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#dailyprompt1933 — Public Fediverse posts

Live and recent posts from across the Fediverse tagged #dailyprompt1933, aggregated by home.social.

Kerem's alive ( www.brainywisdom.com ) @[email protected] · 2026-05-09 · 12:22 UTC

What is your career plan?
What is your career plan? https://kddotpage.wordpress.com/2026/01/09/what-are-your-thoughts-on-the-concept-of-living-a-very-long-life/ I’m curious about how medical advancements will benefit the quality of the overall health 🤞 I obviously won’t gonna share my career plans publicly, but I'd be happy to share this again 🤓 Oh, and considering that humanity is still experiencing the transition phase ( not really sure what it’s that we’re transitioning into, but I wish it would […]
https://kddotpage.wordpress.com/2026/05/09/what-is-your-career-plan/

#ai #dailyprompt #dailyprompt1933 #education #future #humanity
[ERIC.FOLTIN] @[email protected] · 2026-05-09 · 06:51 UTC

Seasonal Allergies Are Just Rust For Human Beings
Why do people act shocked every single year that allergies exist? This writing prompt crawled straight out of my collection over at EricFoltin.com, because apparently my brain refuses to sit quietly and watch civilization scroll itself into oblivion. If you want to use it, steal away. Seriously. Just toss a link back to my site somewhere so the internet remembers where the madness originated. Gen X rules still apply: borrow the mixtape, don’t pretend you wrote the songs. Every single […]
https://ericfoltin.com/2026/05/09/seasonal-allergies-are-just-rust-for-human-beings/

#allergies #dailyprompt #dailyprompt1933 #environment #pollen #sinus
[ERIC.FOLTIN] @[email protected] · 2026-05-09 · 06:51 UTC

Seasonal Allergies Are Just Rust For Human Beings
Why do people act shocked every single year that allergies exist? This writing prompt crawled straight out of my collection over at EricFoltin.com, because apparently my brain refuses to sit quietly and watch civilization scroll itself into oblivion. If you want to use it, steal away. Seriously. Just toss a link back to my site somewhere so the internet remembers where the madness originated. Gen X rules still apply: borrow the mixtape, don’t pretend you wrote the songs. Every single […]
https://ericfoltin.com/2026/05/09/seasonal-allergies-are-just-rust-for-human-beings/

#allergies #dailyprompt #dailyprompt1933 #environment #pollen #sinus
[ERIC.FOLTIN] @[email protected] · 2026-05-09 · 06:51 UTC

Seasonal Allergies Are Just Rust For Human Beings
Why do people act shocked every single year that allergies exist? This writing prompt crawled straight out of my collection over at EricFoltin.com, because apparently my brain refuses to sit quietly and watch civilization scroll itself into oblivion. If you want to use it, steal away. Seriously. Just toss a link back to my site somewhere so the internet remembers where the madness originated. Gen X rules still apply: borrow the mixtape, don’t pretend you wrote the songs. Every single […]
https://ericfoltin.com/2026/05/09/seasonal-allergies-are-just-rust-for-human-beings/

#allergies #dailyprompt #dailyprompt1933 #environment #pollen #sinus
[ERIC.FOLTIN] @[email protected] · 2026-05-09 · 06:51 UTC

Seasonal Allergies Are Just Rust For Human Beings
Why do people act shocked every single year that allergies exist? This writing prompt crawled straight out of my collection over at EricFoltin.com, because apparently my brain refuses to sit quietly and watch civilization scroll itself into oblivion. If you want to use it, steal away. Seriously. Just toss a link back to my site somewhere so the internet remembers where the madness originated. Gen X rules still apply: borrow the mixtape, don’t pretend you wrote the songs. Every single […]
https://ericfoltin.com/2026/05/09/seasonal-allergies-are-just-rust-for-human-beings/

#spring #sinus #pollen #environment #dailyprompt1933 #dailyprompt
[ERIC.FOLTIN] @[email protected] · 2026-05-09 · 06:51 UTC

Seasonal Allergies Are Just Rust For Human Beings
Why do people act shocked every single year that allergies exist? This writing prompt crawled straight out of my collection over at EricFoltin.com, because apparently my brain refuses to sit quietly and watch civilization scroll itself into oblivion. If you want to use it, steal away. Seriously. Just toss a link back to my site somewhere so the internet remembers where the madness originated. Gen X rules still apply: borrow the mixtape, don’t pretend you wrote the songs. Every single […]
https://ericfoltin.com/2026/05/09/seasonal-allergies-are-just-rust-for-human-beings/

