FEEDVERS OF REALITY
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Let’s get real!
What bothers you and why?
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Hey there, lovely readers!
Today, we’re diving into the wonderful world of pet peeves.
Yep, we’re talking about those little things that just get under your skin and make you want to scream into a pillow.
What bothers you and why? Buckle up because we’re about to take a wilde ride through some common annoyances.
1. Slow Internet
Let’s kick things off with a classic: slow internet.Is there anything more infuriating than watching the spinning wheel of death while trying to stream your favourite show?
Or worse, when you’re in the middle of an important Zoom meeting and your screen freezes in the most unflattering way possible.
Seriously, is it too much to ask for a stable connection in the 21st century?
2. Telemarketers
Next up, telemarketers.These persistent callers have an uncanny ability to ring just as you’re sitting down for dinner or when you’re in the middle of a relaxing bath.
The worst part?
They always seem to have the most important and irrelevant offers just for you.
“Congratulations! You’ve been selected for a free cruise!” Thanks, but I’ll pass.
3. Overly Loud Chewing
Can we talk about loud chewers for a second?There’s something about the sound of someone chomping away on their food that can drive even the most patient person up the wall.
It’s like they’re auditioning for a role in a sound effects department.
If I wanted to hear that, I’d turn on an ASMR video.
4. Endless Email Chains
How about those never-ending email chains?You know the ones where everyone feels the need to hit “Reply All” with their two cents.
Before you know it, your inbox looks like a novel, and you’re stuck scrolling through 47 messages just to find the original point.
Can we all agree to use “Reply All” sparingly?
5. Misbehaving Technology
Technology is supposed to make our lives easier, right?But when your printer decides to have a meltdown right before an important deadline or your phone battery dies at 20%, it feels like the universe is playing a cruel joke.
Don’t even get me started on autocorrect—no, I did not mean “ducking.”
6. Slow Walkers
And then there are the slow walkers.You’re in a hurry, weaving through the crowd like a ninja, and then you get stuck behind someone who seems to be taking a leisurely Sunday stroll on a Tuesday morning.
It’s like they’re walking through molasses, and all you can do is smile politely and wait for an opening.
7. Leftovers with No Expiration Date
Here’s a fun one: leftovers in the fridge with no expiration date.Is this container of spaghetti from last week or last month? Who knows!
It’s a game of culinary roulette, and the stakes are high.
Do you risk it, or do you toss it? The struggle is real.
So, there you have it—my list of things that bother me and why.From slow internet to leftover roulette, these little annoyances can really test our patience.
But hey, they also give us something to laugh about (eventually).
What bothers you and why? Share your pet peeves in the comments below—I can’t wait to commiserate with you!
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Home Decor Gone Wrong: Laughing Through the Chaos
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Home decor projects are supposed to transform our spaces into beautiful, cosy sanctuaries.
But sometimes, even with the best intentions, things go hilariously wrong.
Let’s dive into some funny stories of home decor mishaps and share tips on how to keep your cool when chaos ensues.
**1. The DIY Disaster**
– **Story**: Inspired by a trendy DIY project on Pinterest, you decide to create a stunning accent wall using reclaimed wood.Halfway through, you realize you’ve miscalculated the amount of wood needed and now have a patchwork wall that looks more like a jigsaw puzzle than a rustic masterpiece.
– **Tip**: Measure twice, buy once. Always purchase a little extra material to account for mistakes.
And remember, imperfections add character!
**2. The Furniture Fiasco**– **Story**: You fall in love with a massive vintage dresser at a flea market.
Without measuring your space, you buy it, only to find it won’t fit through your front door.
Now, it’s an unwelcome lawn ornament until you figure out what to do with it.
– **Tip**: Measure your doorways, hallways, and the intended space before purchasing large furniture.
If you’re unsure, bring a friend for a second opinion.
**3. The Paint Panic**– **Story**: You decide to freshen up your living room with a bold new paint colour.
After a few hours of painting, you step back and realize your vibrant choice looks more like a fluorescent nightmare.
Your living room now resembles a neon sign.
– **Tip**: Always test paint colors on a small section of the wall first and view them at different times of the day.
If you make a mistake, don’t panic—paint is relatively easy to fix.
**4. The Curtain Catastrophe**– **Story**: You order beautiful new curtains online, only to find out they’re too short for your windows.
Instead of elegant drapes, you’ve got awkward high-water curtains that make your windows look like they’re wearing capris.
– **Tip**: Measure your windows’ height and width before ordering curtains.
If you’ve already made the mistake, consider adding a coordinating fabric panel at the bottom to lengthen them.
**5. The Assembly Agony**– **Story**: That flat-pack furniture seemed like a bargain until you started assembling it.
Three hours in, you’re surrounded by an assortment of screws and mysterious parts, and the instructions might as well be in another language.
– **Tip**: Take your time, follow the instructions step by step, and don’t hesitate to ask for help.
Sometimes, an extra pair of hands makes all the difference.
**6. The Rug Riddle**– **Story**: You buy a gorgeous area rug online, but when it arrives, it’s way too small for your living room.
Now, it looks like a tiny island in the middle of your sea of furniture.
– **Tip**: A rug should be large enough to fit under all major pieces of furniture in a room.
If you’re in doubt, bigger is usually better.
**7. The Lighting Lunacy**– **Story**: In an effort to brighten up your home, you install new light fixtures.
But instead of a warm, inviting glow, you get blinding interrogation room lighting.
Now, every flaw in your decor (and skin) is painfully visible.
– **Tip**: Choose light bulbs with the right colour temperature for the mood you want to create.
Warm white (2700K-3000K) is usually best for living spaces.
**8. The Art Arrangement Anarchy**– **Story**: Determined to create a gallery wall, you enthusiastically start hanging frames without a plan.
The result is a chaotic, uneven mess that looks more like a crime scene than an art display.
– **Tip**: Lay out your frames on the floor first to plan the arrangement.
Use a level and painter’s tape to mark the wall before hammering in nails.
**9. The Plant Predicament**– **Story**: You add a touch of green with some houseplants, but within weeks, they’re wilted and sad.
Turns out, your green thumb is more like a black thumb.
– **Tip**: Choose plants that suit your home’s lighting conditions and your care abilities.
Start with low-maintenance plants like succulents or snake plants.
**10. The Accessory Overload**– **Story**: Eager to decorate, you fill every surface with trinkets and decor pieces.
Instead of a stylish look, you end up with a cluttered mess that feels more like a flea market than a home.
