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  1. The Theoretical Doctor @[email protected] ·

    My Reflection Of 2025

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    2025, was indeed a year.

    The year started out great, I worked on New Year’s Day as usual in the Department of Medical and in April, I entered into my final posting, the Emergency and Trauma Department. In May, I attended my best friend’s wedding.

    In July, I completed my internship and received my full registration under the Malaysian Medical Council (MMC) as well as my Annual Practicing Certificate (APC) and started locumming during my holidays back home and I also started floating as a Medical Officer in the Department of Plastic and Reconstructive Surgery. It was a steep learning curve for me, transitioning from a House Officer into a Medical Officer. The anxiety increased and I was constantly tired. I remembered my love for medicine and service fading to the point I took a long break in October to recharge and reflect.

    2025 was also the year, I handed in my 30-days-notice to resign but revoke it the following day. Perhaps it was too much for me, although the working environment and superiors were more than sweet and kind. Physically, I was catching up but mentally, I was fading away.

    Looking back, thankfully, I did not. I celebrated my birthday before travelling back to Kuching the following day. 2025 was also the year when my relationship ended. It was a good and lovely 19 months. Perhaps, it was just time.

    November was the month I received my letter stating that I will receive my placement and I needed to report for duty on the 24th of November 2025. One thing for sure, I was sure to continue serving in Sarawak. The place? Unknown yet.

    On the 18th of November, I found out that I would need to report to the Health Division of Bintulu on the 24th of November 2025.

    Bintulu, that’s around 7 hours drive from Kuching. I didn’t have a place to stay nor a car and my things were all unpacked and I was just extremely busy. I packed whatever I could, shipped some boxes back home, those that I managed to do and on the 23rd of November, I flew to Bintulu.

    Thankfully, the doctor-in-charge of the Health Division was kind enough to let me know which place or clinic that I would be placed at.

    Yes, clinic setting. I did not apply for a clinic setting which so happened to be what many others in my batch longed for. Surprisingly, I got it!

    Considering the state of my mental health, I was more than ecstatic to accept it.

    2025 was also the year I moved and started working in a new place and also one that speaks a different dialect. I started doing oncalls as well and surprisingly, adapted very quickly into a General Practitioner’s setting as well as the new place. I also met another colleague who was previously my medical officer in the Department of Obstetrics & Gynaecology when I was a House Officer and made new friends and acquaintances.

    Overall, 2025 was a mixed of both good and bad experiences. I felt both the highs and also went through a period of low mood. New people entered my life, some stayed and some also left. Nevertheless, I am thankful for all the experiences I went through as well as the lessons learnt.

    Hopefully, I can learn from the errors that I have made and grow, making me into a better person.

    Thank you 2025. Now, it’s time to move on, to 2026.

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    #2025 #article #Articles #bintulu #Blog #blogging #dailyprompt #dailyprompt1823 #dailyprompt1834 #dailyprompt1843 #dailyprompt1844 #dailyprompt1857 #dailyprompt1929 #dailyprompt1931 #dailyprompt1940 #dailyprompt1942 #dailyprompt1950 #dailyprompt1956 #dailyprompt1964 #doctor #floatingMedicalOfficer #generalPractitioner #healthcare #hospitalLife #hospitalUmumSarawak #housemanship #kuching #Malaysia #medical #medicalOfficer #Medicine #moving #newPlace #reflection #sarawak #sarawakGeneralHospital #writing

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

    My Reflection Of 2025

    Related Posts:

    2025, was indeed a year.

    The year started out great, I worked on New Year’s Day as usual in the Department of Medical and in April, I entered into my final posting, the Emergency and Trauma Department. In May, I attended my best friend’s wedding.

    In July, I completed my internship and received my full registration under the Malaysian Medical Council (MMC) as well as my Annual Practicing Certificate (APC) and started locumming during my holidays back home and I also started floating as a Medical Officer in the Department of Plastic and Reconstructive Surgery. It was a steep learning curve for me, transitioning from a House Officer into a Medical Officer. The anxiety increased and I was constantly tired. I remembered my love for medicine and service fading to the point I took a long break in October to recharge and reflect.

    2025 was also the year, I handed in my 30-days-notice to resign but revoke it the following day. Perhaps it was too much for me, although the working environment and superiors were more than sweet and kind. Physically, I was catching up but mentally, I was fading away.

    Looking back, thankfully, I did not. I celebrated my birthday before travelling back to Kuching the following day. 2025 was also the year when my relationship ended. It was a good and lovely 19 months. Perhaps, it was just time.

    November was the month I received my letter stating that I will receive my placement and I needed to report for duty on the 24th of November 2025. One thing for sure, I was sure to continue serving in Sarawak. The place? Unknown yet.

    On the 18th of November, I found out that I would need to report to the Health Division of Bintulu on the 24th of November 2025.

    Bintulu, that’s around 7 hours drive from Kuching. I didn’t have a place to stay nor a car and my things were all unpacked and I was just extremely busy. I packed whatever I could, shipped some boxes back home, those that I managed to do and on the 23rd of November, I flew to Bintulu.

    Thankfully, the doctor-in-charge of the Health Division was kind enough to let me know which place or clinic that I would be placed at.

