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#dailyprompt1841 — Public Fediverse posts

Live and recent posts from across the Fediverse tagged #dailyprompt1841, aggregated by home.social.

  1. Círculo De Pedra @[email protected] ·

    Existáthico

    Nós estamos tentando constantemente trazer um sentido concreto e duro, inflexível, à uma existência UNIVERSAL que é MULTICOLORIDA. Isso nunca será possível ser real. Ninguém conseguirá nunca se preencher por inteiro nesse sistema absurdo do Deus com D maiusculo de Dinheiro. O certo é o Azul Claro do Céu da Tarde, ou o Vento da Tempestade rasgando Árvores ao meio e rios se enchendo como que pela força de Gigantes. Estes são os Verdadeiros Deuses. A sua Planilha Imunda e […]

    circulodepedra.wordpress.com/2

    #witchcraft #vulnerabilidade #verdade #valor #tesao #terra
  2. Círculo De Pedra @[email protected] ·

    Adolescentizar

    MÓ PREGUIÇA DE TRANSCREVER SER 'ADULTO' CANSA!

    circulodepedra.wordpress.com/2

    #art #amizade #amor #apocalypse #ḥkꜣ #bruxaria
  3. Círculo De Pedra @[email protected] ·

    Adolescentizar

    MÓ PREGUIÇA DE TRANSCREVER SER 'ADULTO' CANSA!

    circulodepedra.wordpress.com/2

    #witchcraft #vulnerabilidade #verdade #valor #tesao #terra
  4. Círculo De Pedra @[email protected] ·

    Cheiroca

    Hora de pararCheiros finos cheiosCheiro de parafinaVela queima na beira da camaA cama que eu durmo na beira do mundoNão tem cabeceira pra escorar o profundoSó se molda ao absurdo porquê não se cabe em tudoMas ah se coubesse! Ah se coubesse! Fogayra

    circulodepedra.wordpress.com/2

    #witchcraft #vulnerabilidade #verdade #valor #tesao #terra
  5. Círculo De Pedra @[email protected] ·

    Cheiro de Pau(s)

    Caracóis celestes a fluir pela manchete. Nos jornais, televisão toma conta. Nos bancos de praças a peça é na tela. Não me pergunte sobre certeza. Me pergunte sobre as adversidades dos caminhos. E os Mistérios dos vaga-lumes que sumiram como memórias antigas, difíceis de acessar. Pra onde fomos? Onde nos esquecemos de ver? Onde ficou jogada a nossa criança pela estrada? O de cascos fendados. Aquele que assume aquilo que mais te incomoda. Só pra te ver bem de perto se derretendo de […]

    circulodepedra.wordpress.com/2

    #witchcraft #vulnerabilidade #verdade #valor #tesao #terra
  6. Eric Foltin @[email protected] ·

    The Grind Is a Scam and I’m Done Buying

    Daily writing promptDo you need a break? From what?View all responses Everyone keeps asking if I need a break. From what, exactly? From being stretched thin by a job that sucked the life out of every square inch of my patience? From pretending bad management and broken systems were somehow my personal growth journey? No. I don’t need a break. I needed an exit. So I quit Domino’s Pizza. Cue the shocked faces. Cue the fake concern. Cue the “are you sure?” like I just announced I’m […]

    ericfoltin.com/2026/02/07/the-

    #burnout #careerchange #dailyprompt #dailyprompt1841 #employeewellbeing #jobsatisfaction
  7. The Theoretical Doctor @[email protected] ·

    My New Year’s Eve – 2025

    Related Posts:

    31st December 2025. I was NOT oncall.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    Stay safe always!

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #bintulu #Blog #blogging #clinic #collision #dailyprompt #dailyprompt1829 #dailyprompt1833 #dailyprompt1834 #dailyprompt1836 #dailyprompt1838 #dailyprompt1839 #dailyprompt1841 #dailyprompt1843 #dailyprompt1844 #dailyprompt1853 #dailyprompt1943 #dailyprompt1948 #dailyprompt1951 #dailyprompt1953 #doctor #doctorSLife #emergency #emergencyDepartment #generalPractitioner #healthcare #housemanship #Malaysia #medical #medicalOfficer #Medicine #newYearSEve #oncall #sarawak #writing

    #article #articles #bintulu #blog #blogging #clinic
  8. The Theoretical Doctor @[email protected] ·

    My New Year’s Eve – 2025

    Related Posts:

    31st December 2025. I was NOT oncall.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    Stay safe always!

