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  1. 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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  2. 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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  3. 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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  4. 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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  5. The Theoretical Doctor @[email protected] ·

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

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    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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  6. The Theoretical Doctor @[email protected] ·

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

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    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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  7. The Theoretical Doctor @[email protected] ·

    40 Days Since I’ve Started Being Vegetarian

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    Describe one positive change you have made in your life.

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

    Why did I even embark on this journey?

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

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

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

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

    Well, vegetables are cheap, which is good.

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

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

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

    Perhaps soon I will embark on this journey again.

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  8. The Theoretical Doctor @[email protected] ·

    Laughing – A Way To Destress

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    What makes you laugh?

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

    Or perhaps I’m just a little unbalanced.

    Photo by ROMAN ODINTSOV on Pexels.com

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

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

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

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

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

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

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  9. 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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  10. The Theoretical Doctor @[email protected] ·

    My Grocery List As A Junior Doctor – While I Was In My Vegetarian Phase

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    Being a Junior Doctor or a House Officer, we are located the lowest in the hierarchy of medical personnels. That is because we have just started practicing which means there is still a lot for us to learn on top of learning how to be a safe doctor as well as the simple management of the patients’ condition down to their tailored management. Thus, this automatically translates into long hours at work, a mentally and physically tiring journey as well as a reduction in our total night’s sleep.

    Are we married to our work? In a way yes and also no.

    Not that we want to or that we are workaholics but being in this field, it is an unspoken expectation which seems to have befallen us.

    Thus, our so-called “work-life balance” is almost always in disequilibrium and we try our best to destress in whatever way suits us best.

    For me, it is cooking and recently, I have embarked on a vegetarian journey for the Lenten season (at the time of writing this article, it was during Lent), as well as a way of trying to be a pinch healthier to my already unhealthy lifestyle.

    Since I enjoy making my own meals, I rarely eat outside. Thus, the idea that vegetarian food is a little bit difficult to be obtained or ordered online, does not really bother me.

    A bright side to this is that, I’m lacto-ovo-vegetarian, meaning I consume egg amidst being vegetarian as well as dairy products and throughout my vegetarian season, I did not reduce my food portion (which may be bad). Rather, I simply changed my food choices from non-vegetarian to vegetarian and from ordering take-outs to consuming more home prepared meals.

    Thus, what are the grocery items that I ensure I stock up on a regular basis?

    1. Tofu

    Photo by Polina Tankilevitch on Pexels.com

    I absolutely CANNOT live without tofu. It is extremely versatile as I could make any kind of dish with it. Most of the time, I would simply dice it and marinade with some spices and air fry it.

    At times, when I’m feeling fancy, I would use it as a burger patty as well.

    2. Mushrooms

    Photo by Pixabay on Pexels.com

    This is another versatile ingredient. From enoki mushrooms to crab mushrooms, oyster mushrooms or button mushrooms, you name it. I’m a big fan.

    I try my best to stock up on fresh mushrooms. However, since I go through it pretty fast, I would usually fall back to dried mushrooms since it is readily available in the mart of my residential area.

    3. Eggs

    Photo by Pixabay on Pexels.com

    Luckily, I chose to be lacto-ovo-vegetarian, meaning if I ran out of ingredients, I could pretty much add egg, be it just cracking them into my broth or frying them.

    4. Bird’s Eye Chilli

    Photo by Anna Nekrashevich on Pexels.com

    Bird’s eye chilli or “cili padi” as we call it in Malaysia.

    I am a big fan of spicy food and since I go through chilli powder pretty fast, I started incorporating them into my dishes.

    Be warned though, if you’re not a fan of spicy dishes, adding one too many may render the dish unconsumable.

    5. Rolled Oats

    Photo by Karyna Panchenko on Pexels.com

    This usually takes some time before it finishes.

    Since I am a “heavy eater”, I started substituting my rice with rolled oats instead, which is something I started doing 2 years ago.

    I’m not a big fan of having my oats with milk as I find it rather sweet or sometimes just bland for my palate. Instead, I prefer savoury dishes and the oats complements most of the dishes well.

    6. Curry Leaves

    Photo by Rahul Sonawane on Pexels.com

    This does not really serve any purpose except I merely enjoy the aroma emitting when I sizzle it with oil, adding a nice aroma to my dishes.

