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  1. A New Recipe for Trouble

    The air in the hills above Speranza was biting and crisp, carrying the raw, earthy scent of decaying leaves and wet pine. Moira led the way, her sturdy leather boots crushing the frost-tipped grass with a rhythmic crunch. She knew this ancient trail blindfolded, having walked it countless times to gather chamomile, wild rosemary, and the elusive mountain mint. Behind her, Elio the chef struggled to keep a steady pace, heavily out of his element. He was a man accustomed to the flat, polished tiles of a modern commercial kitchen, not the rugged, uneven roots of a centuries-old forest.

    Despite his heavy breathing, Elio refused to let the conversation die. They had been arguing since they left the cobblestone perimeter of the village. “It is a matter of consistency, Moira,” Elio insisted, dodging a low-hanging oak branch. “A steel pasta machine guarantees that every single ribbon of dough is exactly the same millimeter thick. It cooks evenly, it plates beautifully, and it removes human error from the equation.”

    Moira stopped and turned, her breath pluming in the cold air. “Human error is what gives the food a soul, Elio. When you make sfoglia tirata al mattarello, the wooden rolling pin creates micro-abrasions in the dough.” She looked at him with the stern authority of a village elder, even though she was far too young for the title. “Those tiny, imperfect grooves are what hold the heavy meat ragù. A machine makes the pasta too slick, too perfect, and the sauce slips right off into a sad puddle at the bottom of the bowl.”

    Elio wiped a bead of sweat from his forehead, despite the chill. “But tradition must leave room for innovation. I am preparing coda alla vaccinara for the mayor tonight. If I rely only on the old ways, it is just another heavy stew. The wild mallow will cut through the richness with a fresh, botanical edge.”

    “Mallow in an oxtail stew is a gimmick,” Moira replied plainly, turning back to the steep path. “If you cook it low and slow for six hours, the fat renders, the meat falls from the bone, and the celery provides all the aromatic balance you need. You are trying to fix something that is not broken.”

    “I am trying to wake up a village that has fallen asleep at the dining table,” Elio muttered, though he hurried to catch up with her brisk pace.

    They climbed higher, leaving the familiar sight of Speranza’s terracotta roofs far below them. The woods here grew denser, the trunks of the ancient trees thick with dark green moss. The sunlight struggled to pierce the canopy, casting long, twisting shadows across the damp forest floor. The cheerful chirping of the village birds faded, replaced by the heavy, silent weight of the deep woods.

    “We are close,” Moira whispered, her voice instinctively dropping in the quiet space. “Tread carefully. The ground is soft near the spring.”

    They emerged into a small, shadowed clearing where a narrow ribbon of water trickled down a rocky embankment. The air here was sharp with the smell of wet stone and cold water. Along the muddy bank, small, vibrant green leaves clustered tightly together.

    Elio’s face lit up with genuine triumph. “The wild mallow,” he breathed, dropping to his knees in the damp soil. He pulled a pristine white cloth bag from his apron pocket. With the delicate precision of a surgeon, he began to pinch the tender leaves from their stems.

    Moira watched him, offering a quiet nod of approval. For all his talk of machines and modern tricks, he handled the fragile plants with absolute respect. Perhaps the chef had a soul after all.

    “There are some wild primroses just under that overhang,” Moira pointed to a large, flat gray stone embedded in the bank.

    Elio shifted his weight, his boots sinking an inch into the mud. He reached under the stone, feeling for the soft petals of the primrose. Instead, his fingers scraped against something hard, cold, and unnaturally smooth.

    “That is not a rock,” Elio said, his brow furrowing. He dug his fingers deeper into the freezing mud, gripping the edge of the buried object. He pulled hard, grunting with the effort, until a thick layer of earth gave way with a wet, sucking sound.

    He pulled it out and set it on the moss between them. It was a metal box, about the size of a large dictionary, heavily encrusted with decades of rust and dark river mud. The hinges were thick and archaic.

    Moira felt the temperature in the clearing drop. Her medical instincts flared, a sudden spike of adrenaline rushing through her veins. She knelt beside Elio and used a fallen twig to scrape away the thickest layer of mud from the lid.

    Beneath the grime, a carving was revealed. It was a serpent, its body coiled in an intricate, endless knot, its mouth wide open to swallow its own tail. It was not a crude drawing, but a masterfully engraved piece of art.

    “What is this doing out here?” Elio asked, wiping his muddy hands on a spare towel from his pocket. “It looks like it has been buried for fifty years. Maybe more.”

    Moira did not answer immediately. Her mind raced back to The Days of the Dreams, the ancient blue book locked safely inside her tea shop. The book had warned of debts, of poisons, of dark birds seeking nests. It had never mentioned a coiled snake buried in the mud, but the heavy, oppressive energy radiating from the rusted iron was undeniable. It felt exactly like the dark magic that had recently invaded her village.

    “We should leave it,” Moira said firmly. She stood up and took a step back. “It does not belong to us. The woods hide things for a reason, Elio.”

    Elio looked at her as if she had suggested boiling pasta in cold water. “Leave it? Moira, this is a piece of history. There could be old coins inside, or village records, or jewelry. We cannot just leave a mystery sitting in the mud.”

    “Some mysteries are meant to stay buried,” she countered, her voice tight. “You have your mallow. Let us go back.”

    But the chef was already shaking the box. It was incredibly heavy, and a dull, solid thud echoed from within. Something heavy was wrapped in fabric inside. Elio’s curiosity was a powerful, reckless force.

    “I am taking it back,” Elio declared, tucking the heavy iron box under his arm. “If it is dangerous, we will give it to Ispettore Salomone. But I am not walking away from this.”

    Moira wanted to argue, to demand he drop it in the river. But she knew that if Elio took it to the police, Salomone would open it blindly. If it contained a curse, a poison, or a dark artifact, the whole village could be at risk. She needed to be the one to open it, with her cats and her book nearby for protection.

    “Fine,” Moira said, her voice sharp with dread. “But you bring it to my shop. Not your kitchen. Not the police station. We open it together behind closed doors.”

    Elio nodded, surprised by her sudden intensity. “Deal. To the tea shop.”

    The walk back down the hill was agonizingly slow. The rusted box seemed to drain the energy from the air around them. Elio, who had been so talkative on the way up, was completely silent now. He shifted the heavy iron from one arm to the other, his breathing ragged.

    Moira kept her eyes on the path, but her senses were on high alert. The woods, which had always been her sanctuary, now felt like they were watching her. Every snapping twig sounded like a footstep. Every gust of wind felt like a warning whisper.

    “It is incredibly heavy,” Elio finally muttered, pausing to adjust his grip. “What kind of metal is this? It feels like lead.”

    “Don’t stop,” Moira urged, checking the lengthening shadows. The sun was beginning its descent, painting the sky in bruised shades of purple and dark orange. “We need to get back before the dark settles.”

    They finally breached the tree line and stepped onto the paved stone of the village edge. The warm, yellow lights of Speranza were flickering on in the shop windows. The smell of woodsmoke and roasting garlic drifted through the air, a stark contrast to the cold, ancient dread Moira felt in her chest.

    Elio headed straight toward his modern kitchen, his mind seemingly back on his dinner service. Moira grabbed his sleeve.

    “No,” she said softly but firmly. “You promised. Bring it to La Pagina che Fa le Fusa.”