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #bintulu #Blog #blogging #clinic #collision #dailyprompt #dailyprompt1829 #dailyprompt1833 #dailyprompt1834 #dailyprompt1836 #dailyprompt1838 #dailyprompt1839 #dailyprompt1841 #dailyprompt1843 #dailyprompt1844 #dailyprompt1853 #dailyprompt1943 #dailyprompt1948 #dailyprompt1951 #dailyprompt1953 #doctor #doctorSLife #emergency #emergencyDepartment #generalPractitioner #healthcare #housemanship #Malaysia #medical #medicalOfficer #Medicine #newYearSEve #oncall #sarawak #writing

    #article #articles #bintulu #blog #blogging #clinic
  9. The Theoretical Doctor @[email protected] ·

    My New Year’s Eve – 2025

    Related Posts:

    31st December 2025. I was NOT oncall.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    Stay safe always!

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #bintulu #Blog #blogging #clinic #collision #dailyprompt #dailyprompt1829 #dailyprompt1833 #dailyprompt1834 #dailyprompt1836 #dailyprompt1838 #dailyprompt1839 #dailyprompt1841 #dailyprompt1843 #dailyprompt1844 #dailyprompt1853 #dailyprompt1943 #dailyprompt1948 #dailyprompt1951 #dailyprompt1953 #doctor #doctorSLife #emergency #emergencyDepartment #generalPractitioner #healthcare #housemanship #Malaysia #medical #medicalOfficer #Medicine #newYearSEve #oncall #sarawak #writing

    #article #articles #bintulu #blog #blogging #clinic
  10. The Theoretical Doctor @[email protected] ·

    My New Year’s Eve – 2025

    Related Posts:

    31st December 2025. I was NOT oncall.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    Stay safe always!

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #bintulu #Blog #blogging #clinic #collision #dailyprompt #dailyprompt1829 #dailyprompt1833 #dailyprompt1834 #dailyprompt1836 #dailyprompt1838 #dailyprompt1839 #dailyprompt1841 #dailyprompt1843 #dailyprompt1844 #dailyprompt1853 #dailyprompt1943 #dailyprompt1948 #dailyprompt1951 #dailyprompt1953 #doctor #doctorSLife #emergency #emergencyDepartment #generalPractitioner #healthcare #housemanship #Malaysia #medical #medicalOfficer #Medicine #newYearSEve #oncall #sarawak #writing

    #writing #sarawak #oncall #newyearseve #medicine #medicalofficer
  11. The Theoretical Doctor @[email protected] ·

    My New Year’s Eve – 2025

    Related Posts:

    31st December 2025. I was NOT oncall.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    Stay safe always!

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #bintulu #Blog #blogging #clinic #collision #dailyprompt #dailyprompt1829 #dailyprompt1833 #dailyprompt1834 #dailyprompt1836 #dailyprompt1838 #dailyprompt1839 #dailyprompt1841 #dailyprompt1843 #dailyprompt1844 #dailyprompt1853 #dailyprompt1943 #dailyprompt1948 #dailyprompt1951 #dailyprompt1953 #doctor #doctorSLife #emergency #emergencyDepartment #generalPractitioner #healthcare #housemanship #Malaysia #medical #medicalOfficer #Medicine #newYearSEve #oncall #sarawak #writing

    #article #articles #bintulu #blog #blogging #clinic
  12. The Theoretical Doctor @[email protected] ·

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

    Related Posts:

    How do you waste the most time every day?

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

    This meant, our shift is from:

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

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

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

    That is provided one has off-tagged of course.

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

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

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

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #dailyprompt #dailyprompt1804 #dailyprompt1822 #dailyprompt1838 #dailyprompt1839 #dailyprompt1841 #dailyprompt1853 #dailyprompt1854 #dailyprompt1856 #dailyprompt1858 #dailyprompt1863 #dailyprompt1865 #dailyprompt1892 #dailyprompt1942 #dailyprompt1950 #dailyprompt1951 #dailyprompt1977 #doctor #doctorSLife #emergency #emergencyAndTrauma #emergencyDepartment #emergencyMedicine #healthcare #hospitalUmumSarawak #houseOfficer #housemanship #kuching #Malaysia #medical #Medicine #sarawak #sarawakGeneralHospital #shift #writing

    #article #articles #blog #blogging #dailyprompt #dailyprompt1804
  13. The Theoretical Doctor @[email protected] ·

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

    Related Posts:

    How do you waste the most time every day?

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

    This meant, our shift is from:

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

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

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

    That is provided one has off-tagged of course.

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

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

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

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #dailyprompt #dailyprompt1804 #dailyprompt1822 #dailyprompt1838 #dailyprompt1839 #dailyprompt1841 #dailyprompt1853 #dailyprompt1854 #dailyprompt1856 #dailyprompt1858 #dailyprompt1863 #dailyprompt1865 #dailyprompt1892 #dailyprompt1942 #dailyprompt1950 #dailyprompt1951 #dailyprompt1977 #doctor #doctorSLife #emergency #emergencyAndTrauma #emergencyDepartment #emergencyMedicine #healthcare #hospitalUmumSarawak #houseOfficer #housemanship #kuching #Malaysia #medical #Medicine #sarawak #sarawakGeneralHospital #shift #writing

    #article #articles #blog #blogging #dailyprompt #dailyprompt1804
  14. The Theoretical Doctor @[email protected] ·

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

    Related Posts:

    How do you waste the most time every day?