    Yes, clinic setting. I did not apply for a clinic setting which so happened to be what many others in my batch longed for. Surprisingly, I got it!

    Considering the state of my mental health, I was more than ecstatic to accept it.

    2025 was also the year I moved and started working in a new place and also one that speaks a different dialect. I started doing oncalls as well and surprisingly, adapted very quickly into a General Practitioner’s setting as well as the new place. I also met another colleague who was previously my medical officer in the Department of Obstetrics & Gynaecology when I was a House Officer and made new friends and acquaintances.

    Overall, 2025 was a mixed of both good and bad experiences. I felt both the highs and also went through a period of low mood. New people entered my life, some stayed and some also left. Nevertheless, I am thankful for all the experiences I went through as well as the lessons learnt.

    Hopefully, I can learn from the errors that I have made and grow, making me into a better person.

    Thank you 2025. Now, it’s time to move on, to 2026.

    Related Posts:

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    #2025 #article #Articles #bintulu #Blog #blogging #dailyprompt #dailyprompt1823 #dailyprompt1834 #dailyprompt1843 #dailyprompt1844 #dailyprompt1857 #dailyprompt1929 #dailyprompt1931 #dailyprompt1940 #dailyprompt1942 #dailyprompt1950 #dailyprompt1956 #dailyprompt1964 #doctor #floatingMedicalOfficer #generalPractitioner #healthcare #hospitalLife #hospitalUmumSarawak #housemanship #kuching #Malaysia #medical #medicalOfficer #Medicine #moving #newPlace #reflection #sarawak #sarawakGeneralHospital #writing

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

    My New Year’s Eve – 2025

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    31st December 2025. I was NOT oncall.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    Stay safe always!

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

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

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

    My New Year’s Eve – 2025

    Related Posts:

    31st December 2025. I was NOT oncall.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    Stay safe always!

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

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

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

    A short article during my 6th and final rotation of my Housemanship period where we were required to complete a 12-hour shift every day.

    -

    #medical #emergencydepartment #healthcare #housemanship #doctor #malaysia #blogging

    theoreticaldoctor.com/2026/01/

    #medical #emergencydepartment #healthcare #housemanship #doctor #malaysia
  6. The Theoretical Doctor @[email protected] ·

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

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    How do you waste the most time every day?

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

    This meant, our shift is from:

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

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

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

    That is provided one has off-tagged of course.

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

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

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

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

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

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

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

    Related Posts:

    How do you waste the most time every day?

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

    This meant, our shift is from:

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

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

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

    That is provided one has off-tagged of course.

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

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

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

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

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

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

    Lazy Days As A Medical Officer

    Click here for more articles & daily dose.

    Do lazy days make you feel rested or unproductive?

    While I’m at work, I’d be looking forward to returning home or towards my off day. In contrary, while I’m at home or on my off day, I’d be thinking about returning to work.

    Do you feel the same way?

    Previously, as a House Officer, I’m used to the “one off day per week”. Whereas, as a Medical Officer, weekends and public holidays are granted off days, except if you’re well… oncall and that depends on your current department as well as some departments require you to put in a half day shift during weekends or public holidays.

    I’d say for me, considering I live alone and I don’t even own a car here in Sarawak, I’m pretty much lazy and unproductive to the point I get restless sometimes.

    That’s counter productive as rest days are meant to make you feel… rested, right?

    Thus, on my off days, since I’m an early riser, I try not to disturb my circadian rhythm by getting up at the same time as usual every morning, partly because I forgot to off the alarm or somehow, my body clock just wakes me up every time.

    To feel so-called “productive”, I’d do some studying with my morning coffee till I well, lose my focus, then I start wondering about lunch and start cooking, handwash my clothes because I’m too lazy to walk downstairs with a bag of clothes and finally doze off for my afternoon nap.

    I’d then wake up in the evening to have dinner and pack my essentials and bag for work the following day before finally, retiring to bed early.

    I really need to be more productive during my off days.

    Even me writing this just sounds too depressing.

    Click here for more articles & daily dose.

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Blog #blogging #dailyprompt #dailyprompt1823 #dailyprompt1829 #dailyprompt1834 #dailyprompt1836 #dailyprompt1838 #dailyprompt1943 #dailyprompt1945 #dailyprompt1946 #dailyprompt1947 #dailyprompt1948 #dailyprompt1949 #dailyprompt1950 #dailyprompt1952 #dailyprompt1954 #dailyprompt1956 #dailyprompt1959 #doctor #doctorSLife #hospital #hospitalUmumSarawak #housemanship #kuching #lazy #lazyDays #medical #medicalOfficer #Medicine #plasticAndReconstructiveSurgery #plasticSurgery #plastics #sarawak #sarawakGeneralHospital #surgical #writing

    #article #blog #blogging #dailyprompt #dailyprompt1823 #dailyprompt1829
  9. The Theoretical Doctor @[email protected] ·

    Lazy Days As A Medical Officer

    Click here for more articles & daily dose.

    Do lazy days make you feel rested or unproductive?

    While I’m at work, I’d be looking forward to returning home or towards my off day. In contrary, while I’m at home or on my off day, I’d be thinking about returning to work.

    Do you feel the same way?

