Labels: diary, HOship, love rants
________________________________________________________________________________________Today, I approached Mr to get his sign for the borang burn CD.
And he was like, "How are you?"
I couldn't hear him bcs my right ear was blocked (I had a cold + fever + cough) so I was silent, then he was like, "You're having a bad day?"
I was like, "Nah, I'm just not feeling quite well."
And he was like, "Yeah, same."
They said he used to have scandals with petite HOs
He would always smile and greet me whenever he saw me outside of ward. At first, I was like, oh, he was just being friendly. But then, the others were like, "oh so he knows you..."
So far, bcs he's done nothing but being kind to me, I'm okay with the gestures.
And I hope it'll stay that way until I'm out of this department.
Ngl he made it easier for me, bcs I can get his signs easier. It's also easier for me to communicate with him.
I also love the fact that he'd praise me when the praise is due.
But I'll be careful, no worries.
Sometimes, I think it's quite of a pretty privilege. Not saying that I'm pretty, but I look presentable. And some people are attracted to presentable people, especially men. The male MOs.
I have a few in my list that are nice to me probably bcs I look presentable.
But I'm a good and responsible HO, mind you. I'd be grateful to have an HO like me, if I were an MO.
But sometimes you can't ignore the truth. They're nice to me initially because I look presentable. The male MOs would always remember my name. Tbh the female ones would remember my name as well.
Faten said I'm easy to remember and differentiate. You won't get me mixed up with anyone else.
Haritu ada lah Dr Hafiz ingat i Syamimi, lepastu aku tak reply, lepastu dia macam "eh awak bukan syamimi ke?" LOL masatu i tagger lagi lol ada juga dr tertukar i dengan athirah, tapi tu sekali dua je. Lepastu mimi dengan athirah would be like, "Agak agak lah tertukar saya dengan awak. Awak cantik kot."
Hm.
Rindunya kulit dulu yang flawless.
Sekarang terpaksa pakai makeup hari hari sebab kulit tak lawa hm.
Dr A*m*r pun dulu baik dengan I sebab 'lawa' je rasanya awal awal. Lepastu I happened to do my job well, so lepastu memang okay je kerja dengan dia.
Atifah pernah cakap lah, dia rasa pretty privilege is real, esp in the healthcare system.
Ngl, it can't be denied. Memang akak akak SN akan lagi baik dengan kita kalau kita lawa. Memang patients akan lagi lembut dengan kita kalau kita lawa. Memang MOs akan kenal kita kalau kita lawa.
Truly undeniable.
That's why I work hard to look presentable at work.
I pakai makeup, pakai bawal, pakai skirt, anything to look presentable.
Tapi yknow me, sebenarnya I pakai tu semua sebab I tak suka nampak selekeh. I tak suka tengok diri sendiri buruk depan cermin. I malu.
The consequences that come afterwards tu are a bonus.
Tbh HOship was bearable partly bcs I looked presentable.
________________________________________________________________________________________This is something I talked about with Nana today, during our postcall brekkie.
I told her I possibly wanted to take psy later. But I'm not sure yet. But high possibly, yes, psy is my first choice.
And her first reaction was, "ramainya nak psy..." But then she stopped and looked at me in the eyes.
"Tapi sayanglah kalau Aida masuk psy."
I was like??? What do you mean???
And she said, "Aida sangat berpotensi untuk masuk department lain. Awak pandai handle issues. Awak patut masuk medical/surgical based. Bukan psy."
And it hit me right in the heart-- Atifah said the exact same thing.
Atifah cakap sayang kalau saya ambil psy, sebab saya ada potential untuk dept lain. Literally the exact same thing.
And I keep thinking and thinking about it.
I wanted psy bcs it'll possibly give me a good work-life balance. Well, possibly.
But as a J girl, I know I can handle issues well. Everyone knows that. Everyone knows I do my job fast.
Haritu I macam breakdown sebab peri banyak sangat patients dan kerja saya macam tak siap siap, lepastu I rasa macam I buat kerja lambat. Lepastu I ws lah Atifah, saya buat kerja lambat ke?
And she said like, "Aida, saya tahu awak kerja macam mana. Pace kerja kita sama. Kalau awak buat kerja lambat, maksudnya saya buat kerja lambat jugak."