#allergies #dailyprompt #dailyprompt1933 #environment #pollen #sinus
[ERIC.FOLTIN] @[email protected] · 2026-05-09 · 04:03 UTC

Helping Older People Changed My Definition of Success
What is your career plan? Most people spend half their life chasing a “career plan” like it’s hidden in some corporate escape room designed by a guy named Brad who says things like “circle back.” Mine turned out a lot simpler. I’m already doing it. Every day I help senior citizens. That’s the plan. That’s the job. That’s the thing that actually matters when the noise burns off and the fake motivational posters get hauled into the dumpster where they belong. I deliver […]
https://ericfoltin.com/2026/05/09/helping-older-people-changed-my-definition-of-success/

#career #dailyprompt #dailyprompt1933 #seniorcitizens #work
The Theoretical Doctor @[email protected] · 2026-01-05 · 01:00 UTC
2026 – The Beginning

Related Posts:
First of all, Happy New Year! I hope you have had a great start to this year and if you have any New Year’s Resolutions planned, I hope that you will be able to stick throughout the year.
I did not have any New Year’s Resolutions planned as I usually did the previous years. Mainly because I have just moved to a new place, settling in with things still pending in Kuching, trying to adapt to my working environment as well as picking up on new skills.
Thus, New Year’s Resolution? It’ll come as the year progresses.
My New Year’s Eve was spent at work and mainly in the ambulance with a dear friend as well as work colleague, however, that is a separate post for another time.
As usual, since I’ve started working as a doctor in 2023, I’ve always made it a point to work on New Year’s Day, a habit which I’ve adapted from my dad ever since he has started working at the age of 18.
However, New Year’s Day is a public holiday here in Sarawak. Thus, I was allocated as the oncall medical officer on the 1st of January as well as on the 2nd of January. Per oncall shift is from 8am on that day till 8am the following day (which means, mine ended at 8am on the 3rd of January).
My first case began with a case of wound breakdown over the right wrist, which the patient chose not to seek hospital treatment followed by another case of upper gastrointestinal bleed which was sent to hospital. This was then followed by another case of possible acute appendicitis which the patient and family decided to “discharge against medical advice” because they wanted to seek treatment in their hometown considering they were travelling and happened to be in the same area.
Upon returning home, I was called back for a case of breakthrough seizure likely secondary to under-dosage of medications. The patient had three episodes of seizure that day followed by a regular 1-2 monthly episodes. Hence, referred and sent to hospital.
Finally, I can return home. Time to get some rest since I would be working the next day. Shortly after, I was called back, a patient sustained laceration wound over the medial aspect of his antecubital fossa. Mechanism of injury? Unknown and he was in an extremely drunken state.
Otherwise, he was stable. Sadly, my medical assistant at that time could not be contacted to escort the patient to hospital and the family members did not have their own transportation.
If only, he was fully awake, I would have triaged him to green zone. However, transportation issues… Thankfully, the patient’s family has an uncle who was willing to send. The only thing was he needed some time to arrive due to the heavy rain and slippery roads.
I didn’t feel good leaving the patient behind although he was stable. Thus, I stayed till 4am until his uncle came and the patient himself had woken up.
After that, I went back home and straight away gotten ready for work since it’s a working day and I am still oncall.
The following day on the 2nd of January, went by smoothly during office hours with referrals here and there but it was manageable.
In the afternoon, another patient came in for symptomatic anaemia secondary to abnormal uterine bleeding with newly diagnosed cervical carcinoma. Her haemoglobin level was 5, who again, refused hospital referral claiming she visited the clinic for fever and not for her anaemic symptoms. After much convincing and discussion with my specialist, the patient still opted to “discharge against medical advice”.
Which makes me wonder… Why in the world?…
This was followed by dinner with my friend. I remembered thinking to myself that evening that maybe… just maybe… I would have a cold night. Enough of referrals.
However, at 11:30pm on the 2nd of January 2026, I received a call from my medical assistant that a patient presented to the clinic breathless with an SpO2 of 50% under room air, started on high flow mask and at best, it is only 90%.
Sounds like an impending intubation and CPR case.
I called up my friend immediately as I rushed to the car as she lives closer to the clinic. I needed all the help I could get for this patient. The roads were slippery and it was a rainy night. Yet, I sped. Thankfully, my friend had already arrived before me.
The patient?
I remembered seeing this patient on the 23rd of December 2025. At that time, his lungs already had crepitations with reduced air entry over the right side and yet he chose to “discharge against medical advice”. I remembered telling him that he would collapse if he didn’t go and true enough, here he was… sitting up, gasping for air.
His vitals? Blood pressure was sky high, lungs filled with crepitations but no pedal oedema, lines were set, no ECG done but we didn’t have time to waste…
I called up the Emergency Physician in the nearest hospital (which is an hour away), presented shortly and informed that we had to proceed with intubation because he was too tachypnoeic.
We prepared for intubation, informed the family members as well as explained the risk of CPR and death. The family understood and agreed.
Intubation… This was a difficult intubation for the guy was a very large guy with hardly any neck visible.
But before we could start, his GCS dropped and so did his heart rate, I started CPR while my friend attempted to crash intubate. We attempted to crash intubate and both times, it failed… I called up the Emergency Physician again and told her that we were 30 minutes into the CPR, she told me to call off after the current cycle.
My first death at a new workplace and on the third day of the year at 0027H, 3rd of January 2026.
Then, I proceeded to complete my notes for the family members to bring to the police station to lodge a police report and broke the news to the family. I was calm and so were the patients’ family. After that, I called up the Emergency Physician to thank her and then, I broke down.
I broke down because had he gone on the 23rd itself, he wouldn’t have to gone through this.. He lives alone and his so-called family members aren’t even his biological family members but neighbours and friends… I broke down because I also felt defeated… We tried our best with such limited resources and manpower…
Yet, I couldn’t save him…

