just rehat. But I do want to meet my frens. Rasa macam tersisih pulak, takde social life langsung ici nih. Hari tu Shiida call, tapi ici pulak tengah tido tak larat. Post-call la katakan. Kesian dia, tak di layan pon. Sorry ya Shiida, hopefully I can make time for u guys. Dah lama tak jumpa. Buka puasa pon tak tau la boleh get together ke tak.
Rusydan pulak gi Perlis this 3 weeks before raya, kerje. Hampeh. Jumpa pon weekends je kot. Raya ni pon ici takde nak bershopping, pakai je la baju bertandang ici buat masa kawen hari tu. I really hope to see my frens masa cuti nanti!!!
Okay laa, nak gi dah. besok ici keje, cover ward from 730 am to 11 am. Hmm, maybe I'll stare at the calendar (again, and again, and again...), tengok bila ada time for a quick gathering.
Wednesday, August 30, 2006
Apa nak expect bila dah tau pregnant
Sebenornye, dulu ada jugak terpikir nak tulis bende ni, untuk tolong kawan kawan yang baru kawen kawen tu. Kitorang kat hospital selalu tanya, ingat tak tarikh hari pertama haid yang terakhir skali? Susah nak paham ke? Meh ici Inggelishkan...your first day, of your last menstrual period.
Kalau tak ingat, refer laa calender, tak pe, kitorang paham (tapi ada jugak doktor-doktor yang tak paham bukan senang nak ingat). Kalau tak ingat, tanya laa suami tu, haa, ici tak tipu, ramai suami yang lebih ingat. Ehem...paham paham je laa kenapa.
Lepas dapat tarikh ni, kitorang slalu kira ikut minggu, bukan bulan macam korang slalu ingat tu. 1 bulan dah ada 4 - 5 minggu, so kira minggu lebih accurate. 38 hingga 40 minggu maknanya baby tu cukup bulan. 36 minggu masih tak cukup, walaupun beza 2 minggu. So, kitorang namakan cukup 'minggu' ni sebagai POA - period of amenorrhoea = period tak de menses.
Pastu, kitorang akan tanya, ada buat scan awal tak? Early scan maksudnya dari minggu 5 hingga 20 minggu. Masa ni paling bagus untuk tengok tarikh yang awak bagi tu betul tak dengan saiz baby. Takut-takut, u salah bagi tarikh. N takut jugak sebab datang tak tau berapa bulan and tak pernah buat check up, susah laa nak agak baby dah matang atau tidak masa lahir. Kematangan bayi memang penting, 2 minggu beza dah cukup untuk kitorang kat hospital pening kepala, patut tak bayi ni dpt ubat untuk tolong matangkan paru-paru dia, etc. Penting ni!
First time check up kat hospital yang puan puan nak bersalin tu, esti amik darah. Ini adalah wajib, dan ikut protokol antarabangsa, untuk keselamatan sejagat. kitorang akan tengok jenis darah, level hemoglobin darah (normal >11 g/dl), and screening utk syphillis + HIV + Hepatitis B. Mungkin kene amik extra utk certain kes, mcm parents yang ada kencing manis, ada darah tinggi n lain lain, sebab semuanya akan effect kandungan.
All this masa awal kandungan, belum lagi bila nak akhir kandungan n masa nak bersalin. Tu lain masa la yek? ici nak tido. Besok ici celebrate merdeka kat hospital. Malangnya, ici tak celebrate kat wad bersalin, tapi wad sakit puan, so tak dapat sambut merdeka baby, uhuk huk, sedih :(
Wednesday, August 23, 2006
1st Episode
AUTHOR: Ici
TITLE: 1st episode
STATUS: Publish
ALLOW COMMENTS: 1
CONVERT BREAKS: 0
ALLOW PINGS: 0
DATE: 08/23/2006 04:03:06 AM
-----
BODY:Ntah tiba tiba rasa nak buat blog pulak. Maybe because rasa lama tak jumpa kawan, nak jumpa pon susah. Tak nak la nanti orang kata sombong pulak. So apa kata ici share skit apa yang sedang terjadi kat dunia ici ni, kat sapa2 yang nak baca la. Meng-update-kan diri sendiri.
Ici start keje 1st August 2006, keje kat PPUM. Masuk-masuk je dapat posting obs and gynae (bab2 pompuan ni laa, yg macam2 kerenah tu). 4 bulan kat sini, sebab it's a major posting, so kena habiskan dalam masa setahun housemanship ni. 1 bulan pertama, ici ada kat labour ward, tempat owang bersalin. Asyik tengok mak buyong aje laa. Ada yang bersalin normal, ada yang kena vacuum, ada yang kena hantar operation, ada yang hantar balik. So far, dah 22 hari ici kat sini, seronok la! Ici memang suka bab deliver baby ni, tapi sakit kaki and badan bukan main! Nak patah pinggang kalau on-call. Bila ada orang kena hantar operation, ici pun cuba menghilangkan diri, sebab ici memang tak suka masuk OT(operation theatre).
Anyway, masuk-masuk je, si Amirul rupanye ketua HO (house officer) kat
OnG. Pastu jumpa la geng-geng dia, Hazri Ustad n Jeya. Adli yang
masuk sama time dengan ici start dengan posting ortho, so ici tak jumpa
dia sangat. So far jumpa 2 kali dlm 3 minggu ni.Kat labour ward, jarang dapat time untuk duduk. Itu yang penatnye. Kalau pesakit ada 3-4 orang boleh la dok kejap. Ici start on-call 5 hari lepas tagging. Tagging tu maksudnya belajar lagi, mengekor bontot HO yang dah lama kat sana. Baru masuk, ici blajar la nak isik borang and certain guidelines in PPUM, sebab diorang lain skit. Understandable la, semua hospital ada regular regime diorang tersendiri. Tu yang dok tagging.
Kepada sesapa yg nak tau on-call tu cam ne, ni ici citerkan. Kalau ici on-call hari isnin, then ici keje macam biasa dulu, 8.00 pg (ha! tp ici biasa start keje 7.30 pagi) sampaila kul 4.00 ptg (tp ici biasa balik kul 5.00 ptg). Then on-call ici start dari 4.00 ptg tu sampai pukul 8.00 pagi esoknya hari selasa (16 jam). Then ici sambung keje mcm biasa 8.00 pg sampai 4.00 ptg. So kiranya 36 hours non-stop la. Ada paham? Kalau takde keje, mlm tu bole la tido, tp biasanya akan dikejut quite frequently. Kat labour ward, HO on-call 2 org, so kitorang amik shift, so at least sorang dpt tido 3 jam. Unless ada emergency operation, then sorang kene gi OT, sorang lagi jaga wad, maknanye dua dua tak dpt tido.
okay laa, ici nak mandi. Kaki yang berdenyut2 tadi dah takde. Cerita2 menarik lain kali.
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