    Previously, as a House Officer, I’m used to the “one off day per week”. Whereas, as a Medical Officer, weekends and public holidays are granted off days, except if you’re well… oncall and that depends on your current department as well as some departments require you to put in a half day shift during weekends or public holidays.

    I’d say for me, considering I live alone and I don’t even own a car here in Sarawak, I’m pretty much lazy and unproductive to the point I get restless sometimes.

    That’s counter productive as rest days are meant to make you feel… rested, right?

    Thus, on my off days, since I’m an early riser, I try not to disturb my circadian rhythm by getting up at the same time as usual every morning, partly because I forgot to off the alarm or somehow, my body clock just wakes me up every time.

    To feel so-called “productive”, I’d do some studying with my morning coffee till I well, lose my focus, then I start wondering about lunch and start cooking, handwash my clothes because I’m too lazy to walk downstairs with a bag of clothes and finally doze off for my afternoon nap.

    I’d then wake up in the evening to have dinner and pack my essentials and bag for work the following day before finally, retiring to bed early.

    I really need to be more productive during my off days.

    Even me writing this just sounds too depressing.

    Click here for more articles & daily dose.

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Blog #blogging #dailyprompt #dailyprompt1823 #dailyprompt1829 #dailyprompt1834 #dailyprompt1836 #dailyprompt1838 #dailyprompt1943 #dailyprompt1945 #dailyprompt1946 #dailyprompt1947 #dailyprompt1948 #dailyprompt1949 #dailyprompt1950 #dailyprompt1952 #dailyprompt1954 #dailyprompt1956 #dailyprompt1959 #doctor #doctorSLife #hospital #hospitalUmumSarawak #housemanship #kuching #lazy #lazyDays #medical #medicalOfficer #Medicine #plasticAndReconstructiveSurgery #plasticSurgery #plastics #sarawak #sarawakGeneralHospital #surgical #writing

    #article #blog #blogging #dailyprompt #dailyprompt1823 #dailyprompt1829
  10. The Theoretical Doctor @[email protected] ·

    My FIRST SOLO Oncall Shift As A Floating Medical Officer

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    And the most important part… I survived it!

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  11. The Theoretical Doctor @[email protected] ·

    My FIRST SOLO Oncall Shift As A Floating Medical Officer

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    And the most important part… I survived it!

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  12. The Theoretical Doctor @[email protected] ·

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

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    Thank God. Seriously.

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

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

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

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

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

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

    Am I confident now though?

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

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

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

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

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

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

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  13. The Theoretical Doctor @[email protected] ·

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

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    Thank God. Seriously.

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

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

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

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

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

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

    Am I confident now though?

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

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

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

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

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

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

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  14. The Theoretical Doctor @[email protected] ·

    My First Tagging On-Call Shift As A Floating Medical Officer

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    My first tagging oncall shift was on a Sunday with a fellow medical officer I knew when I was a House Officer in General Surgery. Back then, he was having his attachment in General Surgery.

    Just like a House Officer, we had to undergo a period of “tagging“.

    In the Department of Plastics and Reconstructive Surgery at Sarawak General Hospital, I had to undergo a tagging period of one month, every other day (EOD). This is because, I am a newborn medical officer with no previous experience in General Surgery (as a Medical Officer).

    This is an advantage as I would be able to learn as much as I could within a span of 1 month. However, it was also a disadvantage as I’m afraid, I would be burnt out mentally and physically considering the on-calls were on every other day (EOD).

    “I can do it. If others could, I could too.” , I repeated this mantra to myself but the learning curve is going to be an extremely steep one.

    During my first tagging oncall, thankfully, it was with a fellow senior colleague who I was rather comfortable with.

    We started with our morning ward rounds followed by passover and peri-rounds. After we were done, we went back to the ward to settle our pending job-lists followed by lunch.

    As a tagging on-call medical officer, the first call would be to me for referrals. After which, I would discuss with my senior and proceed to see the referred patient together. After reviewing our newly electively admitted patients, pre-op rounds with surgeon and demarcating the op site and pre-op meeting, we went back home in the evening and returned at night together for our night reviews which we updated in the Department’s WhatsApp Group on the progress of certain patients. Incidentally, a patient whom we were awaiting for op was called into the operating theatre and the operation ended at 2am. Finally, we returned home for the night.

    I was nervous of course as I usually get anxious easily. However, I took my shower and headed to bed.

    My phone was kept beside me in case I were to receive calls or referrals. At 6am, I returned to the ward and started our morning reviews as well as prepared for our morning rounds.

    Since, it was a Monday, it was morning ward rounds, handover and peri rounds as usual. However, since I was still tagging, I was expected to stay till 5pm or to join the ongoing surgeries.

    Thus, my first postcall was spent in the operating theatre assisting till 6pm. However, despite the ongoing operation, I excused myself to return home and rest.

    The following day will be another one, thankfully, not oncall but within office hours.

    Thankfully, it was a good call with a fellow senior that I was comfortable with in terms of approaching in regards to my doubts which was undoubtedly, many.

    I can only hope that I would be able to survive this whole month of tagging.

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  15. The Theoretical Doctor @[email protected] ·

    My First Tagging On-Call Shift As A Floating Medical Officer

    Related Posts:

    My first tagging oncall shift was on a Sunday with a fellow medical officer I knew when I was a House Officer in General Surgery. Back then, he was having his attachment in General Surgery.

