Survived (Part 2)

Sambung lah cerita semalam. Moving on to my second posting which was medical. At Serdang, we only do general medicine, we did not go to nephro, respi and cardio. Ni lagilah cuak sebab sebelum start lagi dah dimomokkan dengan medical posting yang high extension rate. Tagging saja dah dekat 3 minggu hahahaha. Oh me and tagging tak sah kalau tak lama, tak sah kalau tak nearing dateline. What I love most about medical was the super nice MOs. MO kat medical semua baik-baik. Rajin & baik. MOs boleh tolong masuk notes round pun kalau banyak sangat active plans. At medical, most imagings MO yang request. My medical MOs are angels. Registrar pun baik. Being in medical, tak sah lah kalau tak busy. Kalau station kat ED, either GZ/YZ or RZ. GZ/YZ tu tak sah kalau tak banyak. RZ tu kalau jonah, boleh lah banyak case hahaha. I've had 2 DKAs and 1 HHS in one night hahahahaha. Tapi registrars mostly angel so takpe, sis sanggup. I've learnt that I don't mind being busy with work, having lots of work to do but I get to work and learn from a nice superior. Even if I have to go back home late sebab jonah haha. And 1 story that I will remember forever is that 1 night in ICU. That was my first night shift in ICU. Basically patient medical ramai kat ICU, that's why ada HO medical stationed in ICU. Registrar that day was Dr L and specialist was a respi specialist, I tak ingat nama :/ But he was so nice. That day, we had 1 severe dengue, the worst dengue I've seen in my life. Patient came in with an unrecordable BP, quite a big size gentleman, so there was difficulty in getting a venous access. Long story short, he was resuscitated, admitted to ICU about an hour or so later around midnight. Since then, we actually stayed in ICU together with Dr L & my specialist, anaesth specialist and MO too. I was literally the runner that night, I walked up and down to the blood bank countless times to get blood products. Request blood product macam order teh tarik kat kedai mamak k haha. The patient was actually bleeding from all orifices that we know of T___T he was actually quite young, just around 40+. I had a crazy night but at the end of shift, Dr L thanked me which made my day. Learnt so much in that one night, though I passed out the next day because I was too tired hahahaha.

Eh ni baru pasal medical hahaha. Moving on to O&G; the least favourite posting of all? Haha. To start off with, I memang tak minat O&G since study lagi. So ingat lagi lah, masa masuk tu, ya Allah, murung dia tak dapat nak describe macam mana hahaha. Orang lain pun perasan LOL. Sini pun belajar banyakkkkk benda baru. O&G is like one different world of medicine. Paling tak suka adrenaline rush kalau ada red code, murung. Paling benci dengan CTG. Paling benci kalau kena night shift kat antenatal ward. Dah lah banyak benda kena buat. Pastu around 3-4am camtu, JM dah start buat routine CTG. Masa ni tak pernahlah CTG semua nak elok reactive. Adaaa je yang sleeping CTG lah macam-macam. Murung lagi haha. My worst experience was having a preterm labour in ward T_T 34 weeks. Malaslah nak cerita but alhamdulillah baby came out okay, MO paeds sempat datang untuk attend baby T_T and that was my last night shift haha. Dah kata kan jonah. Tak cukup tu, ada dengar CPR masa posting O&G? I have. Tapi kesianlah, patient had eclampsia. Specialist buat perimortem C-SEC, less than 5 mins baby out dah then duduk ICU ada lah dalam 3 months plus pastu end up masuk gynae ward a few days, LO. Hari tu pulak partner kat gynae ward dengan Sofia, sorang lagi well known jonah haha. But bukan yang buruk je ada, pengalaman best pun ada jugak. Paling best bila dapat intact perineum during delivery. I had like 3 kot? Haha. Settle delivery semua within 10-15 minutes je! Usually multipara yang baby kecil lah. Mother pun push a few times je and baby keluar. Ada one night tu I dapat sampai 2 intact perineum, midwives dah cakap, "okay lepas ni, kalau Dr Sha ada, dia je lah conduct delivery sebab dapat intact perineum, takyah suture" haha. Oh! Sini paling banyak belajar suture, seronok lah suture perineum, lama-lama tu suture cantik fuh bangga hahaha.

