It has been a long time since I last felt its presence.
And now I think, no, I know it is back.
Why?
Why do you have to come back?
Please don't.
Monday, May 2, 2016
Sunday, September 29, 2013
You are a snoot
It was a normal happy..happy... working day yesterday. Patients were barging in as per always, but we kept up the pace. It was smooth sailing at its best....until....
Along came a patient with his entourages, also not forgetting a referral letter from a private well-known hospital.
So this said person, an elderly person, was diagnosed with late stage cancer, has undergone multiple sessions of radiotherapy and chemotherapy in the private sector. Because of the stage of cancer, this person has developed paraplegia and needs proper nursing care and physiotherapy. Although in such an advanced stage, this person is still very outspoken and well-versed, good for this person.
The referral letter however, was a general one. It clearly stated: "because of financial constrain, the family has requested to be referred to a government hospital for further care". That, I definitely understood.
So, we did what we could, and what our procedures allowed us to do. Since it was a general referral, with no investigations attached, and that the person has come to the emergency department on a weekend, we did our best. We called the respective team to come and see this person.
However, neither this person, nor the entourage understood that there is no such thing as "direct admission" if the referral was general. There is no such thing as a private waiting area for the them to be in, as they do want to sit in the general waiting area. There is no such thing as an ICU/CCU type bed at the emergency setting.
This person came in on a wheelchair, his well, his vitals were stable. As opposed to the more critical patients in Red Zone, this person was seen ASAP in the Yellow zone, and when we gave this person a bed to rest on while waiting for the respective team to come and review, this person refused to go on the given bed. The bed apparently is not up to this person's standard.
One of the entourage came up to me and bombarded me with the same repetitive question regarding "direct admission" and expected that I give them priority care. With the best that I could, I smiled and repetitively explained that that is not possible and that we have informed the respective team. This particular entourage rolled his eyes at me, kept looking at my scrubs, trying to get my name, testing me, testing my patience. I kept my calm, smiled and answered the best I can.
Although I am open, and free spirited, I never forget my roots. I know to treat everyone I see with the same amount of respect. Know how to lower myself when speaking to others. And yet, the conservative, covered, traditional ones that barge in, brought in the unnecessary attitudes and snootiness, and expect to be treated like kings and queens.
In the end, everyone is the same. We are ALL the same human being.
Along came a patient with his entourages, also not forgetting a referral letter from a private well-known hospital.
So this said person, an elderly person, was diagnosed with late stage cancer, has undergone multiple sessions of radiotherapy and chemotherapy in the private sector. Because of the stage of cancer, this person has developed paraplegia and needs proper nursing care and physiotherapy. Although in such an advanced stage, this person is still very outspoken and well-versed, good for this person.
The referral letter however, was a general one. It clearly stated: "because of financial constrain, the family has requested to be referred to a government hospital for further care". That, I definitely understood.
So, we did what we could, and what our procedures allowed us to do. Since it was a general referral, with no investigations attached, and that the person has come to the emergency department on a weekend, we did our best. We called the respective team to come and see this person.
However, neither this person, nor the entourage understood that there is no such thing as "direct admission" if the referral was general. There is no such thing as a private waiting area for the them to be in, as they do want to sit in the general waiting area. There is no such thing as an ICU/CCU type bed at the emergency setting.
This person came in on a wheelchair, his well, his vitals were stable. As opposed to the more critical patients in Red Zone, this person was seen ASAP in the Yellow zone, and when we gave this person a bed to rest on while waiting for the respective team to come and review, this person refused to go on the given bed. The bed apparently is not up to this person's standard.
One of the entourage came up to me and bombarded me with the same repetitive question regarding "direct admission" and expected that I give them priority care. With the best that I could, I smiled and repetitively explained that that is not possible and that we have informed the respective team. This particular entourage rolled his eyes at me, kept looking at my scrubs, trying to get my name, testing me, testing my patience. I kept my calm, smiled and answered the best I can.