    7. Random Vegetables – Cabbage, Leafy Vegetables, Potatoes, Cabbage

    Photo by Mark Stebnicki on Pexels.com

    I started eating greens again.

    I have always loved eating vegetables. However, it is not easily obtained since I do not have a car, I rarely go out and the nearby residential mart does not sell them.

    Thus, I order online, I usually have a few fallback vegetables which I would add to my cart which are cabbages, any leafy vegetables, potatoes and aubergines.

    Photo by Laker on Pexels.com

    Cabbage is another versatile vegetable as I could add it to my curry dishes and it does not wilt immediately, as an extra ingredient in my stir fried noodles as well as when I cook “okonomiyaki”.

    These are my food grocery list by default. I’m not exactly a health conscious person despite being a doctor myself nor do I reduce my food portion. It is merely a step for me to try and be a little bit healthier which is sustainable for me and hopefully in time, it deems fruitful.

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  11. The Theoretical Doctor @[email protected] ·

    My Teenage Years

    Click here for more articles & daily dose.

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

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

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

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

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

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

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

    I was truly blessed to have experience that.

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

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

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

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

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

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

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

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

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

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

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

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    #article #Articles #Blog #blogging #classes #dailyprompt #dailyprompt1804 #dailyprompt1826 #dailyprompt1833 #dailyprompt1834 #dailyprompt1839 #dailyprompt1843 #dailyprompt1862 #dailyprompt1953 #dailyprompt1954 #dailyprompt1955 #dailyprompt1956 #dailyprompt1957 #dailyprompt1959 #dailyprompt1962 #dailyprompt1963 #dailyprompt1971 #dailyprompt1976 #dailyprompt1977 #dailyprompt1978 #dailyprompt1979 #doctor #highSchool #homework #johor #johorBahru #memories #reminiscing #school #student #teenager #tuition #writing

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  12. The Theoretical Doctor @[email protected] ·

    Part 2 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | Main Building, Side Building, Infectious Disease Ward

    Related Posts:

    The Peri Medical House Officer Team takes care of:

    1. The Emergency Department
      • Green zone
      • Yellow zone
      • Yellow respiratory zone
      • Green-Yellow zone
      • Asthma Bay
      • Red Zone I
      • Red Zone II
      • Decon
      • CSSD
      • EDOU
    2. Main Building
    3. Side Building
    4. Infectious Disease Ward
    5. SDC (Surgical Daycare)

    In this article, I will be sharing my experiences as a Perimedical House Officer covering main building, side building, SDC as well as the Infectious Disease (ID) ward.

    As I previously mentioned in my previous article, the work begins from 7am till 6pm (short days), 7am till 10pm (long days) and 8am till 9am (night shifts).

    Covering this part of the hospital meant taking care of “stranded patients” which are medical patients who are lodging in other department wards as there are no space or beds available in the main medical wards. Usually, patients like these are somewhat stable enough to be left on their own without constant supervision. Those that do require, are usually left in the Emergency Department or transferred straight to medical wards.

    The Main Building

    Taking care of the Main Building meant that one would have to cover:

    On some days, there would not be any perimedical patients in certain wards. Thus, there are days that we do not have to go to these wards. On bad days, there are perimedical patients on every floor and the patient count will be extremely high.

    During my time serving in the main building, I was blessed enough to have a partner. Thus, despite the high volume of patients, it felt manageable.

    Upon my arrival, I usually begin from the highest floor and work my way down. Thus, I begin from the 7th floor by checking with the TL or Team Leader to identify new cases and update the list followed by tracing the blood investigations.

    This is to ensure that the patients are not missed during rounds.

    I proceed with doing this in the wards of every floor till I am done prior to beginning my morning reviews.

    Usually by then, the Medical Officers have arrived and are proceeding with their morning reviews.

    Sometimes, we join in and sometimes, we are asked to review the other patients and on our own until the specialist arrives.

    Upon the specialist’s arrival, we would all meet up at one place to begin out rounds.

    Rounds in perimedical is similar to that in the ward. The only difference is that rounds are once daily and the patients are all around the place.

    In between, there would be new transfer ins, attending to acute issues of which the nurses from other wards would call or inform the House Officers from other departments.