– **Tip**: Less is more.
Choose a few key pieces that you love and let them shine. Regularly edit your decor to avoid overcrowding.
Embracing the Chaos
Home decor mishaps are part of the journey to creating a space that truly feels like home.Embrace the chaos, laugh at the mistakes, and learn from them.
Each error is a step closer to your perfect sanctuary.
Home Sweet HomeShare your funniest home decor fails in the comments, and let’s laugh through the chaos together!
#HomeDecorGoneWrong #LaughThroughTheChaos #DIYDisasters
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What are dragons good at?
What are you good at?
Asking a dragon this is like asking for trouble. Today on Dragon Street Talk we ask shifters this question. First up is our favorite unhinged dragon, Rin.
…………
Rin Karrucci
Hmmm let’s see. Sucking d*ck, taking c*ck, making humans feel like they’re on cloud nine with my body. Oh, and singing, dancing—especially dancing, hmmmm kissing, drawing, a lot of things, really, and I’m only 23!
Interviewer: of course he’s unhinged.
……………
Jiro Fehu Karrucci
Making tapes.
Interviewer: should I ask?
No.
…………..
Norwell Tanth
I can make a good koi fillet.
Interviewer: ain’t that cannibalism?
No. I am a koi dragon, not a koi fish.
Interviewer: but that’s still a koi…
……………..
Syrblanca Delepala
I am good at making fufu! Mine taste like cinnamon toast crrrrrrunch!!
……………..
Tahuta
I am good at playing saxophone. I studied under a black musician for a very long time in the 50s.
……………..
Murasaki
I can sing Call Me Maybe in 25 different languages. I did it for a meme. I actually went viral.
I hate that song by the way.
……………..
I am good at using my four paws to—
Interviewer: nothing dirty please. I don’t want to know how many human bits you can handle with your extra paws.
Oh.
I am good at finding precious artifacts from three hundred years ago. Would you like to see my collection?
Interviewer: sure!
……………..
Thank you for joining us for another Dragon Street Talk! This time was… tamer than most.
I don’t get paid enough for this.
…….
Credits:
- Rim icon by AcidAAA
- Jiro’s icon is by YZmal
- Norwell Tanth icon by Troutfish
- Delepala icon by Hausofhex
- Tahuta’s artist left the Internet, I can’t find their name anymore
- And so has Murasaki’s
- Serenit’tee icon by Espretae
Rate this:
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Superstitious? Me? Pfft… Unless the Universe is Listening.
Are you superstitious?
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Am I Superstitious? Let’s Just Say… It’s Complicated.
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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.
Let’s break it down.1. The ‘Don’t Jinx It’ Rule (AKA, I’m Not Stupid)
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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.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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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.
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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.
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My Secret Obsession: Dark Romance Audiobooks & The Voices That Make Me Swoon
What’s something most people don’t know about you?
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What’s Something Most People Don’t Know About Me?
If you asked Chat Ludlow, the commanding king of the dark Fae and richest man on Earth, what most people don’t know about him, he’d probably smirk and say, “Everything. They only see what I let them.”
That, my friends, is what I’m aiming for here—a little mystery, a little intrigue, and a lot of fun.
So, what’s something most people don’t know about me?
Well, I’m not just a dark romance enthusiast—oh no. I’ve got layers, much like Chat’s intricate plans to make Belle his forever (cue the swoon).
My Secret Obsession? Dark Romance Audiobooks 🎧
Yup, you read that right. While I live for crafting my own sizzling stories, I’ve got another obsession that’s just as intense: dark romance audiobooks. And not just any narrators will do—no, no.
My go-tos are the deliciously deep voices of Aiden Snow and Teddy Hamilton.
There’s something about the way they bring the tension, passion, and raw emotion of a story to life that keeps me hooked for hours.
Think of it as the Chat Ludlow experience—dangerous, seductive, and oh-so-intoxicating. Much like Belle, I can’t help but swoon every time those voices take over my headphones.
Just like how Chat’s deep, commanding voice sends Belle into a fluster, audiobooks narrated by these legends have the power to take any romance to the next level.
If you’re not already obsessed, trust me—you’re missing out on the ultimate audio romance experience.
Why Audiobooks? Because They Let You Escape.
Life, much like the worlds Chat and Belle navigate, can get overwhelming.
Between work, life, and the chaos in between, we all need a way to escape. And for me, that’s pressing play on a dark romance audiobook and letting those velvety voices take me into another world.
It’s a bit like falling headfirst into one of Chat’s steamy power games—except this time, it’s Aiden Snow telling me all the dirty details, and I don’t have to lift a finger.
When you listen to Aiden Snow or Teddy Hamilton, it’s like having your very own Chat Ludlow right in your ear, whispering all those dangerously sweet nothings.
What’s not to love? You can dive into a world of Fae kings, ruthless CEOs, and unrelenting passion—all while folding your laundry (because multitasking is key, am I right?).
Everyone loves a good escape.
Whether you’re listening to a podcast or, like me, you’re falling for a brooding fictional alpha on audio, there’s something magical about immersive experiences.
What This Says About Me (and Chat)
Now, I know what you’re thinking—What does an obsession with dark romance audiobooks have to do with writing or being Chat Ludlow’s obsession?
Well, everything, actually. People expect you to be a certain way based on what you create, but there’s always more beneath the surface.
For example, Chat may come off as a dominant, ruthless man in control of everything, but underneath it all, he’s fiercely in love with Belle—someone who softens his edges and makes him vulnerable.
Similarly, when I’m not writing, I’m melting into the worlds created by my favourite narrators, where love, danger, and passion intertwine in a way that’s just so satisfying.
Your Turn: What Don’t People Know About You?
Okay, now it’s your turn. I’ve spilled my secret—dark romance audiobooks narrated by the dreamy Aiden Snow and Teddy Hamilton. Chef’s kiss, right?
What’s something about you that people don’t expect?
Do you also escape into stories when life gets overwhelming, or is there another secret passion you’re hiding?
Drop a comment below and tell me your favourite audiobook narrator or what surprising hobby you’re obsessed with.
You never know—you might just find a fellow audiobook addict (and I’ll definitely be here fangirling alongside you).
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Culinary Adventures: When Food Abroad Bites Back!
