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  1. 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.

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

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

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

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    Let’s break it down.

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

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

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

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

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

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

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

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

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

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

    But am I willing to test it? Hell yes.

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

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

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    So, Am I Superstitious?

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

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

    Now, tell me—are you superstitious?

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

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

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

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

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

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

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

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

    Why the Inner Thigh, though?

    Well, darling, that’s easy.

    It’s hidden… until it’s not.

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

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

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

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

    More Tattoos. More Mischief. More Me.

    My body is already a canvas of secrets and symbols.

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

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

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  3. Couple goals

    Mou: It was a random morning in Arizona when he woke up and texted me "Contemplating if I should go cycling", to which I replied "That's great, you should." And lo and behold, ever since that day I made him go every single day turning it into a whole streak well knowing that he wouldn't like to give up if I turned this into a streak (I implemented this from his very own idea of posting here everyday and texting me how he's on a 26 day streak). I did gave him two day breaks but he insisted […]

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  4. Fear Factor – Party Edition People often assume fear involves roller coasters or cliff diving or being catapulted off a bridge by a guy named Kyle who insists, “Trust me.” And yes, that is te...

    #Everyday #Musings #dailyprompt #dailyprompt-1834 #fears #fun #goals #humor #introvert #life #just

    Origin | Interest | Match
  5. Button’s #1

    Welcome to the Shit show. {Recent Posts} Subscribe: Sideshowhost: – Sideshowhost offers Services which can include Computer Repair, Computer Rebuilds, & Computer Networking. Contact the Admin/s about the Service you need assisted with, and as well the Services changes with the seasons. Be sure to ask about the daily specials! To have full access, of everything on the Blog/Site. You got to sign up & become a member. Certain Content on the Blog/Site is Copyright Material Credited & owned […]

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  6. Things I Never Thought I’d Tolerate

    What would younger you be shocked you tolerate today? I used to have standards. Actual ones. Lines you didn’t cross unless you wanted consequences. Younger me would be absolutely floored by what I tolerate now. Not because I got wiser. Because the world got louder, dumber, and weirdly proud of it. I put up with stupid people. Daily. Loudly. People who say things that make you wonder how they successfully put on pants this morning. Opinions with no facts. Confidence with no competence. […]

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  7. 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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  8. My New Year’s Eve – 2025

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    31st December 2025. I was NOT oncall.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    Stay safe always!

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  9. 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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  10. 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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  11. My FIRST SOLO Oncall Shift As A Floating Medical Officer

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    And the most important part… I survived it!

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

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    Thank God. Seriously.

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

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

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

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

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

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

    Am I confident now though?

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

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

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

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

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

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

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  13. Tagline: “Hourly Toilet Break”

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    If humans had taglines, what would yours be?

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

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

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

    How Did The Hourly Toilet Break Started?

    Photo by Hafidz Alifuddin on Pexels.com

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

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

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

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

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

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

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    Remember when I mentioned that I love the night shifts?

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

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

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

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

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

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

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

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

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

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

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

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

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

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  15. Life After Offtag In Emergency & Trauma | Housemanship Diaries

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

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

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

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

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

    So how was life after that?

    Much better. Thankfully.

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

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

    Thus are the timings for our respective shifts:

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

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

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

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

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

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

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

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  16. Surviving 10 Days Of Tagging | Emergency & Trauma Department

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    My tagging days in my sixth and final rotation, Emergency and Trauma Department, lasted for a total of 10 days which was from the 11th of April till the 23rd of April 2025. This is excluding our one “off day” for the week.

    Did I manage to last throughout the tagging days?

    Not quite.

    I did take a sick leave during my second week of tagging. The reason was that I was just extremely tired.

    Photo by Pixabay on Pexels.com

    The tagging hours in the Emergency and Trauma Department is from 7 am till 10pm, just in other postings.

    The good thing about this department is that we do not need to do morning reviews. Thus, coming way early prior to our shift is unheard of. We merely come and leave on time.

    However, considering that it is the Emergency Department, things are unpredictable whereby things could be quiet one moment and hectic the next.

    Hence, on days which burn, it can be extremely tiring. But, completing these tagging days are a must and so on slow days where the hours seem to pass by really slowly, I make it a point to have an “hourly toilet break“. On busy days, it may be the only time that I am given a chance to sit and breathe.