    Elio blinked, as if waking from a trance. “Right. Yes. Let’s get it open. I need to start my coda alla vaccinara soon anyway.”

    Moira unlocked the heavy wooden door of her shop and pushed it open. The familiar, comforting aroma of dried chamomile, crushed rosemary, and old paper rushed to greet her. The warmth of the room was a physical relief against her cold skin.

    Ashwaganda, the massive ginger cat, immediately stood up from his wool blanket. He did not purr. He stared directly at the rusted box in Elio’s hands, the fur along his spine standing straight up. From the top bookshelf, Toe let out a low, vibrating growl, his green eyes wide and locked on the iron snake.

    “Your cats are very dramatic,” Elio noted, setting the heavy box down on the thick oak counter with a loud clank.

    “They have good instincts,” Moira replied, locking the door behind them and flipping the sign to ‘Closed’. She walked behind the counter and reached underneath, quietly resting her hand on the hidden blue leather cover of her book.

    “We will need a strong tool,” Elio said, inspecting the rusted latch. He pulled a thick, steel oyster knife from his chef’s coat. “This should provide enough leverage to break the rust on the hinge.”

    Moira did not stop him. She stood back, her body tense, ready to react to whatever sprang from the dark interior.

    Elio wedged the tip of the thick steel knife under the iron latch. He grunted, pushing his entire body weight down onto the handle. The metal screeched, a horrible, high-pitched sound that made both cats hiss in unison. With a sharp crack, the rusted lock snapped.

    The chef slowly lifted the heavy iron lid. It creaked backward, releasing a puff of stale, dry air that smelled faintly of dried roses and copper.

    Moira leaned in, her heart hammering against her ribs.

    Inside the box, resting on a bed of decaying crimson velvet, was a single, beautifully bound notebook. The cover was made of pure white leather, untouched by the mud or the dampness of the earth. But it was not the pristine leather that made Moira gasp.

    Stamped into the center of the white cover, in brilliant, shining silver, was the exact same emblem that graced her own magical book. A sleeping cat, curled protectively around an ornate key.

    It was a second book. A twin to The Days of the Dreams.

    Elio reached his flour-dusted hand toward the white cover. “It’s just an old journal,” he said, sounding slightly disappointed. “No gold. No coins.”

    “Do not touch it!” Moira shouted, her voice echoing off the wooden beams.

    Elio froze, his hand hovering an inch above the silver cat. He looked at Moira, shock registering on his face. The quiet, calm tea shop owner looked genuinely terrified.

    Before Elio could pull his hand back, the silver ink on the white cover began to glow. A faint, icy blue light pulsed from the emblem, casting sharp shadows against the walls of the shop. The magic in Speranza was no longer a secret Moira carried alone.

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  2. Superstitious? Me? Pfft… Unless the Universe is Listening.

    Are you superstitious?

    📌Disclaimer: Please note that if you click on any of the buttons and make a purchase, I will be receiving a small commission at NO extra cost to you📌

    Am I Superstitious? Let’s Just Say… It’s Complicated.

    This morning, my son and his buddies threw out a dangerous question: “Are you superstitious?”

    Now, logically, I want to say no. I don’t walk around tossing salt over my shoulder or fearing black cats. But if we’re being honest… I also refuse to say things like “Wow, nothing has gone wrong today!” because I know the universe is listening.

    So, am I superstitious? Let’s just say I respect the possibility of unseen forces—but I’m also not afraid to test them.

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    Let’s break it down.

    1. The ‘Don’t Jinx It’ Rule (AKA, I’m Not Stupid)

    You ever confidently say something, only for life to immediately slap you in the face?

    🔹 Example: “Ugh, I never get sick.” Boom—suddenly, I’m drowning in tissues and self-pity.
    🔹 Pain Level: 9/10. Because why does the universe have to be so petty?

    ✅ How I Handle It: I knock on wood. Every time. Even if it’s fake. Even if people are watching. If I forget? You best believe I’m mentally whispering “no jinx, no jinx, no jinx” to undo the damage.

    2. The ‘Something Feels Off’ Rule (My Sixth Sense is Real)

    I don’t know if it’s energy, instinct, or just years of experience with people being sketchy, but if something feels wrong, I listen.

    🔹 Example: Walking into a place and feeling an immediate, unexplainable sense of nope.
    🔹 Pain Level: 10/10 if ignored. Because the ONE TIME I brushed it off, I ended up in a situation I never should have been in.

    ✅ How I Handle It: If my gut tells me to leave, I leave. No debating, no justifying. The last thing I need is to become the main character in a bad horror movie.

    3. The ‘Ghosts? Prove Me Wrong’ Rule (I’m Ready for This Fight)

    Unlike most people, I don’t fear ghosts, Ouija boards, or haunted places—I’m fascinated by them. Do I believe in spirits and the paranormal? Not really.

    But am I willing to test it? Hell yes.

    🔹 Example: While some people refuse to step foot in a haunted house, I’m the one saying, “Alright, if something’s here, show yourself.”
    🔹 Pain Level: TBD. But honestly, if a ghost did prove me wrong, I’d be more excited than scared.

    ✅ How I Handle It: If the supernatural wants my attention, it better bring receipts. Until then, I’m keeping my skepticism and my curiosity wide open.

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    So, Am I Superstitious?

    Let’s put it this way—I don’t live in fear of bad luck, but I also don’t poke the bear (except when it comes to ghosts, apparently).

    If knocking on wood, trusting my instincts, and challenging the unknown keeps things interesting, then I’m all in.

    Now, tell me—are you superstitious?

    Or are you the type to laugh in the face of fate?

    Drop your thoughts in the comments… but if your luck suddenly changes, don’t say I didn’t warn you.

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  3. NSFW Ink Dreams: Where Would You Put Yours?

    What tattoo do you want, and where would you put it?

    Some people want a discreet infinity symbol on their ankle.
    Others want angel wings between their shoulder blades.
    Me?

    I want the Joker and Harley Quinn… tangled in sin… on my inner thigh.

    Yes, you read that right. I already have six tattoos—each one a slice of my story—but this?
    This one’s going to be my masterpiece.

    Why settle for basic when your thighs are prime real estate for chaos, colour, and the promise of a little danger?

    Why the Inner Thigh, though?

    Well, darling, that’s easy.

    It’s hidden… until it’s not.

    It’s intimate. Naughty. A secret meant to be earned.

    And every time I cross my legs or shift in bed, I’ll know there’s a beautiful madness resting just beneath my skin.

    The Joker, smirking with toxic charm.
    Harley, wide-eyed, wild, loyal in all the wrong ways.
    The ultimate ride-or-die pair—etched into my flesh, just inches from all the fun.

    Honestly? If you’re going to mark your body forever, make it interesting.
    Make it tell a story… or whisper one between parted thighs.

    More Tattoos. More Mischief. More Me.

    My body is already a canvas of secrets and symbols.

    Not just to look.
    But to wonder.
    To imagine what else might be hiding underneath the lace and leather.

    So, yes—my Joker and Harley thigh piece is still in the works.
    But the rest of my skin? Hungry. Ready. Waiting for the needle to tell another scandalous tale.

