#dailyprompt1820 — Public Fediverse posts

THE SECRET IN THE SILVER WRAPPER

CHAPTER TWO

Moira gently took the silver foil from the black cat’s paws. Toe gave a soft purr and jumped up to his dark shelf. Moira put the small piece of shiny paper on her heavy wooden counter and turned on her desk lamp to see it better.

It was torn. On one side, she could see a tiny piece of a picture—a green leaf. She lifted the foil to her nose and breathed in. Under the smell of alley dirt, there was a very strong smell of mint. It was not the real, fresh mint she used in her tea. This was the sharp, fake smell from the cafe.

“A sweet coat,” she read again from the open pages of The Days of the Dreams.

She looked at Ashwaganda. The big orange cat was asleep in his chair, trusting her to keep them safe. But Moira knew the village was not safe right now. Someone in Speranza had used a clever trick to kill a man.

The next morning, the sky was gray. The wind blew cold air through the narrow stone streets. Moira locked the thick door of her tea shop. She walked straight to the alley behind Anna’s Coffee Taverna.

Yellow police tape blocked the back door. Ispettore Salomone stood against the old brick wall, holding a cheap cigarette. He looked like he had not slept at all.

“Moira,” he said, shaking his head. “Go back to your tea. This is police work.”

“I am just taking a walk, Ispettore,” Moira said in a calm, soft voice. “What did the doctor find out about the poison?”

Salomone sighed. He knew Moira used to work in medicine. “Cyanide. Fast and very deadly. But it was not in Anna’s coffee machine.”

“It was in the sugar,” Moira said.

Salomone looked surprised. “How do you know that?”

“Because the man only took one sip,” Moira explained. She kept her secret about the magic book safe. “If the poison was in the whole cup, he might have smelled the bitter almonds before he drank it. But if it was in a small sugar packet, dumped in right before the first sip… the fake mint smell would hide the poison.”

Salomone dropped his cigarette and stepped on it. “You are too smart, Moira. We found an empty sugar packet on the floor near his table. It was not from Anna’s cafe. It was shiny silver.”

Moira’s heart beat faster. It was exactly like the silver foil Toe had found.

“Thank you, Ispettore,” Moira said.

She turned and walked away quickly. She did not go back to La Pagina che Fa le Fusa. Instead, she walked across the square to the Mint Chocolate Treasure House.

Marisa’s shop was bright, white, and perfectly clean. Marisa stood behind the glass counter in her neat white coat. She smiled when Moira walked in, but her eyes looked worried and tight.

“Moira,” Marisa said. “Can I help you? Do you need chocolate today?”

Moira put her hand in her pocket and held the torn silver foil. She looked right at her friend.

“I need to ask you about the man who died, Marisa,” Moira said slowly. “And I need to know why the poison was hidden in a silver wrapper with a green leaf on it.”

Marisa stopped smiling. The quiet peace of the village was truly gone, and the dark game had started.

THE SECRET IN THE SILVER WRAPPER

CHAPTER TWO

Moira gently took the silver foil from the black cat’s paws. Toe gave a soft purr and jumped up to his dark shelf. Moira put the small piece of shiny paper on her heavy wooden counter and turned on her desk lamp to see it better.

It was torn. On one side, she could see a tiny piece of a picture—a green leaf. She lifted the foil to her nose and breathed in. Under the smell of alley dirt, there was a very strong smell of mint. It was not the real, fresh mint she used in her tea. This was the sharp, fake smell from the cafe.

“A sweet coat,” she read again from the open pages of The Days of the Dreams.

She looked at Ashwaganda. The big orange cat was asleep in his chair, trusting her to keep them safe. But Moira knew the village was not safe right now. Someone in Speranza had used a clever trick to kill a man.

The next morning, the sky was gray. The wind blew cold air through the narrow stone streets. Moira locked the thick door of her tea shop. She walked straight to the alley behind Anna’s Coffee Taverna.

