Grik Update (2)

I'm post call now. Had a fantastic call really..and it all started after my dinner (I think I was lucky to be able to finish the dinner - coz after that the mad moments are just nonstop).

Right after the dinner, got a call from Hospital: "Dr pls come to labour room STAT. We have one eclampsia lady who fitted for FOUR times!"
Gosh I almost threw into a fit too. Young mother, preterm, undiagnosed and untreated PIH with high BP now, repeatedly fitted since early morning. This is quadruple obstetric emergency man! But as always, labour room's rule No.1 - Do not panic. Rule No. 2 - Call for help - called O&G specialist to alert and paediatric team to standby; while giving Dexa/ MgSO4/ Nifedipine (luckily there are always not many drugs in O&G) - stabilized the patient and send! *pheeew*

After that the nurses "congratulated" me. They said that the last eclampsia case they saw was already of one year ago, i.e. my luck was a bit "unusual". They wished me "good luck" for the remaining time of my call.

And I guess they were quite right, my next case was a preterm labour with os 3cm and moderate contractions. So, called the same teams of people again and sent.
Then I thought I could rest for a while, casualty called - an alleged sexually assaulted case. Gosh! So I had to called the same teams, again. I guess they probably started to hate me already.

And the rest of the cases were shoulder dislocation, malnourished child with dysentery, 2 ladies with PV bleed, one leptospirosis with CK 2800 (finally a medical case), and finished with 2 normal labours, and some on and off cold cases, basically keeping me "alert" throughout the call.

So that's my first active call. Not sure whether it's overactive - and I'd never understand why it turned out to be 90% O&G cases instead of what I prayed for.

But it's a good experience I must say! Now I know how's a district MO's life is like. Hehe.

Greetings from Grik

Hi dear all,

I finally can get myself "Internet-ly" connected. Found a cyber cafe here, quite nice actually. Just some quick updates:

1. I was kinda low mood on the first day. It's a mixture of feeling of nervousness/ fear (after stepping into the labour room and saw the neonate resuscitation trolley), bit of uncertainty plus the depression after seeing the hostel condition. I'm still hesitating whether to put up the pics of it, but thinking maybe not coz it might affect the appetite of some..yes it's really not too good;(

2. I'm in charge of both male and female wards now. Basically I'm the boss. Hehe. But not very used to the feeling of no more "S/B XX" on top of my entry, and no HOs following my round. Haha.

3. My 2 weeks here include 4 days of tagging and 4 calls. I really need to pray for a "99.9% medical/ surgical cases + 0.1% maternity cases" call. My 1st call will be tomorrow!

4. Learn a new term here - "ee-lee". I've heard it more than ten times in my first day - "ee-lee" case, "ee-lee" symptoms etc. It's actually ILI! If you call it "I-L-I" they'll correct you! Hehe.

Guess that's all for now..to be continued;)
Hope I don't have too many stories to tell after my 1st call here!

Bye Taiping...for Now

This is a shot of Taiping Hospital by Dr Ang CL, a physician who previously worked here. A great shot indeed! And Dr Ang, if you're reading this, we all really miss you! ;)

So I'm leaving today..to a district hospital called Grik, due to my departmental earthquake.

It's in North Perak, quite near to the border as you can see from the map.

Not too sure how's life there gonna be.

I do hope I can still be internet-ly connected.

So bye and wish me luck!

Typing Speed?

Saw this game from Yee's blog. Looks like an old game but quite fun to play.
Here's the record..hehe.

81 words

Typingtest

Play and challenge! XD

I'm Amazed

Saw one patient in clinic today.

"Hello doc! How are you doing?" He greeted me cheerfully.

"So how are my blood prolifes? Kidneys still good? My cholesterol controlled? Of course it is, I take my pills everyday - and on top of that, I do exercise - I do a lot of gardening ha."

"But you know what, I actually hate pills. To be honest, I wasn't on any medication until the admission 2 years ago and they diagnosed me having slightly high blood pressure and cholesterol. What to do? At my age some parts of the "engine" just ain't functioning properly."

"You wanna hear more about what happened 2 years ago? I was bitten by a snake. It happened during my gardening, a Cobra came out from nowhere, I caught its head and tried to toss it - but too bad, it bit on my foot!"

"That was a bad wound. Bleeding nonstop and I had to come to hospital. They operated on my foot," (showing his foot - a large scar) "And the wound heals well after a week!"

"I think otherwise I'm quite well, I can eat, can sleep, can walk and still able to do work. I think I'm quite lucky."

The above words were said by an elderly man that I saw today, and he's 95 years old this year. He looks happy, healthy and energetic, mentally as well as physically.

"Ya I'm 95 this year. But I'm not considering myself an old man you know. My mother lived till the age of 108 - so I still have another 10 more years to live! Ha!"

Amazing? I guess happiness and mind positivity are the keys to longevity!

Love Story

If you have not already noticed, I actually changed the background song to this "Love Story meets Love Story" by Jon Schmidt. Just to show the music video of it...and this music is just simply marvellous!

Good - Cheap - Fast?

Saw this in MMR. I agree that this should be hung at all clinics! ^^
Esp. to those patients who are so unwilling to wait just a while more, but when it's their turn they'll talk to you for half an hour and not stopping! Nobody is perfect - consideration and understanding is always appreciated by us! ;)