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

  1. 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
  2. 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
  3. 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
  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

    #writing #sarawak #oncall #newyearseve #medicine #medicalofficer
  5. 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
  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] ·

    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.

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  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.

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    #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

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  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.

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    #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] ·

    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

    #writing #surgical #sarawakgeneralhospital #sarawak #plastics #plasticsurgery
  11. 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
  12. 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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  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 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.

    Related Posts:

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    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #dailyprompt #dailyprompt1828 #dailyprompt1836 #dailyprompt1853 #dailyprompt1855 #dailyprompt1857 #dailyprompt1858 #dailyprompt1861 #dailyprompt1943 #dailyprompt1944 #dailyprompt1945 #dailyprompt1946 #dailyprompt1948 #dailyprompt1949 #dailyprompt1952 #dailyprompt1954 #doctor #hospital #hospitalUmumSarawak #housemanship #kuching #Malaysia #medical #medicalOfficer #Medicine #oncall #plasticAndReconstructiveSurgery #plasticSurgery #plastics #sarawak #sarawakGeneralHospital #surgery #tagging #writing

    #article #articles #blog #blogging #dailyprompt #dailyprompt1828
  17. 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.

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #dailyprompt #dailyprompt1828 #dailyprompt1836 #dailyprompt1853 #dailyprompt1855 #dailyprompt1857 #dailyprompt1858 #dailyprompt1861 #dailyprompt1943 #dailyprompt1944 #dailyprompt1945 #dailyprompt1946 #dailyprompt1948 #dailyprompt1949 #dailyprompt1952 #dailyprompt1954 #doctor #hospital #hospitalUmumSarawak #housemanship #kuching #Malaysia #medical #medicalOfficer #Medicine #oncall #plasticAndReconstructiveSurgery #plasticSurgery #plastics #sarawak #sarawakGeneralHospital #surgery #tagging #writing

    #writing #tagging #surgery #sarawakgeneralhospital #sarawak #plastics
  18. 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.

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #dailyprompt #dailyprompt1828 #dailyprompt1836 #dailyprompt1853 #dailyprompt1855 #dailyprompt1857 #dailyprompt1858 #dailyprompt1861 #dailyprompt1943 #dailyprompt1944 #dailyprompt1945 #dailyprompt1946 #dailyprompt1948 #dailyprompt1949 #dailyprompt1952 #dailyprompt1954 #doctor #hospital #hospitalUmumSarawak #housemanship #kuching #Malaysia #medical #medicalOfficer #Medicine #oncall #plasticAndReconstructiveSurgery #plasticSurgery #plastics #sarawak #sarawakGeneralHospital #surgery #tagging #writing

    #article #articles #blog #blogging #dailyprompt #dailyprompt1828
  19. 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.

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #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

    #article #articles #blog #blogging #burnward #dailyprompt
  20. 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.

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #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

    #article #articles #blog #blogging #burnward #dailyprompt
  21. 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.

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #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

    #article #articles #blog #blogging #burnward #dailyprompt
  22. 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.

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #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

    #writing #sarawakgeneralhospital #sarawak #plastics #plasticsurgery #medicine
  23. 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.

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #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

    #article #articles #blog #blogging #burnward #dailyprompt
  24. 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?

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #clinic #clinicLife #dailyprompt #dailyprompt1804 #dailyprompt1828 #dailyprompt1833 #dailyprompt1839 #dailyprompt1843 #dailyprompt1853 #dailyprompt1855 #dailyprompt1861 #dailyprompt1862 #dailyprompt1942 #dailyprompt1946 #dailyprompt1947 #dailyprompt1948 #dailyprompt1951 #dailyprompt1953 #dailyprompt1959 #doctor #hospital #hospitalLife #houseOfficer #housemanship #johorBahru #locum #locumTenens #locuming #Malaysia #medical #medicalOfficer #Medicine #writing

    #article #articles #blog #blogging #clinic #cliniclife
  25. 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?