Yellow police tape blocked the back door. Ispettore Salomone stood against the old brick wall, holding a cheap cigarette. He looked like he had not slept at all.

“Moira,” he said, shaking his head. “Go back to your tea. This is police work.”

“I am just taking a walk, Ispettore,” Moira said in a calm, soft voice. “What did the doctor find out about the poison?”

Salomone sighed. He knew Moira used to work in medicine. “Cyanide. Fast and very deadly. But it was not in Anna’s coffee machine.”

“It was in the sugar,” Moira said.

Salomone looked surprised. “How do you know that?”

“Because the man only took one sip,” Moira explained. She kept her secret about the magic book safe. “If the poison was in the whole cup, he might have smelled the bitter almonds before he drank it. But if it was in a small sugar packet, dumped in right before the first sip… the fake mint smell would hide the poison.”

Salomone dropped his cigarette and stepped on it. “You are too smart, Moira. We found an empty sugar packet on the floor near his table. It was not from Anna’s cafe. It was shiny silver.”

Moira’s heart beat faster. It was exactly like the silver foil Toe had found.

“Thank you, Ispettore,” Moira said.

She turned and walked away quickly. She did not go back to La Pagina che Fa le Fusa. Instead, she walked across the square to the Mint Chocolate Treasure House.

Marisa’s shop was bright, white, and perfectly clean. Marisa stood behind the glass counter in her neat white coat. She smiled when Moira walked in, but her eyes looked worried and tight.

“Moira,” Marisa said. “Can I help you? Do you need chocolate today?”

Moira put her hand in her pocket and held the torn silver foil. She looked right at her friend.

“I need to ask you about the man who died, Marisa,” Moira said slowly. “And I need to know why the poison was hidden in a silver wrapper with a green leaf on it.”

Marisa stopped smiling. The quiet peace of the village was truly gone, and the dark game had started.

THE SECRET IN THE SILVER WRAPPER

CHAPTER TWO

Moira gently took the silver foil from the black cat’s paws. Toe gave a soft purr and jumped up to his dark shelf. Moira put the small piece of shiny paper on her heavy wooden counter and turned on her desk lamp to see it better.

It was torn. On one side, she could see a tiny piece of a picture—a green leaf. She lifted the foil to her nose and breathed in. Under the smell of alley dirt, there was a very strong smell of mint. It was not the real, fresh mint she used in her tea. This was the sharp, fake smell from the cafe.

“A sweet coat,” she read again from the open pages of The Days of the Dreams.

She looked at Ashwaganda. The big orange cat was asleep in his chair, trusting her to keep them safe. But Moira knew the village was not safe right now. Someone in Speranza had used a clever trick to kill a man.

The next morning, the sky was gray. The wind blew cold air through the narrow stone streets. Moira locked the thick door of her tea shop. She walked straight to the alley behind Anna’s Coffee Taverna.

Yellow police tape blocked the back door. Ispettore Salomone stood against the old brick wall, holding a cheap cigarette. He looked like he had not slept at all.

“Moira,” he said, shaking his head. “Go back to your tea. This is police work.”

“I am just taking a walk, Ispettore,” Moira said in a calm, soft voice. “What did the doctor find out about the poison?”

Salomone sighed. He knew Moira used to work in medicine. “Cyanide. Fast and very deadly. But it was not in Anna’s coffee machine.”

“It was in the sugar,” Moira said.

Salomone looked surprised. “How do you know that?”

“Because the man only took one sip,” Moira explained. She kept her secret about the magic book safe. “If the poison was in the whole cup, he might have smelled the bitter almonds before he drank it. But if it was in a small sugar packet, dumped in right before the first sip… the fake mint smell would hide the poison.”

Salomone dropped his cigarette and stepped on it. “You are too smart, Moira. We found an empty sugar packet on the floor near his table. It was not from Anna’s cafe. It was shiny silver.”

Moira’s heart beat faster. It was exactly like the silver foil Toe had found.