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Prepare your taste buds and buckle up for a gastronomic rollercoaster ride as we explore the wild world of culinary adventures abroad. From mouth-watering delicacies to unexpected surprises, join me as we delve into the delightful and sometimes downright daring realm of international cuisine.
https://benable.com/abnolte/81c35f813073af56266c
1. The Spicy Spectacle
You pride yourself on your tolerance for heat, so when the friendly street vendor in Bangkok offers you a taste of their “mild” curry, you confidently accept with a smile. But as the first fiery bite hits your tongue like a flamethrower in a chili factory, you quickly realize that you may have underestimated the true meaning of “Thai spicy.” Cue the frantic gulps of water and the impromptu fire-breathing performance that leaves your fellow diners both impressed and slightly concerned for your well-being.
2. The Mystery Meat Mishap
You’re feeling adventurous, so when the menu at that quaint little bistro in Paris lists “escargot” as the house specialty, you decide to throw caution to the wind and give it a try. But as you take your first tentative bite of the slimy delicacy, you can’t shake the sinking feeling that you may have just eaten something that was alive mere moments ago. Cue the existential crisis and the fervent vow to stick to more familiar fare for the remainder of your culinary adventures.
https://benable.com/abnolte/81c35f813073af56266c/details?detail_id=5416811
3. The Cultural Conundrum
You’re determined to immerse yourself in the local culture, so when your gracious host in Tokyo presents you with a steaming bowl of what can only be described as “mystery soup,” you graciously accept with a smile and a bow. But as you tentatively take a sip and try to identify the various unidentifiable floating objects, you realize that sometimes, cultural immersion comes with a side of gastrointestinal distress. Cue the polite nods and the silent prayers for a speedy recovery as you struggle to maintain your composure in the face of culinary adversity.
https://www.facebook.com/reel/1104783950741628
4. The Street Food Fiasco
You’ve heard rave reviews about the street food scene in Marrakech, so when you stumble upon a bustling market teeming with tantalizing smells and exotic flavors, you can’t resist the siren call of the street vendors. But as you dig into your first bite of falafel, you quickly realize that street food adventures come with their own set of risks – namely, the inevitable battle with food poisoning that leaves you regretting every culinary decision you’ve ever made.
5. The Sweet Surprise
Amidst the chaos and confusion of culinary mishaps abroad, sometimes you stumble upon a hidden gem that restores your faith in the power of international cuisine. Whether it’s a piping hot plate of pad thai in Bangkok or a decadent slice of tiramisu in Rome, these unexpected delights serve as a delicious reminder that sometimes, the best culinary adventures are the ones that catch you by surprise.
https://benable.com/abnolte/81c35f813073af56266c
So there you have it, fellow foodies – a humorous glimpse into the world of culinary adventures abroad, where every bite is an adventure and every meal is a memory. Remember, no matter how many culinary mishaps you encounter along the way, it’s all part of the delicious journey. Until next time, happy eating and may your taste buds be forever adventurous!
This is the second last post about Travelling…..keep your eyes peeled for the next blogs all about????
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My Reflection Of 2025
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2025, was indeed a year.
The year started out great, I worked on New Year’s Day as usual in the Department of Medical and in April, I entered into my final posting, the Emergency and Trauma Department. In May, I attended my best friend’s wedding.
In July, I completed my internship and received my full registration under the Malaysian Medical Council (MMC) as well as my Annual Practicing Certificate (APC) and started locumming during my holidays back home and I also started floating as a Medical Officer in the Department of Plastic and Reconstructive Surgery. It was a steep learning curve for me, transitioning from a House Officer into a Medical Officer. The anxiety increased and I was constantly tired. I remembered my love for medicine and service fading to the point I took a long break in October to recharge and reflect.
2025 was also the year, I handed in my 30-days-notice to resign but revoke it the following day. Perhaps it was too much for me, although the working environment and superiors were more than sweet and kind. Physically, I was catching up but mentally, I was fading away.
Looking back, thankfully, I did not. I celebrated my birthday before travelling back to Kuching the following day. 2025 was also the year when my relationship ended. It was a good and lovely 19 months. Perhaps, it was just time.
November was the month I received my letter stating that I will receive my placement and I needed to report for duty on the 24th of November 2025. One thing for sure, I was sure to continue serving in Sarawak. The place? Unknown yet.
On the 18th of November, I found out that I would need to report to the Health Division of Bintulu on the 24th of November 2025.
Bintulu, that’s around 7 hours drive from Kuching. I didn’t have a place to stay nor a car and my things were all unpacked and I was just extremely busy. I packed whatever I could, shipped some boxes back home, those that I managed to do and on the 23rd of November, I flew to Bintulu.
Thankfully, the doctor-in-charge of the Health Division was kind enough to let me know which place or clinic that I would be placed at.
Yes, clinic setting. I did not apply for a clinic setting which so happened to be what many others in my batch longed for. Surprisingly, I got it!
Considering the state of my mental health, I was more than ecstatic to accept it.
2025 was also the year I moved and started working in a new place and also one that speaks a different dialect. I started doing oncalls as well and surprisingly, adapted very quickly into a General Practitioner’s setting as well as the new place. I also met another colleague who was previously my medical officer in the Department of Obstetrics & Gynaecology when I was a House Officer and made new friends and acquaintances.
Overall, 2025 was a mixed of both good and bad experiences. I felt both the highs and also went through a period of low mood. New people entered my life, some stayed and some also left. Nevertheless, I am thankful for all the experiences I went through as well as the lessons learnt.
Hopefully, I can learn from the errors that I have made and grow, making me into a better person.
Thank you 2025. Now, it’s time to move on, to 2026.
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- Reflection: 2 Months As A Floating Medical Officer
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- I SURVIVED My First Month Of Tagging As A Floating Medical Officer
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- My First Day As A Medical Officer In KKM
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- Another Good Advice I Will Remember For The Longest Time – Housemanship Diaries
- Enjoying The Journey – Housemanship Diaries
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12 Hours Shift – Counting Down My Hours Each Time At Work
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- My First Day As A Medical Officer In KKM
- My First Day Of Locum And As A Medical Officer
- 2026 – The Beginning
- My First Night Shift In Emergency & Trauma | Housemanship Diaries
- Life After Offtag In Emergency & Trauma | Housemanship Diaries
- Surviving 10 Days Of Tagging | Emergency & Trauma Department
- Surviving The Night Shift In The Medical Posting In General | Housemanship Diaries
- Appreciation Towards The Medical Officers (MOs) – Housemanship Diaries
- Another Good Advice I Will Remember For The Longest Time – Housemanship Diaries
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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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- My FIRST SOLO Oncall Shift As A Floating Medical Officer
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- My First Day As A Medical Officer In KKM
- My First Day Of Locum And As A Medical Officer
- 2026 – The Beginning
- My First Night Shift In Emergency & Trauma | Housemanship Diaries
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- Surviving 10 Days Of Tagging | Emergency & Trauma Department
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- Appreciation Towards The Medical Officers (MOs) – Housemanship Diaries
- Another Good Advice I Will Remember For The Longest Time – Housemanship Diaries
- Enjoying The Journey – Housemanship Diaries
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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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Reflection: 2 Months As A Floating Medical Officer
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At the time of writing this article, I’m on leave which I took from the 1st of October till 15th of October, which my Head of Department (HOD) was more than kind enough to allow.