    After that, it is followed by preparation of the coming morning bloods. The wards and bed numbers are labelled on top of the forms and kept in the ETD for the night House Officers to take.

    The Side Building

    The Side Building is less hectic than main building and that meant we had to cover:

    As usual, upon my arrival, I would begin at the topmost floor and check for any new patients as well as to trace the bloods.

    After all of it is done, I begin my review in the ICU Extension 2 Ward. The ICU Extension 2 ward consists of unstable, intubated patients of various departments.

    Usually by the time I begin my morning review, the specialist would have just arrived and we begin our rounds.

    After the ICU Extension 2 is followed by Neurosurgical Ward since they are located at the same place, then Neurosurgical HDU.

    Upon completion of morning rounds is followed by carrying out the active joblists, discharges and requesting for radiological scans.

    Similar to Main Building, the coming morning bloods are prepped and kept at the Emergency Department for the night house officers to collect.

    SDC – Surgical Day Care

    SDC is the Surgical Day Care as per the name. Usually patients who are admitted here come in on the day of the procedure itself and is discharged in the evening.

    However, when the wards are fully occupied and the Emergency Department is overflowing with stranded patients, the SDC converts temporarily to host the stranded patients.

    At max, the patient load is only two cubicles full and the patients being admitted there are usually relatively stable.

    Similar to main building and side building, I begin my day with tracing the bloods, x-rays or any relevant radiologist reports before beginning my review and rounds with the medical officer and specialists.

    The Infectious Disease Ward

    The Infectious Disease Ward or “ID Ward” is located in a building separate from the main or side building.

    Previously, it used to be the House Officer’s Accommodation. However, it was subsequently converted into a ward.

    The ward consists of two floors with each floor containing 6 isolation rooms for each floor. Upon entering the ward itself, one has to change into the hospital scrubs and prior entering the ward isolation rooms, one has to don apron, shower cap and gloves, the standard PPE.

    The casenotes are not allowed to be brought in, thus all reviews are written outside.

    What do I do if I were stationed to at the Infectious Disease Ward?

    The house officer allocated to the ID ward are those from the Peri Pool, meaning our shift is from 7am till 6pm for short days.

    Thus, upon my arrival, I would change into the hospital scrubs. Then, I would proceed to trace the bloods. The bloods sent from the ID ward are usually late. Thus. It would either be pending in the system or yet to be in the system.

    Next, I will begin my reviews, first to the newly transferred in patients followed by the rest while awaiting the medical officer.

    There is a whiteboard consisting of the names of the patients in the isolation rooms. Usually in the morning prior to entering the isolation rooms, we would have a short round and presentation with the ID consultant with the whiteboard.

    Thus, during my time there, I would constantly update and personalise it according to my style which would be easier for me during my presentation with the ward consultant.

    After that, we will all proceed to the isolation room. As House Officers, we are the scribe and assistants of the medical officers. Since, we are not allowed to bring the casenotes into the isolation room, thus we will type everything inside our phone and transfer it onto paper after our grand rounds with the patients.

    Rounds at the Infectious Disease Ward is only once daily.

    After the completion of rounds, just like any ward is the completion of active joblist.

    Personally, I enjoyed my time in the Infectious Disease Ward a lot, mainly because I was given the autonomy to customise the board as I liked, present to the consultant myself and was asked multiple questions during rounds and having discussions which I find rather stimulating and enjoyable.

    On top of that, I even had time to return home for a quick lunch every time I was stationed at this ward.

    In the afternoon, some patients on high oxygen support may need arterial blood gases (ABGs) at certain time. If not, it is the preparation of coming morning bloods and transfer ins of any new patients.

    Being in charge of the other places is considerably less hectic than being allocated in the Yellow Zone which can get rather crazy at times as there is massive movement of patients constantly. It actually feels like as if I am at KL Sentral during peak hours.

    However, do not fear if you are allocated into the Peri Medical Pool. The workload can get extremely hectic and it can be rather messy. But, always try your best to learn as much as you can during your period serving there and to enjoy your journey.

