Friday, July 8, 2011

Fear of Future

salam,

ehm, mie tengah blogwalking sane sini,well , i'm really interested in reading blogs from a doctor or someone studying overseas..
why?
because through them, i can see the world and learn to accept my 'future' (-_-")
mie rase takde orang yang boleh tahan ber'relationship' dengan doctors except doctors,
well,yeah, that's the fact,we are not like others,
memangla, semua orang study pastu kerja..
tapi, katala start Housemanship umur 25, dari 7am da start round patients,of course before that kena review report patients semua,kalau tak, apa nak jawab kat MO?
doing all-non stop things,makan pun macam tak sempat,sampaila pukul 11,then balik rumah,solat isya',iron baju, FB sikit, n maybe studying..
for me, doctors NEED to continuously studying , it's a must to have all the knowledge, or else, your patients will be at stake..
sanggup ke nak announce death kat family members??
scary kan?

life macam ni,ada ke mase nak berfoya2?nak bercinta sakan?
NO!
to have have something you must sacrifice something,
to be a great doctor, you must sacrifice your life,
mie tanak jadi doctor yang cikai2,though, mie da tersilap langkah mase 1st year ni,
tapi takpe,i have 5 more years nak dapatkan MBBch..
tahu kan,HO kat Malaysia adalah 2 tahun..
confirm! akulah yang akan jadi orang yang paling serabai time tu,NERDY,silap2 dua hari pakai baju OT tak tukar..
so,to doctors,time study la korg nk ehem2 tapi takpayahla nak over sangat sampai buku2 semua campak tepi..haha

nak tahu macamana life HO?
ha,macam ni..





"Imagine having to tag (there is a compulsory tagging period every time we enter a new department, ranging from as little as 3 days to as many as 2 months) continuously from 7 am till 11 pm every day. Imagine if you can only take 7 days leave and no weekend off for the duration of 4 months. Imagine after working non-stop without sleep and quick bites in between jobs for 24 hours you still have a full working day ahead of you. Imagine being shouted at by a disgruntled patient at 2 am in the morning when you are dead tired. Then there are incidents where any MO or specialist can happily snap/shout at houseman or call us 'incompetent, disgusting and unbecoming'."

"Being a HO in Malaysia for nearly 2 years is really disappointing. Graduated from Ireland, I've seen how the intern works and treated in Irish Hospitals. Tough. And I embraced myself for what they say a tougher training back home. But it's not tougher training that we met. It's inhumane, humiliation of the HO to the max. All in the name of training, and wanting to 'teach you' to become good doctors."

Inhumane. Sounds harsh. But too bad that perhaps it is true.

I’m a HO currently in my 11th month of housemanship in Malaysia, doing my third posting. I’ve graduated from a public university in Malaysia. Do you know what is my routine like?

Now I’m in oncology/palliative ward with about 10 to 20 surgical patients with two housemen incharge. Excluding the day care patients who come for day care chemo who need review and some actions too.

Wake up around 5 to 6 am everyday.
Take my bath, subuh prayer, breakfast if I have the time/food.
Drive to work.
Review patients (know the cases, ask the patients, examine, check the investigations, write in BHTs, endorse new medications), take blood if necessary. Etc. E.g. wound inspection.
AM round with MO/specialist.
Ward work. E.g. discharges (discharge note, discharge summary, MC, PS, referral if necessary), new cases (clerk, examine, set branula, blood investigations *to take, to label, occassionally to send/to trace the results ourselves*, plan of management), radiological request for the urgent cases (fill in form, look for boss for countersign, run to radio department, convince MO/radiologist), trace investigations (e.g. from lab, referral from elsewhere, sent-away investigations), consult oncology unit (call operator, connect to responsible hospital/MO, present the case, document plan of management, do it), trace BHT/SOPD cards, reinsert leaking/bump branulas, re-take rejected/insufficent amount of blood for investigations, manage GM high/low, BP high/low, etc.
The list could never finish.
Or clinic duty during clinic days (see old/new cases, clerk, examine, review investigations, discuss with MO/specialists, trace investigations if necessary, refer is necessary, book for surgery if necessary).
Lunch if I could find the time.
Occassionally CME/drug talk in the afternoon.
Zuhur prayer.
Review patients.
Afternoon round with MO
Ward work. The similar lists.
Asar prayer
Dinner if I could find the time.
Review patients.
Maghrib prayer
PM round with MO.
Ward work. Usually the least lists. We go back around 8 to 11 pm everyday.
Drive home.
Isya’ prayer.
Iron clothes to be wear the next day.
Study/facebooking/blogging if I have the time. Perhaps energy.
Sleep.
And the cycle continues.

We have TDS round i.e. everybody has to work until night everyday even though we’re not oncall.
One day off every weekend i.e. we don’t have to go to work at all.
Around eight to 10 oncalls per month.
For oncall person, it means start to work early morning, see cases the whole day, sleep in the hospital if we have time or sleepless if we have many patients, work again the next day until night i.e. PM round finish. They said oncall doctors work 36 hours? Not really. Our working hours are longer.
One oncall for a doctor, but the nurses exchanged shifts up to six times.
And we, the same person as the previous day, are still there working non-stop.

Now I’m in surgery. Last time it was worst. I was in medical for four months. And for the whole four months I had my subuh prayer in the ward. Everyday. Because we work EVERYDAY and we have no day off. NO DAY OFF. MOs started their round at 645 am. So when do you think we start our own review?

Eight to nine days leaves per posting, including MC. INCLUDING MC. And we were told that the leaves are not our rights and we can be denied if e.g. lack of housemen in the department.

credit to : http://nas-azif.blogspot.com





macam ni,nak mengharap kami berlawa2..heh
takkannye,
tapi takpe, Gather All The Strength and Prepare to Face It!

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