I needed the break, perhaps it was an adjustment disorder on my side but I was struggling. Physically, I caught up, I showed up and I was there but mentally, I felt left behind and lost and on most days, I was low.
Perhaps, it was out of tiredness as I have just recently off-tagged and in combination with my low mood, I felt demotivated and in general, felt that I have lost my love for medicine. I decided then that clinical life in the hospital was not for me. True, we were lacking doctors in various departments and hospitals in general across Malaysia. However, during that time, even if there enough manpower, I don’t think I would still want to continue.
I tried looking on the bright side, tiny things as well as the positive aspects of things to help me to get through the day.
Firstly, I’m thankful to be in a subspeciality department instead of the bigger and more hectic departments, I think I would have broken down within the first week itself. Secondly, I was in the department with the sweetest and kindest bosses who were more than happy to teach or lend a helping hand when needed. We are small in number, yes. But it felt like being part of a family.
I was happy, the environment was good, kind and non-toxic. However, mentally, I knew that this is not my place.
This further saddens me as I have always looked forward to being part of this lovely department. Yet, I knew, it’s just a matter of time before I slip and broke down. My body knew that I wouldn’t last long here nor do I foresee myself handling the complex and complicated cases here. If my interest is not here, how would I even make it through to specialise?
Amidst the business and my mind and body trying to keep up with the steep learning curve place before me, I was unable to view my options or to consider other departments.
I was just done in general and sadly, I wouldn’t be able to fulfil my quote in my medical school yearbook, I feel myself losing my will every single day nor do I find the strength within myself to serve.
Sadly,“sometimes what we like is not necessarily what is suited for us”, a fellow colleague told me and that hit me hard. I had no interest in other departments either or practicing in general at that point. All I could think of at that point was to quit and to hand in my resignation letter. After all, I have successfully completed my 2 years of internship / housemanship training. I can still locum if I wanted to. But of course, I didn’t enjoy it either. All I was ever passionate of was to teach. Thus, I considered changing my field and entering university as a lecturer did not sound appealing either as I did not like research at all.
Thus, after much contemplation, I approached my Head of Department (HOD) to validate my 30-day-resignation letter. My HOD is another kind soul who enquired to know what prompted me to come to such a decision. She signed my papers but advised me to consider changing departments instead of quitting.
However, at that time and at that current state of mind, I was fixed on my decision. Hence, the following week on a Monday, I submitted my 30-Days-Notice of Resignation, only to have it retracted the following day. Although I have handed in my 30-Days-Notice, a part of me felt a tinge of regret and sadness. Somehow, some part of me did not want to leave but I could not see any way out of this virtual box that I appear to be caged in.
My colleague and my parents played an important role in my decision to retract my resignation. Instead, despite my limited amount of leaves left for the rest of the year, I chose to take some time of work. Perhaps it was due to tiredness that contributed to my rash and impulsive decision.
On the 1st of October 2025, I took the first flight out and then throughout my leaves, I locummed at several General Practitioners. Remember when I said that I did not like locum either? This time, I decided to give it a second try and to keep an open mind.
The first GP I locummed at was a rather chill one with only 3 cases being seen throughout the whole day. The subsequent GPs were hectic and had multiple procedures, literally from the beginning of my shift till the end. In all of those times, I was the only doctor in the clinic. In my previous experiences, I have locummed at clinics which had 2-3 resident doctors.
Honestly, I don’t know how I managed to pull it off. Despite the hecticness and the patient load, I found myself looking forward to return and I enjoyed talking, listening and consulting the patients. It was fun. Slowly, I found myself enjoying and falling back in love with medicine and practicing medicine and thinking on how I could improve myself to serve better.
Then, I realised, perhaps venturing into family medicine might not be such a bad thing. True, there is abundant of family medicine doctors now and lack of doctors practicing in the hospital but that doesn’t mean that they are still not needed. Sadly, as much as I want to force myself to carry on and stay practicing in the hospital, I knew that it is not meant for me in the long haul or for me to last for even a year.
The opportunity to specialise is there but how can I continue if I can’t even see myself as one, or even have the inspiration?
Suddenly, the plan and my pathway seems clearer and I’m more than ecstatic to embark on my next journey. It was definitely the rest that I needed. To think and to reflect. If I were to stick to this journey, how can I do so for the long haul and at the same time, enjoy it?
I hope that in months or years to come, the decision to stay is the right choice. Perhaps, I still need time to discover my interest in this vast field. At times, I wish that it can be simple and that I would know what or which department I’m fitted to or destined to specialise in.
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- My First Day Of Locum And As A Medical Officer
- 2026 – The Beginning
- My First Night Shift In Emergency & Trauma | Housemanship Diaries
- Life After Offtag In Emergency & Trauma | Housemanship Diaries
- Surviving 10 Days Of Tagging | Emergency & Trauma Department
- Surviving The Night Shift In The Medical Posting In General | Housemanship Diaries
- Appreciation Towards The Medical Officers (MOs) – Housemanship Diaries
- 1 Year Of Housemanship Update – Housemanship Diaries
- Another Good Advice I Will Remember For The Longest Time – Housemanship Diaries
- Enjoying The Journey – Housemanship Diaries
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My FIRST SOLO Oncall Shift As A Floating Medical Officer
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- My First Night Shift In Emergency & Trauma | Housemanship Diaries
- Life After Offtag In Emergency & Trauma | Housemanship Diaries
- Day 1 Of My Final Posting – Day 647 Of Housemanship
- Surviving 10 Days Of Tagging | Emergency & Trauma Department
- Surviving The Night Shift In The Medical Posting In General | Housemanship Diaries
- Appreciation Towards The Medical Officers (MOs) – Housemanship Diaries
- 1 Year Of Housemanship Update – Housemanship Diaries
- Another Good Advice I Will Remember For The Longest Time – Housemanship Diaries
- Enjoying The Journey – Housemanship Diaries
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!