It's so reassuring, bcs she's one of the fastest people I know. Dia buat kerja perform gila. So bila Atifah cakap macam tu, srs rasa nak nangis.
Sometimes, on hard days, I tend to be sooo hard on myself.
As I've said so many times previously, as a person with words of affirmation as my love language, it's so important for me to be reminded of my worth :(
I'm blessed to have such supportive friends. And I do hope I can find a person who gives out love via words of affirmations.
Tbh at this moment, I do consider internal medicine. I also consider ED. And anaest.
Nana did mention I should opt for O&G. Tbh I do love the posting. I just hate the environment. I hate how toxic the work environment is. But I love the jobscope. I love how it combines both medical and surgical knowledge. I love how it's a different world in general.
As for medical, the workload is crazy. But I love how it's a puzzle. It's like playing puzzle pieces every day. Every patient is a mystery. No patient is the same. It's so great to just be able to construct a management for each and every patient.
As for surgical, I don't like the surgical part. I'm not really an OT-person. But maybe I can develop the love, idk. It can make good money kat private. ERCP, esp. Memang patutlah if you were chasing for money. Lowkey hoping my future guy would be in the surgical dept, so that I can stay in the medical dept.
Whatever it is, I hope I'll enjoy each posting. And I hope I can find my love towards a dept and be a specialist soon.
Labels: diary, HOship, medical, myself
________________________________________________________________________________________Labels: diary, HOship, photo dump, surgery
________________________________________________________________________________________Hi!
Just finished my third oncall in surgical posting yesterday. Oncall berlima, I jaga 5C alone while Aini was busy dekat ED and Mira kat busy in OT. My MO was Dh, and ofc, I expected it to be a night full of annoyance.
Daripada petang tu, I dah baca dalam group yang Dh tanya ada issue apa apa tak dalam ward? Anything to discuss with him?
Tapi takde orang reply pun.
So I expected the ward to be okay lah kan.
LAAAAAAAAAAHHHHH TAK LANGSUNG!!!!!!!!
I datang awal sebab maghrib 7.22 pm, lepastu sabtu pulak, memang jam lah jalan. And then sampai sampai, tengok semua masih tulis oncall review. Okay lah, takpe biar je, pergi solat dulu. Lepastu nampak nana tengah sibuk sibuk clerk nc, pastu nana suruh saya tolong endorkan ubat, so I buat je lah kan.
Lepastu pukul 8.05, Aini ws dalam group kata Mr Syafiq otw 5C, nak round.
Lahhhhhhhh semua tak settle lagi :) Passover pun belum lagi :)
Ingatkan Mr nak round acute dulu, but noooo, dia tengok pt yang ada issue dulu. Pt dekat subacute, post ERCP, c/o severe epigastric pain radiating to the back. TAPI ERCP DIA PUKUL 10.30 AM TAU! DARIPADA PETANG TADI PT COMPLAINED SAKIT, TAPI MALAM NI JUGAK BARU NAK ATTEND!
Mr suruh Nana masukkan branula, tapi bump, pastu Mr sendiri yang try (orang kata Mr memang pandai masukkan branula) tapi tak dapat jugaaaa. Lepastu Mr cakap takpe run bolus dulu, lepastu masuk branula dan ambil vbg sekali post bolus. Lepastu Mr suruh bagi IV fentanyl 50 mcg stat, lepastu kalau sakit lagi, bagi IVI tramadol 8mg/H.
Ku fikirkan sampai situ je lah issuenya.
Eh tak ya :)
Mr start round drpd acute, lepastu tanya lah ni ada issue ke, tu ada issue ke.
Lepastu stop dekat NC B24, yang Nana busy buat tadi tu. Pt ascending cholangitis, tapi on NpO2. Mr was like??? Kenapa dia pakai NpO2?
Turned out akak SN noted SpO2 under RA 90% je, lepastu Nana tak ambil abg, Nana suruh start bagi NpO2 terus. Tapi Mr minta abg under RA pastu tu lah, memang takde lah ceritanya. Lepastu Mr suruh ambil abg under NpO2. Pt ni dah ada 2 branula, so okay je lah. Pt afebrile, PA SNT je. Cuma issuenya oxygenation je ah.