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #dailyprompt #dailyprompt1813 #dailyprompt1823 #dailyprompt1826 #dailyprompt1828 #dailyprompt1949 #dailyprompt1950 #dailyprompt1951 #dailyprompt1952 #dailyprompt1953 #dailyprompt1954 #dailyprompt1955 #dailyprompt1956 #dailyprompt1957 #dailyprompt1959 #dailyprompt1962 #dailyprompt1963 #dailyprompt1971 #dailyprompt1976 #dailyprompt1977 #dailyprompt1978 #dailyprompt1979 #doctor #emergency #emergencyDeparment #healthcare #hospital #hospitalUmumSarawak #houseOfficer #housemanship #kuching #medical #Medicine #periMedical #sarawak #sarawakGeneralHospital #write #writing

    #article #articles #blog #blogging #dailyprompt #dailyprompt1813
  13. The Theoretical Doctor @[email protected] ·

    Part 2 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | Main Building, Side Building, Infectious Disease Ward

    Related Posts:

    The Peri Medical House Officer Team takes care of:

    1. The Emergency Department
      • Green zone
      • Yellow zone
      • Yellow respiratory zone
      • Green-Yellow zone
      • Asthma Bay
      • Red Zone I
      • Red Zone II
      • Decon
      • CSSD
      • EDOU
    2. Main Building
    3. Side Building
    4. Infectious Disease Ward
    5. SDC (Surgical Daycare)

    In this article, I will be sharing my experiences as a Perimedical House Officer covering main building, side building, SDC as well as the Infectious Disease (ID) ward.

    As I previously mentioned in my previous article, the work begins from 7am till 6pm (short days), 7am till 10pm (long days) and 8am till 9am (night shifts).

    Covering this part of the hospital meant taking care of “stranded patients” which are medical patients who are lodging in other department wards as there are no space or beds available in the main medical wards. Usually, patients like these are somewhat stable enough to be left on their own without constant supervision. Those that do require, are usually left in the Emergency Department or transferred straight to medical wards.

    The Main Building

    Taking care of the Main Building meant that one would have to cover:

    On some days, there would not be any perimedical patients in certain wards. Thus, there are days that we do not have to go to these wards. On bad days, there are perimedical patients on every floor and the patient count will be extremely high.

    During my time serving in the main building, I was blessed enough to have a partner. Thus, despite the high volume of patients, it felt manageable.

    Upon my arrival, I usually begin from the highest floor and work my way down. Thus, I begin from the 7th floor by checking with the TL or Team Leader to identify new cases and update the list followed by tracing the blood investigations.

    This is to ensure that the patients are not missed during rounds.

    I proceed with doing this in the wards of every floor till I am done prior to beginning my morning reviews.

    Usually by then, the Medical Officers have arrived and are proceeding with their morning reviews.

    Sometimes, we join in and sometimes, we are asked to review the other patients and on our own until the specialist arrives.

    Upon the specialist’s arrival, we would all meet up at one place to begin out rounds.

    Rounds in perimedical is similar to that in the ward. The only difference is that rounds are once daily and the patients are all around the place.

    In between, there would be new transfer ins, attending to acute issues of which the nurses from other wards would call or inform the House Officers from other departments.

    After that, it is followed by preparation of the coming morning bloods. The wards and bed numbers are labelled on top of the forms and kept in the ETD for the night House Officers to take.

    The Side Building

    The Side Building is less hectic than main building and that meant we had to cover:

    As usual, upon my arrival, I would begin at the topmost floor and check for any new patients as well as to trace the bloods.

    After all of it is done, I begin my review in the ICU Extension 2 Ward. The ICU Extension 2 ward consists of unstable, intubated patients of various departments.

    Usually by the time I begin my morning review, the specialist would have just arrived and we begin our rounds.

    After the ICU Extension 2 is followed by Neurosurgical Ward since they are located at the same place, then Neurosurgical HDU.

    Upon completion of morning rounds is followed by carrying out the active joblists, discharges and requesting for radiological scans.

    Similar to Main Building, the coming morning bloods are prepped and kept at the Emergency Department for the night house officers to collect.

    SDC – Surgical Day Care

    SDC is the Surgical Day Care as per the name. Usually patients who are admitted here come in on the day of the procedure itself and is discharged in the evening.

    However, when the wards are fully occupied and the Emergency Department is overflowing with stranded patients, the SDC converts temporarily to host the stranded patients.

    At max, the patient load is only two cubicles full and the patients being admitted there are usually relatively stable.