Related Posts:
- I SURVIVED My First Month Of Tagging As A Floating Medical Officer
- My First Tagging On-Call Shift As A Floating Medical Officer
- My First Day As A Medical Officer In KKM
- My First Day Of Locum And As A Medical Officer
- 2026 – The Beginning
- My First Night Shift In Emergency & Trauma | Housemanship Diaries
- Life After Offtag In Emergency & Trauma | Housemanship Diaries
- Day 1 Of My Final Posting – Day 647 Of Housemanship
- Surviving 10 Days Of Tagging | Emergency & Trauma Department
- Surviving The Night Shift In The Medical Posting In General | Housemanship Diaries
- Appreciation Towards The Medical Officers (MOs) – Housemanship Diaries
- 1 Year Of Housemanship Update – Housemanship Diaries
- Another Good Advice I Will Remember For The Longest Time – Housemanship Diaries
- Enjoying The Journey – Housemanship Diaries
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My First Day As A Medical Officer In KKM
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- 2026 – The Beginning
- My First Night Shift In Emergency & Trauma | Housemanship Diaries
- Life After Offtag In Emergency & Trauma | Housemanship Diaries
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- Surviving 10 Days Of Tagging | Emergency & Trauma Department
- My Last Shift As A House Officer in Medical | Housemanship Diaries
- Preparing For My Exit From The Medical Posting As A House Officer | Housemanship Diaries
- Surviving The Night Shift In The Medical Posting In General | Housemanship Diaries
- Part 1 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | The Emergency Department
- Appreciation Towards The Medical Officers (MOs) – Housemanship Diaries
- 1 Year Of Housemanship Update – Housemanship Diaries
- Another Good Advice I Will Remember For The Longest Time – Housemanship Diaries
- Enjoying The Journey – Housemanship Diaries
Housemanship or Internship for Doctors in Malaysia lasts for a duration of 2 years, upon completion of our medical school journey.
For some, they began shortly upon graduation whilst for others, they took a gap year.
I submitted my application to pursue my internship in the Ministry of Health, Malaysia (Kementerian Kesihatan Malaysia, KKM) shortly after my graduation but did not actually begin till 6 months later in 2023. Two years later, thankfully, I’ve completed and fully registered with the Malaysian Medical Council (MMC) and possess a valid Annual Practicing Certificate (APC).
Post housemanship, I went on a 3-weeks-break and on the 21st of August 2025, I reported for duty as a Medical Officer.
Upon my completion of housemanship, one would have to go through a “floating period” of maximum 6 months prior to receiving their placement in whichever department, hospital or state of choice. Usually, the floating period occurs in the same hospital that one had completed their housemanship or internship in.
Thankfully, I was offered to float in the Department of Plastic and Reconstructive Surgery. However, I was diving into the world of Surgery with no experience or knowledge in basic suturing.
During my first day, I reported for duty at the Hospital Director’s Office to receive my “floating” placement letter, checked my remaining leaves and proceeded to Burn Ward of Sarawak General Hospital.
I’ve had good memories previously as a House Officer here and I was beyond ecstatic as well as relieved to be accepted into this department which is filled with understanding and helpful bosses.
I was then given orientation by one of the medical officers, clerked a burn patient that was just admitted and spent most of my time accompanying a fellow friend who thankfully is in the same department. Considering it was my first day and a rather slow one, I was able to return home at 5pm.
There’s just so much more that I have yet to learn. Hopefully, I’ll have both the mental and physical strength to push through.
Thankfully, the environment is one that is filled with love and encouragement.
Related Posts:
- My First Day Of Locum And As A Medical Officer
- 2026 – The Beginning
- My First Night Shift In Emergency & Trauma | Housemanship Diaries
- Life After Offtag In Emergency & Trauma | Housemanship Diaries
- Day 1 Of My Final Posting – Day 647 Of Housemanship
- Surviving 10 Days Of Tagging | Emergency & Trauma Department
- My Last Shift As A House Officer in Medical | Housemanship Diaries
- Preparing For My Exit From The Medical Posting As A House Officer | Housemanship Diaries
- Surviving The Night Shift In The Medical Posting In General | Housemanship Diaries
- Part 1 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | The Emergency Department
- Appreciation Towards The Medical Officers (MOs) – Housemanship Diaries
- 1 Year Of Housemanship Update – Housemanship Diaries
- Another Good Advice I Will Remember For The Longest Time – Housemanship Diaries
- Enjoying The Journey – Housemanship Diaries
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Tagline: “Hourly Toilet Break”
Click here for more articles & daily dose.
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.comI 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.
Click here for more articles & daily dose.
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My First Night Shift In Emergency & Trauma | Housemanship Diaries
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- Preparing For My Exit From The Medical Posting As A House Officer | Housemanship Diaries
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- Surviving The Night Shift In The Medical Posting In General | Housemanship Diaries
- My First Night Shift Covering Medical 4 / Medical 5 / Infectious Disease Ward In Sarawak General Hospital – Housemanship Diaries
- The Most Enjoyable and Tiring Day In Medical 3
- Part 1 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | The Emergency Department
- Appreciation Towards The Medical Officers (MOs) – Housemanship Diaries
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- Another Good Advice I Will Remember For The Longest Time – Housemanship Diaries
- Enjoying The Journey – Housemanship Diaries
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.comMy 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.