    📌Disclaimer: Please note if you click on the button below and make a purchase through the link, I will be receiving a small comission!📌

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  4. Moderation Is Overrated

    What habit do you defend even though you know it’s indefensible? Here’s the thing everyone loves to clutch pearls about: my caffeine habit. I drink enough caffeine to legally qualify as a minor electrical grid. Energy drinks. All day. Every day. People tell me I shouldn’t like they’re breaking news that stimulants aren’t on the wellness bingo card. Thanks, Doc Instagram. I know it’s indefensible. I just don’t care. Caffeine is the duct tape holding my brain together. It’s […]

    ericfoltin.com/2026/02/04/mode

  5. My New Year’s Eve – 2025

    Related Posts:

    31st December 2025. I was NOT oncall.

    It was a Wednesday and it was a normal working day. Hence, at 7:45am, I left to work as usual and was there by 8am. It was the New Year’s Eve. I thought that maybe, just maybe, there would be less patients in the clinic.

    The day started off smoothly. Surprisingly, there were many patients who came for their follow up followed by additional patients (the defaulters and walk-ins) but it was manageable. We went about our day, seeing each patient and when lunch time came, we went for our lunch break.

    At 2pm, we went about our work, seeing patients as usual and I was taking my time with each patient. The patient load in the afternoon shift was lower compared to the morning shift and both my colleagues were done with their patient load.

    Suddenly, a staff nurse barged into my room saying that there is a massive accident that just occurred nearby, 2 patients were already brought in and 2 more were on their way. They called in all available doctors (which were only the three of us) to help out.

    I told my colleagues to head out and help out first while I rushed through the consultation of my final patient. After that, I rushed to the tiny Emergency Room of the clinic. My colleague who was oncall on that day was already attending to a child. I went over to the other patient, an old lady and did my primary survey and fast scan.

    She was desaturating badly under room air and needed oxygen support. She had an open skull fracture, multiple abrasion and laceration wounds over her face, upper and lower limbs as well as rib fractures and on top of that, her left leg appears shortened and she has a closed fracture over her right lower limb.

    I didn’t think that we should proceed with an x-ray at our clinic even if we had the facility at that time, the best would be to send them straight away to the hospital because she could deteriorate further any time. Thankfully, her GCS (Glasgow Coma Scale) was full.

    I was focused on my patient, stabilising while referring her to the specialists of various specialities as well as the emergency physician that when I finally got ready to transfer her out that I noticed the child that my other colleague was attending to. The child’s right arm was crushed and the distal limb of his right arm was pale and his right lung was obvious till mid-chest.

    Just how in the world is he still awake? The poor child was crying out in pain…

    Judging by the state of his and my patient’s injuries, it was definitely high impact.

    The story was, the whole family were travelling back from Miri to Kuching. Both the parents were sitting in front and the father was driving whilst the two children and their grandmother were sitting at the back.

    The father claimed that he was not speeding but as he was about to make a u-turn at a junction, he claimed to have hit the curb and the car turned many times into the other lane before finally stopping and the grandmother and one of the child were thrown out of the car.

    It sounded like a very high impact collision. Thankfully, the parents and the other child were well and unscathed.

    We had to transfer both patients in two separate ambulances to the Red Zone of the Emergency Department at Hospital Bintulu as one ambulance could only transport one patient at a time.

    Upon arriving, I met my colleague and friend at the Red Zone of the hospital. After we have handed over to the medical officers and specialist in the Emergency Department, we headed back together. However, upon reaching back, there was another patient who came in who was extremely tachypnoiec.

    Oh, here we go again… Another Red Zone referral…

    We stabilised the patient and referred her to hospital again. The clock was already showing 10pm when we left. The journey to the hospital takes about 45 minutes to an hour for each journey and the both of us have yet to have our dinner. This time, I choose to accompany her for the referral, mainly for emotional support and also in hopes of stopping by McDonald’s to get a takeout.

    Yes, we did stop by McDonalds after sending the patient safely to the hospital and yes, we used the ambulance and went through drive-through.

    By the time we left, it was already 11pm. The journey takes around 45 minutes to an hour and it was raining heavily. At this point, I was wondering if we would end up celebrating New Year’s in the ambulance.

    Me and my friend ate in the ambulance on the way back while we joked and exchange oncall stories. Thankfully, we reached a little before midnight. The day was completely unexpected, not to mention tiring but it was nice to have spent it with a friend.

    It’s still the beginning of 2026, so if I’m not too late, Happy New Year!

    If you are travelling anytime soon or in the future, do drive safely, stay within speed limits especially if it is raining. Remember to get your car and tyres checked before any long distance journey and NEVER drive under the influence.

    Stay safe always!

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  6. 12 Hours Shift – Counting Down My Hours Each Time At Work

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    How do you waste the most time every day?

    At the time of writing this article, which was back in June 2025, I was going through my 6th Rotation of my Housemanship which is in the Department of Emergency and Trauma. As a House Officer in the Emergency Department, we go by the 12-hours shift.

    This meant, our shift is from:

    • AM Shift: 7am till 7pm
    • PM Shift: 10am till 10pm
    • Night Shift: 10pm till 10am

    In this department, they are strict in regards to adhering to a minimum of 60 hours per week in total. Thus, in a week, our schedule is as follows;

    • A total of at least 4 daytime shifts (AM or PM Shifts)
    • One night shift
    • One off day

    That is provided one has off-tagged of course.

    Perhaps, it is the “last paper syndrome” that I was experiencing being in the 6th and final rotation, I would be counting down my hours each day at work. Thus, upon arrival at work, I would start my “12-hours countdown“ on my phone.

    On slow days, I made it a point to go to toilet every hour, technically my so-called “hourly break” whereas on busy days, the toilet break is the only time I could take a break. This is followed by ensuring I have at least one meal per day during my shift.

    Otherwise, the schedule in the emergency department is relatively better as compared to my previous rotations. Nevertheless, the tiredness is still there.

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  7. Lazy Days As A Medical Officer

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    Do lazy days make you feel rested or unproductive?

    While I’m at work, I’d be looking forward to returning home or towards my off day. In contrary, while I’m at home or on my off day, I’d be thinking about returning to work.

    Do you feel the same way?

    Previously, as a House Officer, I’m used to the “one off day per week”. Whereas, as a Medical Officer, weekends and public holidays are granted off days, except if you’re well… oncall and that depends on your current department as well as some departments require you to put in a half day shift during weekends or public holidays.

    I’d say for me, considering I live alone and I don’t even own a car here in Sarawak, I’m pretty much lazy and unproductive to the point I get restless sometimes.

    That’s counter productive as rest days are meant to make you feel… rested, right?

    Thus, on my off days, since I’m an early riser, I try not to disturb my circadian rhythm by getting up at the same time as usual every morning, partly because I forgot to off the alarm or somehow, my body clock just wakes me up every time.

    To feel so-called “productive”, I’d do some studying with my morning coffee till I well, lose my focus, then I start wondering about lunch and start cooking, handwash my clothes because I’m too lazy to walk downstairs with a bag of clothes and finally doze off for my afternoon nap.

    I’d then wake up in the evening to have dinner and pack my essentials and bag for work the following day before finally, retiring to bed early.

    I really need to be more productive during my off days.

    Even me writing this just sounds too depressing.

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  8. My FIRST SOLO Oncall Shift As A Floating Medical Officer

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    My first solo oncall shift was on the 17th of August 2025 a few days after I have completed my tagging period.

