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  1. Adri's Blog 💋🎧🥵📖🔞 @[email protected]

    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.

    Wanderlust Chronicles Page-Turners Galore Silver Screen Escapes Glam Squad Essentials Chic Chronicles Tiny Treasures Home Sweet Home Nail Envy Gifts Galore


    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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  2. SummerSimo Travel Troubles Notes and The Purring Page @[email protected]

    Chapter 1: The High-Contrast Crisis

    The rain outside didn’t just fall; it “carried on like a pork chop,” hammering against the corrugated iron roof of the studio. Inside, the air smelled of burnt espresso and ozone. Liam, Dax, and Dev—the Three Best Friends—were locked in a battle against a deadline that felt like hard yakka on a Saturday arvo.

    The Philosophy of the Studio

    The trio didn’t just build websites; they built gateways. Their manifesto was simple: Writing for Web Accessibility wasn’t an afterthought—it was the foundation.

    • Liam (The Content King): He believed that for each web page, one must provide a short title that describes the page content and distinguishes it from other pages. He was currently obsessing over the “Space Teddy Inc.” homepage, ensuring the page name came before the organization name.
    • Dax (The Visual Architect): His monitors were filled with color wheels and luminance grids. He knew that foreground text needs to have sufficient contrast with background colors, a rule that applied to buttons and background gradients alike.
    • Dev (The Logic Master): Dev lived in the “code order.” He was currently ensuring that the order of elements in the code matched the logical order of the information presented. He often checked this by removing CSS styling to see if the content still made sense.

    “If we don’t get this right,” Dev muttered, “we’re just pulling a swifty on every user who relies on a screen reader”.

    The Arrival of Elias

    When the thud came at the door, it wasn’t the sound of a visitor; it was the sound of a warning. Elias, a retiree known to the boys as a frequent tester of their designs, stood in the doorway. He was a man who lived with low vision, hand tremors, and mild short-term memory loss.

    “I couldn’t get through the ‘Space Teddy’ checkout,” Elias panted, his voice shaking. “It was the Shadow of the Raven’s Wing. It’s back.”

    Dax went pale. “The Shadow? That’s just a myth developers tell to scare juniors.”

    “It’s no myth,” Elias said, leaning on a desk. “It’s a deliberate design to exclude. It’s when a site uses color alone to convey information, like marking required fields in red without an asterisk”. “But this was worse. It was a shroud.”

    The Mystery of the Raven’s Wing

    The Three Best Friends gathered around Liam’s main terminal. Elias pointed a weathered finger at a specific block of text that seemed to shimmer and fade.

    The Raven’s Wing (Definition): A technique used by rogue developers to create “unnecessarily complex” content that bypasses the need for clear and concise sentences. It creates a “lack of headings,” making the document nearly impossible to edit or navigate for assistive technology.

    “Look at the code,” Dev whispered. His fingers flew across the mechanical keyboard. “They haven’t just ignored the WCAG requirements. They’ve weaponized them. They’re using ambiguous link text like ‘click here’ to lead users into a loop”.

    “And the images,” Dax added, his eyes narrowing. “There’s no meaningful text alternatives. For these informational images, they’ve used empty alt-text as if they were purely decorative”.

    The First Clue: The “Superbear” Anomaly

    As they dug deeper into the “Raven’s” source code, a name popped up that Liam recognized from a recent news article: Superbear.

    “Wait,” Liam said, pulling up a local news site. “I just wrote about this. ‘Superbear saves the day… rescuing a young cat from a tree'”. He looked at the code Dev had unearthed. “The Raven is using the Superbear story as a mask. But look at how they’ve marked it up.”

    Dev pointed to the screen:

    • They used a <h2> for the title “Superbear saves the day”.
    • They included a <time> tag for “7 Aug 2015”.
    • But hidden inside an <aside> was a list of “Related Articles” that didn’t exist in the real world.

    “Fair dinkum,” Liam breathed. “These links… ‘Superbear stands for mayor’. That never happened. They’re using WAI-ARIA roles like role="search" to hide a data-mining script”.

    The Friends’ Vow

    The “Shadow of the Raven’s Wing” wasn’t just a technical glitch; it was a digital wall built to stop people like Lakshmi, the blind accountant, and Ian, the clerk with autism, from accessing the truth.

    “We need to audit this entire city’s infrastructure,” Dax declared. “Starting with the contrast ratios of every government portal”.

    “And I’ll start rewriting the instructions,” Liam said. “No more unnecessarily technical language. We need to describe input requirements, like date formats, so even someone as stressed as Elias can navigate ‘no worries'”.

    “I’ll handle the keyboard accessibility,” Dev added. “I’ll ensure every custom widget, from accordions to buttons, uses tabindex="0" to stay in the navigation order”.