Related Posts:
- Life After Offtag In Emergency & Trauma | Housemanship Diaries
- Day 1 Of My Final Posting – Day 647 Of Housemanship
- Surviving 10 Days Of Tagging | Emergency & Trauma Department
- My Last Shift As A House Officer in Medical | Housemanship Diaries
- Preparing For My Exit From The Medical Posting As A House Officer | Housemanship Diaries
- Surviving The Night Shift As A House Officer In Medical 3 | Housemanship Diaries
- Surviving The Night Shift In The Medical Posting In General | Housemanship Diaries
- My First Night Shift Covering Medical 4 / Medical 5 / Infectious Disease Ward In Sarawak General Hospital – Housemanship Diaries
- The Most Enjoyable and Tiring Day In Medical 3
- Part 1 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | The Emergency Department
- Appreciation Towards The Medical Officers (MOs) – Housemanship Diaries
- 1 Year Of Housemanship Update – Housemanship Diaries
- Another Good Advice I Will Remember For The Longest Time – Housemanship Diaries
- Enjoying The Journey – Housemanship Diaries
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Life After Offtag In Emergency & Trauma | Housemanship Diaries
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- Surviving 10 Days Of Tagging | Emergency & Trauma Department
- My Last Shift As A House Officer in Medical | Housemanship Diaries
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- My First Night Shift Covering Medical 4 / Medical 5 / Infectious Disease Ward In Sarawak General Hospital – Housemanship Diaries
- The Most Enjoyable and Tiring Day In Medical 3
- Part 1 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | The Emergency Department
- Part 2 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | Main Building, Side Building, Infectious Disease Ward
- Appreciation Towards The Medical Officers (MOs) – Housemanship Diaries
- 1 Year Of Housemanship Update – Housemanship Diaries
- Another Good Advice I Will Remember For The Longest Time – Housemanship Diaries
- Enjoying The Journey – Housemanship Diaries
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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- Surviving 10 Days Of Tagging | Emergency & Trauma Department
- My Last Shift As A House Officer in Medical | Housemanship Diaries
- Preparing For My Exit From The Medical Posting As A House Officer | Housemanship Diaries
- Surviving The Night Shift As A House Officer In Medical 3 | Housemanship Diaries
- Surviving The Night Shift In The Medical Posting In General | Housemanship Diaries
- My First Night Shift Covering Medical 4 / Medical 5 / Infectious Disease Ward In Sarawak General Hospital – Housemanship Diaries
- The Most Enjoyable and Tiring Day In Medical 3
- Part 1 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | The Emergency Department
- Part 2 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | Main Building, Side Building, Infectious Disease Ward
- Appreciation Towards The Medical Officers (MOs) – Housemanship Diaries
- 1 Year Of Housemanship Update – Housemanship Diaries
- Another Good Advice I Will Remember For The Longest Time – Housemanship Diaries
- Enjoying The Journey – Housemanship Diaries
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Surviving The Night Shift As A House Officer In Medical 3 | Housemanship Diaries
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- Part 2 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | Main Building, Side Building, Infectious Disease Ward
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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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- My First Night Shift Covering Medical 4 / Medical 5 / Infectious Disease Ward In Sarawak General Hospital – Housemanship Diaries
- The Most Enjoyable and Tiring Day In Medical 3
- My Next 6 Months (Post Housemanship)
- Part 1 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | The Emergency Department
- Part 2 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | Main Building, Side Building, Infectious Disease Ward
- My Evening Routine In The Medical Posting | Housemanship Diaries
- My First Day In Medical Posting – Tagging Day 1 | Housemanship Diaries
- Appreciation Towards The Medical Officers (MOs) – Housemanship Diaries
- My Downfall In Surgery Which Led To My Extension – Housemanship Diaries
- 1 Year Of Housemanship Update – Housemanship Diaries
- Another Good Advice I Will Remember For The Longest Time – Housemanship Diaries
- Enjoying The Journey – Housemanship Diaries
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About Me | Privacy Policy | Contact Me
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Surviving The Night Shift In The Medical Posting In General | Housemanship Diaries
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- The Most Enjoyable and Tiring Day In Medical 3
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- Part 1 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | The Emergency Department
- Part 2 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | Main Building, Side Building, Infectious Disease Ward
- My Evening Routine In The Medical Posting | Housemanship Diaries
- My First Day In Medical Posting – Tagging Day 1 | Housemanship Diaries
- My Morning Routine Being A House Officer Leader In The Surgical Posting | Housemanship Diaries
- Appreciation Towards The Medical Officers (MOs) – Housemanship Diaries
- My Downfall In Surgery Which Led To My Extension – Housemanship Diaries
- 1 Year Of Housemanship Update – Housemanship Diaries
- Another Good Advice I Will Remember For The Longest Time – Housemanship Diaries
- Enjoying The Journey – Housemanship Diaries
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.
Related Posts:
- My First Night Shift Covering Medical 4 / Medical 5 / Infectious Disease Ward In Sarawak General Hospital – Housemanship Diaries
- The Most Enjoyable and Tiring Day In Medical 3
- My Next 6 Months (Post Housemanship)
- Part 1 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | The Emergency Department
- Part 2 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | Main Building, Side Building, Infectious Disease Ward
- My Evening Routine In The Medical Posting | Housemanship Diaries
- My First Day In Medical Posting – Tagging Day 1 | Housemanship Diaries
- My Morning Routine Being A House Officer Leader In The Surgical Posting | Housemanship Diaries
- Appreciation Towards The Medical Officers (MOs) – Housemanship Diaries
- My Downfall In Surgery Which Led To My Extension – Housemanship Diaries
- 1 Year Of Housemanship Update – Housemanship Diaries
- Another Good Advice I Will Remember For The Longest Time – Housemanship Diaries
- Enjoying The Journey – Housemanship Diaries
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¿Qué se te da bien? 🧠✨
Sugerencia de escritura del día ¿Qué se te da bien? Ver todas las respuestasLa pregunta del día es: ¿qué se te da realmente bien?
Ver patrones: mi superpoder 🕵️♀️📊
Hay quienes observan… y hay quienes ven más allá. Yo creo que uno de mis superpoderes es ver patrones. Y no hablo solo de repetir lo obvio, sino de detectar ciclos que otros pasan por alto.
Por ejemplo, mucha gente dice que culturalmente estamos «volviendo a los 80s»: que si la moda, que si la política, que si la recesión… Pero en realidad, esa comparación se queda corta.
No estamos en los 80s… ¡esto parece la Guerra Fría 2.0! 🧊💣
Si yo tuviera que ponerle nombre a esta era, sería Guerra Fría 2.0.
¿Por qué?- Hay una recesión económica que se parece más a la de los años 70s.
- Gobiernos de derecha que usan una propaganda divisiva que resucita el miedo al comunismo y al socialismo.
- Un conflicto como el de Rusia y Ucrania que podría escalar a niveles impensables.
- La atención de la gente está más fragmentada que nunca por culpa del scroll infinito y los videos de 10 segundos. 😵💫📱
Antes al menos había esperanza… ahora hay algoritmos 😐🤖
En los años 70s, aunque el mundo no era perfecto, la gente leía, se informaba, las revistas femeninas incluían novelas, y no cualquier cosa: autores de verdad, no solo Corín Tellado.
Hoy en día estamos luchando contra algo aún más complejo:
La desinformación no solo viene de las personas, también viene de los algoritmos.Ya no solo hay discursos manipuladores, sino capas invisibles de control digital que influyen en todo lo que consumimos.
