Assalamualaikum. Alhamdulillah atas kurniaMu. Terima kasih atas segala kasih sayangMu.
My life in medical.
Starting medical posting on 1st feb 2018. My first ward is Bendahara. There are a lot of things i learned there. Specialist in charge are dr azimah and dr then. Mo in charge are dr amalina, dr phong n im not sure who in charge in the cub 3 and 4. Then during 1 month assessment i got c in all penilaian. So sad.
My second ward then is 8/8p. Still blur but here i learned a lot. My specialist there, dr hng and dr gayathri are daebak. Yeah its scary to do round with dr gaya but she made us houseman to think. Here my sad story begun. I know i will remember it so i will not mention it here. Just want to list the name of them. Dr ng yj, dr grace and dr adli. Then dr asiah, dr anila and dr azerin. My luck willbe with male dr laa i dont know why😪
My third ward was mahsuri. Here i learned from dr ong. More about cardio because here is cardio ward. Many lot thing i learned here. Thanks to dr ong, dr then. Mo dr muhammad, dr nabilah. There was a story. After reviewing 1 pt with unstable angina, we moved to next bed. Then i noticed that pt was not moving. I told dr then she said that pt is sleeping. Then we continue reviewing pt. While nurses was making the bed, that pt still not move. So i told my mo again. Then she like pt is sleeping but wait.. he already unconscious. Pulseless. Cpr was commenced. Call for help. So chaos starting day. We couldn't save him. He still young 50 plus. And already sought early rx. But ajal will not be earlier or later.
Then i was assigned to ccu. Here i got to know cardiologist dr mansor. So funny and at the same time scary as we have to know the patient in and out, if not will be scolding by him. Here, you will do oncall round with consultant. Scary doe😨
And the next stop for me was hdw. Like ccu just 2 weeks be assigned here. Saw the case like thyroid storm here. Saw 1 interesting case here. Pt has sle with multiorgan involvement including vasculitis underwent surgery open appendicectomy. And they put art line to the left radial artery. Pt had h/o right toe amputation dt vasculitis. Then after surgery develop left hand gangrene and it was progressively worsened everyday. Ortho go in done dysarticulation of left hand. Then i finished my rotation in hdw. Soon after that i heard she died. Here my consultant is dr anila. Specialist dr ng yj and dr grace. Mo dr afnan (suppose to be with dr najwa).
Then i was assigned back to general ward. 2weeks in bendahara then 1 week in mahsuri. In bendahara, i usually taking care of cub 3 and 4, doing round with dr hamizah and dr ng kl. Whoaa, here i got crush wuth dr ng. He is super nice, handsome and cool! Hahaha. Ok back to bendahara. Sometimes doing round with dr izzad. He also nice and like teaching us HO.
No best thing in mahsuri. I hate mahsuri actually 😑 last time mahsuri best because there was dr ong and dr then is specialist in charge during that time.
After that i was in charge to look after ward 9/10. Mostly people who are assigned here being extend in medical. 1 of them is me lah. Hahaha. What is scary here is to do round with dr mat zuki. He is consultant of chest and incharge of ward 10. Ward 10 is vip ward. There are 1st A, 1st B and 2nd class male here. So many incident happened during my time in charge here especially on call time. My first time oncall here, there was a patient desat in ward 26. I attended him stat. Inform mo oncall. Dr irfan at that time. Then he came. Assess pt initially want to intubate that pt in general ward. But then spo2 still not pick up even under manual bagging so he decided to intubate that patient stat. The coolest experience ever. After pt was intubated noted cardiac monitor shows svt. Run to ed to get adenosine as there was nil in stock in w26. Ward 26 is palliative ward. Usually pt here all are stable. Able to send pt to general ward at 3.30am. Manual bag during transferring the patient. Got body ache after that. Heard that pt died 2 days after intubation.
Another experienced was pt surgical (post bowel resection dt gangrene 2ry to ileocolic thrombosis) and he was desaturation and tachcardic. Surgical mo already attended him. Noted narrow complex tachy=svt. Adenosine already given 6mg. Got transient v fib. Then revert. I informed my mo and he attended him stat. Noted bp was lowish side. So its contraindicated to give adenosine. Pt was shock 100j then revert to sinus rythm. Then that pt was t/o to surgical ward and i dont know what happen to him.
And during my last medical call, sn informed patient bp low. 90/40mmhg and had episode of diarrhwa passing loose stool x7. Attend stat. Noted spo2 below 90 and pt not respond to call. Decide for intubation. Pt got klebsiella ozanae bacteremia cre. Abg of this patient is bad because the machine cant detect her pco2, hco3 and be. Lactate not high around 1.5. Transfer this pt to isolation room in hdw. And heard that this pt also died after 2 days intubation.
Doing round in w9 is equal to round with dr norhayati, endocrinologist. 1st quetion i got from her is why in septicacemic pt we need to do ECG. I was like why eh? Hahaha. Then 2nd question what is indication of LTOT?
Round with dr mat zuki is scrriest thing. Hyphae, afatinib, hyponatremia, and many other questions laa. With dr gaya she asked about SIADH-she asked me to read about barterr and scwatz criteria.
Then i got postcall off off leave leave. And today is my last lazy day 😪
And my next stop will be obs and gynae. Wish me best of luck