    They looked at each other. The task was heaps big, but they were the best in the business.

    The Audit Checklist

    Before they could head out into the “arvo” to confront the Raven, they had to prep their toolkit.

    ToolPurposeContrast CheckerTo identify “insufficient” contrast that hides text.Screen ReaderTo hear the “info and relationships” hidden in the markup.Responsive DebuggerTo see how the “Raven’s” site adapts to a “narrow mobile phone”.Aussie GritTo ensure they don’t “pull a swifty” on their mission.

    “She’ll be right,” Elias whispered, watching the Three Best Friends work. “As long as you keep the content clear and concise, the shadow can’t win”.

    To Be Continued…

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  3. The Theoretical Doctor @[email protected]

    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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  4. The Theoretical Doctor @[email protected]

    I SURVIVED My First Month Of Tagging As A Floating Medical Officer

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    Thank God. Seriously.

    I started my journey on the 21st of August 2025 and officially off-tag on the 14th of September 2025 after my last tagging oncall shift.

    Technically, it was not a month but 3 weeks. Nevertheless, a very tiring 3 weeks with every other day oncalls and one sick leave in between.

    The tagging oncalls were every other day (EOD), this meant an oncall shift followed by postcall and the following day is an office hour shift only to be followed by oncall again.

    Overall, it was a mixture of fun and tiredness. My sleeping schedule was definitely off as I am usually disturbed in the middle of the night as the time I am usually able to sleep peacefully is during my postcall shifts.

    Thankfully, I always had a senior with me to guide me. Thus, every referral I received, I would discuss on the management plan with them. It was mentally challenging as well as the learning curve is extremely steep for a junior medical officer such as myself.

    Having completed my tagging period, I am still at lost in terms of management especially for extremely complicated cases. Thus, I find myself running to any of my seniors or the specialists.

    Am I confident now though?

    Not really. Less terrified and yes somewhat a tad bit confident than when I initially begun. However, just a tad.

    The fear is still there as I just do not know what to expect on the types of referrals I will receive during my call.

    Some things just don’t change. The fear that I felt during my House Officer days are still there and at times, I wish that I could just simply disappear run away from the issue but doing so, does not help.

    Thus, the only solution for me is to dive head on into the issue and call for help whenever needed.

    If any of you are experiencing this, just know that you are not alone and sometimes the feelings felt internally just can’t be expressed properly either via words or verbally.

    If you are showing up everyday despite feeling this way, you are doing a good job. Take comfort in that as it is not an easy thing to just do. Sometimes, showing up daily in itself is a hard task.

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  5. The Theoretical Doctor @[email protected]

    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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  6. The Theoretical Doctor @[email protected]

    Life After Offtag In Emergency & Trauma | Housemanship Diaries

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    The tagging hours in the Department of Emergency & Trauma is from 7am till 10pm, for a total of 10 days and one off day per week. There are no assessments required to off-tag, only hours required to cash in.

    During our tagging season, we were not allocated for night shifts as well.

    For me, tagging in this posting felt like an eternity. I remembered counting down my days before I would finally “offtag” and be switched to regular working hours. I also remembered being extremely exhausted at the end of my shift, wondering how did my fellow colleagues managed to pull through.

    Tagging in this posting as compared to the other postings was considered less stressful as we were not required to arrive early for morning rounds. We merely had to arrive on time and upon the end of our shift, we leave, as compared to other postings where we would stay back almost every time, cash in “unpaid overtimes.”

    Finally after 10 days of tagging, I officially “off-tagged“.

    So how was life after that?

    Much better. Thankfully.

    Regular hours in the Emergency & Trauma Department meant working a 12-hours shift per day with an off day per week and a single night shift.

    Basically, we had to ensure that in total, we had to meet the total 60-hours shift per week.

    Thus are the timings for our respective shifts:

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

    If you have read my articles on “The Joy Of Working The Night Shift As A House Officer” as well as “My Favourite Time Of The Day At Work“, I mentioned that I absolutely love the night shift. The disadvantage of working the night shift is that we are usually alone and the night shift can be rather unpredictable.

    However, it is not the same for me in this posting. Out of the shifts listed above, my favourite is the AM shift, 7am till 7pm. Initially, getting up for work at 7am is tough especially after working the PM shifts back-to-back. But after the initial morning sleepiness wears off, the day proceeds as usual and we return home at 7pm which is nice.

    Life after offtag in this department ensured that I had adequate rest prior to my shift starting. No doubt, it is a 12-hours shift every time, we usually arrive and leave work on time as compared to other postings.

    Nonetheless, I was still exhausted after every shift. Perhaps it was due to the accumulated mental and physical stress throughout the previous five postings that when I am finally blessed with extra rest, I am still tired.