    I had a passive oncall on standby just in case things got out of hand, which is a good thing. However, I was adamant to try to survive on my own as if I only had myself and the specialist. Thankfully as well, it was on a weekday which meant I was able to reach out and ask for help if needed and the others would be able to assist if needed or advice me.

    As usual, morning rounds, followed by peri rounds. The role as an oncall medical officer of the day is to update the progress of the patients in the specialist’s WhatsApp group as well as to upload any latest wound pictures, if any.

    The day was rather busy with rounds and in between I would receive calls from Klinik Kesihatan (Community Clinics), usually requesting a clinic date. Thankfully, no referrals yet.

    After rounds, I headed back to the ward to complete any pending joblists before heading into the operating theatre (OT) for a patient that was awaiting her call to OT.

    During that operation, there was a referral from the Emergency and Trauma (ETD) Department, referring a case of laceration wound over the forehead for a 3 year old boy.

    The medical officer at the ETD was kind enough to assist in taking the bloods as well as admitting the patient. My colleague on the other hand came to check in on me after her day in the clinic and attended to this kid.

    After the first operation, the following case was called which was the 3-year-old kid. I have always enjoyed being in the operating theatre, or any hands on procedures.

    Despite knowing that I should be conserving energy, instead, I proceeded to carry on and after the second op, I entered an ongoing flap operation next door to assist.

    Another referral came for a laceration wound over the forehead for an Orthopaedic patient who was post-operative and transferred to ICU. Apparently, it was missed when the patient arrived at the Emergency Department as he suffered multiple opened fracture and was posted for operation immediately. Thankfully, he was intubated and sedated and I was able to perform a bedside toilet and suturing for him.

    By the time I was done, it was midnight. I went back to the oncall room to shower and change for the night. I would usually change into scrubs again if I were to be oncall, just to be on standby in case I was needed immediately.

    I did not sleep that night, it just felt wrong as the flap operation was still ongoing since 8am.

    I went in again to check in on them, however, I was not needed at that time. Thus, I kept a fellow colleague company.

    At 2am, I returned back to ward to complete the planned discharge of a patient and started my morning review. Thankfully, I did. In between, I was referred a new case of another kid who suffered another laceration wound at his right eyebrow. Thus, counselled the parents, obtained consent and admitted the patient.

    After that, I was requested to collect bloods or bags packed cell for the patient who was still ongoing operation. When the commotion was done, I returned to continue my early morning reviews.

    By 4am, I went back inside the operating theatre to check in on the ongoing operation. Technically, still far from done. Scrubbed in to assist with harvesting the skin for split thickness skin graft and refashioning of the affected limb.

    At 8am, we were finally done. The operation officially lasted for 24 hours. All of us scrubbed out and I changed out of my attire to return to ward and follow rounds.

    During peri rounds, a patient was called to OT and I entered organ as I dislike peri rounds. After the OT, all of us were just beyond tired and I went home for the day.

    No doubt, it was my first “solo oncall”, it did not feel lonely at all as since there was an ongoing operation, physically, I felt comforted knowing that there were people nearby and felt more like a slumber party instead.

    And the most important part… I survived it!

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  9. Tagline: “Hourly Toilet Break”

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    If humans had taglines, what would yours be?

    Those who have worked with me know that I have such thing called “The Hourly Toilet Break”.

    Firstly, because I consume lots of fluids and secondly, that is how I ensure I do get the break once in a while on a busy day or maybe, the day is quite slow and I am just, bored.

    Of course when the day is rather busy and hectic, time just flies and that I do not even realise the time passing by. By the time I actually do complete my task and take the opportunity to just rest for a while, 2-3 hours have gone by.

    How Did The Hourly Toilet Break Started?

    Photo by Hafidz Alifuddin on Pexels.com

    I didn’t actually planned for such thing at work. Obviously.

    At home, I do frequently go for my toilet breaks as I’m forever consuming green teas or black coffees or water. All of which contributes to the filling of my bladder, in addition to the fluids being diuretics.

    It wasn’t until I started my tagging in my sixth rotation, the Emergency & Trauma Department that I reinforced this so-called “hourly toilet break”.

    The tagging hours in the Emergency & Trauma Department is long, just as in other postings whereby we had to work from 7am til 10pm everyday with an off day each week for 10 days straight.

    Thus, it helped me in ensuring that I either get to sit and recollect myself during hectic days or to make the hours pass during slow days.

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  10. My First Night Shift In Emergency & Trauma | Housemanship Diaries

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    Remember when I mentioned that I love the night shifts?

    No? Well, here are the articles advocating my love for that shift:

    Photo by Chauhan Dixant on Pexels.com

    My first night shift in this department was in the Red Zone and I was terrified.

    Thankfully, it was with a fellow Registrar who is rather patient, kind and one who loves to teach.

    The scary part however was that it is the Red Zone after all and on my first night!

    The Red Zone basically caters to patients who are unstable be it haemodynamically or in terms of their vital signs or that they are in a state of severe acidosis, on the verge of collapsing, you name it. Basically, how severe of a state a person must be in to end up in that zone.

    The night started off smoothly with cases coming in one at a time. Alright, I kept repeating to myself, “attend them, transfer them to another bed, vital signs, bloods, fill out forms, clerk and basically just listen to your superiors”.

    The night eventually turned into midnight and into the wee hours of the morning and finally the sun has risen. Before I knew it, it was 7am and the AM shift House Officer has arrived. I am not alone again.

    Time to prepare for handover rounds at 7:45am.

    It was better after that, having another person with me as it felt less intimidating.

    At 10am, I took off and headed home. Not a bad experience for the first night shift.

    The good thing about the night shift in the Emergency and Trauma is that we are not alone. There is always a team or at least your superiors are always there.

    However, I don’t quite prefer the night shift in this posting. Having actually completed this posting, at the time of writing this article, the daytime shift is definitely better.

    Nonetheless, in all the night shifts, albeit that it could be a terrifying one especially prior to the start of your shift, always remember that you are never completely alone even if it feels like it and that help is always nearby.

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  11. Day 1 Of My Final Posting – Day 647 Of Housemanship

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    My first day of my final posting, The Emergency & Trauma Department, commenced on the 11th of April 2025.

    Day 647, finally. Finally! I’ve pulled through and entered the last pit stop of my journey as a House Officer.

    In every posting, I have always looked forward to this posting. Prior to joining, I’ve always had mixed feelings and initially wanted to join Anaesthesiology. However, a few weeks prior to entering, the other postings such as Psychiatry, Klinik Kesihatan and Anaesthesiology were removed from our options and everyone had to rotate in the Emergency and Trauma Department.

    This is good. This meant more manpower.

    However, just as the previous postings, prior to joining any new department, I’ve always had this fear and mixed feelings because it is after a new environment.

    My fear was stumbling too badly on my first day. Thus, of course, I did my research and questioned the people I knew who were already in the posting.

    My First Day began on a Friday in the “Yellow Respi Zone“.

    The Yellow Respi Zone consists of patients who are unable to saturate well under room air, usually less than 90%. Having just completed the Medical Posting, the patients allocated there are primarily Medical patients or in particular, having respiratory issues such as patients developing acute pulmonary oedema or fluid overload secondary to non-compliance to their fluid restriction.