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #clinic #clinicLife #dailyprompt #dailyprompt1804 #dailyprompt1828 #dailyprompt1833 #dailyprompt1839 #dailyprompt1843 #dailyprompt1853 #dailyprompt1855 #dailyprompt1861 #dailyprompt1862 #dailyprompt1942 #dailyprompt1946 #dailyprompt1947 #dailyprompt1948 #dailyprompt1951 #dailyprompt1953 #dailyprompt1959 #doctor #hospital #hospitalLife #houseOfficer #housemanship #johorBahru #locum #locumTenens #locuming #Malaysia #medical #medicalOfficer #Medicine #writing

    #article #articles #blog #blogging #clinic #cliniclife
  26. 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?

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #clinic #clinicLife #dailyprompt #dailyprompt1804 #dailyprompt1828 #dailyprompt1833 #dailyprompt1839 #dailyprompt1843 #dailyprompt1853 #dailyprompt1855 #dailyprompt1861 #dailyprompt1862 #dailyprompt1942 #dailyprompt1946 #dailyprompt1947 #dailyprompt1948 #dailyprompt1951 #dailyprompt1953 #dailyprompt1959 #doctor #hospital #hospitalLife #houseOfficer #housemanship #johorBahru #locum #locumTenens #locuming #Malaysia #medical #medicalOfficer #Medicine #writing

    #article #articles #blog #blogging #clinic #cliniclife
  27. 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?

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #clinic #clinicLife #dailyprompt #dailyprompt1804 #dailyprompt1828 #dailyprompt1833 #dailyprompt1839 #dailyprompt1843 #dailyprompt1853 #dailyprompt1855 #dailyprompt1861 #dailyprompt1862 #dailyprompt1942 #dailyprompt1946 #dailyprompt1947 #dailyprompt1948 #dailyprompt1951 #dailyprompt1953 #dailyprompt1959 #doctor #hospital #hospitalLife #houseOfficer #housemanship #johorBahru #locum #locumTenens #locuming #Malaysia #medical #medicalOfficer #Medicine #writing

    #writing #medicine #medicalofficer #medical #malaysia #locuming
  28. 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?

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #clinic #clinicLife #dailyprompt #dailyprompt1804 #dailyprompt1828 #dailyprompt1833 #dailyprompt1839 #dailyprompt1843 #dailyprompt1853 #dailyprompt1855 #dailyprompt1861 #dailyprompt1862 #dailyprompt1942 #dailyprompt1946 #dailyprompt1947 #dailyprompt1948 #dailyprompt1951 #dailyprompt1953 #dailyprompt1959 #doctor #hospital #hospitalLife #houseOfficer #housemanship #johorBahru #locum #locumTenens #locuming #Malaysia #medical #medicalOfficer #Medicine #writing

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

    Life After Offtag In Emergency & Trauma | Housemanship Diaries

    Related Posts:

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

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

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

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

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

    So how was life after that?

    Much better. Thankfully.

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

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

    Thus are the timings for our respective shifts:

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

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

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

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

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

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

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

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #dailyprompt #dailyprompt1812 #dailyprompt1829 #dailyprompt1833 #dailyprompt1834 #dailyprompt1843 #dailyprompt1853 #dailyprompt1854 #dailyprompt1862 #dailyprompt1863 #dailyprompt1936 #dailyprompt1943 #dailyprompt1947 #dailyprompt1950 #dailyprompt1951 #dailyprompt1953 #dailyprompt1954 #dailyprompt1957 #doctor #emergency #emergencyAndTrauma #family #health #houseOfficer #housemanship #life #medical #medicalOfficer #Medicine #mentalHealth #offtag #trauma #writing

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

    Life After Offtag In Emergency & Trauma | Housemanship Diaries

    Related Posts:

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

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

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

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

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

    So how was life after that?

    Much better. Thankfully.

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

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

    Thus are the timings for our respective shifts:

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

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

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

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

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

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

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

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #dailyprompt #dailyprompt1812 #dailyprompt1829 #dailyprompt1833 #dailyprompt1834 #dailyprompt1843 #dailyprompt1853 #dailyprompt1854 #dailyprompt1862 #dailyprompt1863 #dailyprompt1936 #dailyprompt1943 #dailyprompt1947 #dailyprompt1950 #dailyprompt1951 #dailyprompt1953 #dailyprompt1954 #dailyprompt1957 #doctor #emergency #emergencyAndTrauma #family #health #houseOfficer #housemanship #life #medical #medicalOfficer #Medicine #mentalHealth #offtag #trauma #writing