    Just like a House Officer, we had to undergo a period of “tagging“.

    In the Department of Plastics and Reconstructive Surgery at Sarawak General Hospital, I had to undergo a tagging period of one month, every other day (EOD). This is because, I am a newborn medical officer with no previous experience in General Surgery (as a Medical Officer).

    This is an advantage as I would be able to learn as much as I could within a span of 1 month. However, it was also a disadvantage as I’m afraid, I would be burnt out mentally and physically considering the on-calls were on every other day (EOD).

    “I can do it. If others could, I could too.” , I repeated this mantra to myself but the learning curve is going to be an extremely steep one.

    During my first tagging oncall, thankfully, it was with a fellow senior colleague who I was rather comfortable with.

    We started with our morning ward rounds followed by passover and peri-rounds. After we were done, we went back to the ward to settle our pending job-lists followed by lunch.

    As a tagging on-call medical officer, the first call would be to me for referrals. After which, I would discuss with my senior and proceed to see the referred patient together. After reviewing our newly electively admitted patients, pre-op rounds with surgeon and demarcating the op site and pre-op meeting, we went back home in the evening and returned at night together for our night reviews which we updated in the Department’s WhatsApp Group on the progress of certain patients. Incidentally, a patient whom we were awaiting for op was called into the operating theatre and the operation ended at 2am. Finally, we returned home for the night.

    I was nervous of course as I usually get anxious easily. However, I took my shower and headed to bed.

    My phone was kept beside me in case I were to receive calls or referrals. At 6am, I returned to the ward and started our morning reviews as well as prepared for our morning rounds.

    Since, it was a Monday, it was morning ward rounds, handover and peri rounds as usual. However, since I was still tagging, I was expected to stay till 5pm or to join the ongoing surgeries.

    Thus, my first postcall was spent in the operating theatre assisting till 6pm. However, despite the ongoing operation, I excused myself to return home and rest.

    The following day will be another one, thankfully, not oncall but within office hours.

    Thankfully, it was a good call with a fellow senior that I was comfortable with in terms of approaching in regards to my doubts which was undoubtedly, many.

    I can only hope that I would be able to survive this whole month of tagging.

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  16. The Theoretical Doctor @[email protected] ·

    My First Day As A Medical Officer In KKM

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    Housemanship or Internship for Doctors in Malaysia lasts for a duration of 2 years, upon completion of our medical school journey.

    For some, they began shortly upon graduation whilst for others, they took a gap year.

    I submitted my application to pursue my internship in the Ministry of Health, Malaysia (Kementerian Kesihatan Malaysia, KKM) shortly after my graduation but did not actually begin till 6 months later in 2023. Two years later, thankfully, I’ve completed and fully registered with the Malaysian Medical Council (MMC) and possess a valid Annual Practicing Certificate (APC).

    Post housemanship, I went on a 3-weeks-break and on the 21st of August 2025, I reported for duty as a Medical Officer.

    Upon my completion of housemanship, one would have to go through a “floating period” of maximum 6 months prior to receiving their placement in whichever department, hospital or state of choice. Usually, the floating period occurs in the same hospital that one had completed their housemanship or internship in.

    Thankfully, I was offered to float in the Department of Plastic and Reconstructive Surgery. However, I was diving into the world of Surgery with no experience or knowledge in basic suturing.

    During my first day, I reported for duty at the Hospital Director’s Office to receive my “floating” placement letter, checked my remaining leaves and proceeded to Burn Ward of Sarawak General Hospital.

    The Burn Ward.

    I’ve had good memories previously as a House Officer here and I was beyond ecstatic as well as relieved to be accepted into this department which is filled with understanding and helpful bosses.

    I was then given orientation by one of the medical officers, clerked a burn patient that was just admitted and spent most of my time accompanying a fellow friend who thankfully is in the same department. Considering it was my first day and a rather slow one, I was able to return home at 5pm.

    There’s just so much more that I have yet to learn. Hopefully, I’ll have both the mental and physical strength to push through.

    Thankfully, the environment is one that is filled with love and encouragement.

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  17. The Theoretical Doctor @[email protected] ·

    My First Day As A Medical Officer In KKM

    Related Posts:

    Housemanship or Internship for Doctors in Malaysia lasts for a duration of 2 years, upon completion of our medical school journey.

    For some, they began shortly upon graduation whilst for others, they took a gap year.

    I submitted my application to pursue my internship in the Ministry of Health, Malaysia (Kementerian Kesihatan Malaysia, KKM) shortly after my graduation but did not actually begin till 6 months later in 2023. Two years later, thankfully, I’ve completed and fully registered with the Malaysian Medical Council (MMC) and possess a valid Annual Practicing Certificate (APC).

    Post housemanship, I went on a 3-weeks-break and on the 21st of August 2025, I reported for duty as a Medical Officer.

    Upon my completion of housemanship, one would have to go through a “floating period” of maximum 6 months prior to receiving their placement in whichever department, hospital or state of choice. Usually, the floating period occurs in the same hospital that one had completed their housemanship or internship in.

