salam..
lame dah tak menulis ni...
dah 2 bulan 23 hari aku jadi doctor..
ffuuhhh...byk pengalaman..
byk pengajaran..
:)
as u guys know, im in Hospital Sg Buloh,
currently in medical posting
yeaah!
MEDICAL!org kate medical paling busy..
i dont know, its unfair for me to say it so since ive never done other posting yet..
but as to describe medical posting, ill say it this way..
"medical posting is a posting that i need to wake up at least 5.30 am (paling lambat), need to be at ward before 6.45 am, need to cover at least 6 to 8 pts, but i penah jage 3 ward sorang for a week!! (but of course, all pts are stable), sleepless oncall night (as expected),a lot of proceduressss and clock out at 7pm (paling awal), if dpt balik pukul 6 tu rase nak buat sujud syukur"haha..that is medical in HSB..
i dont know other posting or medical posting in other hospital..
but well..
ive learn a lot..
dulu tak tahu macam mana nak manage hyper/hypokalaemia pun..
sekarang, dah berani nak order dah...
lytic cocktail?
mist KCL?fast correct?
nak tak nak sume bende tu kene ade kat hujung jari..if tak tahu..
just call MO...
best thing in HSB, MO sume BESTTTT!!!cool habes~~
or in dengue case..
kat HSB ade ward dengue..
kene amik blood TDS ok! (3 times daily)
lepas amik kene reviewlepas review kene decide..nak increase fluid ke?
or nak reduce?ke nak maintain je...?
so far i belom buat ward dengue lagi..
tak nak bole takkk???
huhuhu
lepas tu kat HSB jugak ade ID (infectious diease) ward
most of the pts are RVD or TBadvantage duk HSB kiteorg dpt belajar byk pasal HIV..
ubat2 die..stavudin..lamivudin..neverapin..
ubat2 ade short form yg pelik..
contoh: stavudin (D4T) lamivudin (3TC)
pelik kan?
pastu kene tau CD4 ngan viral load count pt jugak..mule2 masuk ID ward memang blur..
nak set branula satu hal jugak..
lagi2 pt IVDU..
tapi best!bole practice byk!! :)
procedures pulak..
so far, ive done lumbar puncture..
pleural tap..
bone marrow aspiration..
ermm..tu je kot..
CVP lom lagi..pleural biopsy pn tgk je..
haisshh..byk lagi nak kene belajar nih!
i dapat ni mase nak dekat raya hari tu.. :)dah 2 bulan 23 hari..
tapi still byk bende yg belum belaja..saya perlu menjadi lebih proactive!!!
viva dah nak dekat..!
aiyokk!!
kawan2 yg belum buat medical..
dont worry...
medical best!penat tapi byk sanagt belajar...
i tak suke medical, tapi medical did taught me a lot!
sape2 yg rase2 lepas ni nak buat medical, silalah bersedia mental dan physical..
in terms of knowledge, macam biasa,common things are common..
case2 yg admit biasenye stroke..hypertension urgency/emergency
hypoglycaemia
DKA
sepsis
CCF
MI
hepatic enceph..
kwn/adik2 medical student (if ade yg bace blog ni) bace la tajuk2 tu bile nak pro exam nnt ye.. :)
anyway ppl~wish me luck..
semoga perjalanan saye dan kawan2 lain sebagai HO ni dipermudahkan...
insyaAllah..
wassalam
