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The Theoretical Doctor @[email protected] · 2025-03-18 · 01:00 UTC

Reflection Of The Surgical Posting | Housemanship Diaries

Can you share a positive example of where you’ve felt loved?

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As you can see based on the prompt that I would be answering, Surgical Posting is definitely the place where the environment among the superiors felt more like a family to me and I’ve always felt the love and care towards one another and the patients in the whole team.

Prior to entering this department, I’ve always had my doubts and fear considering that I’ve heard numerous negative comments in regard to the department. Mostly, the department was deemed “toxic”.

However, upon entering there during my first day, I was guided and encouraged to follow rounds even when I seemed rather lost. I was not reprimanded or shouted at but instead I was guided and taught.

No doubt it is a tiring posting and after having completed my tagging period in all of the 5 major postings (Orthopaedics, Paediatrics, Obstetrics & Gynaecology, Surgical and Medical), the tagging period in the Surgical Posting is the most tiring for me.

This posting sort of reminds me of Orthopaedics except the amount of patients are full-blown, never ending with random or common surgical-related issues and the patients are even more unstable.

The thing about being in this posting is that usually when an order is given by our superiors, it is expected to be carried out STAT, meaning immediately and they will usually keep checking in to know the progress and status of the patient which is both good and also annoying. Good because it keeps you on our toes and ensure things are being carried out. Bad as the day could be burning with multiple issues and joblists and there is lack of manpower and you barely had time to sit or even had a drink and next, you’re being summoned again.

However, looking back, I definitely enjoyed every bit of my journey over there. Eventually, I was given the responsibility of being one of the leaders in this department, the daily allocator to be exact, by my friend.

This unknowingly deepens my relationship among my superiors as we would constantly reach out to each other.

Along the way, I made friends with the nurses at Male Surgical Ward and I will always be grateful for their help.

The Surgical Posting also made me realise how much I enjoy Surgical-based and that I am one. Despite my initial interest in Medical upon entering my housemanship journey, I realised that I love hands-on more and I need to “see” the issue. For example, if a patient complaints of abdominal pain, assess the patient, send some blood workups which might help and in your direction of care as well as scans.

Most of the time, the issue is identified through the scan with the blood workup being highly suggestive. Thus we move on from there.

I can’t quite explain. Somehow it just make sense to me just like when I was previously in the Orthopaedics Department.

This posting is also where I spent the longest time. I entered the posting on the 4th of July 2024, which is around 5 months as I took a break in between due to my injury.

The Surgical Posting definitely holds a dear place in my heart. Upon bumping into my old superiors, I still greet them with joy and a smile, reminiscing my good times within the department.

If you are due to join the Surgical Posting, please prepare yourself both mentally and physically.

In my opinion, the Surgical Posting is a physically tiring and not as bad as it seems despite the multiple negative remarks. Perhaps, it was a different experience for others but in my humble opinion, it is NOT a toxic department. At least at the place that I am practicing in.

Have faith, hang in there and try your ultimate best everyday in both your work as well as in trying to learn the most you can out of this posting and journey.

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The Theoretical Doctor @[email protected] · 2024-09-26 · 03:08 UTC

A short blog regarding my reflection on the details of my life that I should pay extra attention on.

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http://theoreticaldoctor.com/2024/09/26/controlling-my-food-choices-and-portion/

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The Theoretical Doctor @[email protected] · 2024-06-02 · 01:00 UTC

Being the EPAU (Early Pregnancy Assessment Unit) House Officer – Housemanship Diaries

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EPAU of the Early Pregnancy Assessment Unit is like working in a clinic. Before I begin, allow me to express how much I absolutely love it when I am allocated as the “EPAU House Officer” for the day.

The hospital that I am practicing in is Hospital Umum Sarawak otherwise known as Sarawak General Hospital.

The working hours as an EPAU HO is from 8am till 5pm, with a lunch break from 12pm till 2pm. This is then followed by the continuation of work from 2pm till about 5pm.

Most of the cases seen here are patients who go for follow up most likely due to foetal growth restriction (FGR) or cases referred from Klinik Kesihatan. There are some cases whereby the gestation is yet to be seen in utero likely because it is too early but the pregnancy test appears positive, hence they are on follow up for scan of gestational viability after a week or two. In terms of gynae cases, most of the patients that come in are impending miscarriages or patients who have miscarriage but are on follow up to check on their B-hCG.

As an EPAU house officer, our duty is to first screen through the cases that comes in. As I mentioned before, some cases are referred while some are on follow-up.

Thus, we will screen through by writing their age followed by their gestation and parity and finally, any relevant antenatal history.

After we are done screening, we help out with writing the scan findings, calling the patients or helping to take bloods.

There’s not much that needs to be done actually but on certain days whereby the patient load is tremendous, it can get extremely busy.

However, being an EPAU house officer is a good experience and a good change of scene especially if you’ve been allocated to the ward always.

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