Although I am open, and free spirited, I never forget my roots. I know to treat everyone I see with the same amount of respect. Know how to lower myself when speaking to others. And yet, the conservative, covered, traditional ones that barge in, brought in the unnecessary attitudes and snootiness, and expect to be treated like kings and queens.
In the end, everyone is the same. We are ALL the same human being.
Tuesday, May 7, 2013
As I am reaching the finishing line: A confession letter
Why do I want to become a doctor.
Initially, becoming a doctor was a
request made by my family. Since I am the only one among my siblings who is into
science as opposed to arts, I took the request to heart. I graduated high
school under pure science stream and I actually wanted to become a chef. But
the year that I graduated, being a chef does not pose so many potentials, as
compared to the market nowadays.
Therefore, I pursued medical
school. It was a rough start at first because I am not the one that sits down
and read books; I am more of hands on person, learning well from my
experiences. Throughout medical school, I met many people, many lives that
thought me to be more sympathetic, more concern, and more sensitive to their
conditions. I developed the love to help people in so many ways possible; trying
my level best to lend a helping hand to people in need.
As the years passed, I learned that
this is, being a medical doctor, is my way to reach out to more people and to
help them.
So, to answer the question: “Why do
I want to become a doctor”, the answer is: it is my passion.
If I were a Medical Officer, what do I expect from House Officers.
As a House Officer who is still in
the training/learning process, I would expect them to grow up and mature with
their profession. Not to be blinded and egoistic with the status as a Doctor,
but to be humbled and sensitive to needs of others. Knowledge wise, I expect
them to know some medical basics, maybe not all because we tend to forget, thus
we have to refresh our knowledge continuously.
Life is a learning process by
itself. There is no ending in learning, so I expect them to learn from
everything, the patients, their colleagues, the environment, so that they can
better themselves in so many ways possible, as a Doctor, as well as a human
being.
I also expect the HO to be more
confident, but not cocky. There is however, a thin fine line between confidence
and arrogant. I wouldn’t mind if the HO is really confident and has evidence of
the fact that they are presenting, only then I could trust them handling some
cases, before I attend to the patients.
I also expect to have a good
working relationship with the HOs. I understand that I was once a HO too,
therefore we must work together to solve problems, not work against each other.
The other most important thing is
honesty. I don’t want to be the kind of MO that is so hard to converse with.
Because when that happens, it is hard for the HO to be honest about some
things; like for example, informing new cases, or anything that needed to be
attended STAT.
As I mentioned, HOs are in training
and sometimes they are not that confident in their management and they need a
superior to help them out. The better the working relationship, the more honest
and trustworthy the HOs can be. But of course I do expect the basic things to
be done first before making the call to inform the MO in charge.
Thursday, May 10, 2012
LoveHate
Alhamdulillah..... It is finally done and over with.
I started off the episode with feelings of fear and uncertainties. I have heard many unwanted memories regarding this episode of my job. I myself has had a bad segment with one of the superiors prior to commencing my duties here. But I went head first, in hopes that it is not all that bad as suspected.
It wasn't an easy journey, I must say. I had many bad experiences with the superiors in my early days. I cried silently, ONCE, just once because I couldn't think that they would make me feel so small and useless. But right after I shed those long kept tears, I stood up, said to my self:
I started off the episode with feelings of fear and uncertainties. I have heard many unwanted memories regarding this episode of my job. I myself has had a bad segment with one of the superiors prior to commencing my duties here. But I went head first, in hopes that it is not all that bad as suspected.
It wasn't an easy journey, I must say. I had many bad experiences with the superiors in my early days. I cried silently, ONCE, just once because I couldn't think that they would make me feel so small and useless. But right after I shed those long kept tears, I stood up, said to my self:
If I can't ......
damage
destroy
degrade
me, so can't you.........