    On top of that, I made sure I took my lunch and dinner break. Not because I was hungry as I was used to having my meal for the day after work. It was merely my way of spending my time during my tagging days.

    At 10pm, the shift is over and I leave, even if the floor is busy because the following day my shift begins at 7am again.

    Finally after 10 days of “tagging“, I have finally off-tagged and shifted to “shift hours“.

    Photo by Andrey Grushnikov on Pexels.com

    There are no assessments in order to off-tag. as there were in other postings, which is a good thing. However, tagging in this posting felt long and seem to went on forever for me. Perhaps, this was because I was mainly tagging alone as I entered a month later than my fellow peers.

    Nonetheless, I was glad to be done with this schedule and shift back to a regular 12-hours shift.

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  17. Jobs That I’ve Had

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    What jobs have you had?

    Teacher

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

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

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

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

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

    Barista

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

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

    Junior Doctor

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

    Am I ready for it? Certainly not.

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

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

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    Medical. My Fifth rotation.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    Otherwise, all the very best!

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

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

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

    Thus, imagine the amount of coming mornings.

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

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

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

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

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

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

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

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

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

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  20. The Most Enjoyable and Tiring Day In Medical 3

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

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

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

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

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

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

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

    This time, it was 65%.

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

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

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

    Well now, he can’t.

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

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

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

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

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

    Well, here’s another one.

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

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

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

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

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

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

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

    Boy… Why am I not surprised?

    This is another impending intubation.

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

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

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

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

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

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

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  21. A Junior Doctor In Boots

    Tell us about your favorite pair of shoes, and where they’ve taken you.

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    Prior to having my first pair of boots in 2021 while I was in my third year of medical school, I have always dreamt of wearing boots. Be it short cut or the long ones till mid calf or up till the knee, I loved them all. 

    I prefer them over heels or flats or slippers.

    Partly because I have always imagined myself as a “country girl” in summer dress or jeans, always paired with boots. 

    However, I’ve never had a pair of boots till I was in my third year of medical school, even that, was given by my aunt. I remembered using it to almost every occasion because it was so comfortable and versatile. The colour was dark green, an ankle length boots with zips on the side. I wore it till one of the shoe had a hole on the side and even then, I was still adamant to wear it till my mom got me a new pair of boots and threw my first pair away.

    Since then, I’ve gone through another 2 pair of boots, one pair with heels and another flat. I occasionally wear the one with heels and often use the flat one. The flat one is my go-to everyday boots be it for outing or travelling or a simple trip to the market. However, I rarely use them to work. At work, I have specific types of shoes that I usually wear since I’m on my feet most of the time and these shoes gives me the sole support that I need (if you know what I mean).

    But there are days when I’m feeling fancy that I would dress up a little and don a nice blouse over my black leggings to work. Those would be the days when I would wear my favourite regular pair of boots to work, which boosts my self-esteem for the day considering that it is my style, one that I feel brings out the inner-me, the junior doctor-in-boots.

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  22. 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.

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    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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  23. 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

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    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.

    Photo by Charlotte May on Pexels.com

    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

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    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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  24. My Teenage Years

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    Describe a phase in life that was difficult to say goodbye to.

    Upon reading this prompt, I was reminded of my high school days. The first year of high school was very tough for me in terms of adjusting to a new school, cultures and subjects.

    I went from a comfortable place to a different one without any guidance nor advice and I went from being a senior to a freshie all over again, which I did not like.

    In addition to that, I had a very bad temper and used to talk back to my seniors which did not aid in my reputation. Well, that was the first year, things started getting better the following year onwards and my grades picked up. I have accustomed myself to the flow.

    It was during my teenage years that I met my good friends whom I still keep contact to this day albeit not meeting much.

    Looking back, I enjoyed my routine and studying very much. Waking up early was the hardest part of the day, which surprisingly isn’t one for me now, I have transitioned into an early riser.

    This is followed by shower, preparing my breakfast and lunch for school, which mostly just includes me grabbing bread or biscuits and stuffing it in my bag and wait for my parents to send me off to school, which is usually my dad. He would send me off prior going to work.

    I was truly blessed to have experience that.

    In school, it was about attending classes, completing homework or assignments, gossiping with my friends or attending extra-curricular activities. However, the place I truly enjoyed spending my time was in the library. Thus, if I were to bunk class, I would lock myself inside the library and just study or read. The perks of being a librarian. Thankfully, my teacher-in-charge of the library always had my back if I were to be questioned regarding my whereabouts.