If you have YET to come up with a New Year’s Resolution… At least consider this, adhere to your regular check-ups if you have any… Stay compliant to your medications, diet restrictions or any fluid restrictions if you do have…
And if something is off or not right, please RUSH to the nearest clinic or better, the hospital… Because there is only so much that we can do with such limited resources in a community clinic.
Otherwise, I wish that you have a Blessed 2026 filled with love, beautiful memories and wonderful opportunities.
Remember to have fun and do enjoy it but please do so, responsibly.

Related Posts:
YouTube | Instagram | Pinterest | Facebook | Spotify
About Me | Privacy Policy | Contact Me
#Articles #bintulu #Blog #blogging #communityClinic #cpr #dailyprompt #dailyprompt1804 #dailyprompt1812 #dailyprompt1829 #dailyprompt1933 #dailyprompt1940 #dailyprompt1941 #dailyprompt1944 #dailyprompt1945 #dailyprompt1946 #dailyprompt1947 #dailyprompt1949 #dailyprompt1952 #dailyprompt1963 #dailyprompt1968 #doctor #doctorLife #emergency #emergencyDepartment #familyHealth #familyMedicine #housemanship #intubation #klinikKesihatan #Malaysia #medical #medicalOfficer #Medicine #newYear #sarawak #tatau #writing
#articles #bintulu #blog #blogging #communityclinic #cpr
The Theoretical Doctor @[email protected] · 2026-01-05 · 01:00 UTC
2026 – The Beginning