“Thank you, Ispettore,” Moira said.

She turned and walked away quickly. She did not go back to La Pagina che Fa le Fusa. Instead, she walked across the square to the Mint Chocolate Treasure House.

Marisa’s shop was bright, white, and perfectly clean. Marisa stood behind the glass counter in her neat white coat. She smiled when Moira walked in, but her eyes looked worried and tight.

“Moira,” Marisa said. “Can I help you? Do you need chocolate today?”

Moira put her hand in her pocket and held the torn silver foil. She looked right at her friend.

“I need to ask you about the man who died, Marisa,” Moira said slowly. “And I need to know why the poison was hidden in a silver wrapper with a green leaf on it.”

Marisa stopped smiling. The quiet peace of the village was truly gone, and the dark game had started.

THE SECRET IN THE SILVER WRAPPER

CHAPTER TWO

Moira gently took the silver foil from the black cat’s paws. Toe gave a soft purr and jumped up to his dark shelf. Moira put the small piece of shiny paper on her heavy wooden counter and turned on her desk lamp to see it better.

It was torn. On one side, she could see a tiny piece of a picture—a green leaf. She lifted the foil to her nose and breathed in. Under the smell of alley dirt, there was a very strong smell of mint. It was not the real, fresh mint she used in her tea. This was the sharp, fake smell from the cafe.

“A sweet coat,” she read again from the open pages of The Days of the Dreams.

She looked at Ashwaganda. The big orange cat was asleep in his chair, trusting her to keep them safe. But Moira knew the village was not safe right now. Someone in Speranza had used a clever trick to kill a man.

The next morning, the sky was gray. The wind blew cold air through the narrow stone streets. Moira locked the thick door of her tea shop. She walked straight to the alley behind Anna’s Coffee Taverna.

Yellow police tape blocked the back door. Ispettore Salomone stood against the old brick wall, holding a cheap cigarette. He looked like he had not slept at all.

“Moira,” he said, shaking his head. “Go back to your tea. This is police work.”

“I am just taking a walk, Ispettore,” Moira said in a calm, soft voice. “What did the doctor find out about the poison?”

Salomone sighed. He knew Moira used to work in medicine. “Cyanide. Fast and very deadly. But it was not in Anna’s coffee machine.”

“It was in the sugar,” Moira said.

Salomone looked surprised. “How do you know that?”

“Because the man only took one sip,” Moira explained. She kept her secret about the magic book safe. “If the poison was in the whole cup, he might have smelled the bitter almonds before he drank it. But if it was in a small sugar packet, dumped in right before the first sip… the fake mint smell would hide the poison.”

Salomone dropped his cigarette and stepped on it. “You are too smart, Moira. We found an empty sugar packet on the floor near his table. It was not from Anna’s cafe. It was shiny silver.”

Moira’s heart beat faster. It was exactly like the silver foil Toe had found.

“Thank you, Ispettore,” Moira said.

She turned and walked away quickly. She did not go back to La Pagina che Fa le Fusa. Instead, she walked across the square to the Mint Chocolate Treasure House.

Marisa’s shop was bright, white, and perfectly clean. Marisa stood behind the glass counter in her neat white coat. She smiled when Moira walked in, but her eyes looked worried and tight.

“Moira,” Marisa said. “Can I help you? Do you need chocolate today?”

Moira put her hand in her pocket and held the torn silver foil. She looked right at her friend.

“I need to ask you about the man who died, Marisa,” Moira said slowly. “And I need to know why the poison was hidden in a silver wrapper with a green leaf on it.”

Marisa stopped smiling. The quiet peace of the village was truly gone, and the dark game had started.

THE SECRET IN THE SILVER WRAPPER

CHAPTER TWO

Moira gently took the silver foil from the black cat’s paws. Toe gave a soft purr and jumped up to his dark shelf. Moira put the small piece of shiny paper on her heavy wooden counter and turned on her desk lamp to see it better.