    After school, my mother would be the one who usually picks me up from school and most of the time, we would eat outside. Occasionally, she does cook at home and as I am writing this reflection, I truly miss these simple heartwarming dishes.

    This is then followed by me showering, completing my homework, studying, chilling, going out with my mom and getting ready for tuition or extra classes which are usually in the evenings or on alternate days.

    Life was simple and predictable. I remembered attending multiple tuition classes during the week, mainly because I was bored being at home as I was not allowed to simply go out with my friends as I pleased. Thus, I looked forward to those evenings.

    Holidays and weekends were the things I looked forward to as well and I enjoyed recuperating or simply helping my parents out with their chores, watching movies or TV shows, studying with music, writing and playing video games.

    Surprisingly, what aid me in studying back in high school was due to video games. Perhaps it was the way I “destress” and it drives my mind.

    I was not allowed to work during the holidays as my parents feared that once I get the taste of my own earnings, studying will no longer be a priority. However, my pocket money wasn’t great either. But I still got by and occasionally, my dad would slip in some money without my mom knowing just so I could enjoy a nice meal across the road with my friend.

    The stress back then were focused on exams and completing homework. Occasionally, life dramas do get in the way, all part and parcel of being a “teenager”, having crushes, jealousy and bullying.

    However, for the most part, I enjoyed my teenage years and looking back, I wouldn’t change a thing except to be more disciplined in my studying and to learn more.

    Those years flew by rather quickly. Before I knew it, I was a senior and the stress of choosing a major or course and the university applications kicked in. Over the years, I’ve accumulated multiple fond memories with my friends as well which were a mixed of beautiful ones, silly and extremely foolish ones, which we do look back and laugh about during our meet-ups.

    If you are reading this, I hope that you did enjoy your teenage years as much as I did too. If you are a teenager, do not fill your time with just studying, immerse yourself in extracurricular activities as well and discover new habits. It is the season of discovering yourself, and hopefully in years to come when you do look back and ponder, it will be filled with sweet memories as well.

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

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

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

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

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

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

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

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

    For example:

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

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

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

    The Day Shift

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

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

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

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

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

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

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

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

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

    The Night Shift

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

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

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

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

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

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

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

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

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

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

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

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

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

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  26. Bloganuary writing prompt What’s the thing you’re most scared to do? What would it take to get you to do it? View all responses

    I have to admit that I am struggling to find an answer to this one. I have a couple of thoughts, but nothing I would ever share publicly. The difficulty is the second question. There are a lot of things I am scared to do, but none of them are things that I would ever consider actually doing, you know what I mean?

    There is one thing that comes to mind that fits the spirit of this daily prompt. One thing that I am scared to do that I will do if the circumstances require it… or at least I would consider doing it in the right situation. What is it? Move out of the United States.

    In 2016 the prospect of a nazi winning the US presidency led to a lot of discussion about possibly emigrating to a new country. Jen and I discussed it a little and agreed we could not leave our family behind even if we did find ourselves in a fascist dictatorship. We talked in general terms about where we could go. Some place where English is the first language and (hopefully) had a warm climate. In the end we didn’t leave even though the nazi did win the white house. 

    Unfortunately for American Democracy and for civilization, that same nazi is running for president again. His rhetoric was bad in 2016 but it is already so much worse now. He is openly talking about dictatorship and half of the registered voters in the United States are still supporting him. He may be in jail by the time the election rolls around (he should be in jail now, but he will never see the inside of a cell because that’s how corruption works, right?) but he’s still going to win the republican nomination and he still could win the general election in November. 

    If he wins again, do we consider leaving the United States again? Maybe. I think we will at the very least need to revisit the discussion. The topic is a little terrifying in terms of figuring out where to go, figuring out how to get there, figuring out the legal issues, and not to mention the implications for the US itself. It’s pretty scary, all right. Would I do it? No, I don’t think so, but I would have to think about it. We’ll see what happens. 

    Would we move to Canada? That would be easiest but it’s cold there. England? Scotland? Ireland? Australia? I think Scotland would be the favorite for us, though it’s cold there too, isn’t it? If it were just me it would probably be Ireland, but for my family as a whole it would be Scotland. I doubt it will ever come to that, and the prospect is very scary to me, but if it does… I guess we’ll see.

    https://robertjames1971.blog/2024/01/31/fear-3/

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