Lepastu Mr nak endorse ubat, lepastu Mr tengoklah med chart, and he was like, "Siapa endorse ubat ni? Tulisan cantik." I angkat tangan, and he handed the med chart to me, saying, "Okay, you lah endorse." Lepastu I macam okayyy, lepastu Umar gelak, lepastu Mr cakap, "Apa? That was a compliment." Berbunga bunga hati Mr puji tulisan cantik hehe
Okay sambung, untuk abg tu, I macam kejap eh Nana, I kena follow round, takut nanti tak tahu kes dalam ward. Pastu lahhh, next pt pun issue jugakkk!!! Ni pt issue paling terbesarlah sebab the whole night aku jaga makcik ni haih issue paling besar tapi duduk 3rd lol make it make sense
The funny thing is, takde siapa rasa issue patient ni besar.
Pt ascending cholangitis (again...) developed fever 39C petang. Then diaorang tak buat pape, tak bagi pcm (sebab ascending cholangitis katanya), tak suruh tepid sponging, and instead, diaorang ambil septic workup je. Tu pun tak bagitahu sebenarnya :) Dapat tahu dah ambil septic workup AFTER kitaorang ambil septic workup pt ni lol lawak tak :)
Makcik ni kena masuk branula juga sebab nak run bolus, tapi susah. Memang tak rasa line. I nak try tapi kena follow round.
Tapi pt 3rd lain pulak, tiber vomiting, pastu akak cakaplah pt vomit drpd petang tadi. I tanya Azzam, ada bagi maxolon tak? Lahhh takde T_T nangis lah aku Ya Allah T_T Lepastu i macam u endorse maxolon stat pls, thanks.
Kat 4th pulak, 2 pts Mr dischargekan malam tu jugak Ya Allah kurniakanlah aku kesabaraaaaan T_T Mr was like, "Puan nak balik tak malam ni? Ada orang boleh ambil tak? Haa balik je lah malam ni."
APA BENDA WEHHH AKU DAHLAH ONCALL SORANG!
Dah nak nangis dah waktu tu, tapi sabar dulu jap. Orang sebelah dia pun Mr offer untuk discharge and pt pun obv nak discharge.
Pastu kiranya dah habis round kan, I pun pergi kat makcik yang nak branula kat 3rd tu. Lahhhhh, developed chills and rigors yang teruk gila pulak. Anak dia menangis nangis tak bagi kitaorang nak pasang another line, suruh pasang nanti, sebab mak dia tengah sejuk.
Aku macam ??? sebab mak puan tengah macam ni lah kita kena pasang line sekarang.
Pastu saya tanya lah, buat tak tepid sponging? Lepastu dia kata mak dia tak nak, mak dia kata sejuk.
Lagilah aku jem sebab ??? KAU EXPECT MACAM MANA MAK KAU NAK SIHAT KALAU KAU TAK TEPID SPONGING, TAK BAGI MASUK LINE, PASTU NANTI KALAU AKU TAK BUAT PAPE, KAU CAKAP DOCTOR TAK FUNCTION PULAK. PASTU KAU EXPECT AKU BUAT APA? BACA JAMPI BIAR MAK KAU SIHAT KE?
Geram pulak aku.
Lepastu I macam eh berapa transaminitis dia? Teruk sangat ke? ALP ya lah 300, tapi ALT AST <100, so boleh je lah bagi stat dose. Lepastu I tengok Mr ada dekat 4th lagi, pastu I macam, "Mr, boleh tak pt ascending cholangitis bed 27 tu saya bagi IV PCM stat? ALT AST dia okay less than 100." Lepastu Mr cakap okay bagi jee.
Lepastu bagi, lahhhh memang hilang chills and rigors tu lepas letak PCM. Lepastu Muhammad naik ward tiba tiba tau, pastu I macam "eh kenapa muhammad?" Lepastu dia cakap Mr suruh dia naik tolong 5C, sebab ada 3 pts ascending cholangitis tengah resus.