    Thankfully, I have just completed Medical. Thus, I am able to apply my knowledge learnt which was still fresh at that time.

    I arrived a little before 7am since the tagging shift is from 7am till 10pm, introduced myself to the medical officers and talked to a fellow friend who arrived and would be working in the same zone as well. I went through the triages and casenotes of the patients to see if there were any active cases or cases that were due tracing of bloods or referrals.

    The day started off rather quietly and it was manageable. I followed the morning handover rounds at 7:45am and after that attended to any new patients or refer if needed.

    Basically, when a patient comes in, especially to this zone where the patients’ chief complaint is “shortness of breath“, the first person who attends would usually auscultate or “listen” to the lungs and check the vital sigs prior to taking blood or doing a “full clerking” such as obtaining their past medical history or history of presenting illness.

    The next person that steps in usually helps with the bloods and fills the forms.

    Everyone worked together as a team and somehow indirectly we were communicating with one another without actually voicing it out. It seemed almost like a dance, or a workout.

    Afternoon came and afternoon handovers started at 2:45pm. I met a lovely medical officer who is a junior herself but one who was extremely upbeat and more than happy to guide me.

    I learnt a lot during my first day with her. She even encouraged me to consider joining this department during my floating period.

    The evenings became extremely busy to which I did not really realise. Maybe because it was my first day or maybe because I have just completed my Medical Posting (and it was much busier over there), or perhaps because I simply enjoyed working with my superior or team on that day.

    The day ended at 10pm and I walked back home. Thankfully, I lived within walking distance thus I saved time and did not have to worry regarding transportation or parking issues.

    My first day in my last posting or rotation started off well which is something I’m more than thankful for.

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  12. Jobs That I’ve Had

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    What jobs have you had?

    Teacher

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    My first job that I’ve ever had was as a Teacher.

    I had just completed my STPM which is a form of pre-university course in Malaysia, equivalent to that of the UK A-Levels and I was waiting for my results.

    At that time, I was on a holiday with my parents and was perusing through Facebook when I came across an advertisement on a job offer at a nearby language centre, looking for an English Language teacher.

    Without any expectations, I applied for it. At least, I’d have some exposure and regularity prior to entering Medical School in September that year.

    Shortly after I returned home, I received a call and an email responding to my application. I went for the interview session and was soon called back and offered a job to which I accepted.

    Barista

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    My second job, I was a barista at a coffee shop as well as worked at the cash register of a store, both at the same time during my first and second year of medical school after which I stopped and subsequently used to work as a waitress for an F&B company. That was my third job. My second and third jobs were jobs mainly to earn extra cash after classes amidst my free time.

    Looking back, I probably should’ve just focused on my writing.

    Junior Doctor

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    My fourth and current job is working as a junior doctor at Sarawak General Hospital. I still am one since I started practicing in 2023 and is currently going through my sixth and final rotation (at the time of writing this article) before finally receiving my full APC or license to practice independently both in government or private sector.

    Am I ready for it? Certainly not.

    However, somehow I haven’t quit and I kept pushing through. I don’t know how or why and before I knew it, 2 years has flown by.

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  13. Reflection – After Almost 2 Years Of Practicing As A Junior Doctor

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    “Would you want to return back to medical school?”

    No.

    I enjoyed my 5 years of medical school very much and I appreciate the memories formed throughout those years.

    However, after working as a junior doctor for 2 years, I would not consider turning back time, just to go through medical school all over again. I enjoyed studying and it was equally tough and fun. Besides that, I had the best study group, “The Impostors”.

    Going through the COVID-19 Pandemic season of social distancing and online classes made the journey easier. I remembered staying back in Kuala Lumpur and waking up in the morning prior to starting class just to set up my laptop and my connecting screen, sending the link earlier to the group, sharing the slides if needed and while the classes are on-going, I would go about cooking, cleaning or folding clothes.

    My coffee and tea would be on standby and everything was prim and proper. Besides that, breakfast, lunch and dinner would always be prepped by me, for me or my friend who lives upstairs. After that, I would proceed to study during the wee hours.

    I think the time I managed to complete reading various textbooks were during the COVID pandemic.

    Then, I graduated and started my housemanship. It was extremely tough at first and it’s still difficult now at times but I’ve grown to accept the fact that there will be difficult days as well as good days.

    Three months later after starting my housemanship journey, my first pay was banked in and subsequently, every month I received my monthly pay.

    Eventually as I become more and more senior, things became more and more familiar and easier and some things or procedures became a reflex, even the management plans.

    Thus, considering, the things that I’m doing now which I think is much easier as compared to my medical school days, would I want to turn back time?

    Nope. Medical school is important and equally tough. On top of that, I’m not getting paid. Instead, my parents had to pay for my medical school fees.

    So, no. I cherished those days as I said. But I certainly do not want to relieve them again.

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  14. Preparing For My Exit From The Medical Posting As A House Officer | Housemanship Diaries

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    Medical. My Fifth rotation.

    While I was in Medical School, my favourite rotation was the Medical Posting and I’ve always imagined myself being a Medical Officer in Medical.

    Thus, upon entering my Housemanship Journey, I did not choose to rotate in Medical as my first posting. Many people said that the Medical Posting is the most difficult posting of all the postings due to the patient load as well as the workload.

    Thus, I began in Orthopaedics and placed Medical as my Fifth Posting. Mainly, because I wanted to “enjoy” it. Enjoy it in the sense that I already knew the basics and knew how to function as a House Officer and would be able to learn how to manage the patients.

    However, albeit being a senior poster, some old habits retain. In the Medical posting, we were required to hand in our logbooks 2 weeks prior our End of Posting Date.

    However, I approached my mentor 5 weeks prior my exit. Unfortunately, my assigned mentor at that time was not available and asked me to approach my Specialist-in-charge of House Officers at that time to request for a new Mentor.

    I approached the Specialist-in-charge and was assigned a new mentor which happened to be someone I worked with multiple times while I was in Medical 3.

    The following week was a rather tensed week for me as I tried my best to cram as much as I could.

    I finally had my assessment with my first mentor who is a Medical Officer that Sunday. Thankfully, I passed.

    2 days later, I went for my assessment with my second mentor, my reassigned specialist, who passed me as well.

    The issue next was the completion of my 12 CMEs. CME stands for Continuous Medical Education which occurs once a week on Tuesdays. In other postings, only 5 CMEs were required in order to pass. Sadly, it is not the same for the Medical Posting.

    Unfortunately, CMEs done online were not acceptable even if there are certificate of attendance.

    Luckily, I had attended a Hospital CME some time ago and I was only looking for ONE more CME prior to my exit of this posting.

    Thus, I used that to my advantage and finally, I was able to hand in my logbook and officially exit the posting.

    Sadly, a few days prior to my exit, something occurred that led to the demise of a patient. But, that is a story for another article. Thankfully, that did not affect my exit from this posting and I exited, on time.

    If you are due to finish the Medical Posting or any posting in general, take it as a lesson from me and approach your assessors much earlier.

    Otherwise, all the very best!

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  15. Surviving The Night Shift As A House Officer In Medical 3 | Housemanship Diaries

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    The Medical 3 Ward of Hospital Umum Sarawak or “Sarawak General Hospital” is located on the 9th floor of the main building.

