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Today is actually the day which will determine where I will go, what I will be, and what lies ahead of me for the 2 coming years, or probably the rest of my life.

I hope the decisions made by my bosses are correct. Maybe at this point I’m still unsure of whether I had want the correct things for myself and my life, but I hope the world works it own way in showing me what I am capable of. Like every stories out there, my story will have me as the center point.

Let’s hope for the best.

And for a selfish human being like me, may my choices and wishes be granted.

And in a bigger picture, may you all help me to make it happen.

Sadhu.

Ghosts of Jonker

Basically it is a day full of drama for me.

First of all in the morning there was this guy who got into a motor vehicle accident and left half of his face dangling out, exposing his fractured mandible and maxilla. Damn. Well, it is not that I never see much injuries, but injury to such extend of exposing most of the inner anatomy is rare.

And today got a baby brought in dead. Sigh.

And there was this psycho/meningoencephalitic pt who gone wild and shouted like hell in the ED. Well, maybe this is very common, but I have to bring the ‘baju org gila’ with me to secure him during CT scan (at the same time sedating) him and later on, despite the restrain, managed to free himself and ran around the ED in a full circle! Of course all MAs started chasing him and luckily he was stopped before exiting thru the entrance. So today I managed to do some exercise and run around the territory.

Hmm.. I think i’m not good in sharing experiences.

But however it will be my own experience LOL.

Lazy to type. Wanna sleep. Tmr will be another interesting day of an ED houseman.

Another thing that I do not have talent in, but luckily didn’t end up the last! More stress is same team with big boss.

Think it is time to buy a flash.

The nearest swimmable beach of Selat Melaka from Melaka town.

So long never snap something inspiring.

First of all, it is a long long hiatus of my blog. I know. I am sorry. Was influenced by the facebook addict thingy so kinda try to live more ‘live’ version of my life rather than going online. But still can’t deny that the online thingy is still the best way to keep in touch with friends abroad and etc.

Secondly, congrats to all my juniors who just graduated not long ago. You all made it till this day and it proves to other people and most importantly to yourself that it is long hard years and you have survived, so nothing in the future, would be probably harder than this.

And of course, there are more to come. More politics and knowledge, and of course in this field, more experience to gain and now we are on the same level, gaining more clinical experiences and making each day more meaningful for yourself and others.

Fuiyoohh.. last update was last month. Almost half a month till this post. I’m blogging lesser day by day.

Anyway, I’m in new posting now. My last. The Emergency department. So far so good. Am learning and hopefully much knowledge will be retained and I can utilize it now and in the future. Working shifts is okay. Getting use to it and hopefully everything goes well and I don’t do much mistakes.

Read an article recently from ‘the confession of a facebook addict’. Can’t help to agree that we are indeed hanging on to the virtual socializing thingy more than the real time real life thingy. But the benefit of facebook still can’t be denied. It helps a lot of people keep in touch, and a lot of gatherings can be organized that way.

But I think, if people could control and set their priorities right, a lot of things can still be done in real life. Each day counts.

Would like to double check on my current hobbies and wants:

1. Guitars - a stagnant period. The computer doesn’t have a sound card yet so the lagging of 0.2secs of my guitar sound is not making me play with my guitar.

2. Any other hobbies are also in stagnant phase. The Canon’s USB wire is not functioning good so it would be some time till I get a wire (actually just need to stop by one of the nearby shop) and I’ll be uploading more photos.

3. Studies - also kinda stagnant. My current job involves me being mobilized around the department when the case comes so I can’t just sit and read. It doesn’t work that way. It is either read at home and utilize at work or nothing at all. And the up coming ortho exam is still there and I can’t decide whether to join in or not. There are a lot to be studied and a lot to be remembered.

4. The need to move out is coming by. 2 years off and I will need to get a new place to stay. But the thing is I wanna make sure that I’ll be retained in Melaka first before really scouting for a new crib. Hard right. Hopefully everything will be known by July and my hunt for a new place can begin. Hopefully this will be my 2nd piece of property as well. And on top of that, had been keeping track with some availability around the hospital. But failed to view one of the available apartment today. Will fix a date next week ;)

5. Keeping track with stock prices.

6. Keeping track with bank accounts and expenses. I should seriously spend less! If not, I’ll be going for expensive dinings and lunch all the time. Duh, stupid me.