    If you are still in the tagging phase, be it in this department or others, please stay strong. Remember that it doesn’t last forever, it is merely over a certain span of days or weeks.

    Keep showing up, keep doing the good work to the best of your strength and abilities and keep moving forward.

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  7. The Theoretical Doctor @[email protected]

    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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  8. The Theoretical Doctor @[email protected]

    Overcoming My Fear To Refer A Case I DO NOT KNOW | Housemanship Diaries

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    What fears have you overcome and how?

    At the moment of writing this article, I am in my sixth and final rotation which is in the Department of Emergency Medicine, pushing into my third month.

    One might think that as we become more senior in our current job, it gets easier or the fear fades.

    Well, the anxiety certainly reduces but that does not mean that it disappears.

    For me, the fear is still there as to who I would be working with or who I would be referring to and most of all, referring a case that I not know.

    I’m sure we’ve all been there before. Especially upon arrival to work and to be absolutely clueless about the patient and their case and progress and to not have anyone handover the case to you.

    Not that we won’t take the time to understand. It is just that, we will or at least I would take the time to digest the initial presentation, clinical examination and findings followed by the initial management of the patient and other teams as well as the current progress.

    Once I have finally understood the issue of the patient from A to Z, then I can confidently refer the patient for a simple thing.

    That’ll usually take me about 5-10 minutes, especially if there is just one too many writing. To others that may seem like an eternity.

    The thing is they will somewhat give me a template of what to say in regards to the patient but I am still absolutely clueless and wishes to kindly absorb the pages and information about the patient before I walk into the battlefield.

    This is because, one too many times, I will be asked about things totally irrelevant to the case of the patient which will take me some time and if I’m not so lucky, ended up being shouted at. I mean, that’s the worst that can happen right? Certainly reminds me of my early days of housemanship.

    Maybe it’s a form of childhood trauma or maybe not, but I need to at least have a reason to defend myself and the patient.

    It’s like a debate or a business deal which I find that I may need to fib or exaggerate myself in order to get a test approved or to refer, all for the sake of the patient or sometimes the superiors.

    It’s alright but at times it can be rather annoying especially when they want it done in a minutes time.

    The next that I have to actually open my mouth and communicate. Being an introvert, I can easily talk to people but I dislike being in groups, small talks or actually talking at times.

    I find it exhausting and thus upon the end of my shift, I just need time to recuperate.

    However, back to the question of this article, my fear, to refer to other departments, especially, if it is a case I do not know and to a tiger of a person who loves finding any fault just to reject the case is still present to this day and what have I done to overcome it? Nothing, really, just extreme patience.

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  9. The Theoretical Doctor @[email protected]

    Jobs That I’ve Had

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    What jobs have you had?

    Teacher

    Photo by Tima Miroshnichenko on Pexels.com

    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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  10. The Theoretical Doctor @[email protected]

    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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  11. The Theoretical Doctor @[email protected]

    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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  12. The Theoretical Doctor @[email protected]

    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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  13. The Theoretical Doctor @[email protected]

    Surviving The Night Shift In The Medical Posting In General | Housemanship Diaries

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    The shift that I have always dreaded but enjoyed the most were the night shifts. I dreaded it because I knew that I would be alone most of the time and afraid that I would not be able to cope with the adrenaline rush or anxiety or the craziness that might ensue. However, I enjoyed it because that meant that I will be able to sleep in prior to going for my shift and the following day at 7am, the morning team will start arriving and I am not alone anymore.

    The Medical posting in general is a “heavy” posting because of the patient load. Almost all of the patients are so-called “Medical” patients once Surgical, Orthopaedic, Psychiatric or other causes have been ruled out, and it could stem from something as simple as electrolyte imbalance to myocardial infarction or stroke.

    Thus, imagine the amount of coming mornings.

    Prior to entering this posting, I’ve always enquired and listened to my fellow colleagues’ input and experiences. Most of them would say that “In the Medical posting, the rule of thumb for surviving the night shift is to start taking the bloods as soon as you arrive for the night shift”.

    True enough. That is something I have practiced since and even in other postings as you do not know just when something may happen and next thing you know, the sun is rising and your coming mornings are late and the morning team have arrived and the bloods are still pending or not in the system or yet to be taken and the medical officers and specialists have arrived.

    Sadly, when there is a delay in the blood investigations, there is a delay in management.

    Thus, it is a tachycardic moment for me. Prior to entering my shift, I would screen through the coming morning list and upon arriving, I would usually prep my trolley, ensure my coming mornings are divided and arranged according to their cubicles, ensure enough syringes and needles are set aside as well as the alcohol swabs and cotton swabs.