So, I went on and did my duties, put my patients as my priorities. Thinking that the only thing that can make me happy is the smiles on my patient's faces, the gratitude that they show by saying the simple "Terima Kasih", the joy of the whole family to know that everyone is safe. That was my fuel to get through this episode of my job, and nothing else matters.
Along the way, of course, I have to face some individuals that are better left unmentioned. But because I think that what they have done has made a significant impact, and has made me learn that being like them, will never make you happy, just make you more pretentious, I shall share some of my stories.
I can safely and honestly say that this episode is not that bad after all, after what I have heard earlier prior to starting my duties here. It is really how you bring yourself, and how you ensure that you have good relationships (not by being an ass kisser) and trust with your superiors. You have to stand firm on your ground if you are sure that you are right, but say it in a nice way, so that the other person, who reprimands for the sake of it, will just live on the guilt trip forever.....
I have been on the bad meter with some superiors, and it doesn't bother me because, I have proof and witnesses that I wasn't at wrong. I actually anticipated a letter of warning because I know, working with the government, the superiors are always right, regardless. Thus I have meticulously prepared myself (with names of eye witnesses) to counter the accusation. Never mind if I am standing alone, at least I know, I am standing with honesty in my heart.
However, there is this one particular individual, no matter how much I tried, I can never understand. Whatever you do is not enough, you will be bothered by endless calls, nagging, I shall say. But tell me truthfully, how, how inn God's great name, can you do your work if you have to answer all those calls? How can your work be done if you are bothered every other minute? How can you actually perform? Does it make you feel better to perform in anger? in sadness? in vengeance? It wonders me, really. When will that ever stop? But I thank God for making me the kind of person who does not care to bother on other things rather than the priorities; ie: my patients. You can talk as much as you want, I can't hear you, I can only hear the presenting complaints of my patients.
So, there you go. Some comments I have to the past episode of my duties.
It is really a love hate relationship
;)
I am writing again
Everyone has a past, secrets, dark memories. I am included. These things that we call experiences, some of us learn from them, some of us just fail in them. I have kept many of my life experiences on my own. Thus making who I am today. Whatever I feel like doing, just because I am a really curious person (everybody should know this by now), I will do. And being a person of "just do it", I did. The consequences of my secrets are mine to bear, to learn from, to stop. Whatever that I did, is mine, and mine alone. No one told me to do so. So please, stop looking at others and just look at me. I can say that sometimes, I don't know what I am doing, therefore, I am learning on my own.
You have your pasts too, right? Did you not learn from it as well? Did you not learn from your own mistakes? Did you not jeopardize many things? But you still go on, steadfast, to become who you are today. To live your life today. Regardless of what everyone else say, you still go on.
We shared our secrets, well some of it. Trust me, your secrets are safe with me. Whatever I have seen with my own eyes, heard with my own ears, those are memories etched in my life. I can't erase them, I can only remember them and that is it. Those are not my stories to tell, those are yours.
During the days when no one would talk to you, when people question me, why do I keep on going back to you, do I not remember what you have done to me, how much you have hurt me, I tell them, regardless, I can never erase you from my life. You are a part of me. Now, that many have started making amends, you forgot, and you put the blame on me. For being someone whom you never knew who I was. I am who I am, no one made me this way. This is me, and I know I have changed to be a better person that you need to understand. So don't go talking to others about my life. I never meddled in yours, why must you meddle in mine?
And you, of all the people, I trusted you the most. Opening up to you. Sharing my real me. Thinking that, whoa! I really can be with you. But in the end, when you think I am not listening to you, I am not paying my attention to you, you used all of the real me as an ammo to win their trusts and their hearts. Go ahead, use it all. If that is the best that you can do to get all the attention you want. Just bear in mind, from now on, there will be no me, there will only be the facade that I have been doing most of my life, just like everyone else.
So there you go, lesson learned.
You have your pasts too, right? Did you not learn from it as well? Did you not learn from your own mistakes? Did you not jeopardize many things? But you still go on, steadfast, to become who you are today. To live your life today. Regardless of what everyone else say, you still go on.