It was torn. On one side, she could see a tiny piece of a picture—a green leaf. She lifted the foil to her nose and breathed in. Under the smell of alley dirt, there was a very strong smell of mint. It was not the real, fresh mint she used in her tea. This was the sharp, fake smell from the cafe.

“A sweet coat,” she read again from the open pages of The Days of the Dreams.

She looked at Ashwaganda. The big orange cat was asleep in his chair, trusting her to keep them safe. But Moira knew the village was not safe right now. Someone in Speranza had used a clever trick to kill a man.

The next morning, the sky was gray. The wind blew cold air through the narrow stone streets. Moira locked the thick door of her tea shop. She walked straight to the alley behind Anna’s Coffee Taverna.

Yellow police tape blocked the back door. Ispettore Salomone stood against the old brick wall, holding a cheap cigarette. He looked like he had not slept at all.

“Moira,” he said, shaking his head. “Go back to your tea. This is police work.”

“I am just taking a walk, Ispettore,” Moira said in a calm, soft voice. “What did the doctor find out about the poison?”

Salomone sighed. He knew Moira used to work in medicine. “Cyanide. Fast and very deadly. But it was not in Anna’s coffee machine.”

“It was in the sugar,” Moira said.

Salomone looked surprised. “How do you know that?”

“Because the man only took one sip,” Moira explained. She kept her secret about the magic book safe. “If the poison was in the whole cup, he might have smelled the bitter almonds before he drank it. But if it was in a small sugar packet, dumped in right before the first sip… the fake mint smell would hide the poison.”

Salomone dropped his cigarette and stepped on it. “You are too smart, Moira. We found an empty sugar packet on the floor near his table. It was not from Anna’s cafe. It was shiny silver.”

Moira’s heart beat faster. It was exactly like the silver foil Toe had found.

“Thank you, Ispettore,” Moira said.

She turned and walked away quickly. She did not go back to La Pagina che Fa le Fusa. Instead, she walked across the square to the Mint Chocolate Treasure House.

Marisa’s shop was bright, white, and perfectly clean. Marisa stood behind the glass counter in her neat white coat. She smiled when Moira walked in, but her eyes looked worried and tight.

“Moira,” Marisa said. “Can I help you? Do you need chocolate today?”

Moira put her hand in her pocket and held the torn silver foil. She looked right at her friend.

“I need to ask you about the man who died, Marisa,” Moira said slowly. “And I need to know why the poison was hidden in a silver wrapper with a green leaf on it.”

Marisa stopped smiling. The quiet peace of the village was truly gone, and the dark game had started.

My First Night Shift In Emergency & Trauma | Housemanship Diaries

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

Remember when I mentioned that I love the night shifts?

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

• The Joy Of Working The Night Shift As A House Officer
• My Favourite Time Of The Day At Work

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.

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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My First Night Shift In Emergency & Trauma | Housemanship Diaries

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

Remember when I mentioned that I love the night shifts?

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

• The Joy Of Working The Night Shift As A House Officer
• My Favourite Time Of The Day At Work

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.

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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40 Days Since I’ve Started Being Vegetarian

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Describe one positive change you have made in your life.

The positive change? Being vegetarian. Well, for 40 days then I’m non-vegetarian again.

Why did I even embark on this journey?

Every year during Lent, I would embark on a vegetarian journey, a lacto-ovo-vegetarian journey to be exact and this year, it was from the 5th of March till the 19th of April 2025.

Thus, I went from consuming meat to consuming tofu almost everyday as well as started consuming vegetables again.

Albeit being vegetarian, I try to reduce my rice consumption. Thus, I mainly mixed rolled oats into my dishes.

I started shopping for groceries even more (which may not be such a good thing) but I was surprised at the number of items I could buy and only spend minimal.

Well, vegetables are cheap, which is good.

Changing my diet in combination with my usual routine at work and ensuring I reach my daily steps of 10,000 steps, I started losing weight.