    Thankfully, I was offered to float in the Department of Plastic and Reconstructive Surgery. However, I was diving into the world of Surgery with no experience or knowledge in basic suturing.

    During my first day, I reported for duty at the Hospital Director’s Office to receive my “floating” placement letter, checked my remaining leaves and proceeded to Burn Ward of Sarawak General Hospital.

    The Burn Ward.

    I’ve had good memories previously as a House Officer here and I was beyond ecstatic as well as relieved to be accepted into this department which is filled with understanding and helpful bosses.

    I was then given orientation by one of the medical officers, clerked a burn patient that was just admitted and spent most of my time accompanying a fellow friend who thankfully is in the same department. Considering it was my first day and a rather slow one, I was able to return home at 5pm.

    There’s just so much more that I have yet to learn. Hopefully, I’ll have both the mental and physical strength to push through.

    Thankfully, the environment is one that is filled with love and encouragement.

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    #article #Articles #Blog #blogging #burnWard #dailyprompt #dailyprompt1805 #dailyprompt1826 #dailyprompt1829 #dailyprompt1852 #dailyprompt1946 #dailyprompt1949 #dailyprompt1950 #dailyprompt1951 #dailyprompt1953 #dailyprompt1954 #dailyprompt1955 #dailyprompt1969 #doctor #doctorSLife #hospitalUmumSarawak #housemanship #kuching #Malaysia #medical #medicalOfficer #Medicine #plasticSurgery #plastics #sarawak #sarawakGeneralHospital #writing

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  18. The Theoretical Doctor @[email protected] ·

    My First Day Of Locum And As A Medical Officer

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    A locum or locum tenens, is a person who temporarily fulfils the duties of another; the term is especially used for physicians or clergy.

    – Wikipedia.

    The first time I ever tasted or ventured into locum or a so-called “part-time doctor” was on the 3rd of August 2025.

    At that time, I was back in my hometown and on a 3-weeks-break post housemanship / internship at a small private clinic, yet to officially begin as a Medical Officer.

    While I was in medical school, I would occasionally hear this term “locum” from my fellow seniors or batch mates, lecturers, parents or even friends of my parents. However, in order to locum, one would need to be fully registered with the Malaysian Medical Council (MMC) and possess a valid Annual Practicing Certificate (APC). In short, I had to graduate medical school, finish my internship or housemanship first, then only am I able to dive into this.

    Thus, upon acquiring my full MMC and APC licence, I was looking forward to locum. Looking forward to it as well as nervous to dive into this. Thankfully, I had just completed my final rotation in the Emergency and Trauma Department.

    In the Emergency and Trauma Department, there are various zones in which the patients would be triaged into in terms of presenting complaints, severity and their vital signs. The least critical in severity would be triaged into Green zone. The Green zone is similar to a clinic setting, thus, it gave me some idea on the type of cases I would be expecting.

    My first locum was just 3 hours long, from 7pm till 10pm. I figured that since I am just starting at that time, it would be better to start with minimal hours in order to get used to it and also.. if I would enjoy it.

    The clinic was quaint and small but equipped with basic necessities and a scan machine. The only thing that it did not have, was an x-ray facility. The moment I sat down, the patients kept coming back-to-back. As soon as I was done with one, another came.

    For a first-timer, I felt it was equivalent to the Green Zone in General Hospital whereby the cases were always there but the patient load was manageable.

    However, I was extremely scared.

    Mainly afraid that I might accidentally jeopardise the patient’s safety in terms of mismanagement. Thankfully, by 9:30 pm, the clinic assistant stopped accepting new patients and prepared to close the clinic.

    For a first experience, it was a good one despite it being rather terrifying for me.

    But, we all have to start somewhere and build our confidence, don’t we?

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  19. The Theoretical Doctor @[email protected] ·

    My First Day Of Locum And As A Medical Officer

    Related Posts:

    A locum or locum tenens, is a person who temporarily fulfils the duties of another; the term is especially used for physicians or clergy.

    – Wikipedia.

    The first time I ever tasted or ventured into locum or a so-called “part-time doctor” was on the 3rd of August 2025.

    At that time, I was back in my hometown and on a 3-weeks-break post housemanship / internship at a small private clinic, yet to officially begin as a Medical Officer.

    While I was in medical school, I would occasionally hear this term “locum” from my fellow seniors or batch mates, lecturers, parents or even friends of my parents. However, in order to locum, one would need to be fully registered with the Malaysian Medical Council (MMC) and possess a valid Annual Practicing Certificate (APC). In short, I had to graduate medical school, finish my internship or housemanship first, then only am I able to dive into this.

    Thus, upon acquiring my full MMC and APC licence, I was looking forward to locum. Looking forward to it as well as nervous to dive into this. Thankfully, I had just completed my final rotation in the Emergency and Trauma Department.

    In the Emergency and Trauma Department, there are various zones in which the patients would be triaged into in terms of presenting complaints, severity and their vital signs. The least critical in severity would be triaged into Green zone. The Green zone is similar to a clinic setting, thus, it gave me some idea on the type of cases I would be expecting.

    My first locum was just 3 hours long, from 7pm till 10pm. I figured that since I am just starting at that time, it would be better to start with minimal hours in order to get used to it and also.. if I would enjoy it.

