Posts Tagged Medicine

Away

I’ll be away in Kuala Pilah for the next 6 weeks. For community medicine, that is.

See you after the jump!

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ER

So much has happened since my last post!

The Debate took place (although unsettling, IMHO), Thierry Henry was voted numero uno in the Gunners’ Greatest 50 Players poll (wouhouuu), and The Dark Knight took the world by storm (Christian Bale is HAWT HAWT HAWT).

But the highlight has got to be my 2 weeks posting in HKL’s Emergency Department.

I got my first taste of life at the pit, and it was awesome!

I can safely say that the doctors, nurses and medical assistants (MAs) in the department are VERY efficient. Whenever a patient is admitted and needs urgent attention, they work together like an F1 mechanics team at the pit stop. But instead of rapidly refueling and changing tyres, they take care of the ABC in rescuing – airway, breathing and circulation.

And they remain so calm, even when death is staring them right at their faces.

It was in this department that I experienced my first death. This Indian uncle came in for an asthmatic attack, but he was pretty stable. He even asked me whether he could go back to his exercise routine that very evening. Semangat ok. An hour after he was given his meds, he came back. Only this time, he was weaker and was sweating profusely.

He was immediately rushed into the resuscitation zone, but in no time he went into cardiogenic shock. His vital signs crashed and he suffered a massive myocardial infarction. The “pit crew” did everything they could – inserting necessary medications, and performed multiple CPRs but it was fated that it wasn’t his day.

After a long hour of resuscitating, the doctor in charge said, “Wait until the line becomes flat..”.

At that moment we all knew he was gone.:(

I was on call for a few nights, and there were just so much drama! From psychotic cases to ehem, newsworthy cases (No, we didn’t manage to catch a glimpse of him..), and of course the myriad of injuries obtained in motor-vehicle accidents. So DRIVE SAFELY people and try not to end up in the Emergency Department ok!!!

It’s interesting that some patients came just because they need someone they could talk to, even if it’s already 3am in the morning. I think this is the part when a doctor can really make a difference in patients’ lives, by paying attention to details, and complaint after complaint, all whilst being responsive even when they don’t feel like being responsive. And for that, I salute the emergency doctors of HKL for their undying commitment. 🙂

Anyway, twas a good 2-week experience, thanks to the helpful staffs of the department.

But I can assure you that no doctor in the department is as charming as Doug Ross though, tee hee.

Next up is my Psychiatry posting! Wooot!

Imma be a friggin shrink fo 2 friggin months yo.

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Buddy

School starts next week. And the start of a new academic year means that a new batch of medical students is coming! Woot!

3 years ago, I had 4 batches of seniors to look up to. They all seemed so mature and so smart! Suffice to say, I was greatly intimidated by their looks and level of knowledge but at the same time, hopeful, that someday I would grow into it too. But now, I only have ONE batch above me, and that signals the little amount of time I have left in medical school. 2 years until graduation baby (Insya-Allah). TWO FRIGGIN YEARS OMG.

*Picture from BMJ

Come next week I’ll be a “Kakak 4th Year” and oh boy, great responsibilities lie ahead. As seniors, we are expected to guide the juniors on the part and parcel of being in medical school – sharing books, notes, past-year questions, guiding them on different lecturers’ styles of teaching, and help them cope, physically and emotionally if needed. A few of my classmates went overboard of course, by actually courting the juniors (Stephen, Ah Fatt, Kay Kiet, Khir – korang takde orang lain ke nak carik?).

We have this “Buddy” system in medical school, in which every freshman is entitled to a “Buddy line” ranging from second to fifth years. Usually the fifth year buddy will handpick a first year junior that they want on the first day of orientation. Some chose juniors from the same hometown, same high school, or same names even.

Certain buddy lines maintain a very good relationship, to the extent of going out for lunches and stuff. My buddy line, however, has a purely academic relationship. Our relationship merely exist in the form of asking for advices on which textbook to buy at the start of the semester and Raya messages. Sad, but that’s about it. I won’t blame it all to my other buddies, they’re all very nice and hardworking people. But I feel that there’s so much more to do. At least for my part.

IMHO, I think the seniors should be the ones playing a bigger role, academic-wise or not. The juniors might be shy (or too full of themselves, :P) to ask for any guidance. So the seniors should keep track of the juniors’ progression, as they’ve already gone through it all before and they would know how to cope better. Most importantly, the seniors themselves should keep track of their own performances (grades and attitude!) so that they can lead by example, not just cakap-cakap kosong je, kan?

A first year junior suffered a nervous breakdown last semester, and I’m sure a lot of seniors did not even know about it. If only we seniors as a whole were more concerned, if only we cared for our juniors, events like this can be prevented from happening in UPM med. It MUST be prevented, as a matter of fact. UPM med students should be fun and hip, not boring and depressed!

OK screw your definition of fun and hip.

Therefore, one of my resolutions for the new academic year is to be a better buddy to my juniors! I shall start by texting my buddies…right about now. 🙂

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