Conclusión: estamos más perdidos que antes… pero viendo los patrones, entendemos mejor el caos 🔁🌍
Todo es cíclico, incluso los conflictos. Pero ahora enfrentamos una capa más profunda de confusión.
Saber ver patrones no soluciona el mundo, pero ayuda a no caer en sus trampas.🧠💥 ¿Tú qué opinas?
¿También sientes que estamos en una Guerra Fría moderna?
¿Eres de los que ve más allá? Cuéntamelo en los comentarios 👇#70sVsHoy #Algoritmos #CrisisMundial #dailyprompt #dailyprompt1950 #VerPatrones
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My First Hour Of The Day
Click here for more articles & daily dose.
What are your morning rituals? What does the first hour of your day look like?
By default I rise around 4-5am. Perhaps out of habit as I usually take my time in the morning. Sadly, this also happens during my off days even when my alarms are off. My body clock is somehow tuned to waking up at such.
As mentioned, I take my time upon waking up. Thus, upon waking up, the rain sounds which I fall asleep to would be playing in the background and I would sit by the side of my bed and slowly make my way to my kitchen which is just across my bed, since I live in a studio unit and put my kettle to boil.
The kettle is usually filled the night before and hence, one thing less for me to think in the morning. This is then followed by my morning bathroom rituals and brushing my teeth.
Usually by then, I would have been much more awake and proceed to consume my iron tablet, vitamin C and making my morning coffee which is a mixture of 3-in-1 sachet and a teaspoon of black coffee since I prefer an even stronger coffee.
If I were working that morning, I would prepare both of my 1.5L of flasks by filling them with cold coffee which I have brewed a day prior for me to bring to work.
Why 2 flasks? Well, one is not enough.
Photo by cottonbro studio on Pexels.comThere are days when I’m feeling hungry or in the mood, I would prepare myself breakfast. My go-to-regular is frying egg mixed with mushrooms, chopped chilli and curry leaves and adding them to my breakfast sandwich. During my time being vegetarian, I would usually grill or air-fry my premixed tofu which I have marinated with spices, acting as a burger patty and my breakfast sandwich is prepared.
There are days, despite waking up earlier, I would still miss breakfast, thus instead I would pack it for work.
After that is followed by showering and getting ready for work. I usually wash my hair in the mornings daily. Thus, prior leaving for work, I would dry my hair with a hair dryer and style it up in a bun and I’m good to go.
How about if I’m not working on that day or if I’m night shift for that day?
Usually I proceed with my usual cup of coffee or I would go the extra mile by brewing myself a pot of masala or ginger tea with the tv playing in the background of some random YouTube video on productivity, to which I’m usually not listening to and merely keeping it on in the background for some background noise.
Then, I would proceed to prepare my breakfast and start my day with some writing or studying.
Well, that’s my first hour for the day, or perhaps a little more than that.
Click here for more articles & daily dose.
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Part 2 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | Main Building, Side Building, Infectious Disease Ward
Related Posts:
- Part 1 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | The Emergency Department
- My Evening Routine In The Medical Posting | Housemanship Diaries
- My Reflection of 2024
- My First Day In Medical Posting – Tagging Day 1 | Housemanship Diaries
- My Morning Routine Being A House Officer Leader In The Surgical Posting | Housemanship Diaries
- Reflection Of The Surgical Posting | Housemanship Diaries
- My First Night Shift In Surgery | Housemanship Diaries
- Appreciation Towards The Medical Officers (MOs) – Housemanship Diaries
- My Downfall In Surgery Which Led To My Extension – Housemanship Diaries
- 1 Year Of Housemanship Update – Housemanship Diaries
- Another Good Advice I Will Remember For The Longest Time – Housemanship Diaries
- Enjoying The Journey – Housemanship Diaries
The Peri Medical House Officer Team takes care of:
- The Emergency Department
- Green zone
- Yellow zone
- Yellow respiratory zone
- Green-Yellow zone
- Asthma Bay
- Red Zone I
- Red Zone II
- Decon
- CSSD
- EDOU
- Main Building
- Side Building
- Infectious Disease Ward
- SDC (Surgical Daycare)
In this article, I will be sharing my experiences as a Perimedical House Officer covering main building, side building, SDC as well as the Infectious Disease (ID) ward.
As I previously mentioned in my previous article, the work begins from 7am till 6pm (short days), 7am till 10pm (long days) and 8am till 9am (night shifts).
Covering this part of the hospital meant taking care of “stranded patients” which are medical patients who are lodging in other department wards as there are no space or beds available in the main medical wards. Usually, patients like these are somewhat stable enough to be left on their own without constant supervision. Those that do require, are usually left in the Emergency Department or transferred straight to medical wards.
The Main Building
Taking care of the Main Building meant that one would have to cover:
- 2nd floor: Urology Ward
- 3rd floor: Male and Female RTU Wards
- 4th floor: Labour Ward
- 5th floor: Maternity 2 (Antenatal Ward), Maternity 3 (Postnatal Ward)
- 6th floor: Female and Male Orthopaedic Ward
- 7th Floor: Male and Female Surgical Wards
On some days, there would not be any perimedical patients in certain wards. Thus, there are days that we do not have to go to these wards. On bad days, there are perimedical patients on every floor and the patient count will be extremely high.
During my time serving in the main building, I was blessed enough to have a partner. Thus, despite the high volume of patients, it felt manageable.
Upon my arrival, I usually begin from the highest floor and work my way down. Thus, I begin from the 7th floor by checking with the TL or Team Leader to identify new cases and update the list followed by tracing the blood investigations.
This is to ensure that the patients are not missed during rounds.
I proceed with doing this in the wards of every floor till I am done prior to beginning my morning reviews.
Usually by then, the Medical Officers have arrived and are proceeding with their morning reviews.
Sometimes, we join in and sometimes, we are asked to review the other patients and on our own until the specialist arrives.
Upon the specialist’s arrival, we would all meet up at one place to begin out rounds.
Rounds in perimedical is similar to that in the ward. The only difference is that rounds are once daily and the patients are all around the place.
In between, there would be new transfer ins, attending to acute issues of which the nurses from other wards would call or inform the House Officers from other departments.
After that, it is followed by preparation of the coming morning bloods. The wards and bed numbers are labelled on top of the forms and kept in the ETD for the night House Officers to take.