Terharu sangat Mr suruh Muhammad naik T_T
Branula makcik tu memang susahlah. I try dua kali pun tak dapat. Muhammad try rasa line pun tak dapat. Lepastu Rem datang, lepastu dia mcm, "Aida, kau baru masuk shift pun dah berpeluh. Panas sangat ni." Azzam pun, "Aida... Aida..." Muhammad pun mcm, "Aida, kau baru masuk shift tau."
Bukan salah saya issues ni semua jadi malam malam. Ni semua issues drpd petang yang tak settle sebenarnya T_T
Lepastu Rem yang dapat branula makcik tu. Perform lah Rem, rasa nak peluk sebab dia perform ngat sobs dia dahlah drpd EMOT.
Lepastu saya masukkan pula branula pt yang Mr tak dapat tu. Nasib baik dapat sekali try je. Masalahnya, aku ambil sekali dengan BCM. Tapi BCM dia tu orang pagi pergi hantar stat, bukan as bcm. So bcm dia takde dah lah :)
Turned out discharges semua dah settle, sebab Jiha, Nana, Rem, Umar (mcm tak je sebenarnya) buat sambil I tengah settlekan issues tu semua.
Terharu <3 Diaorang balik lambat gilaaa, 10.30 macam tu kot tolong I T_T Nak nangis sebab diaorang baik gila sobs sebab I memang sorang je, Aini kat ED, Mira kat OT. Muhammad datang sebab Mr suruh lah lepastu dia stay kejap sampai diaorang semua balik and made sure I was okay, baru dia turun balik.
Dr W jaga uro, tapi dia tolong tengok pt ascending cholangitis yang post ERCP acute pancreatitis tu, pastu dia mcm "siapa yang jonah sangat ni?" I pandang Nana, Nana pandang I. Nana pun cakap, "Dr, kesian kawan saya niiii."
And I was like, "Ya, Dr, saya lah yang J tu." And he was like, "OMG u memang Jonah keee?! Akakkkk, dia mengaku dia jonah!!!" And I was like, "Dr, this is my 3rd oncall. So far, 1st oncall saya intubate, 2nd oncall saya CPR." and he was like, "Okay gurl, u stay away from uro pls. Suruh kawan u yang ambil bcm uro ya." LOL
Dh suruh I pm dia pasal issues tu, pastu aku bagi summary panjang dan concise dah, lepastu awal awal dia reply, "haiz, penat lah" with a smiley emoji. Tapi lepastu dia ws balik, cakap, "I drpd pagi dalam OT, u rasa I faham ke dengan summary u bagi ni? Give me the dx, issue, what happened, what was done, vital signs trend, temperature, blood ix."
LITERALLY MACAM AM REVIEW.
Aku dah macam ??? pebenda gila ??? Aku sempat bagi 2 je untuk pt pt yang penting, lagi 2 tak sempat, sebab drpd aku ws dia yang dalam OT tu, baik aku pergi settle semua issues.
Oh ha 4 issues, sebab 3 issues tu pt ascending cholangitis yang I dah cerita kan. 1 lagi tu, pt recurrent breast ca with spine and brain mets, dah DNR dah, cuma takde communication sheet lagi. Pt tu developed frothy saliva tadi masa round. TAPI UMAR TAK PASSOVER KAT AKU PUN EE GERAM JE AKU NAK PUKUL BUDAK TU!!!
Basically, the whole night memang banyak issues.
Pt drpd 3rd tu, pergi acute, lepastu BP asyik hypotensive. I run another 1 pint bolus, then MAP achieved, tapi still hypotensive-ish. Normotensive yang cukup cukup makan je.
Lepastu, pt post op EUA + WD for left gluteal abscess, tiber SpO2 under RA 90%. Put on NpO2, abg tak cantik, then up to VM40, tapi mcm tak berapa pick up jugak oxygen, so put on VM60 :)
Pukul 4.30 Dh keluar OT, dia pun round semua pt pt yang ada issues tu.
Lepastu dia mcm "u tengok vbg acidotic ni, u buat apa?"
pH okay, tapi pCO2 dengan HCO3 low sikit, tapi aku mana boleh bagi NaHCO3??? So aku pun mcm... "saya tak buat apa apa."
"Yes, cakap je u tak buat apa apa. I penat dah ni."