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

    This meant, our shift is from:

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

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

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

    That is provided one has off-tagged of course.

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

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

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

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #dailyprompt #dailyprompt1804 #dailyprompt1822 #dailyprompt1838 #dailyprompt1839 #dailyprompt1841 #dailyprompt1853 #dailyprompt1854 #dailyprompt1856 #dailyprompt1858 #dailyprompt1863 #dailyprompt1865 #dailyprompt1892 #dailyprompt1942 #dailyprompt1950 #dailyprompt1951 #dailyprompt1977 #doctor #doctorSLife #emergency #emergencyAndTrauma #emergencyDepartment #emergencyMedicine #healthcare #hospitalUmumSarawak #houseOfficer #housemanship #kuching #Malaysia #medical #Medicine #sarawak #sarawakGeneralHospital #shift #writing

    #article #articles #blog #blogging #dailyprompt #dailyprompt1804
  15. The Theoretical Doctor @[email protected] ·

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

    Related Posts:

    How do you waste the most time every day?

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

    This meant, our shift is from:

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

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

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

    That is provided one has off-tagged of course.

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

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

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

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #dailyprompt #dailyprompt1804 #dailyprompt1822 #dailyprompt1838 #dailyprompt1839 #dailyprompt1841 #dailyprompt1853 #dailyprompt1854 #dailyprompt1856 #dailyprompt1858 #dailyprompt1863 #dailyprompt1865 #dailyprompt1892 #dailyprompt1942 #dailyprompt1950 #dailyprompt1951 #dailyprompt1977 #doctor #doctorSLife #emergency #emergencyAndTrauma #emergencyDepartment #emergencyMedicine #healthcare #hospitalUmumSarawak #houseOfficer #housemanship #kuching #Malaysia #medical #Medicine #sarawak #sarawakGeneralHospital #shift #writing

    #writing #shift #sarawakgeneralhospital #sarawak #medicine #medical
  16. The Theoretical Doctor @[email protected] ·

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

    Related Posts:

    How do you waste the most time every day?

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

    This meant, our shift is from:

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

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

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

    That is provided one has off-tagged of course.

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

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

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

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #dailyprompt #dailyprompt1804 #dailyprompt1822 #dailyprompt1838 #dailyprompt1839 #dailyprompt1841 #dailyprompt1853 #dailyprompt1854 #dailyprompt1856 #dailyprompt1858 #dailyprompt1863 #dailyprompt1865 #dailyprompt1892 #dailyprompt1942 #dailyprompt1950 #dailyprompt1951 #dailyprompt1977 #doctor #doctorSLife #emergency #emergencyAndTrauma #emergencyDepartment #emergencyMedicine #healthcare #hospitalUmumSarawak #houseOfficer #housemanship #kuching #Malaysia #medical #Medicine #sarawak #sarawakGeneralHospital #shift #writing

    #article #articles #blog #blogging #dailyprompt #dailyprompt1804
  17. The Theoretical Doctor @[email protected] ·

    Reflection: 2 Months As A Floating Medical Officer

    Related Posts:

    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.

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #Articles #Blog #blogging #dailyprompt #dailyprompt1826 #dailyprompt1828 #dailyprompt1829 #dailyprompt1833 #dailyprompt1834 #dailyprompt1839 #dailyprompt1841 #dailyprompt1843 #dailyprompt1852 #dailyprompt1944 #dailyprompt1946 #dailyprompt1948 #dailyprompt1949 #dailyprompt1950 #dailyprompt1951 #dailyprompt1953 #doctor #doctorSLife #healthcare #hospital #hospitalLife #hospitalUmumSarawak #kuching #Malaysia #medical #medicalOfficer #Medicine #plasticAndReconstructiveSurgery #plasticSurgery #plastics #sarawak #sarawakGeneralHospital #surgery #writing

    #articles #blog #blogging #dailyprompt #dailyprompt1826 #dailyprompt1828
  18. The Theoretical Doctor @[email protected] ·

    Reflection: 2 Months As A Floating Medical Officer

    Related Posts:

    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.

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #Articles #Blog #blogging #dailyprompt #dailyprompt1826 #dailyprompt1828 #dailyprompt1829 #dailyprompt1833 #dailyprompt1834 #dailyprompt1839 #dailyprompt1841 #dailyprompt1843 #dailyprompt1852 #dailyprompt1944 #dailyprompt1946 #dailyprompt1948 #dailyprompt1949 #dailyprompt1950 #dailyprompt1951 #dailyprompt1953 #doctor #doctorSLife #healthcare #hospital #hospitalLife #hospitalUmumSarawak #kuching #Malaysia #medical #medicalOfficer #Medicine #plasticAndReconstructiveSurgery #plasticSurgery #plastics #sarawak #sarawakGeneralHospital #surgery #writing

    #articles #blog #blogging #dailyprompt #dailyprompt1826 #dailyprompt1828
  19. The Theoretical Doctor @[email protected] ·

    Reflection: 2 Months As A Floating Medical Officer

    Related Posts:

    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.

