Dr. Love Bite

I was on call the other day and of course being in the new department almost all the patients are eventful. It was considered a rather good call as in not many patients were were admitted during one time. They were spread out throughout the day.

But one particular patient, he was obviously very eventful. He apparently became desaturated twice in the same day about 3 hours apart. The first time, I was assisted by the MO on call and the patient revived, so all of us went away happy.

The second time however, the patient desaturated again and I was attending to him first. I ordered the staff nurses to call the MO that was on call with me. The MO on call was already in the ward at that time. Lets name the MO on call, Love Bite (LB). LB came and I was presenting the case to LB while at the same time trying to revive the patient. I guess LB wasn't listening to me as LB tried LB'e lever best to repeat each sentenced I said to LB, but most of the time, the sentences were wrong.

LB didn't even touch the patient. All LB did was ordered things and went away while the patient wasn't revived yet. Then LB came and rudely told me that I need to document all this, weird part is, LB didn't even touch the patient. So who was the one that was actually trying to help the patient?

With LB's neck at that time, full of fresh love bites, LB tried to cover the marks. But it was so obvious that as if LB was trying hard enough to show them off. And then LB just walked away, with the patient still not revived.

So, I did it all on my own with the help of the staff nurses. Even they were wondering how could the MO do that? Just leave and let go? When asked to help call the MO from other concurrent teams to help, LB didn't even want to do that. LB asked me to do it, while I was actually trying to revive the patient. Can you imagine?

So I called the other team's MO and told the MO what is going on. All the MO could do was asked me: "If I come down to see the patient, what do you want me to do?". Like, for reals? You are the MO, you should know better.

Finally, the patient revived, I was the one who did it with my staff nurses. The staff nurse even said: "Doc, I think you should be a junior MO. And show those other MOs that you are better than them."

**Smiles.....

As you go higher, your attitude deteriorates.

Insya'Allah, I will never do that.

My belated birthday diary

Woke up with a positive attitude although I was supposed to be assigned to a new department. That was my birthday present, to start my second posting :).



The rain greeted my day :)



Still very happy to get to the hospital (really?)



Wearing my killer platforms that I bought with Yayah on my trip back to KL. It hurts balls, but hey, I am a fashion slave.



My birthday breakfast: Yes, TEMPE!! I am jawa, so what?



Birthday friend: Pijoy.... always working (like mad)



Prolonging my stay in surgical department (Yes, I miss surgery)



Blogging on my birthday (sempat tu...)



Getting a surprise birthday cake and a sing-along no less :). Thanks so much.



My birthday snack: I was dead hungry by 5pm. My last meal was at 8am X_x


Papparazi shot: Told you, I am a celebrity :)

KL full throttle : Day 2 -tengok-

Tengok camera: SENYUM!!! ngeeeee.....


Tengok Lontong: MAKAN!!! nom... nom...nom.... Mamak sila jangan jealous :p


Tengok kueh: BELI!!!! mahal ok, 40sen sebiji.


Tengok muka Yayah excited kali pertama naik monorail.

Tengok pencak silat kat Berjaya Times Square.


Tengok Johnny English Reborn: gelak.... gelak.... gelak....


Tengok je, tak naik pun....


Tengok sizzling... LAPAR!!!


Tengok wan tan mee.... manis nyer....


Tengok dance battle. Sedih siott.... X_x


Tengok Ah Beng ni, syok sorang2


Tengok Yayah, bahagia dapat ice cream.


Tengok muka2 tersepit dalam LRT sardine.


Tengok sushi.... Oishi!!!! *burp*

KL full throttle : Day 1

When it has been ages since I went back to KL, this is what happens.... Making the most out of my stay :)


Watching a performance at One Utama was one of the last things that we did today


Trying out the new Food Republic food at One Utama, for lunch. Overpriced items. But the taste was good though.


Taking a nap in the ride back from KL to PJ. Crossing cities.


On the way to Masjid India area to look for some specific items.


Joining the road hog early in the morning in collaboration with Hari Malaysia.

HO survival kit: Konichiwa, Arigato, Sayonara

4 months has passed in my life as a HO. I have gone through many things in my first posting. Some of them happy memories, some of them I just let pass as another bad memory that should be forgotten.

I have pushed against the wall many times, and yet, as a first poster, I still survived. I never gave up when I can't meet up to their demands and expectations. I never felt that I could take all the unpleasant things that they say to me. It's ok. I take those harsh words and I turn them around to make something positive out of them.

I came into the department as a person that knew very little of that particular discipline. Now I move out, I am certain that I am able to manage cases as the first person to see the patient. I can manage the first steps before handing the patient over to the hands of the experts. I am certain of that now.

All I want to say to those who have given me all the challenges, thank you so much. Thank you for giving me hell. Because I know, that I work best under pressure.

I'll be back, after 2 years.....

Smoking kills you and I

Kudos to who actually came up with this idea to make this public service announcement. IT speaks for itself. In 3 minutes, it shows all the impacts of smoking to you and I.

Just quit it.

HO survival kit: One rotten apple makes the whole basket looks bad.

After posting my last post, I got this hate reply:

"Why you complained? When on call, you or your colleagues complained too much work, to tiring, etc. Now that the shift system is being implemented, you complained that it is way to cut your salary. What do you want? I bet that you just want to stay at home and continue to draw salary, right?"

My reply is:
I challenge you (whoever you are) to check all my punch cards, the times that I spent in hospital; ask all the staff nurses from all the wards that I have been posted in; and then only post a comment.

My advice is:
DO NOT GENERALIZE

HO survival kit: Your voice does not matter, ever.

Have you heard? The shit, I mean, the shift system will be starting soon. Every single hospital in Malaysia that has housemen are FORCED to start the shift system for the housemen. This is so that the housemen have enough rest and a better quality of life..... yeah, right.

This is just a cover up because they do not want to pay us if we do calls. So, like it or not, the shit, I mean shift (sorry, it has become a habit to say shit system as many can foresee the failure of this system) system, MUST take place.

The pros:
-less working hours
-the government can save money
-better quality of life for housemen (I am not sure in what way is this true as even though we are allowed some days off in the week for the shift system, we still have to come for continued medical education on our off day).
-seriously, I can't think of any more pros.

The cons:
-confusion during passing over
-no ownership of patients, therefore the HO that really don't have passion don't even care about the patient.
-very limited hands on experience and very short learning and training time
-we will not know the daily progress of a patient
-no more extra income
-no training for critical time when we are supposed to handle cases when we are alone during on call
-some of will really become like nurses
-there will be confusion when a HO changes from one discipline to the next because of the sudden influx or outflux of HO

Really, the people who asked for this and enforced this system should just quit their jobs now because they really don't know what they are asking for.

And worst of all, we can't do anything because when they say it MUST be enforced, it MUST. And then we are shunned by the seniors saying that we are so spoiled, when the seniors do not actually know that I am so damn against the shift system and I voiced my opinion to the authorities but no one heard me.

What else is there left for me to do?