Related Posts:
First of all, Happy New Year! I hope you have had a great start to this year and if you have any New Year’s Resolutions planned, I hope that you will be able to stick throughout the year.
I did not have any New Year’s Resolutions planned as I usually did the previous years. Mainly because I have just moved to a new place, settling in with things still pending in Kuching, trying to adapt to my working environment as well as picking up on new skills.
Thus, New Year’s Resolution? It’ll come as the year progresses.
My New Year’s Eve was spent at work and mainly in the ambulance with a dear friend as well as work colleague, however, that is a separate post for another time.
As usual, since I’ve started working as a doctor in 2023, I’ve always made it a point to work on New Year’s Day, a habit which I’ve adapted from my dad ever since he has started working at the age of 18.
However, New Year’s Day is a public holiday here in Sarawak. Thus, I was allocated as the oncall medical officer on the 1st of January as well as on the 2nd of January. Per oncall shift is from 8am on that day till 8am the following day (which means, mine ended at 8am on the 3rd of January).
My first case began with a case of wound breakdown over the right wrist, which the patient chose not to seek hospital treatment followed by another case of upper gastrointestinal bleed which was sent to hospital. This was then followed by another case of possible acute appendicitis which the patient and family decided to “discharge against medical advice” because they wanted to seek treatment in their hometown considering they were travelling and happened to be in the same area.
Upon returning home, I was called back for a case of breakthrough seizure likely secondary to under-dosage of medications. The patient had three episodes of seizure that day followed by a regular 1-2 monthly episodes. Hence, referred and sent to hospital.
Finally, I can return home. Time to get some rest since I would be working the next day. Shortly after, I was called back, a patient sustained laceration wound over the medial aspect of his antecubital fossa. Mechanism of injury? Unknown and he was in an extremely drunken state.
Otherwise, he was stable. Sadly, my medical assistant at that time could not be contacted to escort the patient to hospital and the family members did not have their own transportation.
If only, he was fully awake, I would have triaged him to green zone. However, transportation issues… Thankfully, the patient’s family has an uncle who was willing to send. The only thing was he needed some time to arrive due to the heavy rain and slippery roads.
I didn’t feel good leaving the patient behind although he was stable. Thus, I stayed till 4am until his uncle came and the patient himself had woken up.
After that, I went back home and straight away gotten ready for work since it’s a working day and I am still oncall.
The following day on the 2nd of January, went by smoothly during office hours with referrals here and there but it was manageable.
In the afternoon, another patient came in for symptomatic anaemia secondary to abnormal uterine bleeding with newly diagnosed cervical carcinoma. Her haemoglobin level was 5, who again, refused hospital referral claiming she visited the clinic for fever and not for her anaemic symptoms. After much convincing and discussion with my specialist, the patient still opted to “discharge against medical advice”.
Which makes me wonder… Why in the world?…
This was followed by dinner with my friend. I remembered thinking to myself that evening that maybe… just maybe… I would have a cold night. Enough of referrals.
However, at 11:30pm on the 2nd of January 2026, I received a call from my medical assistant that a patient presented to the clinic breathless with an SpO2 of 50% under room air, started on high flow mask and at best, it is only 90%.
Sounds like an impending intubation and CPR case.
I called up my friend immediately as I rushed to the car as she lives closer to the clinic. I needed all the help I could get for this patient. The roads were slippery and it was a rainy night. Yet, I sped. Thankfully, my friend had already arrived before me.
The patient?
I remembered seeing this patient on the 23rd of December 2025. At that time, his lungs already had crepitations with reduced air entry over the right side and yet he chose to “discharge against medical advice”. I remembered telling him that he would collapse if he didn’t go and true enough, here he was… sitting up, gasping for air.
His vitals? Blood pressure was sky high, lungs filled with crepitations but no pedal oedema, lines were set, no ECG done but we didn’t have time to waste…
I called up the Emergency Physician in the nearest hospital (which is an hour away), presented shortly and informed that we had to proceed with intubation because he was too tachypnoeic.
We prepared for intubation, informed the family members as well as explained the risk of CPR and death. The family understood and agreed.
Intubation… This was a difficult intubation for the guy was a very large guy with hardly any neck visible.
But before we could start, his GCS dropped and so did his heart rate, I started CPR while my friend attempted to crash intubate. We attempted to crash intubate and both times, it failed… I called up the Emergency Physician again and told her that we were 30 minutes into the CPR, she told me to call off after the current cycle.
My first death at a new workplace and on the third day of the year at 0027H, 3rd of January 2026.
Then, I proceeded to complete my notes for the family members to bring to the police station to lodge a police report and broke the news to the family. I was calm and so were the patients’ family. After that, I called up the Emergency Physician to thank her and then, I broke down.
I broke down because had he gone on the 23rd itself, he wouldn’t have to gone through this.. He lives alone and his so-called family members aren’t even his biological family members but neighbours and friends… I broke down because I also felt defeated… We tried our best with such limited resources and manpower…
Yet, I couldn’t save him…

If you have YET to come up with a New Year’s Resolution… At least consider this, adhere to your regular check-ups if you have any… Stay compliant to your medications, diet restrictions or any fluid restrictions if you do have…
And if something is off or not right, please RUSH to the nearest clinic or better, the hospital… Because there is only so much that we can do with such limited resources in a community clinic.
Otherwise, I wish that you have a Blessed 2026 filled with love, beautiful memories and wonderful opportunities.
Remember to have fun and do enjoy it but please do so, responsibly.