    The clinic was quaint and small but equipped with basic necessities and a scan machine. The only thing that it did not have, was an x-ray facility. The moment I sat down, the patients kept coming back-to-back. As soon as I was done with one, another came.

    For a first-timer, I felt it was equivalent to the Green Zone in General Hospital whereby the cases were always there but the patient load was manageable.

    However, I was extremely scared.

    Mainly afraid that I might accidentally jeopardise the patient’s safety in terms of mismanagement. Thankfully, by 9:30 pm, the clinic assistant stopped accepting new patients and prepared to close the clinic.

    For a first experience, it was a good one despite it being rather terrifying for me.

    But, we all have to start somewhere and build our confidence, don’t we?

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  20. The Theoretical Doctor @[email protected] ·

    2026 – The Beginning

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    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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  21. The Theoretical Doctor @[email protected] ·

    A Junior Doctor In Boots

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

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

    I prefer them over heels or flats or slippers.

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

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

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

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

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  22. The Theoretical Doctor @[email protected] ·

    My Next 6 Months (Post Housemanship)

    What is the biggest challenge you will face in the next six months?

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    At the time of writing this article, it is the 8th of April 2025, Day 644 of my Housemanship Journey. I have just completed my Fifth Posting in Medical and is currently on leave as well as due to begin my 6th and Final Posting in Emergency Medicine on the 11th of April 2025.

    One posting or rotation lasts for a total of 4 months if there is no extension, for House Officers.

    Thus, it’s safe to say that for the upcoming 4 months, my focus would be on leaving and enjoying my final posting and the challenges I would most probably face then would be the completion of my logbook, preparing my presentation for CME and preparing for my end of posting assessments.

    But how about for the subsequent 2 months after that?

    That’s a grey area for me.

    First of all, I do not know myself on the department that I would want to serve in as a Medical Officer as I enjoyed every posting that I have ever rotated in.

    Next, the state or hospital that I would be interested in practicing in for at least the next few years. Currently, I am practicing in Hospital Umum Sarawak, otherwise known as Sarawak General Hospital or “SGH”, in Kuching, Sarawak.

    Personally, I would like to stay back over here and serve here rather than to go back as I absolutely love it here and feel like this is where I am meant to be.

    However, things might change in the future considering that I would want to get married and my partner is living in Peninsular Malaysia. That’s one as well as the consideration of my parents, having grown up as an only child.

    Thus, a grey area for me, nevertheless. Me, being comfortable with procrastination has pushed this thought to the back of my head and refused to entertain since I have to submit my full MMC application by the 13th of April 2025.

    This means, I have to set my mind on a department as well as my choice of state (location) or hospitals of choice.

    Oh dear…

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  23. 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.

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    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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  24. The Theoretical Doctor @[email protected] ·

    An article regarding my first day in General Surgery in the Female Surgical Ward as a House Officer.

    -

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    theoreticaldoctor.com/2025/02/

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  25. The Theoretical Doctor @[email protected] ·

    The House Officer’s Dilemma | Housemanship Diaries

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    While growing up, when I was asked regarding what I looked forward towards in the future, I always had the answer.

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    The answer was simply, I wanted to be a Doctor (coz that’s what I knew my whole life and indirectly working towards albeit having other interests).

    Thus, from primary school, next would be high school, moving towards science stream in school and pre-university in a course which would serves as a prerequisite into entering medical school. 

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    In medical school, my focus was always on the exams, completing that particular posting, completing that year, completing preclinicals and moving onto clinicals, studying for the grand finals, completing medical school and graduating.

    Upon graduation, applying for housemanship to start practicing. I always knew that I wanted to practice in Sarawak General Hospital. Thus, that didn’t require much thinking. Working my way there, and finally, starting housemanship.

    Now that I’m a House Officer, completing each posting, working towards completing a year, now focusing on completing the whole journey.

    But after that? I feel lost and aimless.

    Previously, when asked regarding my need to have a family, I would brush it off. Not that I didn’t want to but I’ve yet to meet the person that I would want to spend the rest of my life with and build a family.

    My aim was mainly catered towards my parents. But they’re doing just fine on their own. Thank God for that. I don’t see my purpose anymore actually.

    In regard to post-housemanship, I have no idea of which speciality I would like to dive into. In terms of being surgical based or medical based, the thing I learnt over this past 1 year is that I’m definitely a surgical based person. Though, I have enjoyed paediatrics very much (which I supposed is a very much toned down version of the chaotic medical posting).

    I wouldn’t know, as upon writing this article, I’ve yet to complete my medical posting.

    The medical field is not just tied to 6 different postings. As a House Officer in Malaysia, we are required to rotate to 6 different postings throughout our 2-year-duration in housemanship which are, Surgery, Medical, Orthopaedics, Obstetrics and Gynaecology and Paediatrics. The sixth posting, we have the privilege to choose among Emergency Department (ETD / ED), Anaesthesia, Klinik Kesihatan (Community Clinics) and Psychiatry.

    However, in reality, the clinical field is vast and there are other specialities that we as House Officers have yet to enter. In terms of non-clinical field, it is another vast category.

    Which of it am I?