    Then, I will begin taking my coming mornings, usually working my way from the back of the ward then towards the front cubicle, subacute cubicle and finally, ending with the acute cubicle.

    Usually in between, something will occur, maybe a patient newly admitted into ward or a patient will suddenly be hypotensive or hypertensive or hypoglycaemic or starts throwing up or wants to have a small talk.

    Normally, I would not mind entertaining them. However, if I’m still due to complete my coming mornings, I would proceed to complete it and I usually will not rest until I do. At least I’ll be rest assured that should anything occur in between, I would not have to worry about the completion of my coming mornings.

    The night shifts can be rather unpredictable as one minute it can seem rather quiet and calm at first and hectic the next. At times, it can get overwhelming as well.

    However, have faith and know that help is always nearby and start taking your bloods as early as possible.

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  14. The Theoretical Doctor @[email protected]

    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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  15. The Theoretical Doctor @[email protected]

    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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  16. Ashley Halliwell @[email protected]

    Challenges

    Ah yes. An interesting prompt.

    What is the biggest challenge you will face in the next six months?

    Staying alive, in all honesty. We live in a hellscape and I’m under a lot of stress right now being a repository of knowledge and stress buffer/mediator for a lot of people. It’s so bad right now that I don’t know how I feel personally about a lot of the situations I’m the human DMZ in, and I am currently too exhausted to try. Alexithymia and chronic fatigue are bitches and a half.

    I’m still trying to care for myself as best as possible in all of this, finding a balance is just…. Difficult. It’s one of the reasons my phone is eternally on Do Not Disturb. It gives me some semblance of artificially manufactured peace and quiet amidst all the chaos.

    I think in another life, I would have made a great emergency medical technician.

    -Allēna

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  17. Ashley Halliwell @[email protected]

    Regarding boredom..

    These prompts, have been going OFF lately. Here’s today’s.

    What bores you?

    Well, I am an AuDHDer, so, in short… Pretty much everything after a point, fortunately or unfortunately. My brain is hardwired for two things, as best I can determine, and those things are patterns and novelty, such that after I get used to something, I can tune it out. It can, in every meaningful way, cease to exist to me.

    That skill has served me very well during situations where I was being actively abused – I would memorize my abusers to such a degree that I could work around them and they’d be all but nonexistent to me. In situations where I actually give a shit but things are just moving too damn slowly for my brain that processes shit at roughly the speed of the manhole we accidentally launched into space, it’s a helluva curse and I would rather die than be stuck in whatever situation I’m in waiting. Patience is not my strong suit. So I tend to live in my head a lot to pass the time.

    The one consistent exception to this is when something pisses me the fuck off. Then it’s eternally interesting and it’ll get stuck in my head until I solve it. I cannot count the number of special interests I’ve gotten into because someone told me I couldn’t ever do them.

    I am a contrarian little bitch who finds ways or fucking makes them…

    -Allēna

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  18. Ashley Halliwell @[email protected]

    What’s this? Another prompt I want to actually take somewhat seriously?

    Who are your favorite people to be around?

    People who are straightforward, honest, and the only bullshit they give me is the joking kind. Preferably, they can see shit about me that I can’t, and can do shit that I can’t without making me feel like shit for it. They don’t talk my ear off constantly about meaningless shit and believe that words have as much power as actions and use both in tandem.

    I’m very picky about the people I surround myself with, and it’s a high bar because I have made peace with solitude most days, being mostly housebound and all, to the point where if I prefer being alone more than I enjoy spending time with a person, I simply won’t engage with them if I don’t have to. I am too tired and have too much shit to do (as well as people I actually like) to pay the people I dislike much mind. My energy is precious and I don’t have much of it. So I do my best to use it wisely. My favorite people get that and go to great lengths to help me protect the little energy I have.

    I’m not proud of a lot of the way my life has gone, and there’s a lot that happened that’s entirely outside of my control. However, I’m damn proud of the fact that I picked great people.

    -Allēna

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  19. Inside the Red Head's Head @[email protected]
    Daily writing prompt Who are your favorite people to be around? View all responses

    I’m not going to complain about how familiar today’s daily writing prompt feels. Nope. I’m just moving on with my life.

    There’s Jen, my wife.

    There’s Bellana, my step daughter.

    There’s Harry, my step son.

    They are the A list. There is also a group of friends, family, bandmates, co-workers, and acquaintances who rate mention too, but the honest answer is The Big Three. My family. The people I love the most. Literally my favorite people.

    This photo is the wallpaper on my phone

    Generate an image of a Jedi Knight visiting his favorite people.

    https://robertjames1971.blog/2024/02/20/my-favs/

    #dailyprompt #dailyprompt1854

    #dailyprompt #dailyprompt1854
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