Related Posts:
YouTube | Instagram | Pinterest | Facebook | Spotify
About Me | Privacy Policy | Contact Me
#Articles #bintulu #Blog #blogging #communityClinic #cpr #dailyprompt #dailyprompt1804 #dailyprompt1812 #dailyprompt1829 #dailyprompt1933 #dailyprompt1940 #dailyprompt1941 #dailyprompt1944 #dailyprompt1945 #dailyprompt1946 #dailyprompt1947 #dailyprompt1949 #dailyprompt1952 #dailyprompt1963 #dailyprompt1968 #doctor #doctorLife #emergency #emergencyDepartment #familyHealth #familyMedicine #housemanship #intubation #klinikKesihatan #Malaysia #medical #medicalOfficer #Medicine #newYear #sarawak #tatau #writing
#articles #bintulu #blog #blogging #communityclinic #cpr
The Theoretical Doctor @[email protected] · 2026-01-05 · 01:00 UTC
2026 – The Beginning

Related Posts:
First of all, Happy New Year! I hope you have had a great start to this year and if you have any New Year’s Resolutions planned, I hope that you will be able to stick throughout the year.
I did not have any New Year’s Resolutions planned as I usually did the previous years. Mainly because I have just moved to a new place, settling in with things still pending in Kuching, trying to adapt to my working environment as well as picking up on new skills.
Thus, New Year’s Resolution? It’ll come as the year progresses.
My New Year’s Eve was spent at work and mainly in the ambulance with a dear friend as well as work colleague, however, that is a separate post for another time.
As usual, since I’ve started working as a doctor in 2023, I’ve always made it a point to work on New Year’s Day, a habit which I’ve adapted from my dad ever since he has started working at the age of 18.
However, New Year’s Day is a public holiday here in Sarawak. Thus, I was allocated as the oncall medical officer on the 1st of January as well as on the 2nd of January. Per oncall shift is from 8am on that day till 8am the following day (which means, mine ended at 8am on the 3rd of January).
My first case began with a case of wound breakdown over the right wrist, which the patient chose not to seek hospital treatment followed by another case of upper gastrointestinal bleed which was sent to hospital. This was then followed by another case of possible acute appendicitis which the patient and family decided to “discharge against medical advice” because they wanted to seek treatment in their hometown considering they were travelling and happened to be in the same area.
Upon returning home, I was called back for a case of breakthrough seizure likely secondary to under-dosage of medications. The patient had three episodes of seizure that day followed by a regular 1-2 monthly episodes. Hence, referred and sent to hospital.
Finally, I can return home. Time to get some rest since I would be working the next day. Shortly after, I was called back, a patient sustained laceration wound over the medial aspect of his antecubital fossa. Mechanism of injury? Unknown and he was in an extremely drunken state.
Otherwise, he was stable. Sadly, my medical assistant at that time could not be contacted to escort the patient to hospital and the family members did not have their own transportation.
If only, he was fully awake, I would have triaged him to green zone. However, transportation issues… Thankfully, the patient’s family has an uncle who was willing to send. The only thing was he needed some time to arrive due to the heavy rain and slippery roads.
I didn’t feel good leaving the patient behind although he was stable. Thus, I stayed till 4am until his uncle came and the patient himself had woken up.
After that, I went back home and straight away gotten ready for work since it’s a working day and I am still oncall.
The following day on the 2nd of January, went by smoothly during office hours with referrals here and there but it was manageable.
In the afternoon, another patient came in for symptomatic anaemia secondary to abnormal uterine bleeding with newly diagnosed cervical carcinoma. Her haemoglobin level was 5, who again, refused hospital referral claiming she visited the clinic for fever and not for her anaemic symptoms. After much convincing and discussion with my specialist, the patient still opted to “discharge against medical advice”.
Which makes me wonder… Why in the world?…
This was followed by dinner with my friend. I remembered thinking to myself that evening that maybe… just maybe… I would have a cold night. Enough of referrals.
However, at 11:30pm on the 2nd of January 2026, I received a call from my medical assistant that a patient presented to the clinic breathless with an SpO2 of 50% under room air, started on high flow mask and at best, it is only 90%.
Sounds like an impending intubation and CPR case.
I called up my friend immediately as I rushed to the car as she lives closer to the clinic. I needed all the help I could get for this patient. The roads were slippery and it was a rainy night. Yet, I sped. Thankfully, my friend had already arrived before me.
The patient?
I remembered seeing this patient on the 23rd of December 2025. At that time, his lungs already had crepitations with reduced air entry over the right side and yet he chose to “discharge against medical advice”. I remembered telling him that he would collapse if he didn’t go and true enough, here he was… sitting up, gasping for air.
His vitals? Blood pressure was sky high, lungs filled with crepitations but no pedal oedema, lines were set, no ECG done but we didn’t have time to waste…
I called up the Emergency Physician in the nearest hospital (which is an hour away), presented shortly and informed that we had to proceed with intubation because he was too tachypnoeic.
We prepared for intubation, informed the family members as well as explained the risk of CPR and death. The family understood and agreed.
Intubation… This was a difficult intubation for the guy was a very large guy with hardly any neck visible.
But before we could start, his GCS dropped and so did his heart rate, I started CPR while my friend attempted to crash intubate. We attempted to crash intubate and both times, it failed… I called up the Emergency Physician again and told her that we were 30 minutes into the CPR, she told me to call off after the current cycle.
My first death at a new workplace and on the third day of the year at 0027H, 3rd of January 2026.
Then, I proceeded to complete my notes for the family members to bring to the police station to lodge a police report and broke the news to the family. I was calm and so were the patients’ family. After that, I called up the Emergency Physician to thank her and then, I broke down.
I broke down because had he gone on the 23rd itself, he wouldn’t have to gone through this.. He lives alone and his so-called family members aren’t even his biological family members but neighbours and friends… I broke down because I also felt defeated… We tried our best with such limited resources and manpower…
Yet, I couldn’t save him…