    Related Posts:

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    About Me | Privacy Policy | Contact Me

    #Articles #Blog #blogging #dailyprompt #dailyprompt1826 #dailyprompt1828 #dailyprompt1829 #dailyprompt1833 #dailyprompt1834 #dailyprompt1839 #dailyprompt1841 #dailyprompt1843 #dailyprompt1852 #dailyprompt1944 #dailyprompt1946 #dailyprompt1948 #dailyprompt1949 #dailyprompt1950 #dailyprompt1951 #dailyprompt1953 #doctor #doctorSLife #healthcare #hospital #hospitalLife #hospitalUmumSarawak #kuching #Malaysia #medical #medicalOfficer #Medicine #plasticAndReconstructiveSurgery #plasticSurgery #plastics #sarawak #sarawakGeneralHospital #surgery #writing

    #articles #blog #blogging #dailyprompt #dailyprompt1826 #dailyprompt1828
  20. The Theoretical Doctor @[email protected] ·

    Reflection: 2 Months As A Floating Medical Officer

    Related Posts:

    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.

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #Articles #Blog #blogging #dailyprompt #dailyprompt1826 #dailyprompt1828 #dailyprompt1829 #dailyprompt1833 #dailyprompt1834 #dailyprompt1839 #dailyprompt1841 #dailyprompt1843 #dailyprompt1852 #dailyprompt1944 #dailyprompt1946 #dailyprompt1948 #dailyprompt1949 #dailyprompt1950 #dailyprompt1951 #dailyprompt1953 #doctor #doctorSLife #healthcare #hospital #hospitalLife #hospitalUmumSarawak #kuching #Malaysia #medical #medicalOfficer #Medicine #plasticAndReconstructiveSurgery #plasticSurgery #plastics #sarawak #sarawakGeneralHospital #surgery #writing

    #writing #surgery #sarawakgeneralhospital #sarawak #plastics #plasticsurgery
  21. The Theoretical Doctor @[email protected] ·

    Reflection: 2 Months As A Floating Medical Officer

    Related Posts:

    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.

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #Articles #Blog #blogging #dailyprompt #dailyprompt1826 #dailyprompt1828 #dailyprompt1829 #dailyprompt1833 #dailyprompt1834 #dailyprompt1839 #dailyprompt1841 #dailyprompt1843 #dailyprompt1852 #dailyprompt1944 #dailyprompt1946 #dailyprompt1948 #dailyprompt1949 #dailyprompt1950 #dailyprompt1951 #dailyprompt1953 #doctor #doctorSLife #healthcare #hospital #hospitalLife #hospitalUmumSarawak #kuching #Malaysia #medical #medicalOfficer #Medicine #plasticAndReconstructiveSurgery #plasticSurgery #plastics #sarawak #sarawakGeneralHospital #surgery #writing

    #articles #blog #blogging #dailyprompt #dailyprompt1826 #dailyprompt1828
  22. The Theoretical Doctor @[email protected] ·

    Tagline: “Hourly Toilet Break”

    Click here for more articles & daily dose.

    If humans had taglines, what would yours be?

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

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

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

    How Did The Hourly Toilet Break Started?

    Photo by Hafidz Alifuddin on Pexels.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.

    Click here for more articles & daily dose.

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #dailyprompt #dailyprompt1822 #dailyprompt1829 #dailyprompt1833 #dailyprompt1834 #dailyprompt1838 #dailyprompt1839 #dailyprompt1841 #dailyprompt1843 #dailyprompt1858 #dailyprompt1863 #dailyprompt1881 #dailyprompt1941 #dailyprompt1949 #dailyprompt1950 #dailyprompt1952 #dailyprompt1957 #dailyprompt1964 #dailyprompt1968 #doctor #emergency #healthcare #hospitalUmumSarawak #housemanship #internship #kuching #medical #Medicine #sarawak #sarawakGeneralHospital #tagging #tagline #toiletBreak #writing

    #article #articles #blog #blogging #dailyprompt #dailyprompt1822
  23. The Theoretical Doctor @[email protected] ·

    Tagline: “Hourly Toilet Break”

    Click here for more articles & daily dose.

    If humans had taglines, what would yours be?

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

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

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

    How Did The Hourly Toilet Break Started?

    Photo by Hafidz Alifuddin on Pexels.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.

    Click here for more articles & daily dose.