The Side Building
The Side Building is less hectic than main building and that meant we had to cover:
- 3rd floor: Neurosurgical ward / Neurosurgical HDU, ICU extension
- 4th floor: Paediatrics Orthopaedic Ward
- 5th floor: Gynaecology Ward, Ophthalmology Ward
As usual, upon my arrival, I would begin at the topmost floor and check for any new patients as well as to trace the bloods.
After all of it is done, I begin my review in the ICU Extension 2 Ward. The ICU Extension 2 ward consists of unstable, intubated patients of various departments.
Usually by the time I begin my morning review, the specialist would have just arrived and we begin our rounds.
After the ICU Extension 2 is followed by Neurosurgical Ward since they are located at the same place, then Neurosurgical HDU.
Upon completion of morning rounds is followed by carrying out the active joblists, discharges and requesting for radiological scans.
Similar to Main Building, the coming morning bloods are prepped and kept at the Emergency Department for the night house officers to collect.
SDC – Surgical Day Care
SDC is the Surgical Day Care as per the name. Usually patients who are admitted here come in on the day of the procedure itself and is discharged in the evening.
However, when the wards are fully occupied and the Emergency Department is overflowing with stranded patients, the SDC converts temporarily to host the stranded patients.
At max, the patient load is only two cubicles full and the patients being admitted there are usually relatively stable.
Similar to main building and side building, I begin my day with tracing the bloods, x-rays or any relevant radiologist reports before beginning my review and rounds with the medical officer and specialists.
The Infectious Disease Ward
The Infectious Disease Ward or “ID Ward” is located in a building separate from the main or side building.
Previously, it used to be the House Officer’s Accommodation. However, it was subsequently converted into a ward.
The ward consists of two floors with each floor containing 6 isolation rooms for each floor. Upon entering the ward itself, one has to change into the hospital scrubs and prior entering the ward isolation rooms, one has to don apron, shower cap and gloves, the standard PPE.
The casenotes are not allowed to be brought in, thus all reviews are written outside.
What do I do if I were stationed to at the Infectious Disease Ward?
The house officer allocated to the ID ward are those from the Peri Pool, meaning our shift is from 7am till 6pm for short days.
Thus, upon my arrival, I would change into the hospital scrubs. Then, I would proceed to trace the bloods. The bloods sent from the ID ward are usually late. Thus. It would either be pending in the system or yet to be in the system.
Next, I will begin my reviews, first to the newly transferred in patients followed by the rest while awaiting the medical officer.
There is a whiteboard consisting of the names of the patients in the isolation rooms. Usually in the morning prior to entering the isolation rooms, we would have a short round and presentation with the ID consultant with the whiteboard.
Thus, during my time there, I would constantly update and personalise it according to my style which would be easier for me during my presentation with the ward consultant.
After that, we will all proceed to the isolation room. As House Officers, we are the scribe and assistants of the medical officers. Since, we are not allowed to bring the casenotes into the isolation room, thus we will type everything inside our phone and transfer it onto paper after our grand rounds with the patients.
Rounds at the Infectious Disease Ward is only once daily.
After the completion of rounds, just like any ward is the completion of active joblist.
Personally, I enjoyed my time in the Infectious Disease Ward a lot, mainly because I was given the autonomy to customise the board as I liked, present to the consultant myself and was asked multiple questions during rounds and having discussions which I find rather stimulating and enjoyable.
On top of that, I even had time to return home for a quick lunch every time I was stationed at this ward.
In the afternoon, some patients on high oxygen support may need arterial blood gases (ABGs) at certain time. If not, it is the preparation of coming morning bloods and transfer ins of any new patients.
Being in charge of the other places is considerably less hectic than being allocated in the Yellow Zone which can get rather crazy at times as there is massive movement of patients constantly. It actually feels like as if I am at KL Sentral during peak hours.
However, do not fear if you are allocated into the Peri Medical Pool. The workload can get extremely hectic and it can be rather messy. But, always try your best to learn as much as you can during your period serving there and to enjoy your journey.
Related Posts:
- Part 1 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | The Emergency Department
- My Evening Routine In The Medical Posting | Housemanship Diaries
- My Reflection of 2024
- My First Day In Medical Posting – Tagging Day 1 | Housemanship Diaries
- My Morning Routine Being A House Officer Leader In The Surgical Posting | Housemanship Diaries
- Reflection Of The Surgical Posting | Housemanship Diaries
- My First Night Shift In Surgery | Housemanship Diaries
- Appreciation Towards The Medical Officers (MOs) – Housemanship Diaries
- My Downfall In Surgery Which Led To My Extension – Housemanship Diaries
- 1 Year Of Housemanship Update – Housemanship Diaries
- Another Good Advice I Will Remember For The Longest Time – Housemanship Diaries
- Enjoying The Journey – Housemanship Diaries
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About Me | Privacy Policy | Contact Me
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Daily writing prompt What are you good at? View all responsesHere is a list of things I am good at:
- Saying the absolute wrong thing at the utmost inappropriate moment
- Guilt, mostly when directed at myself
- Talking endlessly about weight loss surgery recovery to people who don’t care in the slightest
- Imposter syndrome. Frankly, Miss Scarlet, I am the King of this
- Low self esteem. Oh yeah, that’s the stuff
- Pomposity. Especially when it’s undeserved or unwanted or unnecessary
- Absent mindedness
- Typpographical Erors.
- Being a music snob
- Sarcasm
There you go, friends and neighbors. There’s a list of some of the things I am really good at.
You’re welcome!
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Bet Your Sweet Arse
Daily writing prompt What are you good at? View all responsesWho’s Counting?
I’m good at forgetting things now-a-daze.
Once upon a time I was good at many things but as age replaces enthusiasm I find myself good at giving things up that hurt, didn’t use to hurt but now…
Now I have to turn my head around and quit thinking about what was and focus on what is. STOP! is there coffee involved in this response? Cause bet your sweet arse I’m good at drinking coffee! Oh yea, I got that down pat.
I’ve been known to be good at self-doubt. This especially rings true at the most inopportune moments possible, when I think I’m on to something good and “Poof” someone says something and I’m doing overtime in the self doubt department.
I think I’m good {or fair at least} at writing poetry but again self doubt creeps its ugly head up and roars at me. “There all the same, not good enough.” but F^%k self doubt!
I’ve been told I’m a good listener as I have big shoulders and a gentle understanding but that is for everyone else to judge, not me.
So, to wrap this post up and bring an conclusion to this prompt I’ll say I’m good at saying good-bye.
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