    At times I wished that I always knew of what I wanted to be, such as a Cardiologist or a Surgeon but after assisting in the operating theatres and working as a junior doctor, none of it appeals to me 100%. Sure it is interesting but is it something I would want to be doing for the rest of my life?

    Having completed a year of housemanship, I thought that the answer would be clear to me by now. Yet, I’m still as unsure as I had been before. I’ve approached multiple seniors, medical officers and specialists and talked to various doctors from different fields regarding their experience. I seem to have the information but my heart was not fully captured by any of it. 

    Everything seems nice and interesting. I hope that in time to come, the answer would be clearer. The least I could do at the moment is to put my best foot forward in whatever department or sector that I go through.

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  26. The Theoretical Doctor @[email protected] ·

    My Top 5 Grocery Store Items

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    Daily writing prompt List your top 5 grocery store items. View all responses

    Working as a House Officer, I do not go out to eat much. Mainly because our days are mainly occupied with work and after work, we would be drained. Well, most of the time.

    Thus, if I were to really go out, it would be during my long breaks which is when I apply for leaves.

    In terms of acquiring groceries, I rarely go to the grocery store myself as I do not have a car of my own in Sarawak. I am extremely dependent on Grab and overtime can be expensive as well.

    Hence, I make do with the convenience store downstairs at my apartment which doesn’t really have much in terms of fresh foods or ordering online.

    Here are my Top 5 must haves in my grocery list which is available in the convenience store if I were to just shop there.

    1. Coffee

    Photo by Enes Cou015fkun on Pexels.com

    As I mentioned in some of my previous articles before. It is a must have drug in my system. Personally I think I have grown rather immune to the effects of caffeine over the years from overconsumption. Thus, if I’m unable to get my grounded coffee beans, usually I’ll make do with some freeze dried coffee or a regular black coffee powder.

    2. Oats

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    I replace rice for rolled oats when I’m living alone. Back at home, my mother would always cook rice as my parents love rice. However, I noticed that I easily crash or get sleepy easily after consuming rice. Thus, I substitute it for rolled oats and usually I would cook soups or curries and pour the oats over it and consume it just like regular rice.

    3. Eggs

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    It is easily available. When there is nothing else stored in my pantry and everything else is closed, eggs go about well with almost everything. 

    4. Noodles

    Photo by Alena Shekhovtcova on Pexels.com

    Well, I’m not exactly healthy per se all the time, and I do enjoy my occasional instant noodles. Especially after work and not having a meal the whole day, I’ll just whip up a quick dish of curry instant noodles with eggs.

    5. Sausages

    Photo by Pixabay on Pexels.com

    Personally, I prefer chicken over sausages and as mentioned before, I rarely go out for my groceries. Hence, I’d go for sausage since it is easily available at the convenience store downstairs. In addition to that, I can be versatile with cooking them.

    Thus, if I had to list 5 of the hat, these are my top 5 that I would shop for in any grocery stores amidst working as a House Officer.

    Again, sadly, it lacks nutrition. But, oh well.

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  27. The Theoretical Doctor @[email protected] ·

    Reflection of the Paediatrics Posting

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    Paediatrics Posting. The posting of tiny human beings.

    Looking back, I feared entering into the Paediatrics posting. I think I say that for almost every posting.

    However, it was one that I fell in love with before I even off-tagged, as mentioned in one of my articles previously.

    The stress level was not as bad as it was in other postings mainly because we were dealing with children. Not to say that treating them is easier, in fact it isn’t as they tend to fight back, scream or cry a lot.

    I mean they’re just children.

    But perhaps when I do come to work, the smile on their cute faces were enough to alleviate some of the stress and checking them clinically involves a skill as they are easily triggered. 

    I would find myself playing with them or calming them down. Most of the time if I were to auscultate them, they would either start playing with it, swat it away or start crying.

    The Paediatrics posting is the place I started eating again amidst the stress. Irregardless of the amount of patients and work to do, there is always time for lunch or at least our superiors will make sure of that. 

    It was also the place where I enjoyed the long rounds in the morning and afternoon as well as I would present to specialists. 

    I made a good friend with a medical officer who I still keep contact with albeit having left the posting. I enjoyed the days where I would be allocated to work with him. 

    Having worked both in the general ward and nursery ward, the experiences were different but enjoyable nonetheless.

    If there is a posting I wouldn’t mind repeating, it is the Paediatric Posting and I hope you do or will or had enjoyed this posting just as much as I did.

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  28. The Theoretical Doctor @[email protected] ·

    Surviving A Month Of Tagging In My Fourth Posting – Surgery | Housemanship Diaries

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    I tagged for almost a month here.

    The tagging timing in the Surgical Posting is from 7am till 10pm which is same as with other postings, except Obstetrics & Gynaecology (O&G).

    In the Surgical Posting, we all have to complete a compulsory 14-Day-Tagging period irregardless of having “off-tagged”. Entering the Surgical Department as a senior or fourth poster, we are allocated to special shifts such as night shifts in ward or night shifts in ethe emergency department (ETD).

    This serves as an advantage to us seniors as we do not have to work the morning shift for one week straight prior to having an off day. It is also better as it allows us to recuperate in between by not having to go to work extremely early.

    However, the disadvantage is that our tagging period is somewhat extended.