Not much. However, I’ve been struggling with losing the weight that I have gained during my time off in the Surgical Posting.

Now that I’m non-vegetarian again, obtaining food is easier and I actually miss being vegetarian.

Perhaps soon I will embark on this journey again.

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Laughing – A Way To Destress

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What makes you laugh?

Laughing – A form of de-stressing activity. To which some may find “distressing”?

Or perhaps I’m just a little unbalanced.

However, back to the prompt, I would laugh at almost anything actually.

Many would ask me on why do I laugh so easily or on almost anything. Honestly, I have no proper answer for it. Perhaps, the easily justifiable answer would be that it has become a form of my default reaction towards answering people. 

Firstly, it softens my expression, thus making myself seem more approachable (or so I think). Sadly, that also means that sometimes people would not take me seriously. Next, it lightens the situation and prevents a tensed situation from escalating. However, it may also flip the other way around which may further escalate the situation instead as me laughing may deem that I do not take them seriously.

Sometimes, when I am being thrown an insult, I do react by first laughing about it, as a shield for myself and preventing myself from being hurt or at least giving myself some time before digesting the issues. 

Then, there are times, when I am lost in my own world, which is most of the time, I would suddenly remember something funny or find something amusing and start laughing to myself. At times, it may escalate into a hearty laughter to which some might find distressing.

Nevertheless, after a good laugh, I would usually feel better, as they say, it releases endorphins, a “feel good” hormone and thus, “laughter is the best medicine”.

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Iced Tea & Cold Brew Coffee

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What is your favorite drink?

As the title entails, it is Iced Tea and Cold Coffee.

1. Iced Tea

I fell in love with tea, green tea, black tea and oolong tea in particular when I was 14 years old.

At that time, I was looking into drinks to aid my weight loss and I came across green tea and oolong tea being suitable drinks in facilitating weight loss when consumed without sugar.

Thus, I brewed my first proper sugarless green tea and fell in love with the taste. Ever since then, I started drinking it on a regular basis and it has pretty much replaced water for me.

Did it aid with weight loss?

Perhaps in the beginning, eventually, I continued drinking it because I enjoyed the taste be it warm or cold.

As I started working, I would usually prepare cold brew green tea in order for me to bring to work the following day.

Why cold?

The environment that I’m working in can get rather warm and considering I am a person who perspires easily, the temperature of the tea eases me and provides immediate rejuvenation.

Even after a long day at work, nothing refreshes me more than a cold brew green tea served in mason jar and a straw.

2. Cold Coffee

I am a HUGE fan of coffee, black sugarless coffee in particular.

My love for coffee began since I was in primary school, which I think is a bad thing since children are not supposed to consume coffee.

Back then, my mother would used to prepare coffee for my father and milo for me prior to my father sending me off to school and heading to work.

Me and my father would then switch drinks after he has drank half of his drink.

Then, when I turned 14 years old, I started pulling an all nighter or getting up at midnight just to study.

Eventually, I developed immunity towards coffee and is able to fall asleep even after consuming it. Thus, I merely consume it out of addiction and routine.

As I started working, as mentioned in my explanation for cold tea, the environment is rather warm for me to be consuming hot coffee. Hence, I would prepare my mason jars of coffee the night prior and transfer it into my flask the following day.

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Reflection Of The Surgical Posting | Housemanship Diaries

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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• My Experience as A Plastics House Officer | Housemanship Diaries
• The Wards In The Surgical Department | Sarawak General Hospital
• My First Day In General Surgery – Tagging Day 1
• The Worst Morning Shift In General Surgery | Housemanship Diaries
• My First Night Shift In Surgery | Housemanship Diaries
• The House Officer’s Dilemma | Housemanship Diaries
• Surviving A Month Of Tagging In My Fourth Posting – 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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My Experience as A Plastics House Officer | Housemanship Diaries

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• The Wards In The Surgical Department | Sarawak General Hospital
• My First Day In General Surgery – Tagging Day 1
• The Worst Morning Shift In General Surgery | Housemanship Diaries
• My First Night Shift In Surgery | Housemanship Diaries
• The House Officer’s Dilemma | Housemanship Diaries
• Surviving A Month Of Tagging In My Fourth Posting – 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

When I entered the Surgical Posting, we initially did not have the privilege of experiencing subspecialities like other batches.