If you have YET to come up with a New Year’s Resolution… At least consider this, adhere to your regular check-ups if you have any… Stay compliant to your medications, diet restrictions or any fluid restrictions if you do have…
And if something is off or not right, please RUSH to the nearest clinic or better, the hospital… Because there is only so much that we can do with such limited resources in a community clinic.
Otherwise, I wish that you have a Blessed 2026 filled with love, beautiful memories and wonderful opportunities.
Remember to have fun and do enjoy it but please do so, responsibly.

Related Posts:
YouTube | Instagram | Pinterest | Facebook | Spotify
About Me | Privacy Policy | Contact Me
#Articles #bintulu #Blog #blogging #communityClinic #cpr #dailyprompt #dailyprompt1804 #dailyprompt1812 #dailyprompt1829 #dailyprompt1933 #dailyprompt1940 #dailyprompt1941 #dailyprompt1944 #dailyprompt1945 #dailyprompt1946 #dailyprompt1947 #dailyprompt1949 #dailyprompt1952 #dailyprompt1963 #dailyprompt1968 #doctor #doctorLife #emergency #emergencyDepartment #familyHealth #familyMedicine #housemanship #intubation #klinikKesihatan #Malaysia #medical #medicalOfficer #Medicine #newYear #sarawak #tatau #writing
#articles #bintulu #blog #blogging #communityclinic #cpr
The Theoretical Doctor @[email protected] · 2026-01-05 · 01:00 UTC
2026 – The Beginning