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #dailyprompt #dailyprompt1822 #dailyprompt1829 #dailyprompt1833 #dailyprompt1834 #dailyprompt1838 #dailyprompt1839 #dailyprompt1841 #dailyprompt1843 #dailyprompt1858 #dailyprompt1863 #dailyprompt1881 #dailyprompt1941 #dailyprompt1949 #dailyprompt1950 #dailyprompt1952 #dailyprompt1957 #dailyprompt1964 #dailyprompt1968 #doctor #emergency #healthcare #hospitalUmumSarawak #housemanship #internship #kuching #medical #Medicine #sarawak #sarawakGeneralHospital #tagging #tagline #toiletBreak #writing

    #writing #toiletbreak #tagline #tagging #sarawakgeneralhospital #sarawak
  24. The Theoretical Doctor @[email protected] ·

    Day 1 Of My Final Posting – Day 647 Of Housemanship

    Related Posts:

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

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

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

    This is good. This meant more manpower.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    Related Posts:

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    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #dailyPrompt #dailyprompt #dailyprompt1812 #dailyprompt1838 #dailyprompt1841 #dailyprompt1852 #dailyprompt1854 #dailyprompt1855 #dailyprompt1861 #dailyprompt1863 #dailyprompt1865 #dailyprompt1873 #dailyprompt1878 #dailyprompt1886 #dailyprompt1954 #dailyprompt1956 #doctor #emergency #emergencyAndTrauma #firstDay #health #healthcare #hospitalUmumSarawak #houseOfficer #housemanship #kuching #Malaysia #medical #medicalOfficer #Medicine #sarawak #sarawakGeneralHospital #tagging #trauma #writing

    #article #articles #blog #blogging #dailyprompt #dailyprompt1812
  25. The Theoretical Doctor @[email protected] ·

    Day 1 Of My Final Posting – Day 647 Of Housemanship

    Related Posts:

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

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

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

    This is good. This meant more manpower.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #dailyPrompt #dailyprompt #dailyprompt1812 #dailyprompt1838 #dailyprompt1841 #dailyprompt1852 #dailyprompt1854 #dailyprompt1855 #dailyprompt1861 #dailyprompt1863 #dailyprompt1865 #dailyprompt1873 #dailyprompt1878 #dailyprompt1886 #dailyprompt1954 #dailyprompt1956 #doctor #emergency #emergencyAndTrauma #firstDay #health #healthcare #hospitalUmumSarawak #houseOfficer #housemanship #kuching #Malaysia #medical #medicalOfficer #Medicine #sarawak #sarawakGeneralHospital #tagging #trauma #writing

    #writing #trauma #tagging #sarawakgeneralhospital #sarawak #medicine
  26. The Theoretical Doctor @[email protected] ·

    Surviving 10 Days Of Tagging | Emergency & Trauma Department

    Related Posts:

    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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  27. The Theoretical Doctor @[email protected] ·

    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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  28. The Theoretical Doctor @[email protected] ·

    My Last Shift As A House Officer in Medical | Housemanship Diaries

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    At the time of writing this article, I am no longer in my Fifth Rotation, Medical but already in my Sixth Rotation, The Emergency and Trauma Department and at the same time, due for my last shift in my Sixth rotation as well as being a House Officer.

    Looking back, my last shift in the Medical Department seemed ages ago.

    However, I remembered that I was night shift at that time and was at Male Medical Ward (MMW).

    My duration working in this ward was around 3 weeks. However, it was my least favourite as compared to Medical 3, Medical 4, the Infectious Disease (ID) Ward or being part of the Perimedical team. The superiors were alright but it was the vibe of the ward in general that I found unsettling that I can’t quite place my fingers on.

    The night shift in Medical is from 8pm till 9am. However, on that day, I recalled leaving home at 6:30pm to go to work as we were not allocated any “long day” shifts.

    “Long Day” or “LD” are those who work from 7am till 10pm. Thus from 6pm till 8pm, prior to the night shift person coming, there is a 2 hours gap which is filled by them.

    On that week, there were no “Long Day’s” and everyone had the opportunity to return home at 6pm. However, who would fill in the “2-hours gap”?

    Thus, I remembered me and my colleagues at that time coming into a mutual agreement and compromise that one person would stay till 7pm and the night shift person would arrive an hour earlier at 7pm.

    It was a good compromise except there would be nobody to accompany us till 10pm and usually their help is valuable. Those hours till 10pm can get rather hectic at times.

    I remembered arriving around 6:45pm and started receiving handover from the AM teams and was cautioned to lookout for a particular patient in the acute cubicle who was rather unstable.

    Upon finishing our handover, the Medical Officer on-call for that ward arrived and things started to go hectic.

    I can’t exactly remember what happened but I was on my feet the whole time and did not begin my “coming mornings” till 3am.

