Thursday, 27 April 2017

One Fine Night in a Hospimart



I was wasting money in my favourite shopping place in this district (obviously Hospimart) when a lady came up to me.

"Dr baru habis kerja ye?" asked the middle-aged lady. She was wearing baju kurung, and being there so late at night I wondered if she was the relative of one of my patients. I barely recognise them, but I tried my best to be friendly nonetheless.

"Ha'ah mak cik. Biasalah, satu hari kerja, lapar malam-malam ni", I replied, grinning.

"Tak pe Dr, kerja macam Dr ni banyak pahala..." She told me. I just smiled and nodded, and said I hoped so.

Then she told me, "Sebenarnya anak mak cik dulu pun macam Dr juga. Dia jadi doktor pelatih. Tapi dia tak tahan dengan bebanan kerja... Jadi dia pun dah berhenti. Tak sanggup kerja lagi sebagai doktor. Puas mak cik pujuk dia, dia memang tak mahu dah. Rasa macam luruh hati mak cik... Berharap sangat nak ada doktor dalam keluarga. Nak buat macamana?"

I was taken aback.

"Bagus lah Dr tak putus semangat. Orang yang kuat sahaja boleh tahan kerja macam ni. Apa nak buat, anak mak cik tak boleh nak tahan..." She was getting tearful, and I was reaching my capacity too. How troubled the mother was. Her voice was breaking.

I put a hand on her shoulder and patted her, looking her in the eye.

"Mak cik, saya pasti semua yang berlaku ada hikmahnya. Rezeki anak mak cik di tempat lain. Mungkin dia yang akan boleh jaga mak cik nanti, walaupun dia bukan Dr.

"Saya sendiri, atuk sendiri sakit, ibu bapa sendiri sakit, jarang sangat dapat nak melawat. Sebab selalu jaga orang lain punya atuk, orang lain punya ibu bapa..." I felt my own tears threatening to fall, but I plowed on.

"Saya tahu mak cik sedih. Tetapi percayalah, mak cik langsung tak rugi kalau mak cik percaya pada perancangan Tuhan. Mestu ada hikmahnya, saya percaya. Mungkin tak nampak sekarang, tapi lambat laun mesti mak cik perasan." 

The lady nodded,wiping her tears. "Saya tahu, tapi kadang-kadang masih rasa menyesal."

I nodded sympathetically. We exchanged a few parting words, and I took my leave, my head abuzz with emotions and thoughts.



It's almost natural, it seems, for parents to want at least one of their offspring to become a doctor- except to parents who actually are/were doctors. At least it seems that way in this country. And it transcends racial boundaries.

I do not understand the fascination, not entirely, but then again I already am a doctor. I am well aware of our capabilities and our large limitations; I was, in fact, a product of such thoughts. My parents really wanted me to become a doctor. I was 'brainwashed' since my infancy, to the point that I actually thought I was here of my own volition.

But that's obviously not true.
No toddler would want to do this for the rest of her life.



And yet there is something so tangible, so rewarding, at the end of the day. The moment you leave the hospital, one of those rare moments where you are actively reaching beyond the walls of your wards or the hurtful words of your seniors, your own thoughts of inadequacy. These are the moments when you feel, 'Yes, I can do this for a lifetime. I can keep on doing this, just give me some breaks in between.'

And life as a house officer, I believe, is way more rewarding than medical student life.

Don't get me wrong, student years are very fun and there is no beating that 'no responsibilities' feeling. But now I get to own my hard-earned money. The hours can be crazy long, but we do get some rest in between. And in the end, I contribute. Despite my lack of experience, and sometimes my mistakes; despite the scoldings of being mere 'clerks' and the feeling of just having to follow orders. Despite these, I have contributed to the society in some way. I have helped save some lives.

I have, most importantly, played a part in alleviating other people's pain and suffering, and brought smiles to their faces.



Perhaps this can be the most rewarding job in the world. But for it to be that way, I must always look above and beyond my hospital walls.



And I pray, so that those parents- whose hopes seem shattered beyond repair when their children refuse to become a doctor- will find the truth and see the advantages of a child not working in the healthcare service. Most other jobs are rewarding, too, as long as one's intentions are right.



Anyway, it has not been the easiest past few weeks. And the story I just told happened in one of my previous postings. I feel like I lost so many insightful moments when I do not write them down somehow.

But at least this one will stick for a while :)

Friday, 7 April 2017

My Current Mission

I AM ON A MISSION

TO FINISH MY LOGBOOK.

And also to really truly decide if this is THE posting for me, because I have never enjoyed a posting as much as this one.

Seriously.
I'm thinking of taking MRCOG, this is how serious I am - and I haven't even REALLY truly conducted a delivery all on my lonesome, nor have I done a cesarean section!