Related Posts:
First of all, Happy New Year! I hope you have had a great start to this year and if you have any New Year’s Resolutions planned, I hope that you will be able to stick throughout the year.
I did not have any New Year’s Resolutions planned as I usually did the previous years. Mainly because I have just moved to a new place, settling in with things still pending in Kuching, trying to adapt to my working environment as well as picking up on new skills.
Thus, New Year’s Resolution? It’ll come as the year progresses.
My New Year’s Eve was spent at work and mainly in the ambulance with a dear friend as well as work colleague, however, that is a separate post for another time.
As usual, since I’ve started working as a doctor in 2023, I’ve always made it a point to work on New Year’s Day, a habit which I’ve adapted from my dad ever since he has started working at the age of 18.
However, New Year’s Day is a public holiday here in Sarawak. Thus, I was allocated as the oncall medical officer on the 1st of January as well as on the 2nd of January. Per oncall shift is from 8am on that day till 8am the following day (which means, mine ended at 8am on the 3rd of January).
My first case began with a case of wound breakdown over the right wrist, which the patient chose not to seek hospital treatment followed by another case of upper gastrointestinal bleed which was sent to hospital. This was then followed by another case of possible acute appendicitis which the patient and family decided to “discharge against medical advice” because they wanted to seek treatment in their hometown considering they were travelling and happened to be in the same area.
Upon returning home, I was called back for a case of breakthrough seizure likely secondary to under-dosage of medications. The patient had three episodes of seizure that day followed by a regular 1-2 monthly episodes. Hence, referred and sent to hospital.
Finally, I can return home. Time to get some rest since I would be working the next day. Shortly after, I was called back, a patient sustained laceration wound over the medial aspect of his antecubital fossa. Mechanism of injury? Unknown and he was in an extremely drunken state.
Otherwise, he was stable. Sadly, my medical assistant at that time could not be contacted to escort the patient to hospital and the family members did not have their own transportation.
If only, he was fully awake, I would have triaged him to green zone. However, transportation issues… Thankfully, the patient’s family has an uncle who was willing to send. The only thing was he needed some time to arrive due to the heavy rain and slippery roads.
I didn’t feel good leaving the patient behind although he was stable. Thus, I stayed till 4am until his uncle came and the patient himself had woken up.
After that, I went back home and straight away gotten ready for work since it’s a working day and I am still oncall.
The following day on the 2nd of January, went by smoothly during office hours with referrals here and there but it was manageable.
In the afternoon, another patient came in for symptomatic anaemia secondary to abnormal uterine bleeding with newly diagnosed cervical carcinoma. Her haemoglobin level was 5, who again, refused hospital referral claiming she visited the clinic for fever and not for her anaemic symptoms. After much convincing and discussion with my specialist, the patient still opted to “discharge against medical advice”.
Which makes me wonder… Why in the world?…
This was followed by dinner with my friend. I remembered thinking to myself that evening that maybe… just maybe… I would have a cold night. Enough of referrals.
However, at 11:30pm on the 2nd of January 2026, I received a call from my medical assistant that a patient presented to the clinic breathless with an SpO2 of 50% under room air, started on high flow mask and at best, it is only 90%.
Sounds like an impending intubation and CPR case.
I called up my friend immediately as I rushed to the car as she lives closer to the clinic. I needed all the help I could get for this patient. The roads were slippery and it was a rainy night. Yet, I sped. Thankfully, my friend had already arrived before me.
The patient?
I remembered seeing this patient on the 23rd of December 2025. At that time, his lungs already had crepitations with reduced air entry over the right side and yet he chose to “discharge against medical advice”. I remembered telling him that he would collapse if he didn’t go and true enough, here he was… sitting up, gasping for air.
His vitals? Blood pressure was sky high, lungs filled with crepitations but no pedal oedema, lines were set, no ECG done but we didn’t have time to waste…
I called up the Emergency Physician in the nearest hospital (which is an hour away), presented shortly and informed that we had to proceed with intubation because he was too tachypnoeic.
We prepared for intubation, informed the family members as well as explained the risk of CPR and death. The family understood and agreed.
Intubation… This was a difficult intubation for the guy was a very large guy with hardly any neck visible.
But before we could start, his GCS dropped and so did his heart rate, I started CPR while my friend attempted to crash intubate. We attempted to crash intubate and both times, it failed… I called up the Emergency Physician again and told her that we were 30 minutes into the CPR, she told me to call off after the current cycle.
My first death at a new workplace and on the third day of the year at 0027H, 3rd of January 2026.
Then, I proceeded to complete my notes for the family members to bring to the police station to lodge a police report and broke the news to the family. I was calm and so were the patients’ family. After that, I called up the Emergency Physician to thank her and then, I broke down.
I broke down because had he gone on the 23rd itself, he wouldn’t have to gone through this.. He lives alone and his so-called family members aren’t even his biological family members but neighbours and friends… I broke down because I also felt defeated… We tried our best with such limited resources and manpower…
Yet, I couldn’t save him…

If you have YET to come up with a New Year’s Resolution… At least consider this, adhere to your regular check-ups if you have any… Stay compliant to your medications, diet restrictions or any fluid restrictions if you do have…
And if something is off or not right, please RUSH to the nearest clinic or better, the hospital… Because there is only so much that we can do with such limited resources in a community clinic.
Otherwise, I wish that you have a Blessed 2026 filled with love, beautiful memories and wonderful opportunities.
Remember to have fun and do enjoy it but please do so, responsibly.

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The Theoretical Doctor @[email protected] · 2024-09-21 · 01:00 UTC

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Sometime ago, I wrote about “The Small Change I Hope My Blog Would Make“, whereby I mentioned that with every article written and uploaded on this website would spread some form of comfort and positivity, especially within the community of junior doctors.
Perhaps I’m just simply being optimistic. I have to. That keeps me going, even on difficult days to the point it has become a default reflex for me.
Nonetheless, I love to write and sometimes I do get lost that I tend to deviate from the topic at times and divert back to the main topic at hand.
Living in this world which has its flaws and problems at every corner, I try to see the good aspect of things and thus, I try to end my articles on a good note or some encouragement, which is mainly directed at me actually. However, I never know who may be reading my written articles and perhaps just need some encouragement and kind words at the moment.
It serves as a “happy ending” just like a fairytale in which I escape in one too many times.