    Similar to main building and side building, I begin my day with tracing the bloods, x-rays or any relevant radiologist reports before beginning my review and rounds with the medical officer and specialists.

    The Infectious Disease Ward

    The Infectious Disease Ward or “ID Ward” is located in a building separate from the main or side building.

    Previously, it used to be the House Officer’s Accommodation. However, it was subsequently converted into a ward.

    The ward consists of two floors with each floor containing 6 isolation rooms for each floor. Upon entering the ward itself, one has to change into the hospital scrubs and prior entering the ward isolation rooms, one has to don apron, shower cap and gloves, the standard PPE.

    The casenotes are not allowed to be brought in, thus all reviews are written outside.

    What do I do if I were stationed to at the Infectious Disease Ward?

    The house officer allocated to the ID ward are those from the Peri Pool, meaning our shift is from 7am till 6pm for short days.

    Thus, upon my arrival, I would change into the hospital scrubs. Then, I would proceed to trace the bloods. The bloods sent from the ID ward are usually late. Thus. It would either be pending in the system or yet to be in the system.

    Next, I will begin my reviews, first to the newly transferred in patients followed by the rest while awaiting the medical officer.

    There is a whiteboard consisting of the names of the patients in the isolation rooms. Usually in the morning prior to entering the isolation rooms, we would have a short round and presentation with the ID consultant with the whiteboard.

    Thus, during my time there, I would constantly update and personalise it according to my style which would be easier for me during my presentation with the ward consultant.

    After that, we will all proceed to the isolation room. As House Officers, we are the scribe and assistants of the medical officers. Since, we are not allowed to bring the casenotes into the isolation room, thus we will type everything inside our phone and transfer it onto paper after our grand rounds with the patients.

    Rounds at the Infectious Disease Ward is only once daily.

    After the completion of rounds, just like any ward is the completion of active joblist.

    Personally, I enjoyed my time in the Infectious Disease Ward a lot, mainly because I was given the autonomy to customise the board as I liked, present to the consultant myself and was asked multiple questions during rounds and having discussions which I find rather stimulating and enjoyable.

    On top of that, I even had time to return home for a quick lunch every time I was stationed at this ward.

    In the afternoon, some patients on high oxygen support may need arterial blood gases (ABGs) at certain time. If not, it is the preparation of coming morning bloods and transfer ins of any new patients.

    Being in charge of the other places is considerably less hectic than being allocated in the Yellow Zone which can get rather crazy at times as there is massive movement of patients constantly. It actually feels like as if I am at KL Sentral during peak hours.

    However, do not fear if you are allocated into the Peri Medical Pool. The workload can get extremely hectic and it can be rather messy. But, always try your best to learn as much as you can during your period serving there and to enjoy your journey.

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #dailyprompt #dailyprompt1813 #dailyprompt1823 #dailyprompt1826 #dailyprompt1828 #dailyprompt1949 #dailyprompt1950 #dailyprompt1951 #dailyprompt1952 #dailyprompt1953 #dailyprompt1954 #dailyprompt1955 #dailyprompt1956 #dailyprompt1957 #dailyprompt1959 #dailyprompt1962 #dailyprompt1963 #dailyprompt1971 #dailyprompt1976 #dailyprompt1977 #dailyprompt1978 #dailyprompt1979 #doctor #emergency #emergencyDeparment #healthcare #hospital #hospitalUmumSarawak #houseOfficer #housemanship #kuching #medical #Medicine #periMedical #sarawak #sarawakGeneralHospital #write #writing

    #writing #write #sarawakgeneralhospital #sarawak #perimedical #medicine
  14. The Theoretical Doctor @[email protected] ·

    Part 2 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | Main Building, Side Building, Infectious Disease Ward

    Related Posts:

    The Peri Medical House Officer Team takes care of:

    1. The Emergency Department
      • Green zone
      • Yellow zone
      • Yellow respiratory zone
      • Green-Yellow zone
      • Asthma Bay
      • Red Zone I
      • Red Zone II
      • Decon
      • CSSD
      • EDOU
    2. Main Building
    3. Side Building
    4. Infectious Disease Ward
    5. SDC (Surgical Daycare)

    In this article, I will be sharing my experiences as a Perimedical House Officer covering main building, side building, SDC as well as the Infectious Disease (ID) ward.