    Thankfully, being allocated as the Night House Officer, we only had to take care of one ward, unlike being allocated in Medical 4 / Medical 5 / Infectious Disease Ward or being in the Perimedical Team whereby we were always on the go.

    The Medical 3 Ward consists of three teams, which are General Medicine, Respiratory and Neuromedical.

    During the daytime, we have allocated House Officers for each team. However, during the night shift, we are in charge of the whole ward.

    The jobscope of the night shift House Officer in this ward is the same as in other wards and postings which are transferring in of new patients, attending to acute issues and most importantly, coming mornings.

    If you have read my previous article on Surviving The Night Shift In The Medical Posting In General, I mentioned that in this posting, upon my arrival to the ward for my night shift, I would begin taking my coming mornings.

    The same goes for Medical 3. However, unlike the night shift in Perimedical, I do not take my arterial blood gases with my coming mornings.

    I begin from the Respiratory cubicles which is located at the back of the ward and then move to the front cubicles before finally continuing at subacute and acute cubicles which are the beds located in the middle of the ward, in front of the nursing counter.

    If I were late for my coming mornings, then I would proceed with taking the arterial blood gases together. But if I finished early, I would take the blood gases much later.

    By 5:30am – 6am, I would start running my blood gases and paste them in the casenotes of the patients. Around 6am – 7am is when the morning team starts arriving to trace the bloods as well as begin their morning reviews.

    Thus, I wait to be summoned for my bloodtaking or certests.

    Finally, at 9am, I return home from my shift.

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  16. My First Night Shift Covering Medical 4 / Medical 5 / Infectious Disease Ward In Sarawak General Hospital – Housemanship Diaries

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    Around my third month in the Department of Medical at Sarawak General Hospital, I was reallocated to Medical 4 which is the “Nephrology Ward” meaning patients who are admitted with newly diagnosed chronic kidney disease or have underlying kidney pathology requiring biopsy or haemodialysis (HD support) but clinically stable as in not requiring oxygen support, not in sepsis or not requiring medications for blood pressure support are admitted here.

    I will explain more about that ward in another article.

    Anyway, back to the reason for this article, being allocated in this ward meant that I had to cover not just this ward, Medical 4 but also Medical 5 as well as the Infectious Disease Ward during my night shift.

    In the Department of Medical, the night shift is from 8pm till 10am the following day.

    While I was allocated here, I was blessed enough to have a few taggers in the ward and tagging is from 7am till 10pm.

    Thus, upon heading down at 8pm, there are usually a few people in Medical 4 till 10pm. Thus, upon entering my shift, I would first head over to Level 9 to place my bags, pop into Medical 4, for a while and then head over to Medical 5 to take the coming morning bloods.

    Upon completion, I would then head over to Medical 4 and begin my coming mornings there. Usually while I’m taking my coming mornings, new patients will come in and thus I would transfer in at the same time.

    Upon completion of my coming mornings in Medical 4, I would usually send my bloods at around 2am and then head over to the Infectious Disease Ward to take the coming mornings.

    In between I would be free but sometimes I would receive call for new transfer ins at Medical 4 and Medical 5.

    At 5-6am, I start running the blood gases. Usually when I take the coming mornings bloods, I would take the blood gases as well and keep it in a separate syringe in the cooler.

    Surviving the night shift initially was intimidating as I have yet to experience it and Medical 4 and Medical 5 were located far apart from each other.

    My main concern was if something were to occur at both wards at the same time.

    Thankfully, my experiences were mostly good and I enjoyed every night shift I’ve experienced thus far in this ward.

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  17. The Most Enjoyable and Tiring Day In Medical 3

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    I can’t remember which day it was but it was probably during the weekend or a public holiday as I remembered that I was allocated on call who was in charge of this ward.

    I was allocated to “General” on that day and was I was alone at that time. I remembered sitting at the other end of the ward at around 11am when one of my colleagues who was allocated to be covering the “Neuro” patients went to have lunch.

    The medical officer on call at that time, a rather “happy-go-lucky” and rather jovial person struts into the respiratory cubicle and asked if there were any house officers available?

    To which I responded, we’re right here and he came over. He asked for the person who was in charge of the front cubicles which happened to be my colleague who went for lunch. I asked what’s wrong, is there anything I can help with?

    He casually replied, nothing much, just walked in and saw a patient’s pulse oximeter reading 70% under room air. Then he laughed.

    Me and my friend who happened to be there at that time were shocked and rushed to the patient. True enough, the pulse oximeter reading was 70%, well, 68%. Oddly enough, the patient seemed rather comfortable and not tachypnoeic. In fact, he was surprised as we crowded around his bed, looking concerned.

    I asked him if he was having any difficulty breathing which he was not. Thus, our first instinct was probably the machine was faulty and proceeded to check with another vital signs machine.

    This time, it was 65%.

    I proceeded to take full set of bloods while my medical officer was writing his review and my friend attempted to call my colleague.

    I ran his arterial blood gas and it showed Type 1 Respiratory Failure. Considering he did not have a baseline during this admission, we do not know if this was near his baseline or a sudden deterioration.

    We called the Peri ICU team and referred the patient for non-invasive ventilatory support (NIV). Imagine, not knowing why this long stay patient was ever here in the first place to summarising the reason for admission down to his current progress. It turns out, he was due to be stepped down to a district hospital for continuation of antibiotics.

    Well now, he can’t.

    We transferred hum to the acute cubicle for closer monitoring while awaiting the Peri ICU team.

    While awaiting, my medical officer decided to check on a patient who was handover to him for afternoon reviews.

    This lady was in her 60’s and was admitted for left pleural abscess, meaning there’s pus in her lungs and for this patient, the whole left lung was completely filled. Clinically, she seemed well, speaking in full sentences and laughing to her family members as well in the morning.

    In fact. I was even taking her bloods that morning only to have it splashed all over me after attempting to fill the blood culture and sensitivity bottle.

    I recalled walking past her as I made my way to the front of the ward and she seemed alright. However, the moment me and my medical officer oncall stood in front of her. She desaturated an started being tachypnoeic.

    Well, here’s another one.

    There goes the next referral to the Peri ICU team for intubation and also Urology for emergency suprapubic catheter insertion as we attempted to insert a urinary catheter multiple times but failed.

    Now, all these events happened very fast but at the same time, time flew by fast. The second patient was intubated and we inserted a femoral venous catheter. My medical officer then wanted to excuse himself to settle the pending discharges in his other ward. However, the first patient wasn’t saturating well under NIV and needed to be intubated.

    There goes another intubation as well as another femoral venous catheter insertion. Finally, after all the chaos, things began to finally settle down.

    I proceeded to trace my coming mornings, considering that I was the only one in charge of “General” that day and nobody would be helping me. Finally, I proceeded to begin my oncall reviews. This was around 8pm by that time.

    After completing my in all reviews with intermittent disturbance in between. I proceeded to aid my friend in preparation of her coming mornings.

    It was close to 11pm, I was just clearing my stuffs and getting ready to go when a nurse informed me that a patient seemed rather tachypnoeic.

    Annoyed and tired, I attended STAT to find a patient sitting at the side of the bed with his BiPAP machine unlatched and hanging at the side of the bed. The patient beside him then told me, he removed it himself an hour ago.

    Boy… Why am I not surprised?

    This is another impending intubation.