Anyway, had been a great time till now. Hopefully good luck continues!

The common usual topics among us nowadays is most of the time about this near future that would come to us soon. Well, the change from HO to MO is definitely a big one. Change of working environment, working time, responsibility, and colleagues.

Those MOs that you like might become your closer friends because now you are moving up the rank. But at the same time, those MOs that you dislike, will also become closer friends.

It is not surprising, that people discuss on what kind of MO they will become in the future. Well, we have our own views on them as we work we them day in and out, and with that comes a lot of conflicts, contrast of interest and etc.

So what kind of MO that I would hope to work with as a HO.

1. Some one who knows what he is doing.

Treating comes with experience. That I know. And it needs a lot of training and continuous ‘upgrading’ to make sure you are doing the correct thing. And with time, hopefully we all will learn the correct thing and act correctly upon it. It is always a joy to work with an MO who knows his job well, when his decision is almost ultimate and specialists usually agree to, and covers most of the basis.

I will not mind if this kind of MO orders a numbers of investigations because I know that each of them have basis, and it is for the well being of the patient even thou it means that I need to take a lot of blood or maybe the need to do an ECG or ask for blood transfusion or CT brain in the middle of the night because I see sense in it, and then the sense of responsibility comes in, so the job wouldn’t be too dreadful.

BUT, if certain investigations are carried out just to fulfill the MO’s curiosity, or things that simply doesn’t make any sense, that it would definitely leave a bad impression behind.

A good decision maker is a definite one, and the one who can explain their doings when they are questioned or judged.

2. Definitely definitely and definitely someone who is polite.

Don’t show off. If you are not the ultimate specialist then don’t show off too much. Few months a head of a junior batch of MO does not necessarily means that you are more capable. And most importantly, if you don’t even act politely in front of the patients, don’t be angry with your HO says that you are an ass hole. I met one today, and I know working with him in the future wouldn’t be too good.

And of course besides all that, it is a good quality by not having ‘fits’. You know what I mean.

3. Some one with an acceptable level of patience.

Well, not saying that MO need to be very patient but it is definitely a good quality if they can take a deep breath, stand back, and take some time to explain on things that HO might not know, even thou it might be something undergrad or what but well, not everybody remembers everything.

I think as a HO, I do not really require my MO to be close like a friend or anything like that but at least these listed qualities are kinda important to me.

Well, when the time comes, hopefully I’m what I want to be. Well, it is not a wish, because I’ll put action into it.

It is time for a change of system. I think. Despite the cost or anything, I think it is the very first thing that they should implement and at least work towards changing it.

Today I saw an uncle who walked in, because of shortness of breath, claims himself to have an asthma attack but from the history taking, pointed totally the opposite of it. He has no idea of what he had, no idea of any of his co-morbid, and nothing on him to suggest what he suffered from before this.

After a lot of questioning. He might be taking frusemide, might be taking aspirin, and half a dozen of medication. And he claims he doesn’t have a follow up date.

This is the time that you would wish that you have the old note, and could sort out what had happened to him for the past few years.

My nebs in the asthma bay obviously did not helped to make him feel better.

Anyway, he was pushed to green zone to see another doctor after I pushed the case back to triage.

IF only we have the fully computed system. Maybe this small visit of him to the hospital alone without any relatives wouldn’t need to end up in a hospitalization. Maybe there would be less time spent on finding out what happened to him and focus on what is happening to him now. He came in the morning, got admited in the afternoon, which I think is a very long and tedious process. And I believe at the very end of the process in the ED, we still have no idea what happened to him before this and what is the main problem he is having now. Well, he is stable.

He will be admitted to the ward, maybe nothing will be done to him as the old notes will only appear the next morning or afternoon when they trace it.

And if there is that computer system that so many people was asking for, a lot of these things can be cut short.

And of course, even putting computers in wards for tracing result was told to be so expensive and time consuming, what more digitalizing all these medical records right?

I don’t understand how a couple of metres of LAN cables and a 30 year old IBM computer running on basic windows would cost more than building a pond.

Maybe the older generation is seriously lack of computer knowledge or skill, or it is simply trying to asking for the best but under utilizing the current resources.

Anyway, let’s hope that day wouldn’t be too far from now.