Aku macam... pebenda gila... Tapi dia takdelah bagi any extra plan pun. Cuma kena run bolus 1L/1H untuk 4 pts yang ada issues ha ha baguih nahh, semua nak bolus. Lepas bolus, semua kena repeat blood gases and other blood yang dia nak zz
Tapi sepanjang round, dia macam monologue je lah. Tak marah marah pun. Okay jeee. Ada satu pt tu i tak ambil coag, pastu dia mcm, "dah tahu pt takde coag, ambillah coag." Slow je. Pastu I cakap okay. Lepastu dia mcm, "eh, I was talking to myself."
Basically okay je lah dia. Tapi memang dia sepatutnya okay je lah, sebab issues semua aku dah settlekan -_- semua pts dah stable dah by the time dia datang ward -_-
Lepastu pukul 7.30 dia datang balik ward cari I sebab nak suruh bagi sodium bicarb dekat 2 pts, lepastu I cakap, ok. Ada 1 nc baru naik 6.50, I tengah clerk. Pastu dia tengoklah nc tu. Pastu dia mcm ??? kenapa pt ni masuk sini???
Memanglah abdominal distension for 6 months, tapi pt datang sebenarnya sebab frank hematuria for 2 days. Tapi uro tengok as peri je... Pastu I macam lah, "tbh I rasa tak sepatutnya under kita pun. Dia datang sebab hematuria and dysuria, so bukan kita punya pun..." And he was like, "Yeah, I agree with you."
Tiber bila habis tengok pt tu, dia pusing belakang and was like, "eh ni pt apa? I tak tahu pun ada."
EH LAAAAAAHHHHHHH!!!
TU NC BEFORE 5PM, MANA LAH AKU TAHU DIA TAK TAHU PT TU WUJUD!!!
Lepastu dia mcm nak penyekkan muka aku (yang un grr punya hand gesture tu) sambil cakap, "mana lagi nc u tak bagitahu i?" Pastu i mcm... "takdeeeeee" lepastu Mira tunjuk communication sheet untuk pt DNR tu, lepastu dia mcm "oh nasib baik u dah buat kertas ni. Okay lemme read it first."
Lepastu he was like, "okay seriously girl, mana lagi nc u tak bagitahu i?"
Tu je lah kot T_T
Lepastu I pun pergi tengok pt pt bolus tu while dia tengok nc yang semalam dengan orang pagi tu, pastu i tengah ambil blood, I dengarlah dia cari i lagi, pastu mira tunjuk I kat sebelah pt ambil blood. Lepastu he was like, "Oh I didn't see u there. Ingat tau, bed 13, 14 nak sodium bicarb." And I was like, ya ya no worries.
Okay tu jeeeeee.
Akak akak SN semua cakap malam tu panas gila, issues nonstop, diaorang penat bekerja.
Meanwhile, aku HO sorang yang jaga ward tu macam :) :) :) saya ni pun dah nauseous kak, solat isyak pukul 3 am.
Sumpah rasa macam oncall medical, except kalau oncall medical, akak akak lagi function lah sebenarnya. Dan dr sentiasa ada untuk discuss :/ Dan dr pun pandai pandai sikit ehek
Tbh I memang lagi suka medical so far. Paling suka medical. Nanti I tulis feedback I pasal medical in another post hehe tak sempat lagi tulis
I rasa medical taught me to be a doctor. Aku boleh attend issues weh, tak sangka. Tak sangka aku boleh attend issues and settlekan issues by myself. All thanks to medical fr fr.
Honestly, I was proud of myself (kinda) for being able to hold onto whatever strength I had that night and settled all issues.
By the time Dh datang, pts semua stable. Afebrile. Not in pain. No issues. Yang hypotensive tu je lah, tapi MAP 71. Pt afebrile, no complain, cuma hypotensive sikit je.
Dia tak perlu pening pening fikir pasal issues patients, sebab semua dah settle.
Orang pagi pun tak perlu pening fikir issue patient, sebab semua patients dah stable by the time orang pagi datang.
Honestly, geram lah sikit sebab issues tu jadi semuanya sebab orang pagi (first posters) tak sedar yang issue tu adalah issue.
Tapi takpelah eh, diaorang pun baru nak belajar. Kita okay je handle issues, so takpe je.