    As I previously mentioned in my previous article, the work begins from 7am till 6pm (short days), 7am till 10pm (long days) and 8am till 9am (night shifts).

    Covering this part of the hospital meant taking care of “stranded patients” which are medical patients who are lodging in other department wards as there are no space or beds available in the main medical wards. Usually, patients like these are somewhat stable enough to be left on their own without constant supervision. Those that do require, are usually left in the Emergency Department or transferred straight to medical wards.

    The Main Building

    Taking care of the Main Building meant that one would have to cover:

    On some days, there would not be any perimedical patients in certain wards. Thus, there are days that we do not have to go to these wards. On bad days, there are perimedical patients on every floor and the patient count will be extremely high.

    During my time serving in the main building, I was blessed enough to have a partner. Thus, despite the high volume of patients, it felt manageable.

    Upon my arrival, I usually begin from the highest floor and work my way down. Thus, I begin from the 7th floor by checking with the TL or Team Leader to identify new cases and update the list followed by tracing the blood investigations.

    This is to ensure that the patients are not missed during rounds.

    I proceed with doing this in the wards of every floor till I am done prior to beginning my morning reviews.

    Usually by then, the Medical Officers have arrived and are proceeding with their morning reviews.

    Sometimes, we join in and sometimes, we are asked to review the other patients and on our own until the specialist arrives.

    Upon the specialist’s arrival, we would all meet up at one place to begin out rounds.

    Rounds in perimedical is similar to that in the ward. The only difference is that rounds are once daily and the patients are all around the place.

    In between, there would be new transfer ins, attending to acute issues of which the nurses from other wards would call or inform the House Officers from other departments.

    After that, it is followed by preparation of the coming morning bloods. The wards and bed numbers are labelled on top of the forms and kept in the ETD for the night House Officers to take.

    The Side Building

    The Side Building is less hectic than main building and that meant we had to cover:

    As usual, upon my arrival, I would begin at the topmost floor and check for any new patients as well as to trace the bloods.

    After all of it is done, I begin my review in the ICU Extension 2 Ward. The ICU Extension 2 ward consists of unstable, intubated patients of various departments.

    Usually by the time I begin my morning review, the specialist would have just arrived and we begin our rounds.

    After the ICU Extension 2 is followed by Neurosurgical Ward since they are located at the same place, then Neurosurgical HDU.

    Upon completion of morning rounds is followed by carrying out the active joblists, discharges and requesting for radiological scans.

    Similar to Main Building, the coming morning bloods are prepped and kept at the Emergency Department for the night house officers to collect.

    SDC – Surgical Day Care

    SDC is the Surgical Day Care as per the name. Usually patients who are admitted here come in on the day of the procedure itself and is discharged in the evening.

    However, when the wards are fully occupied and the Emergency Department is overflowing with stranded patients, the SDC converts temporarily to host the stranded patients.

    At max, the patient load is only two cubicles full and the patients being admitted there are usually relatively stable.

    Similar to main building and side building, I begin my day with tracing the bloods, x-rays or any relevant radiologist reports before beginning my review and rounds with the medical officer and specialists.

    The Infectious Disease Ward

    The Infectious Disease Ward or “ID Ward” is located in a building separate from the main or side building.

    Previously, it used to be the House Officer’s Accommodation. However, it was subsequently converted into a ward.

    The ward consists of two floors with each floor containing 6 isolation rooms for each floor. Upon entering the ward itself, one has to change into the hospital scrubs and prior entering the ward isolation rooms, one has to don apron, shower cap and gloves, the standard PPE.

    The casenotes are not allowed to be brought in, thus all reviews are written outside.

    What do I do if I were stationed to at the Infectious Disease Ward?

    The house officer allocated to the ID ward are those from the Peri Pool, meaning our shift is from 7am till 6pm for short days.

    Thus, upon my arrival, I would change into the hospital scrubs. Then, I would proceed to trace the bloods. The bloods sent from the ID ward are usually late. Thus. It would either be pending in the system or yet to be in the system.

    Next, I will begin my reviews, first to the newly transferred in patients followed by the rest while awaiting the medical officer.

    There is a whiteboard consisting of the names of the patients in the isolation rooms. Usually in the morning prior to entering the isolation rooms, we would have a short round and presentation with the ID consultant with the whiteboard.