    #writing #trauma #offtag #mentalhealth #medicine #medicalofficer
  31. The Theoretical Doctor @[email protected] ·

    Day 1 Of My Final Posting – Day 647 Of Housemanship

    Related Posts:

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

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

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

    This is good. This meant more manpower.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    Related Posts:

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    About Me | Privacy Policy | Contact Me

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

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

    Day 1 Of My Final Posting – Day 647 Of Housemanship

    Related Posts:

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

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

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

    This is good. This meant more manpower.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

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

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

    Surviving 10 Days Of Tagging | Emergency & Trauma Department

    Related Posts:

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

    Did I manage to last throughout the tagging days?

    Not quite.

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

    Photo by Pixabay on Pexels.com

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

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

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

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

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

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

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

    Photo by Andrey Grushnikov on Pexels.com

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

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

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #dailyprompt #dailyprompt1826 #dailyprompt1828 #dailyprompt1833 #dailyprompt1834 #dailyprompt1836 #dailyprompt1839 #dailyprompt1841 #dailyprompt1843 #dailyprompt1855 #dailyprompt1860 #dailyprompt1861 #dailyprompt1865 #dailyprompt1948 #dailyprompt1953 #dailyprompt1954 #dailyprompt1962 #doctor #emergency #emergencyAndTrauma #hospital #hospitalLife #hospitalUmumSarawak #houseOfficer #housemanship #kuching #Malaysia #medical #Medicine #sarawakGeneralHospital #tagging #trauma #writing

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

    Surviving 10 Days Of Tagging | Emergency & Trauma Department

    Related Posts:

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

    Did I manage to last throughout the tagging days?

    Not quite.

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

    Photo by Pixabay on Pexels.com

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

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

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

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

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

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

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

    Photo by Andrey Grushnikov on Pexels.com

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

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

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #dailyprompt #dailyprompt1826 #dailyprompt1828 #dailyprompt1833 #dailyprompt1834 #dailyprompt1836 #dailyprompt1839 #dailyprompt1841 #dailyprompt1843 #dailyprompt1855 #dailyprompt1860 #dailyprompt1861 #dailyprompt1865 #dailyprompt1948 #dailyprompt1953 #dailyprompt1954 #dailyprompt1962 #doctor #emergency #emergencyAndTrauma #hospital #hospitalLife #hospitalUmumSarawak #houseOfficer #housemanship #kuching #Malaysia #medical #Medicine #sarawakGeneralHospital #tagging #trauma #writing

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

    Overcoming My Fear To Refer A Case I DO NOT KNOW | Housemanship Diaries

    Click here for more articles & daily dose.

    What fears have you overcome and how?

    At the moment of writing this article, I am in my sixth and final rotation which is in the Department of Emergency Medicine, pushing into my third month.

    One might think that as we become more senior in our current job, it gets easier or the fear fades.

    Well, the anxiety certainly reduces but that does not mean that it disappears.

    For me, the fear is still there as to who I would be working with or who I would be referring to and most of all, referring a case that I not know.

    I’m sure we’ve all been there before. Especially upon arrival to work and to be absolutely clueless about the patient and their case and progress and to not have anyone handover the case to you.

    Not that we won’t take the time to understand. It is just that, we will or at least I would take the time to digest the initial presentation, clinical examination and findings followed by the initial management of the patient and other teams as well as the current progress.

    Once I have finally understood the issue of the patient from A to Z, then I can confidently refer the patient for a simple thing.

    That’ll usually take me about 5-10 minutes, especially if there is just one too many writing. To others that may seem like an eternity.

    The thing is they will somewhat give me a template of what to say in regards to the patient but I am still absolutely clueless and wishes to kindly absorb the pages and information about the patient before I walk into the battlefield.

    This is because, one too many times, I will be asked about things totally irrelevant to the case of the patient which will take me some time and if I’m not so lucky, ended up being shouted at. I mean, that’s the worst that can happen right? Certainly reminds me of my early days of housemanship.

    Maybe it’s a form of childhood trauma or maybe not, but I need to at least have a reason to defend myself and the patient.

    It’s like a debate or a business deal which I find that I may need to fib or exaggerate myself in order to get a test approved or to refer, all for the sake of the patient or sometimes the superiors.