This was due to the fact that there were lack of house officers.

However, mid-Nov, there was redirection of House Officer allocation and suddenly, the posting was overflowed with House Officers.

Hence, subspecialities were reintroduced. The subspecialities reintroduced are neurosurgical, plastics and urology.

Ever since my first posting in Orthopeaedics, I’ve always wanted to experience being in Plastics after assisting my medical officer at that time with SSG.

Thus, during my final weeks, I was given the priviledge.

The Burn Ward is located at Level 3 of the Main Building, and is able to host at most, 10 patients, with each patient having their own room/cubicle.

Usually the burnt patients are kept at Burn Ward whereas other patients who are admitted for AVF creation or SSG are placed at Surgical Ward.

The timing for us House Officers is from 7am till 6pm, Sunday till Friday with an off day on Saturday.

During my time in Plastics, I would usually arrive on time at 7am and proceed to trace the bloods first. After all the bloods have been traced, I would proceed to help out with morning reviews.

Morning reviews are usually done by the postcall medical officer. This is then followed by rounds with the surgeons, usually starting with the acute or rather, the intubated patients followed by the rest.

Rounds at Burn Ward is only once daily. After morning rounds, we would gather at the “Handover Room” whereby the patients who are not in the Burn Ward but is being seen by Plastics as another team or as a primary team are being handed over in terms of case and progress as well as the newly admitted ones.

Next, we will proceed to follow the “Peri rounds” and change dressings if needed. Usually after the Peri rounds is when us House Officers go about our joblists in terms of posting case, referrals or bloodtakings or imaging request.

The rest of the day could be pretty chill if there is nothing going on but usually, there would be new patients to be transferred in, take blood or any post-op patients to be reviewed.

Sometimes there are cases being called and we are more than welcome to join the operation. In between, there are arterial blood gases (ABGs) to be take in between or bloods to be sent.

Finally, in the evening, prior to leaving at the end of our shift, we would prep the coming mornings and leave them nearby before informing in our Surgical House Officer’s group in regards to the “coming mornings”.

My time in Plastics was rather short-lived and I felt that there was so much more to be learnt. But my time spent there was extremely wonderful and the medical officers and surgeons were more than helpful and welcoming towards the new people into their team.

Definitely, a department that I would want to return to.

Related Posts:

• The Wards In The Surgical Department | Sarawak General Hospital
• My First Day In General Surgery – Tagging Day 1
• The Worst Morning Shift In General Surgery | Housemanship Diaries
• My First Night Shift In Surgery | Housemanship Diaries
• The House Officer’s Dilemma | Housemanship Diaries
• Surviving A Month Of Tagging In My Fourth Posting – 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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I am not going to share too much on this topic (shockingly) but I will give a short answer.

One year ago my mother was coming to the end of her life. It was awful. She was in hospice and fighting hard for each second. The pain of knowing we were losing her and the guilt at not being able to do anything more to help her combined to pretty much crush me.

My wife was there for me. My wife was my support. My wife was my rock. My wife was my heart and soul. I have never felt more loved.

My two step kids were in Vermont through the whole ordeal, but they were there for me too. Remotely at first, but then after my mother passed away they came home and were there for me in person as well. Again, I have never felt more loved. 

My wife and my step kids. My family. I would not have made it through that experience without them. I am so thankful for the love they give to me and I will never be able to show them how much they mean to me. I love them all so much I cannot put it into words. I need to do an infinitely better job showing them how much I love them and how much they mean to me. My heart aches at the thought of it.

https://robertjames1971.blog/2024/01/17/love-7/

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