First Day in Medical Department


A day of the medical department attachment is....... so boring!   No lah. Just can't find the rhythm yet only.

Medical is totally the opposite if you compare them with emergency department. But the busy-ness is still the same. And more harder to the HO, I think. With less staff (no PPP or PPK like in A&E), the HO are like power rangers! Going here and there so fast like bullet train. Kind of quite memeningkan kepala for me to see and observe their work. *but still I admire their speed already*

First day is a little bit dull. It starts with a greyish aura around the ward. The chief nurse is quite strict and the H.O.D also does look quite stern but once she open her mouth, oh my goodness -very funny leader la this H.O.D. And the staff, ermm they didn't look quite friendly....yet, maybe. And awal-awal dah kena ingatkan pasal all the peraturan here - ok.........~

As been told by Gomala before, in medical ward you are not allowed to do any invasive procedure to the patient - unless you can plead the HO or the staff in the evening *off the record, please*. Pagi-pagi ikut round sahaja. So, since this is my first day here and I didn't know any of the staff yet, so my work are tagging the doctors like a little lamb only. Nothing more. Very blurfffff~! *sleepy already* - so totally the whole day, I end up very tired of doing nothing.

However, Alhamdulillah I still manage to catch few things to learn as a lesson today in CME (continous medical education class).

First, don't ever try to take blood from a fistula! Fistula is like a bundle of re-form vessel in the arm created by the doctor for hemodialysis purpose. The only thing to remember in this situation is if you try to do it in medical department of Hosp. Seberang Jaya - beware, The HOD will definitely kills you! =p

( actually it is because the risk of bleeding is too high in fistula. Once it bleeds, it will cause a big hematoma, then compartment syndrome will happen, and then it can lead to wrist drop and it will be very dangerous later - and obviously it will cost you a medicolegal issue! )

Second, as a doctor don't ever try to be very 'berlagak eksyen' toward the patient!. The world of  " who is the doctor? You or me?"  is pupus already. In the era of technology, everybody can google-s their own disease in the internet. They can even ask you every single details of your procedure for them. Take this as a good education chances. Explain nicely. Tell them why this and why that - the reason is only for their good sake. A good doctor is a doctor who can give support to their patient to get well as soon as they can , not a doctor who push the patient sesuka hati macam patient itu robot peliharaan.

Third, my kind-hearted supervisor here - Mr Yeoh said " I don't like to give spesific diagnosis to the patient." Why ah doctor? "Because if I said this patient had a bronchial asthma for example, he will tell all the world 'Oh I have Brochial Asthma already! I'm a patient. Nothing can be done now' " It is not that you want to give a false hope or denied the reality, but it is more to give a moral support to the patient. This doctor kan even he is not a muslim, I can see what he is trying to say is that any disease has a cure except death.

Dari Ibnu Mas'ud RA, bahawa Rasulullah SAW bersabda:

إِنَّ اللهَ لَمْ يَنْزِلْ دَاءً إِلاَّ وَأَنْزَل لَهُ دَوَاءً، جَهِلَهُ مَنْ جَهِلَهُ وَعَلِمَهُ مَنْ عَلِمَهُ

"Sesungguhnya Allah `azza wa jalla tidaklah menurunkan sesuatu penyakit melainkan menurunkan pula ubatnya. Ubat itu diketahui oleh orang yang boleh mengetahuinya dan tidak diketahui oleh orang yang tidak boleh mengetahuinya." [3]

So why should we make the patient become sad and inconsolable when we actually can help them staying strong by having hope? Remember this nice algorithm from the HOD - Half of your battle is done by giving reassurance to the patient. 

Without this reassurance, that's why there are a lot of patient who always have low self esteem, always said "Oh I have a really fatal disease. I'm gonna die" and can't even believe in themselves that their disease can be cured - even it might be, will take a lotttttttttttttt of time dalam masa sekarang. But who cares? Just believe it first, we (the hospital) are going to do our best to find the best cure, to give the best treatment for all the patient.  *optimis sungguh doktor-doktor specialist sini. I like their attitude.*

Doctor's job is not only by giving medication. Even with medication, if the patient didn't follow your advice then everything is useless. Develop communication. Build relationship. Gain trust. Then you can proceed.

ok, lets call today lesson is about counseling therapy. How to be a good doctor first, than how to be a tukang cucuk yang terer only. It is also important right?

ok, till then.

Let us hope tomorrow will be better and kinder. For me specially. =)

Abah pesan,
Sebosan mana pun ward tu, find the happiness. Bring out the best from the worst situation.

But I still miss my A&E department. Huhu.

Ok, esok kena buat planning macam mana mengisi masa lapang takde doktor dan takboleh buat apa-apa. Erm, either read the files and search for the info. Or maybe bermasyarakat bersama pesakit atau staff. Tengok la nanti. ^^,

See ya!


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