    At this rate, I might as well not leave anymore.

    The day was busy enough. I sometimes wonder why is it that we feel guilty to even desire to return home on time? To walk out with the family members watching us finally ecstatic to return home for the day while their family members are stuck in the hospital?

    Back to that patient, I didn’t left him gasping on his own of course, I fixed back the BiPAP machine, took an arterial blood gas and alerted my night colleague and medical officer oncall to which they attended STAT.

    Thankfully, the following day, I was allocated as night shift. Thus, despite returning home late, I was able to sleep in and recuperate a little before returning back to work that night.

    It was a busy day but considerably a rather fun one considering that I happened to work with a rather jovial medical officer oncall and my colleague stayed back to accompany me despite her shift being till 6pm.

    Working with certain people definitely helps alleviate some of the pressure of the day.

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  18. My Grocery List As A Junior Doctor – While I Was In My Vegetarian Phase

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    Being a Junior Doctor or a House Officer, we are located the lowest in the hierarchy of medical personnels. That is because we have just started practicing which means there is still a lot for us to learn on top of learning how to be a safe doctor as well as the simple management of the patients’ condition down to their tailored management. Thus, this automatically translates into long hours at work, a mentally and physically tiring journey as well as a reduction in our total night’s sleep.

    Are we married to our work? In a way yes and also no.

    Not that we want to or that we are workaholics but being in this field, it is an unspoken expectation which seems to have befallen us.

    Thus, our so-called “work-life balance” is almost always in disequilibrium and we try our best to destress in whatever way suits us best.

    For me, it is cooking and recently, I have embarked on a vegetarian journey for the Lenten season (at the time of writing this article, it was during Lent), as well as a way of trying to be a pinch healthier to my already unhealthy lifestyle.

    Since I enjoy making my own meals, I rarely eat outside. Thus, the idea that vegetarian food is a little bit difficult to be obtained or ordered online, does not really bother me.

    A bright side to this is that, I’m lacto-ovo-vegetarian, meaning I consume egg amidst being vegetarian as well as dairy products and throughout my vegetarian season, I did not reduce my food portion (which may be bad). Rather, I simply changed my food choices from non-vegetarian to vegetarian and from ordering take-outs to consuming more home prepared meals.

    Thus, what are the grocery items that I ensure I stock up on a regular basis?

    1. Tofu

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    I absolutely CANNOT live without tofu. It is extremely versatile as I could make any kind of dish with it. Most of the time, I would simply dice it and marinade with some spices and air fry it.

    At times, when I’m feeling fancy, I would use it as a burger patty as well.

    2. Mushrooms

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    This is another versatile ingredient. From enoki mushrooms to crab mushrooms, oyster mushrooms or button mushrooms, you name it. I’m a big fan.

    I try my best to stock up on fresh mushrooms. However, since I go through it pretty fast, I would usually fall back to dried mushrooms since it is readily available in the mart of my residential area.

    3. Eggs

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    Luckily, I chose to be lacto-ovo-vegetarian, meaning if I ran out of ingredients, I could pretty much add egg, be it just cracking them into my broth or frying them.

    4. Bird’s Eye Chilli

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    Bird’s eye chilli or “cili padi” as we call it in Malaysia.

    I am a big fan of spicy food and since I go through chilli powder pretty fast, I started incorporating them into my dishes.

    Be warned though, if you’re not a fan of spicy dishes, adding one too many may render the dish unconsumable.

    5. Rolled Oats

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    This usually takes some time before it finishes.

    Since I am a “heavy eater”, I started substituting my rice with rolled oats instead, which is something I started doing 2 years ago.

    I’m not a big fan of having my oats with milk as I find it rather sweet or sometimes just bland for my palate. Instead, I prefer savoury dishes and the oats complements most of the dishes well.

    6. Curry Leaves

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    This does not really serve any purpose except I merely enjoy the aroma emitting when I sizzle it with oil, adding a nice aroma to my dishes.

    7. Random Vegetables – Cabbage, Leafy Vegetables, Potatoes, Cabbage

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    I started eating greens again.

    I have always loved eating vegetables. However, it is not easily obtained since I do not have a car, I rarely go out and the nearby residential mart does not sell them.

    Thus, I order online, I usually have a few fallback vegetables which I would add to my cart which are cabbages, any leafy vegetables, potatoes and aubergines.

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    Cabbage is another versatile vegetable as I could add it to my curry dishes and it does not wilt immediately, as an extra ingredient in my stir fried noodles as well as when I cook “okonomiyaki”.

    These are my food grocery list by default. I’m not exactly a health conscious person despite being a doctor myself nor do I reduce my food portion. It is merely a step for me to try and be a little bit healthier which is sustainable for me and hopefully in time, it deems fruitful.

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  19. Part 1 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | The Emergency Department

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    Upon entering the Medical Posting, I was stationed into the “Peri-Medical Pool”. My “birthplace”, so-called.

    Prior to entering the Medical Posting, many of my colleagues commented that the Peri-Medical pool is probably one of the worst place to enter considering that it is rather hectic, busy and messy, not to mention the joblist is never ending.

    The working shift for a Medical House Officer is as such:

    • Short Day (SD): 7am till 6pm
    • Long Day (LD): 7am till 10pm
    • Night Shift (ON): 8pm till 9am

    The Emergency Department in Hospital Umum Sarawak is rather huge and consists of:

    • Green Zone
    • EDAU
    • CSSD
    • Yellow Zone
    • Yellow Respi Zone
    • Green Yellow Zone
    • Red Zone I
    • Res Zone II
    • Decon

    Usually a House Officer is allocated to take care of more than one zones.

    For example:

    • Green Zone / EDAY / CSSD
    • Yellow Zone / Green Yellow Zone
    • Red Zone I / Red Zone II / Yellow Respi Zone

    When the amount of manpower is high, the job gets done quickly and keeping track of the patients is easier.

    However, in days where we are stretched thin it is rather difficult.

    The Day Shift

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    Since I entered the Peri Medical Pool on my Day 1 of tagging in the Medical Posting, my working hours were from 7am till 10pm every day till I offtagged.

    I begin my day by first tracing the casenotes of the patients in the zone I am allocated to, snap pictures of the chest x-rays, any relevant radiological reports as well as to trace their bloods.

    If bloods were not taken or not in the system, we would then proceed to “summon” the post-night team for help with their bloods.

    After all the patients have been traced and the Google Lists have been updated (this is to aid us during our rounds as well as following up on their location later, to ensure that they are not being missed), then I would proceed with my morning reviews.

    The morning reviews are just as usual as any morning ward reviews, rounds with the Medical Officer and Specialists and finally carrying out any active joblists.

    Since we are in the emergency department, there is usually no afternoon reviews. It depends on the medical officer. Most of the time, rounds are just once daily.

    After we are done with our morning joblists, we have to actively screen through the patients in our allocated zones as there is constant movement of the patients in both in and out of the emergency department.

    Thus, this means assisting the current on-call team for the day with any STAT bloods or STAT radiological requests as well as updating their progress.

    On most days, it is manageable despite the chaos. However, on days where we are lacking in manpower, the difficulty sets in.

    The Night Shift

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    The night shift begins at 8pm till 9am the following day or until we are done with our “summons”.

    I was blessed enough to have gone through perimedical with a partner. Thus, there were two House Officers allocated for the night shift.

