Selamat Hari Raya!









Geriatrics are funny.

so i was following the specialist, the two Medical Officers (Dr. Khai, who is a senior MO and Dr. CM, who is doing what they called 'tagging' in the medical ward and is not that fluent in malay) and another two newly graduated Houseman Officers (Dr. Dee, an indian lady, quite serious and another malay male,Dr. [H] which i prefer to follow around more because he is... friendlier). we reached at bed 26, where a 72 year old malay pakcik was asleep in semi sitting position.

mind you i was more of a spectator in this scene standing by the bedside, keeping my mouth shut and observing mostly.

Dr CM: pakcik bangun.
Pakcik Yasser: *opened one eye and closed it again*
Dr CM: pakcik! bangun! doktor dah sampai ni nak tengok pakcik. *rubbing his chest with knuckles to wake him up*
Pakcik Yasser: *opened both eyes*
Dr. CM: apa maciam pakcik? ada sakit dada lagi hari ni?
Pakcik Yasser: sakitlah. doktor tekan dada saya ni. saya dah la tua.
Dr. CM: eh loyar buruk lah orang tua ni.
Pakcik Yasser: a ahhh (he was a little on the dementia side btw so this kind of response was totally expected)

Dr. CM: pakcik boleh bangun duduk sendiri tak?
Pakcik Yasser: boleh laaa.
Dr. CM: okay. cuba bangun duduk.
Pakcik Yasser: *tried to heave himself up but failed* ei kau tengok je ke? tolong lah aku ni.
Dr. CM: -__-" tadi cakap boleh bangun sendiri..  *gave helps to the pakcik*

Dr. CM: ini apa pasal pegang saja alat ni? (she was referring to this small machine thingy which was given to the pakcik for him to suck out his phlegm for lab work)
Pakcik Yasser: haaa?
Dr. CM: ini pakcik perlu hisap la bukan pegang!

*Me and others bursted out laughing*

Dr. CM: eh why you all laughing one!
Dr. Khai: it's not hisap la. it's sedut.
Dr. CM: eh tak sama ka? sedut and hisap?

at this point i was biting my own tongue to avoid myself from laughing. sumpah sakit jiwa tahu.

Dr CM: pakcik dekat rumah boleh jalan tak?
Pakcik Yasser: boleh.
Dr. CM: pakcik jalan pakai apa?
Pakcik Yasser: haaa?
Dr. CM: dekat rumah. pakcik jalan guna apa?
Pakcik Yasser: *silent*
Dr. CM: pakcik jawablah.
Pakcik Yasser: apa?
Dr. CM: *sigh* di rumah pakcik jalan pakai apa?
Pakcik Yasser: pakai kakilaaaaaaaaa!

HAHAHAHAHAHHAHAHAHAHAHA! #winning la pakcik!

because i have extremely thin patience



damn you Steve for keeping the launch way too late and unknown. grrr.

O&G

note: post contains a little vulgarities relating to the genitalia but when i write this i was only writing on my opinions and experience so you pious people who can't take it as knowledge can go fly kites somewhere else.

***

after spending only 5 days running around in the O&G department of Hospital X, i can already foresee how lifeless my life will be once i graduate as a doctor and start working.

despite the news telling you that there will be a new shift system starting next month for all the people working in the medical field (to which some doctors welcome the news with enthusiasm) but trust me, i personally think it's gonna be worse if not bad enough. the only bright side from this system is you get to claim for all the overtime you do. but haven't you seen the 12 hour working directly straight for every day for a week with only 2 weekends off?! (please correct me if i am wrong but this is what i perceived from reading wtf)

so far i am doing my elective posting less than the normal working hours. i go to the hospital at 8am (sometimes a bit later because i've learnt that the specialist ward round starts around 8.30am, yes i am clever like that. embrace it wtf), and around 11am i will rush to the labour room to witness messy deliveries and hearing baby cries non-stop *dramatic* and disappear at 3.30pm (sometimes earlier, heh) to be back at home.

and i can't even feel my legs right now! it aches badly from all the standings and i already spent on two different shoes (flats okay, not heels) to make sure my feet are comfortable. yesternight, i was swaying during the terawih prayers because they hurted so bad and my eyes were this close to closing as i was super tired.

oh god, how bad it gonna be once i actually begin to become a houseman? i shudder to think of the future.

actually all i did so far in the labour room was to observe how the HOs did their job daily. so far i can tell they're not that busy as claimed by some of the online articles i had gotten from my friends (who i must say "freak out" with what the future holds for them wtf).

the HOs are still sane (except this one female HO who acted a bit hyper, post on-call but i think she was too intoxicated with caffeine to survive throughout the night and another indian HO told me that "this is normal for her. last time, post on-call she actually did reviews on all the patient including those that weren't under her" HAHAHAHAHHAA.), still have time to joke and laugh around as long as they don't neglect the patient and i must say they're nicer than the doctors in the previous hospital i did my attachment few years back. *cough* seremban *cough*

they were eager to teach me stuff that i need to know in O&G (despite i have zero experience in it as i am yet to begin my round on O&G), summoning me into their respective labour room to show me how to examine a patient in premature contraction, doing neonatal assessment, reading the case sheet, explaining the partograph to me (and later asked me to explain it again to them and when i couldn't really recall it i simply answered "erm.. it has two lines" they laughed. at me. T__T), reading the CTG and sooooo much more!

they even welcome me to ask them questions at any time given that they are not busy treating emergency/critical life-saving situation and actually answer me and make sure that i understand everything. i usually got confused with all the shortforms they put on the board. once i saw "MI" written across it and thought "omg a myocardial infarction patient in labour?!" turned out MI means "membrane intact" wtf.

the indian HO even allowed me to do vaginal examination on a patient! and to say, it was awesome would make me a liar because it was... yucky probing around woman's part down south to palpate the membrane and stuff. urgh.

also, the labour room has this distinctive bloody-mucose-y smell that i can't really put my fingers on to explain it. but it's yucky and nauseating at some times. seriously, i wonder whether the two male HOs in the labour room are already sick of women having to stare at vajayjays on daily basis for at least 8 hours?

i know i do.

p.s. in case you can't tell, yes i am back in malaysia for the summer holiday!
p.p.s. also i pass my final with better marks that last year so yay, hurray! am officially a fifth year med-student now.