an example of my early days as a houseman:
i was informed a stage 4 colon cancer patient coming in,
i was to take blood, send it to the lab, transfuse her with 2 pint pack cell and inform back my consultant the blood results.
owh, the diagnosis is established! easy!
i did 'just' exactly what he asked me to do.
during rounds:
my specialist: what patient is this?
me: owh, this is (my consultant's name) patient - stage 4 colon cancer.
---
my specialist: hmmm...so..?
me:--mm...??..we are transfusing blood right now, this is the first pint
my specialist: obviously (as there was 1 pint being transfused)...well,??
me:...mmm..???
my specialist: iyelah, stage 4 colon cancer, how did we get to that diagnosis? ape history die? ap CT report dy, HPE result dy, clinical exam ko jumpe ap?...haisyhhhhhh....
me: err...
my specialist: isyh, korg skarang gune computer, click2 jer sume result kluar, sume hx dy before this kluar, kalo ko x sempat nk clerk patient pon at least bace la clinical notes dy before this, ad je dlm comp tu...bukan macam aku time houseman dulu, nk kene trace balik kertas2 dlm store tu...kadang2 sampai 3 hari baru tau cerite...ni kan zaman IT...adoi!
me: err...err...
my specialist: ok, fine...nnt trace CT report dy, so kite plan nk buat ap ni?
me: err...??
my specialist: ni untuk scope esoklah...! haih....make sure ko prep dy betul2 harini, taknak tibe2 cancel plak scope esok! isyh, ko x leh offtag lg nieh!
me: ok.... (in my mind - to prep meaning???)
*****************************
blurr right?...too blurr
well, those days i felt so down...why didn't i know all of these, (the management, the diagnosis, that i needed to properly clerk the patient)..why did i assume that if they(my bosses) already know they wouldn't ask me...why couldn't i perform my work properly???
why? why? why?
i was down mostly because i felt like i've let myself down, after 6 and half years studying, performing quite well during my student years, but once i jump into the field itself, i couldn't perform! there's just so many things i didn't know!
the part being scolded or being talk to as a lower class houseman is another thing, if i was too tired it would bug me, if it was early in the morning, fresh and energetic, i'd just smile =)
smile all the way...
********************************************
now things are much better, am still a bit slow...but at least i know my job
to me...
treating a patient is much like having a boyfriend, you need to know EVERYTHING that is important medically about him/her, to always check up on him/her, how was the vitals, has the lab results came back yet? what was the x-ray just now like? until the patient is stable and better, allowed to be discharged home, and you keep reminding them to watch out their food, make sure they don't forget the medicine and be on time on their clinic follow up, or come anytime if something goes wrong before the follow up.
that's my metaphorical depiction of my job, hehe :p
(now i understood why some people are said to be married to their job)
i cannot choose to be ignorant, cause it might cause someone's life
ironically in life too, if we are ignorant, Jannah will be too far-fetched.
rabbuna yusahhilna jami'an
all the best for my juniors in final year
and goodluck to all my fellow colleagues (housemans)
and thanx to all my consultants, specialist and MO's for not giving up on me ^_^
i was informed a stage 4 colon cancer patient coming in,
i was to take blood, send it to the lab, transfuse her with 2 pint pack cell and inform back my consultant the blood results.
owh, the diagnosis is established! easy!
i did 'just' exactly what he asked me to do.
during rounds:
my specialist: what patient is this?
me: owh, this is (my consultant's name) patient - stage 4 colon cancer.
---
my specialist: hmmm...so..?
me:--mm...??..we are transfusing blood right now, this is the first pint
my specialist: obviously (as there was 1 pint being transfused)...well,??
me:...mmm..???
my specialist: iyelah, stage 4 colon cancer, how did we get to that diagnosis? ape history die? ap CT report dy, HPE result dy, clinical exam ko jumpe ap?...haisyhhhhhh....
me: err...
my specialist: isyh, korg skarang gune computer, click2 jer sume result kluar, sume hx dy before this kluar, kalo ko x sempat nk clerk patient pon at least bace la clinical notes dy before this, ad je dlm comp tu...bukan macam aku time houseman dulu, nk kene trace balik kertas2 dlm store tu...kadang2 sampai 3 hari baru tau cerite...ni kan zaman IT...adoi!
me: err...err...
my specialist: ok, fine...nnt trace CT report dy, so kite plan nk buat ap ni?
me: err...??
my specialist: ni untuk scope esoklah...! haih....make sure ko prep dy betul2 harini, taknak tibe2 cancel plak scope esok! isyh, ko x leh offtag lg nieh!
me: ok.... (in my mind - to prep meaning???)
*****************************
blurr right?...too blurr
well, those days i felt so down...why didn't i know all of these, (the management, the diagnosis, that i needed to properly clerk the patient)..why did i assume that if they(my bosses) already know they wouldn't ask me...why couldn't i perform my work properly???
why? why? why?
i was down mostly because i felt like i've let myself down, after 6 and half years studying, performing quite well during my student years, but once i jump into the field itself, i couldn't perform! there's just so many things i didn't know!
the part being scolded or being talk to as a lower class houseman is another thing, if i was too tired it would bug me, if it was early in the morning, fresh and energetic, i'd just smile =)
smile all the way...
********************************************
now things are much better, am still a bit slow...but at least i know my job
to me...
treating a patient is much like having a boyfriend, you need to know EVERYTHING that is important medically about him/her, to always check up on him/her, how was the vitals, has the lab results came back yet? what was the x-ray just now like? until the patient is stable and better, allowed to be discharged home, and you keep reminding them to watch out their food, make sure they don't forget the medicine and be on time on their clinic follow up, or come anytime if something goes wrong before the follow up.
that's my metaphorical depiction of my job, hehe :p
(now i understood why some people are said to be married to their job)
i cannot choose to be ignorant, cause it might cause someone's life
ironically in life too, if we are ignorant, Jannah will be too far-fetched.
rabbuna yusahhilna jami'an
all the best for my juniors in final year
and goodluck to all my fellow colleagues (housemans)
and thanx to all my consultants, specialist and MO's for not giving up on me ^_^
1 comment:
practical and theoretical study is a two different thing.i feel u..dont give up.=)
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