    As night House Officers in Peri-Medical. We are expected to continue screening through all the casenotes for any new joblist or patients in all the zones in the Emergency Department as well as to assist in any procedures, take STAT bloods or request STAT radiological procedures.

    In addition to that, we also have to cover the main building and the side building. This means, if there are any medical patients lodging in non-medical wards, we are in charge of them as well. Most of the time, it is just new transfer ins, sometimes, it is attending to any acute issues.

    This is then followed by taking the “coming mornings” or bloods of the stranded patients in the Emergency Department of the lodging patients.

    The amount of patients in the Medical Department is extremely high and thus, the medical patients can be stranded up to days in the Emergency Department which can even last till they are being discharged.

    Thus, this ensures that the patients are being continued on their treatment irregardless of their location within the hospital.

    The night shift as a perimedical house officer can get rather hectic if there are back-to-back influx of new patients in the Emergency Department, tons of coming mornings as well as acute issues in the ward.

    In the morning, the “summoned” list can get rather extensive and chaotic as well and can be rather endless.

    Hence, on top of the constant walking about the whole hospital, it can get rather tiring. But like I said, it is doable and manageable.

    In fact, I enjoyed life as a perimedical house officer a lot.

    If you are due to join Peri-Medical, fret not. Keep yourselves equipped with necessary forms and just work quick and as fast as you can.

    On some days, one might get lost in the sea of chaos. However, stay strong and know that help is always within reach and that you are not alone.

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  20. Working on New Year’s Day (2025)

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    This will be the second year in a row that I’ve chosen to work on New Year’s Day. If you’ve read my previous similar article last year, I’ve mentioned how my father has this tradition of working on New Year’s Day every year, ever since he started working at the age of 18. It is something that I’ve adapted as well.

    This year, I began my year in the Department of Medical which is my Fifth Posting in my Housemanship Journey. I entered this department on the 11th of December last year.

    Having just off-tagged the week before, I was still allocated in my first pool which is the Perimedical Pool.

    Looking back as it is currently April 2025, at the time of writing this article, I do not quite remember where I was allocated to. I think that I was most probably taking care of the stranded Medical patients in the main building.

    Thankfully, I remembered it not being a hectic day and I was allocated the “short day” shift, meaning that I had the opportunity to return home at 6pm.

    Considering it was New Year’s Day which is a Public Holiday here, things were rather slow and tuned down.

    Thus, it was a rather slowed down and uneventful day, ending with me returning home on time and unwinding early.

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  21. My Reflection of 2024

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    Albeit it being March 2025, at the time of writing this article, let’s take a walk down memory lane.

    2024 started with me being in the Obstetrics & Gynaecology (O&G) Department and ended with me being in the Medical Department.

    Each department has its own sweet memory of which I shall cherish when I reflect upon my days as a House Officer.

    2024 was also the year I took a 6-week-break from my journey as a House Officer, unintentionally, while I was in the Surgical Posting which was a good break indeed. It felt more like a school holiday and I returned home and was being pampered by my family and loved ones.

    Sadly, it was also the time I regained all my weight that I have successfully lost along my journey as a House Officer and have more or less kept it on since then.

    The struggle to lose weight has returned and amidst the busyness, I still somehow managed to eat which certainly did not help with my weight management.

    2024 was also the year I met my partner and best friend as well as his family. My circle of loved ones have been expanded of which I am truly grateful and blessed. Despite being in a long distance relationship, we both try our best to make time for each other everyday which was not at all hard and leaned onto each other for moral support. It made my journey even easier and lovelier.

    In short, 2024 flew by rather quickly just like every year. But, it was a beautiful year, one that’s filled with love and multiple odd and funny experiences as well as important ones.

    There were challenges as well. The year would not be complete or interesting without it. However, I pulled through or else I would not be writing this reflection today.

    As for 2025?

    I’m hopeful and I know , it’s going to be another interesting and beautiful year.

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  22. Welcome to rainbow nation 🌈 maafrika dzonga

    Write about a few of your favorite family traditions.

    South Africa is a tapestry of cultures, languages, and traditions. In our remote villages, every gathering feels like a family reunion. As an African woman, I cherish our belief that it takes a village to raise a child. Uninvited guests at celebrations are a norm; we embrace everyone as family. When we mourn, the community unites, often slaughtering a cow to honor the departed. We don’t worship the dead, but we express gratitude for their impact on our lives. During Easter and December, we gather, light herbs, and share stories of our ancestors, believing they watch over us. Our homebrew beer fuels laughter, singing, and dancing, sometimes for three days straight.

    In our tight-knit communities, we care for one another—checking in when someone is sick or facing hardship. We have stokvel societies to support each other financially, ensuring no one is left behind. Church strengthens our bonds, reminding us of our shared faith. In our language, we say, “umuntu ngu muntu ngabantu,” meaning we are who we are because of each other. This is the essence of ubuntu—humility and togetherness.

    We brew umqobothi, our homebrew beer, and cook goat with pap, creating a feast that lasts for days. These gatherings are not just about food; they are about connection, sharing stories of our triumphs and challenges. We support each other in times of need, ensuring no one is left behind. Our stokvel society strengthens our bonds, pooling resources for funerals and community needs. Church unites us in faith, reminding us of our shared humanity. As we say, “umuntu ngu muntu ngabantu” – a person is a person through other people. This is the essence of our community, where we thrive together.

    Image courtesy of Wikipedia

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  23. Welcome to Extracurricular

    Hello World Wide Web!

    I’ve been thinking about starting a blog for a while, so I’m very excited to finally be here!

    Ever since I can remember, my insatiable curiosity and passion for writing have led me to various attempts at cataloguing nuggets of knowledge, from a now-defunct Tumblr to multiple journals, even my trusty iPhone notes app…and now this blog!

    So, who am?

    A few years ago, I made the decision to return to university and move from psychology into science!

    My background is rooted in counselling psychology and mental health. I hold qualifications in counselling and I studied psychology and social sciences whilst previously working in an acute inpatient psychiatric hospital. That experience taught me a lot about people, health and the importance of understanding the whole person behind a diagnosis. While I valued that work, I kept finding myself drawn towards the science behind health and disease. I wanted to understand the biology, the research and discoveries that shape medicine.

    Shifting into STEM felt radical, but in many ways, it was the lifeline I needed. Science gave me endless questions to explore, new perspectives to consider and focus and purpose when I wasn’t sure how to move forward.

    Science is amazing!

    …but it’s not always straightforward

    Research is messy. Human biology is complicated. The more you learn, the more questions appear and that’s exactly what keeps me interested.

    Extracurricular is my little corner of the internet where I document the process of moving through academia and clinical science towards qualification and all of the questions that arise naturally and those from falling down a research rabbit hole.

    I’m not writing as an expert. I’m a student learning in public, trying to make sense of complicated ideas and share the things that make me stop and think, “Okay, this is pretty freaking cool”

    Sometimes I’ll be exploring something from my studies. Sometimes I’ll be writing about something I’ve read, a question that has been stuck in my mind or a topic I accidentally spent far too long researching.

    Welcome 🙂

    #blogging #dailyprompt #dailyprompt1838 #feminism #lifeAfter30 #lifelogging #matureStudent #reflections #Science #ScienceBlog #steminist
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