    Thus, during my time there, I would constantly update and personalise it according to my style which would be easier for me during my presentation with the ward consultant.

    After that, we will all proceed to the isolation room. As House Officers, we are the scribe and assistants of the medical officers. Since, we are not allowed to bring the casenotes into the isolation room, thus we will type everything inside our phone and transfer it onto paper after our grand rounds with the patients.

    Rounds at the Infectious Disease Ward is only once daily.

    After the completion of rounds, just like any ward is the completion of active joblist.

    Personally, I enjoyed my time in the Infectious Disease Ward a lot, mainly because I was given the autonomy to customise the board as I liked, present to the consultant myself and was asked multiple questions during rounds and having discussions which I find rather stimulating and enjoyable.

    On top of that, I even had time to return home for a quick lunch every time I was stationed at this ward.

    In the afternoon, some patients on high oxygen support may need arterial blood gases (ABGs) at certain time. If not, it is the preparation of coming morning bloods and transfer ins of any new patients.

    Being in charge of the other places is considerably less hectic than being allocated in the Yellow Zone which can get rather crazy at times as there is massive movement of patients constantly. It actually feels like as if I am at KL Sentral during peak hours.

    However, do not fear if you are allocated into the Peri Medical Pool. The workload can get extremely hectic and it can be rather messy. But, always try your best to learn as much as you can during your period serving there and to enjoy your journey.

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #dailyprompt #dailyprompt1813 #dailyprompt1823 #dailyprompt1826 #dailyprompt1828 #dailyprompt1949 #dailyprompt1950 #dailyprompt1951 #dailyprompt1952 #dailyprompt1953 #dailyprompt1954 #dailyprompt1955 #dailyprompt1956 #dailyprompt1957 #dailyprompt1959 #dailyprompt1962 #dailyprompt1963 #dailyprompt1971 #dailyprompt1976 #dailyprompt1977 #dailyprompt1978 #dailyprompt1979 #doctor #emergency #emergencyDeparment #healthcare #hospital #hospitalUmumSarawak #houseOfficer #housemanship #kuching #medical #Medicine #periMedical #sarawak #sarawakGeneralHospital #write #writing

    #article #articles #blog #blogging #dailyprompt #dailyprompt1813
  15. 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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  16. 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

    #writing #sarawakgeneralhospital #sarawak #perimedical #medicine #medicalofficer
  17. 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

    #article #articles #blog #blogging #bloggingasadoctor #dailyblog
  18. The Theoretical Doctor @[email protected] ·

    My Experience as A Plastics House Officer | Housemanship Diaries

    Related Posts:

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    Related Posts:

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    #article #Articles #Blog #blogging #bloggingAsADoctor #burnWard #burns #dailyBlog #dailyPrompt #dailyprompt #dailyprompt1804 #dailyprompt1812 #dailyprompt1813 #dailyprompt1819 #dailyprompt1820 #dailyprompt1823 #dailyprompt1826 #dailyprompt1828 #dailyprompt1836 #dailyprompt1841 #dailyprompt1854 #dailyprompt1857 #dailyprompt1865 #dailyprompt1878 #dailyprompt1940 #dailyprompt1954 #dailyprompt1962 #dailyprompt1976 #doctor #doctorSLife #experiences #healthcare #hospitalUmumSarawak #houseOfficer #housemanship #internship #kuching #Malaysia #medical #medicalOfficer #Medicine #nursing #plasticSurgery #plastics #sarawak #sarawakGeneralHospital #surgery

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  19. Inside the Red Head's Head @[email protected] ·
    Daily writing prompt Who do you spend the most time with? View all responses

    I live with her. I travel with her. I have dinner with her every night. I spend as much time as humanly possible with her. I hate being away from her at all, even when I have to go into the office for work, or go to the store, or whatever.

    Yes, kind readers, there is only one possible answer to today’s question and it shouldn’t be hard to guess who I’m talking about.

    I spend the most time with the love of my life, my wife. Jen. My dream come true. No one on Earth even comes close and I wouldn’t have it any other way.

    https://robertjames1971.blog/2024/06/07/my-favorite-person/

    #dailyprompt #dailyprompt1962

    #dailyprompt #dailyprompt1962