We shared our secrets, well some of it. Trust me, your secrets are safe with me. Whatever I have seen with my own eyes, heard with my own ears, those are memories etched in my life. I can't erase them, I can only remember them and that is it. Those are not my stories to tell, those are yours.
During the days when no one would talk to you, when people question me, why do I keep on going back to you, do I not remember what you have done to me, how much you have hurt me, I tell them, regardless, I can never erase you from my life. You are a part of me. Now, that many have started making amends, you forgot, and you put the blame on me. For being someone whom you never knew who I was. I am who I am, no one made me this way. This is me, and I know I have changed to be a better person that you need to understand. So don't go talking to others about my life. I never meddled in yours, why must you meddle in mine?
And you, of all the people, I trusted you the most. Opening up to you. Sharing my real me. Thinking that, whoa! I really can be with you. But in the end, when you think I am not listening to you, I am not paying my attention to you, you used all of the real me as an ammo to win their trusts and their hearts. Go ahead, use it all. If that is the best that you can do to get all the attention you want. Just bear in mind, from now on, there will be no me, there will only be the facade that I have been doing most of my life, just like everyone else.
So there you go, lesson learned.
- whatever that I have done, is of my own doing. Stop pointing those dirty fingers. It's disgusting not to take the blame.
- I cannot trust. I just can't, not anymore.
- Please read back the books of your lives. Remember that I was there too.
and lastly, strike three.....
You are out.
Friday, March 9, 2012
Nurha's Rest (Tomyam Seafood)
Located along Jalan Langgar.
Rating: 5/10
Price: 8/10
Ambience: 9/10
Status: Recommended
"Terima Kasih" in Jawi
You couldn't miss this sign by the road side.
Rating: 5/10
Price: 8/10
Ambience: 9/10
Status: Recommended
The sound of the water flowing just calms you while you are dining.
"Terima Kasih" in Jawi
You couldn't miss this sign by the road side.
Just between us
"Unlike you guys, so luxurious, can go back early after night shift. We have to work the whole day".
But...........
We are awake most of the time at night.
We are being called almost every other 30 minutes to be noted about something.
We do our best not to notify you so much so that we have a good relationship.
And..........
We also know that you go through the same.
But to compare the snooze hours,
We think you get more than us.
So...........
Lets just not compare ourselves and just be passionate and sincere in our responsibilities, i.e: our jobs.
Tuesday, February 14, 2012
Kopi Kampung
Located along lebuhraya Sultanaha Bahiyah.
Rating: 6/10
Price: 8/10
Ambience: 7/10
Status: Recommended
Laichikang: very nice. Has loads of treasures in it.
Kopi Kampung: keeps you awake for 3 days straight, no kidding!
Jus Nepal: I wonder if it smells like the immigrants as well (not being racist here. Who knows, they might actually smell better than me).
Thai-influenced desserts are also available.
Enjoying my laichikang.
Relics that they place around the resto to create the retro ambiance. The background music are all from the 70s and below.
Tomyam campur: hot, sour, so so.
Steamed groupa: fresh and delicious.
Kangkung belacan: not enough belacan.
Telur dadar: too damn oily. Thank God my eating partner can eat this alone.
Rating: 6/10
Price: 8/10
Ambience: 7/10
Status: Recommended
Laichikang: very nice. Has loads of treasures in it.
Kopi Kampung: keeps you awake for 3 days straight, no kidding!
Jus Nepal: I wonder if it smells like the immigrants as well (not being racist here. Who knows, they might actually smell better than me).
Thai-influenced desserts are also available.
Enjoying my laichikang.
Relics that they place around the resto to create the retro ambiance. The background music are all from the 70s and below.
Tomyam campur: hot, sour, so so.
Steamed groupa: fresh and delicious.
Kangkung belacan: not enough belacan.
Telur dadar: too damn oily. Thank God my eating partner can eat this alone.
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