Sunday, January 13, 2013


We started Paediatrics rotation last week. The journey so far is interesting, however, it would be nice if we could spend more time interviewing and examining the patients. Can't blame the system just yet, it was, after all, the introductory week.

I have to say I'm glad I did the full 3 weeks of O&G in HKL for summer, and that I got really good HOs whom didn't shoo me away and taught me all they know and think I should know. The first week is on neonates, so I'm really glad to have hanged out in the labour room most of my stay :P

Cause I learnt to assess neonates, which wasn't part of the syllabus back then, and I got to learn how to cope with the stress of doing the same thing every time; LOVE YOUR JOB. (Like how as a student, you have to learn to love your studies)

Fact is, we humans are very easily bored, and a routine day-to-day won't help much with establishing love for a job. So, it is, our very own task to make our days interesting. The art of working, if I may call it.

Macam berzikir ke? Like, you can't do the same thing all the time, you'll get bored (at least I do) which eventually leads to declining efforts and eventually, not doing it at all. Kyaaa~


If I could turn back time, I'd do practicals all my summer breaks. I think I told my juniors just that but no one seems to want to take the challenge so far. :( Well, I'll write it down anyway since I can do whatever I want in my blog.

The trick, for you to learn lots during the practice, is to tag a busy HO, cause no matter how busy they are, they somehow could find the time for you. If they don't, they'll give you homework (usually a diagnosis, which if you're in the first year, he'll probably bombard you with lotsa anatomy questions) which you would have to present to them, and of course, they'll come up with pointers we can't find in textbooks or the internet. And these HOs, being the busy, responsible, cekap HOs they are, are trusted by the MOs, who would, in turn, have a little trust in you, to help out in the ward. :)

And if the MO/Specialist in charge of you would require weekly reports from you, then, do go and find them when you have to. When I did my surgery rounds, I got err scolded really bad in the first week, but it was, of course, because of I had this pre-assumed idea that history taking (famously known as clerking) is a lil' different in Malaysia than here. Then, the doctor in charge told me that, I gotta trust what I've learned in school, cause all over the world, it's the same textbook. :P

So the following week, we did patient history like we did in school. Well, it is the same actually, in fact, because we are students, we could make a complete history, cause we don't have to rush to draw blood or convince the imaging lab to make a CT on some patient etc etc. At the end of the second week, I got approval and was given the chance to go to the OT the following week. :) Thank God~

2 years later, because of that scolding, I got a "That was good. I like your style of clerking" from a certain specialist from my Internal Med practice. Score~ See, experience itu penting! So go for extra clerkships if you can!

Then there was the whole lecture from Dr B, on the importance of knowing the socio economics in our home country. From the many races, the orang asli, the immigrants, they all have different stories (not necessary medical) that make up who they are. Knowing this may help you start to treat your patients as individuals, rather than their diseases. It may seem chaotic in some way, and probably that's what will drain the energy out of you when you work, but to care for their social needs would mean a lot to many people.

And one major thing that I learnt was, you gotta work as a team. I know I'm not a HO yet and all, but there's a marked difference in the efficiency of a ward when the wards members have a unique group goals  or not.

And as a student, I guess, this is when you practice to not stand in a corner, get out of your comfort zone, approach people, be prepared to be neglected by some, be prepared to be scolded by some, but most of all, be prepared to be amazed by the abundance of people you can put your trust with, and the knowledge that comes with doing that little extra. ;)

Owh, a lil' thing I found out is that, there's a circulating guideline in every department. Which would help with orientation when you're at the hospital. It contains things like diagnostic approach, management plan and treatment, a text to get you oriented with the system. :) Find them the first week of your practicals, then you'll have loads more fun. Hihi.

Woot2~ That's enough of nenek-ing for the weekend. XD


Pockets of joy.
Is a referral to extra cheek fat that develops due to over-joy (perhaps?) Kekeke. And here's a lil secret how to deal with it. *Was going through the olde blog that has this photo. The final year is, of course, a year of reminiscing*


Now lets get back to loving the study of Paediatrics. Owh yeah~
To be happy about last week: opthalmologist.shock.awesome. Thank God~

I need more hands on,

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