    Thankfully, I was still able to complete them before 5am and the morning bloods were out in the system on time.

    That morning during my post night shift, I was “summoned” for minimal bloods which I completed immediately. Usually during my post night shift, I would remain within the sights of the “AM team” and offer to help out where I could.

    But I remembered at that time that I was completely spent. I decided to rest in the House Officer’s room and take any bloods a little later prior to my shift ending, if there were any.

    Surprisingly there were none after that. I recalled seeing a junior taking the blood of a patient as I was exiting the ward and asked him as to why he did not just ask me.

    He claimed that upon arriving for his morning shift, I looked rather spent and after I left to take a short break in the House Officer’s room, he just did not want to disturb me. After all, he said, it was only one patient.

    I was touched and grateful. It was a small gesture. However, it’s small, simple things that sometimes touches you.

    After that, I clocked out for the last time as a House Officer in the Medical Department.

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  29. The Theoretical Doctor @[email protected] ·

    My Last Shift As A House Officer in Medical | Housemanship Diaries

    Related Posts:

    At the time of writing this article, I am no longer in my Fifth Rotation, Medical but already in my Sixth Rotation, The Emergency and Trauma Department and at the same time, due for my last shift in my Sixth rotation as well as being a House Officer.

    Looking back, my last shift in the Medical Department seemed ages ago.

    However, I remembered that I was night shift at that time and was at Male Medical Ward (MMW).

    My duration working in this ward was around 3 weeks. However, it was my least favourite as compared to Medical 3, Medical 4, the Infectious Disease (ID) Ward or being part of the Perimedical team. The superiors were alright but it was the vibe of the ward in general that I found unsettling that I can’t quite place my fingers on.

    The night shift in Medical is from 8pm till 9am. However, on that day, I recalled leaving home at 6:30pm to go to work as we were not allocated any “long day” shifts.

    “Long Day” or “LD” are those who work from 7am till 10pm. Thus from 6pm till 8pm, prior to the night shift person coming, there is a 2 hours gap which is filled by them.

    On that week, there were no “Long Day’s” and everyone had the opportunity to return home at 6pm. However, who would fill in the “2-hours gap”?

    Thus, I remembered me and my colleagues at that time coming into a mutual agreement and compromise that one person would stay till 7pm and the night shift person would arrive an hour earlier at 7pm.

    It was a good compromise except there would be nobody to accompany us till 10pm and usually their help is valuable. Those hours till 10pm can get rather hectic at times.

    I remembered arriving around 6:45pm and started receiving handover from the AM teams and was cautioned to lookout for a particular patient in the acute cubicle who was rather unstable.

    Upon finishing our handover, the Medical Officer on-call for that ward arrived and things started to go hectic.

    I can’t exactly remember what happened but I was on my feet the whole time and did not begin my “coming mornings” till 3am.

    Thankfully, I was still able to complete them before 5am and the morning bloods were out in the system on time.

    That morning during my post night shift, I was “summoned” for minimal bloods which I completed immediately. Usually during my post night shift, I would remain within the sights of the “AM team” and offer to help out where I could.

    But I remembered at that time that I was completely spent. I decided to rest in the House Officer’s room and take any bloods a little later prior to my shift ending, if there were any.

    Surprisingly there were none after that. I recalled seeing a junior taking the blood of a patient as I was exiting the ward and asked him as to why he did not just ask me.

    He claimed that upon arriving for his morning shift, I looked rather spent and after I left to take a short break in the House Officer’s room, he just did not want to disturb me. After all, he said, it was only one patient.

    I was touched and grateful. It was a small gesture. However, it’s small, simple things that sometimes touches you.

    After that, I clocked out for the last time as a House Officer in the Medical Department.

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  30. The Theoretical Doctor @[email protected] ·

    Jobs That I’ve Had

    Click here for more articles & daily dose.

    What jobs have you had?

    Teacher

    Photo by Tima Miroshnichenko on Pexels.com

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

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

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

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

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

    Barista

    Photo by Barcelona Albertus on Pexels.com

    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

    Photo by RF._.studio _ on Pexels.com

    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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  31. The Theoretical Doctor @[email protected] ·

    Jobs That I’ve Had

    Click here for more articles & daily dose.

    What jobs have you had?

    Teacher

    Photo by Tima Miroshnichenko on Pexels.com

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

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

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

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

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

    Barista

    Photo by Barcelona Albertus on Pexels.com

    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

    Photo by RF._.studio _ on Pexels.com

    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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  32. The Theoretical Doctor @[email protected] ·

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

    Click here for more articles & daily dose.

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

    No.

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

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

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

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

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

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

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

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

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

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

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

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  33. The Theoretical Doctor @[email protected] ·

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

    Click here for more articles & daily dose.

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

    No.

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

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

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

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

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

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

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

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

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

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

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

    Click here for more articles & daily dose.