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The Theoretical Doctor @[email protected] · 2024-09-21 · 01:00 UTC

Click here for more articles & daily dose.

Sometime ago, I wrote about “The Small Change I Hope My Blog Would Make“, whereby I mentioned that with every article written and uploaded on this website would spread some form of comfort and positivity, especially within the community of junior doctors.
Perhaps I’m just simply being optimistic. I have to. That keeps me going, even on difficult days to the point it has become a default reflex for me.
Nonetheless, I love to write and sometimes I do get lost that I tend to deviate from the topic at times and divert back to the main topic at hand.
Living in this world which has its flaws and problems at every corner, I try to see the good aspect of things and thus, I try to end my articles on a good note or some encouragement, which is mainly directed at me actually. However, I never know who may be reading my written articles and perhaps just need some encouragement and kind words at the moment.
It serves as a “happy ending” just like a fairytale in which I escape in one too many times.

Click here for more articles & daily dose.

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https://theoreticaldoctor.com/2024/09/21/ending-my-articles-on-a-good-note/
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The Theoretical Doctor @[email protected] · 2024-09-21 · 01:00 UTC

Click here for more articles & daily dose.

Sometime ago, I wrote about “The Small Change I Hope My Blog Would Make“, whereby I mentioned that with every article written and uploaded on this website would spread some form of comfort and positivity, especially within the community of junior doctors.
Perhaps I’m just simply being optimistic. I have to. That keeps me going, even on difficult days to the point it has become a default reflex for me.
Nonetheless, I love to write and sometimes I do get lost that I tend to deviate from the topic at times and divert back to the main topic at hand.
Living in this world which has its flaws and problems at every corner, I try to see the good aspect of things and thus, I try to end my articles on a good note or some encouragement, which is mainly directed at me actually. However, I never know who may be reading my written articles and perhaps just need some encouragement and kind words at the moment.
It serves as a “happy ending” just like a fairytale in which I escape in one too many times.

Click here for more articles & daily dose.

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https://theoreticaldoctor.com/2024/09/21/ending-my-articles-on-a-good-note/
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The Theoretical Doctor @[email protected] · 2024-09-21 · 01:00 UTC

Click here for more articles & daily dose.

Sometime ago, I wrote about “The Small Change I Hope My Blog Would Make“, whereby I mentioned that with every article written and uploaded on this website would spread some form of comfort and positivity, especially within the community of junior doctors.
Perhaps I’m just simply being optimistic. I have to. That keeps me going, even on difficult days to the point it has become a default reflex for me.
Nonetheless, I love to write and sometimes I do get lost that I tend to deviate from the topic at times and divert back to the main topic at hand.
Living in this world which has its flaws and problems at every corner, I try to see the good aspect of things and thus, I try to end my articles on a good note or some encouragement, which is mainly directed at me actually. However, I never know who may be reading my written articles and perhaps just need some encouragement and kind words at the moment.
It serves as a “happy ending” just like a fairytale in which I escape in one too many times.

Click here for more articles & daily dose.

YouTube | Instagram | Pinterest | Facebook | Spotify
About Me | Privacy Policy | Contact Me
https://theoreticaldoctor.com/2024/09/21/ending-my-articles-on-a-good-note/
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Inside the Red Head's Head @[email protected] · 2024-05-09 · 11:38 UTC

Daily writing prompt What is your career plan? View all responses
Adults are always asking kids what they want to be when they grow up because they are looking for ideas.
Paula Poundstone
My career plans are pretty much set. Work in lower management until I die. Simple. I mean, I could possibly move up to middle management or something like that, but really there aren’t many different options at this point. I’m too old to be making plans to hop around. On July 12th I am going to hit the 20 year mark at my company. Right now, that’s the only career plan I’m thinking about.
I get the feeling that this question of the day was geared toward the younger folks. I’m looking forward to reading through other posts because, as Miss Poundstone* suggested, I’m always looking for new ideas.

*Wasn’t Paula Poundstone black balled or something? Didn’t she do something awful, or was accused or suspected of doing something awful? Oh yes, the google clued me in. Three counts of lewd acts upon a girl younger than 14. I used the quote because there was a point when the Comedy Central network used it in a commercial that ran about 20 times per hour and it seemed to fit my point for today. Apologies for quoting a potential child molester. I suck.
https://robertjames1971.blog/2024/05/09/not-the-target-audience/
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