Bersyukur kawan kawan oncallers semua tolong BCM while I settle all issues.
Patients semua hidup alhamdulillah.
Labels: HOship, oncall, surgery
________________________________________________________________________________________"Hafiz, awak tak endorse metformin pakcik tu. Next time jangan lupa endorse :/ Pagi ni DXT dia 19 :/"
The day is finally here!
Today marks my last day in O&G department!
Okay, basically, last Tuesday (14/1/25) was my real last working day in O&G.
All in all, I'd personally rate O&G a solid 8/10
Okay, it's quite generous now that I think about it. But it deserves an 8.
Hear me out.
It's not as bad as I thought it'd be.
I chose O&G as my first posting so that I'd have a high threshold for people's scolding. But apparently, my threshold was high from the very beginning lol.
So far, I have never cried from doctor's scolding (surprisingly) (or not). But to be fair, I have never been scolded that bad in the dept. Yes, I was being shouted at once, not long after off-tagging, by a malignant MO, but it wasn't my fault. It was her projecting her sad misery life onto me. I simply did my job. She was shouting at me about how I didn't know how assess the pt's pain score, but well, well, she couldn't even assess the pain score either. What a clown.
And on my last day, I entered an EMLSCS for fetal distress with her and holy crap, it was a -9999 experience because she said I was a disappointment. In my defense, her steps were way too different from other doctors. I didn't know what she wanted, and she was picky as hell. Yes, I probably didn't perform as great as usual bcs I hadn't entered the OT for sooo long, but tbh, I didn't perform that bad. Her techniques were just different and that's it.
Now, adding up to the bad side of the department...
Let's see...
The doctors are okay, surprisingly. Some are unfortunately kinda malignant. But most of them are nice, especially the guys. As for the ladies, they are emotionally-driven. In other words, sometimes they're okay, and sometimes they're not. But they are bearable tbh.
On my first day, I was told that my first day would define how I see O&G in general.
Honestly, my first day in O&G was amazing as hell!
I was taught by 3 cool senior HOs, and 2 nice MOs (Dr A and Dr D). I was the only girl at low risk that day. And I'm so glad to be stationed at low risk first with those wonderful people. They really helped me a lot.
Of course I didn't end up seeing O&G amazing as hell, but it was great.
I managed to put on a full-face make-up every day.
That reflects how comfortable I was in the dept, yeah?
Certain doctors would point out at my makeup (some in a good way, and some in a sarcastic way). Dr NA would always puji me and say how rajin I was for putting on makeup, how good I looked post-call, how intact I looked with makeup on.
And my patients and SNs- they'd always puji me as well. One SN in 1B even looked at my face carefully and be like, "Dr harini pakai makeup warna apa? Pink juga eh? Saya suka tengok." She was pregnant hehe
Tbh, make-up was the only thing that made me feel alive.
That's why I couldn't give it up.
And my skin was breaking out in O&G. I didn't know what to do anymore. It was so sad tbh. My period became irregular. It was so sad. I was probably more stressed out than I thought I was.
But anyway, I love the teamwork here. I love how we work together as a team for our patients.
Most patients won't feel anything when I did VE on them, and it was such a nice feeling, knowing that I didn't cause any pain to them.
And I know most doctors like working with me because I didn't talk a lot, I did my job as I was supposed to, and I wasn't problematic at all.
It was kinda obvious how some doctors would prefer me over other people to do the job, and they were a lot nicer to me compared to other people.
Now that I think about this, I honestly can't come up with anything I truly like in O&G.
Maybe I find it bearable because I'm familiar with it, not because I truly enjoy the dept.
And I realized that joining all those co-curricular activities back in uni really helped developed my working etiquettes.
Some doctors didn't even know I was a first poster until I told them :') Even fellow HOs (the one that entered the dept when I was alrd 2 months in) thought I was a second / third poster.
I'm not sure if I have a lot more to write, but I'll update along the way, whenever I remember something.
In the meantime, let me upload some pictures throughout the posting that I have in my new phone.
The pictures are not in order because I'm so lazy to arrange them.




































Angel of Blue Diamond Saturn!