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    #article #Articles #Blog #blogging #dailyprompt #dailyprompt1812 #dailyprompt1819 #dailyprompt1833 #dailyprompt1836 #dailyprompt1838 #dailyprompt1839 #dailyprompt1841 #dailyprompt1843 #dailyprompt1844 #dailyprompt1852 #dailyprompt1853 #dailyprompt1854 #dailyprompt1855 #dailyprompt1857 #dailyprompt1858 #dailyprompt1948 #dailyprompt1952 #dailyprompt1957 #dailyprompt1964 #doctor #houseOfficer #housemanship #juniorDoctor #medical #medicalSchool #Medicine #reflection #studying #working #workingVsStudying #writing

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  34. The Theoretical Doctor @[email protected] ·

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

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    Medical. My Fifth rotation.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    Otherwise, all the very best!

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  35. The Theoretical Doctor @[email protected] ·

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

    Related Posts:

    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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  36. The Theoretical Doctor @[email protected] ·

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

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

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

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

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

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

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

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

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

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

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

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

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

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  37. The Theoretical Doctor @[email protected] ·

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

    Related Posts:

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

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

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

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

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

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

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

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

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

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

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

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

    Related Posts:

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    #Articles #Blog #blogging #dailyprompt #dailyprompt1823 #dailyprompt1826 #dailyprompt1833 #dailyprompt1838 #dailyprompt1841 #dailyprompt1843 #dailyprompt1844 #dailyprompt1852 #dailyprompt1854 #dailyprompt1857 #dailyprompt1939 #dailyprompt1948 #dailyprompt1950 #dailyprompt1956 #dailyprompt1959 #dailyprompt1962 #dailyprompt1963 #dailyprompt1964 #doctor #healthcare #hospital #hospitalUmumSarawak #houseOfficer #housemanship #kuching #Malaysia #medical #Medicine #sarawak #sarawakGeneralHospital #writing

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  38. The Theoretical Doctor @[email protected] ·

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

    Related Posts:

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

    I will explain more about that ward in another article.

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

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

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

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

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

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

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

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

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

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

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

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  39. The Theoretical Doctor @[email protected] ·

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

    Related Posts:

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

    I will explain more about that ward in another article.

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

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

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

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

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

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

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

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

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

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

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

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #Articles #Blog #blogging #dailyprompt #dailyprompt1804 #dailyprompt1826 #dailyprompt1838 #dailyprompt1841 #dailyprompt1858 #dailyprompt1862 #dailyprompt1863 #dailyprompt1932 #dailyprompt1945 #dailyprompt1948 #dailyprompt1952 #dailyprompt1954 #dailyprompt1962 #dailyprompt1963 #dailyprompt1969 #doctor #hospitalUmumSarawak #houseOfficers #housemanship #kuching #medical #medicalWard #nightShift #sarawakGeneralHospital #write #writing

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  40. The Theoretical Doctor @[email protected] ·

    40 Days Since I’ve Started Being Vegetarian

    Click here for more articles & daily dose.

    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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  41. The Theoretical Doctor @[email protected] ·

    My First Hour Of The Day

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    What are your morning rituals? What does the first hour of your day look like?

    By default I rise around 4-5am. Perhaps out of habit as I usually take my time in the morning. Sadly, this also happens during my off days even when my alarms are off. My body clock is somehow tuned to waking up at such.

    As mentioned, I take my time upon waking up. Thus, upon waking up, the rain sounds which I fall asleep to would be playing in the background and I would sit by the side of my bed and slowly make my way to my kitchen which is just across my bed, since I live in a studio unit and put my kettle to boil.

    The kettle is usually filled the night before and hence, one thing less for me to think in the morning. This is then followed by my morning bathroom rituals and brushing my teeth.

    Usually by then, I would have been much more awake and proceed to consume my iron tablet, vitamin C and making my morning coffee which is a mixture of 3-in-1 sachet and a teaspoon of black coffee since I prefer an even stronger coffee.

    If I were working that morning, I would prepare both of my 1.5L of flasks by filling them with cold coffee which I have brewed a day prior for me to bring to work. 

    Why 2 flasks? Well, one is not enough.

    Photo by cottonbro studio on Pexels.com

    There are days when I’m feeling hungry or in the mood, I would prepare myself breakfast. My go-to-regular is frying egg mixed with mushrooms, chopped chilli and curry leaves and adding them to my breakfast sandwich. During my time being vegetarian, I would usually grill or air-fry my premixed tofu which I have marinated with spices, acting as a burger patty and my breakfast sandwich is prepared. 

    There are days, despite waking up earlier, I would still miss breakfast, thus instead I would pack it for work. 

    After that is followed by showering and getting ready for work. I usually wash my hair in the mornings daily. Thus, prior leaving for work, I would dry my hair with a hair dryer and style it up in a bun and I’m good to go.