Next, paeds. Ingatkan lepas O&G masuk paeds senang. Tapi hampeh haha. Tak tau nak cakap mana lagi murung sebab ni satu lagi posting yang dah dimomokkan susah nak pass. Dari awal dah mindset extended until proven otherwise -___- Ni tagging paling lama, almost 1 month. Penatlah woi. Habis tagging, kena start buat assessment apooo. Paling serabut assessment paeds lah. Semua kena buat on time, kalau tak sempat, kena extend. CME attendance requirement pun banyak T_T I don't like kids so strugglelah. Blood taking, branula with the screaming, shouting, crying, kicking = emotional torture. Masa awal-awal masuk tu, balik rumah pun dengar lagi budak menangis haha. Lagi teruk after masuk NICU, baby nangis like all the time? Haha. Serabut. I did 1 week rotation kat PCICU, I had the best of time jugak masa ni. Seronok. Hi-tech sangat benda-benda paeds cardio ni but it was an awesome experience. Masa tu pun ada 1 patient collapsed jugak, kena CPR for a few mins T___T patient paeds collapsed for me lagi panicking daripada adult, lagilah tak tau nak buat apa. Nasib baik masa tu ada intensivist, paeds cardio consultants, MOs. I was literally a shadow masa tu haha. Bila dah habis paeds, start rindu sebab... it wasn't so bad afterall :)

ED. Ni lagi kelakar. Dari paeds, tetiba balik attend adults kat ED haha. Masa first few days tu, branula adults pun rasa macam susah hahahaha. Benci betul. Lagi power masuk branula paeds, semangat bila ada paeds patient hahaha. ED was actually fun! Cepat adapt and I actually enjoy ED while I was still there. Postings sebelum ni semua, I akan cakap I tak suka/benci while in the posting. Dah habis posting baru cakap rindu :') Haha. But it's different with ED. ED boleh datang lambat as in tak payah datang awal untuk review patients. Basically datang and attend new patients je. Kalau balik, jarang ada unsettled work. Senang cerita kat ED, we manage acute issues, then if necessary, refer to respective teams for further management pastu settle lah. Best. Specialists, MOs pun baik belaka. Kalau tak tau, boleh discuss. Kat ED, banyak kerja dengan MAs. These MAs, perform sangat k, even better than us HOs. In ED, lagi nampak kerjasama between team. Semua buat kerja sekali. Seronoklah! Rindu ED 🥰

Last but not least, surgery. Going into surgical posting as a final poster... haha. We're the ones yang akan kena accompany patient kalau ada ambulance transfer. Second day dah kena hantar patient. Nervous k masa first time. Luckily kena hantar 2 paeds patient; sorang burn, sorang lagi intussusception. Alhamdulillah patients were okay. Since then, banyaklah lagi ambulance ride, one after another. Kat surgical pun boleh tahan jonah hahaha. Tak pernah lah tak jonah. But it was a fun posting too. Most MOs pun cool, specialist pun sama. Sebab dah 'senior', I was given a lot of chances to do a lot of things; suturing, open abdomen during an appendicectomy, I&D etc. I am so, so grateful for nice MOs yang banyak bagi chance to do these things 😊 in surgical, I start to really think and learn to give my own management first. Dah posting last baru nak start fikir eh kau ni hahaha. Baru sedar nak jadi MO dah 😭 A lot of stories jugak in surgical, tak larat dah lah nak cerita satu-satu but I'm really thankful for everything.

Cukup dah kot cerita kan?

So to future Shahiela who's reading this one day later (pretty sure you'll read this over and over again, I know you so well haha),

One day, if you crumble, you're sad, you're feeling down for whatever reason that is, remember that you've actually went through a lot during these 2 years. Some made you rethink if you're actually fit to be a doctor because of your own mistakes, your stupid decisions, your reckless doings. But you survived. You'll always have bad days, bad experience, bad moments but please remember that this is life. You chose this life and it's already meant to be. Allah does not burden a soul beyond that it can bear, remember? That's His promise. So you, embrace this journey okay? Even the worst days last for 24 hours, the next day will be a new day for you to restart and do it all over again. Chin up and have fun! You can do it 💪😚


Last day of housemanship!



Love, Shahiela yang baru habis housemanship xx

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