Even during the most busy days I find myself enjoying it and that is just insane.

Also on a mission to

- Lose weight
- Be healthier
- Get married
- Be more patient
- Earn more money
- Be more disciplined
- Have more books

etc, etc.


Sunday, 19 March 2017

Woo O&G!

My frequency of posting entries here is dropping at an alarming rate.

ALARMING!

I'm going to say one thing for now:

I am mostly enjoying this new posting. Heh heh.

Okay byeee

Wednesday, 22 February 2017

1 Year of Housemanship in the Bag

WHAT DO I FEEL?

Mostly tired and sleepy.
Hehe.

Okay, some self-fulfillment too.
Alhamdulillah.


And at last I see the light~

Resources one should have in Orthopaedics posting as a HO in Malaysia



I think this might be a little important. Unlike Paeds and Medicine, for which there are the Paeds Protocol and various CPGs, there aren't any official guidelines for Orthopaedic management in this country. Apart from the following, I would suggest a small notebook in which you can jot down the common management seen in your hospital.

Look through your HO logbook and aim to complete it quickly. Some procedures are hard to come by and may not come by at all by the time you finish your posting!

As always, the following is based on my personal but honest opinion.

Books/Printed Documents:


Print This - A highly useful PDF document made by a great team. Has all the important fracture classifications, some important angles (to accept check x-rays), common dressings, implants and in the final page some important ortho emergencies to watch out for, amongst others. Try to memorize this by the end of the posting. To be The Ultimate HO, memorize the entire thing before the beginning of the posting!

'UIA Ortho Book' - It's actually titled 'Basic Fracture Management for Students and Housemans [sic]'.I don't know where you can officially get this, but since UIA/IIUM grads are everywhere, try asking them. This book came highly recommended by one of my specialists and a few MOs. The book is usually found photocopied. It is concise and has almost everything you need to know regarding some of the most common management points in the posting. If anyone has a means to get the original form or a way to contribute to the authors, I'd greatly appreciate you dropping me a line.

Netter's Concise Orthopaedic Anatomy - A great book for a quick look through important anatomical points, and concise information on some important injuries. It even shows x-ray techniques. This book saved my life (okay, more like reputation) quite a few times. Small enough to carry around (and lose :( ) in the hospital.

Apley's Concise System of Orthopaedics & Fractures - Get the concise version if the big one is too costly. Mind you, your specialist might tell you it's 'not enough'. It's more than enough for a HO not very keen on furthering in Orthopaedics (or too broke to afford the bigger book).


Websites:


1. Orthobullets - Concise as the name, and highly useful for some accurate high-yield facts and management points.

2. Wheeless' Textbook of Orthopaedics - Another highly recommended site.

Both of the above are more than adequate, and best of all they're absolutely free. And amazing.
God bless the contributors.

If you're not keen on getting the books suggested in the previous list, access to internet and the above sites, as well as the PDF document in the previous list, is more than enough most of the time.


Tools


1. Measuring tape

2. Goniometer

3. Tendon hammer

4. Don't forget your stets! And other basic HO stuff. Just because it's Ortho doesn't mean you don't review the patient holistically ;)

Actually these can be found- most of the time, anyway- in your clinics and wards. But it's better to have them handy. The goniometer? I've survived without one, but I could distinctly remember some MOs running around like headless chickens trying to find one in the clinic.


Conclusion


Some Orthopaedic departments are known to be the most chill departments in the hospital.
Some are known to be the most malignant.

Either way, it is always better to equip yourself in this posting, same as other postings. It may not be a major posting like medical or surgery, but once you become an MO, you may - MAY- be thrown into this department, and have no say in it. Furthermore, some basic management of orthopaedics is still important when you're the frontliners in medicine, working in a health clinic or the emergency department. So don't take this posting for granted!

Important topics?
Kindly ask your bosses. I might go into it later, if I have the time and motivation.

Counting down to the end of this posting...

Thursday, 16 February 2017

Dear Various Staff of my Current Department...



Dear Specialists,

you don't function as our guardians.
You think you do, but you fail miserably.


Dear MOs,

screw you too.
And for those to whom this applies, love you too. Like, 2 of you.


Dear Nurses,

thank you for being our gossip partners.
Sorry for semi-snapping at you when things don't get done.
Thanks for the CODs.


Dear PPKs,

I know you are underpaid, but so am I.
Please stop taking so many breaks if your work isn't done.
Stop making me do your job.


Dear HOs,

... hang in there.
This too shall pass.


Sincerely,
(And I am not liable for what I say when I'm so emotionally disturbed),

A Highly Upset Cockroach aka HO.

.

Frustrated.

So frustrated.


I actually want to cuss and swear while crying, if such a thing were possible on such a public blog.

I have never felt so stressed in my HO life.


Whatever.

Be back soon with better-sounding posts.