    As I mentioned before, we are required to complete a 14-Day-Tagging period. The night shift is not counted. Hence, the tagging duration can go up to 3 weeks.

    For me, it extended up to 4 weeks due to my medical leaves (MC).

    During my first week of tagging, I took a day of medical leave due to extreme fatigue and in the second week, I took 3 days of medical leaves due to extreme fatigue and COVID-19.

    At the time of writing this article, I am on a 6 weeks medical leave due to my ATFL injury.

    Sometimes I wonder, if I will ever exit this posting and proceed with my last which is medical.

    Back to the tagging part, thus my tagging period lasted for a month.

    Going to work as a tagger, I would leave home around 5:45am – 6am. Partly because I’m just tired and felt like I needed more rest because there will always be an active issue in ward and I am only able to return home at 10pm.

    In the evening around 7pm, I would go for dinner after handing over to the night colleagues and completing my tasks and on-call reviews for the day. Most of the time, it would be our first meal of the day.

    Some days, we would be done by 8-9pm and on some days, earlier. Most of us, upon completing, would head for dinner and head home or to just head home straightaway.

    This is wrong of course but we were simply exhausted and burnt-out during the tagging period. Thus, we grab the opportunity while we could.

    Towards the end of my tagging period, I started bringing packed dinner boxes and reheating them as work prior going back.

    Surviving the tagging period in the Surgical Posting was hard and tiring but eventually, it did came to an end.

    Thus, if you have yet to enter the Surgical Posting, the tagging period is indeed tiring as with any posting. However, try to learn as much as you can and take comfort in the fact that it does come to an end.

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  29. The Theoretical Doctor @[email protected] ·

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    “You Guys Are Angels”

    This may be a biased statement and it differs according to the individual’s experience. Thus, although I do know of the controversies I may ignite. I am merely saying this out of my own firsthand experiences and as mentioned before, each person’s experience differs greatly.

    MOs, short for Medical Officers.

    First of all, I don’t know how do you guys (medical officers) do it, pulling through an oncall shift, just to return for another oncall duty the following day after postcall. Perhaps it is because during my current batch, we have shifted fully to the “shift system”. Thus, we have yet to experience the “oncall” system which was experienced by the older house officer batches. 

    I am in awe and I appreciate the determination and discipline that goes with it. Most of the time when an oncall medical officer is on duty, they solely handle the referrals from emergency or ward and sometimes both. This goes on from the start of that day till the following morning and after which they would have to help out in clinics during their postcall, wards or even in operating theatres (OT).

    Most of the time, they are alone unless they are lucky enough to have a “tagger”. Thus it is them, the house officer, the registrar and the specialist that forms the oncall team.

    That is if they are oncall. In the wards, they rely on the house officers to carry out the active joblists, to take the bloods, request necessary scans, to resuscitate the patient first and inform if there are any acute issues and to carry out the morning, evening and oncall reviews while they are in the clinics or operating theatres or helping out in other places.

    I used to think that once we have completed housemanship, life will be better. However, after observing my medical officers and registrars, it does not actually get better, the stress is on another level, the responsibilities increases yet they pull through it with jokes and smiles. I used to think that, perhaps they have gotten used to it. On the other hand, I’m still struggling. 

    Medical Officers are in charge of the House Officers as well. Thus, if any pitfalls were to occur, of course we do get scolded but they are the ones who get reprimanded as well. I’ve lost count of the times when the medical officers have backed me up. Although I do know that, that is their duty but albeit the responsibilities and the stress, I’ve experienced it first hand multiple times when they would take the fall instead when it comes to answering the specialists.

    There are times when I do feel their anger were uncalled for. However, most of the time I understand that it mainly stems from tiredness. The patience really wears thin and snaps easily when there is lack of proper rest. 

    A lot is expected of them from the specialists and on top of that, taking care of us, House Officers too and teaching us what we do not know while trusting the patient’s care into our hands while they are off to help out in a different place. They are always a call away even if we are placed in the night shift. Thus, should there be any issues, they are always nearby and there.

    Yet, after work, after the tiring day and issues that occur in ward, they return home to their families and loved ones and try to go about their life, only to return and repeat it again the following day.

    Some might say, well, it is their duty isn’t it? I’ve heard it before.

    It is true and personally I feel that we as House Officers, although we are tired, and on top of that being tested emotionally, they are even more tired. 

    Thus, if there is anything at all that stems from this article, it is my deep and heartfelt gratitude and appreciation towards the Medical Officers, which are rarely said.

    My dear readers, if you are beginning your journey as a House Officer or is currently going through your housemanship or internship journey, have faith, patience and to always remember to be kind. Remember that as House Officers, we serve to ease the burdens of the Medical Officers on top of learning on the job, for we will one day take their place. 

    A fellow colleague always mentions this sentence while I’m in my Surgical Posting, “Don’t do unto others what you don’t want them to do unto you”.

    This wise line by Confucius has a special place in my heart and I hope it does for you as well. As you become more senior and familiar with the work at hand as well as build good relationships with your superiors, always remember to be humble and kind.

    Do not let cockiness overcome you nor be easily angered when a fellow junior makes a mistake or asks for guidance. 

    We were all once in their shoes as well.

    Always remember to take care of yourselves first, so you can serve others best.

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