    It’s alright but at times it can be rather annoying especially when they want it done in a minutes time.

    The next that I have to actually open my mouth and communicate. Being an introvert, I can easily talk to people but I dislike being in groups, small talks or actually talking at times.

    I find it exhausting and thus upon the end of my shift, I just need time to recuperate.

    However, back to the question of this article, my fear, to refer to other departments, especially, if it is a case I do not know and to a tiger of a person who loves finding any fault just to reject the case is still present to this day and what have I done to overcome it? Nothing, really, just extreme patience.

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  36. The Theoretical Doctor @[email protected] ·

    Overcoming My Fear To Refer A Case I DO NOT KNOW | Housemanship Diaries

    Click here for more articles & daily dose.

    What fears have you overcome and how?

    At the moment of writing this article, I am in my sixth and final rotation which is in the Department of Emergency Medicine, pushing into my third month.

    One might think that as we become more senior in our current job, it gets easier or the fear fades.

    Well, the anxiety certainly reduces but that does not mean that it disappears.

    For me, the fear is still there as to who I would be working with or who I would be referring to and most of all, referring a case that I not know.

    I’m sure we’ve all been there before. Especially upon arrival to work and to be absolutely clueless about the patient and their case and progress and to not have anyone handover the case to you.

    Not that we won’t take the time to understand. It is just that, we will or at least I would take the time to digest the initial presentation, clinical examination and findings followed by the initial management of the patient and other teams as well as the current progress.

    Once I have finally understood the issue of the patient from A to Z, then I can confidently refer the patient for a simple thing.

    That’ll usually take me about 5-10 minutes, especially if there is just one too many writing. To others that may seem like an eternity.

    The thing is they will somewhat give me a template of what to say in regards to the patient but I am still absolutely clueless and wishes to kindly absorb the pages and information about the patient before I walk into the battlefield.

    This is because, one too many times, I will be asked about things totally irrelevant to the case of the patient which will take me some time and if I’m not so lucky, ended up being shouted at. I mean, that’s the worst that can happen right? Certainly reminds me of my early days of housemanship.

    Maybe it’s a form of childhood trauma or maybe not, but I need to at least have a reason to defend myself and the patient.

    It’s like a debate or a business deal which I find that I may need to fib or exaggerate myself in order to get a test approved or to refer, all for the sake of the patient or sometimes the superiors.

    It’s alright but at times it can be rather annoying especially when they want it done in a minutes time.

    The next that I have to actually open my mouth and communicate. Being an introvert, I can easily talk to people but I dislike being in groups, small talks or actually talking at times.

    I find it exhausting and thus upon the end of my shift, I just need time to recuperate.

    However, back to the question of this article, my fear, to refer to other departments, especially, if it is a case I do not know and to a tiger of a person who loves finding any fault just to reject the case is still present to this day and what have I done to overcome it? Nothing, really, just extreme patience.

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  37. The Theoretical Doctor @[email protected] ·

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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  38. The Theoretical Doctor @[email protected] ·

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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  39. The Theoretical Doctor @[email protected] ·

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

    Click here for more articles & daily dose.

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

    No.

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

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

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

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

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

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

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

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

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

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

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

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  40. The Theoretical Doctor @[email protected] ·

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

    Click here for more articles & daily dose.

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

    No.

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

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

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

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

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

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

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

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

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

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

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

    Click here for more articles & daily dose.

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  41. The Theoretical Doctor @[email protected] ·

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

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    Medical. My Fifth rotation.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    Otherwise, all the very best!

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  42. The Theoretical Doctor @[email protected] ·

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

    Related Posts:

    Medical. My Fifth rotation.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    Otherwise, all the very best!

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  43. 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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  44. 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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  45. 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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  46. The Theoretical Doctor @[email protected] ·

    My First Hour Of The Day

    Click here for more articles & daily dose.

    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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  47. 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.

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  48. 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

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  49. 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.

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  50. The Theoretical Doctor @[email protected] ·

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

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

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

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

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

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

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

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

    For example:

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

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

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

    The Day Shift

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

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

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

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

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

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

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

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

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

    The Night Shift

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

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

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

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

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

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

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

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

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

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

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

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

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

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