    How about if I’m not working on that day or if I’m night shift for that day? 

    Usually I proceed with my usual cup of coffee or I would go the extra mile by brewing myself a pot of masala or ginger tea with the tv playing in the background of some random YouTube video on productivity, to which I’m usually not listening to and merely keeping it on in the background for some background noise.

    Then, I would proceed to prepare my breakfast and start my day with some writing or studying.

    Well, that’s my first hour for the day, or perhaps a little more than that.

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  42. The Theoretical Doctor @[email protected] ·

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

    Related Posts:

    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

    Photo by Laura James on Pexels.com

    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

    Photo by Photo By: Kaboompics.com on Pexels.com

    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.

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #bloggingAsADoctor #dailyblog #dailyprompt #dailyprompt1804 #dailyprompt1813 #dailyprompt1834 #dailyprompt1836 #dailyprompt1838 #dailyprompt1841 #dailyprompt1844 #dailyprompt1853 #dailyprompt1855 #dailyprompt1857 #dailyprompt1858 #dailyprompt1860 #dailyprompt1959 #dailyprompt1962 #dailyprompt1971 #doctor #emergencyDepartment #hospital #hospitalUmumSarawak #houseOfficer #housemanship #kuching #medical #medicalOfficer #Medicine #periMedical #sarawak #sarawakGeneralHospital #writing

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  43. The Theoretical Doctor @[email protected] ·

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

    Related Posts:

    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

    Photo by Laura James on Pexels.com

    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

    Photo by Photo By: Kaboompics.com on Pexels.com

    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.

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #bloggingAsADoctor #dailyblog #dailyprompt #dailyprompt1804 #dailyprompt1813 #dailyprompt1834 #dailyprompt1836 #dailyprompt1838 #dailyprompt1841 #dailyprompt1844 #dailyprompt1853 #dailyprompt1855 #dailyprompt1857 #dailyprompt1858 #dailyprompt1860 #dailyprompt1959 #dailyprompt1962 #dailyprompt1971 #doctor #emergencyDepartment #hospital #hospitalUmumSarawak #houseOfficer #housemanship #kuching #medical #medicalOfficer #Medicine #periMedical #sarawak #sarawakGeneralHospital #writing

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  44. The Theoretical Doctor @[email protected] ·

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

    Related Posts:

    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

    Photo by Laura James on Pexels.com

    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

    Photo by Photo By: Kaboompics.com on Pexels.com

    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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  45. The Theoretical Doctor @[email protected] ·

    Working on New Year’s Day (2025)

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

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

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

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

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

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

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

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  46. The Theoretical Doctor @[email protected] ·

    Working on New Year’s Day (2025)

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

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

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

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

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

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

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

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  47. The Theoretical Doctor @[email protected] ·

    Working on New Year’s Day (2025)

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

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

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

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

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

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

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

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  48. The Theoretical Doctor @[email protected] ·

    My Morning Routine Being A House Officer Leader In The Surgical Posting | Housemanship Diaries

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    There are three main leaders in the Surgical Posting. One is in charge of curating the weekly schedule, the other, in charge of ward and cubicle / bed allocations as well as to reallocate if there are any people who took emergency leaves or medical leaves and the third one, in charge of our attendance at work.

    I was the daily allocator. Being the “allocator”, I would be in charge of designating the house officers to the selected cubicles of both the male and female surgical wards (MSW and FSW), the Peri, EMOT and ETD as well as to look for substitutes if there are any last minute changes or leaves.

    Usually, I will prep my allocation in advance after the schedule leader has done the schedule and make necessary changes along the way. The leader in charge of the schedule usually determines which person works the night shift and when as well as to approve any leaves. Usually, the house officers will be divided into their respective wards.

    The night before, I usually run through the suggested allocation in the “Leaders Group” with the medical officers in charge of the House Officers to screen through.

    After receiving the green light from them or making necessary adjustments, I would then upload the list in the House Officer’s group. Thus, they would then know where they would be covering.

    The list is usually sent in the “MOHO” group, meaning the group containing the House Officers and Medical Officers at 6:30 a.m.

    Thus, I would wake up and be on standby at 5am everyday, even on my off days as I would wait for any messages should anybody take medical leaves or emergency leaves and make the necessary adjustments needed.

    At 6:30 a.m sharp, I forward the daily allocation into the “MOHO” group.

    If I happened to be working on that day, I would pause in between work just to send and then go about my work.

    However, if I happened to be on leave or having my off days, I would then return to sleep or go about my other activities after 6:30 a.m.

    It was an interesting experience having had the privilege to hold the position as one of the posting leaders.

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  49. The Theoretical Doctor @[email protected] ·

    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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  50. The Theoretical Doctor @[email protected] ·

    My Experience as A Plastics House Officer | Housemanship Diaries

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    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.

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