Sunday, August 10, 2008

SAYONARA DISTRICT POSTING


ASSALAMUALAIKUM...
Tomorrow, like others i'll joining new posting, medicine...which was one of my favourite posting for last year. so, less difficulty i guess while in this posting.
Things become enjoying when three of my friends are in the same subgroup with me, this actually helps us to build up our new team for study group (hope everything run smoothly).
I'm waiting for five weeks already to go for this posting, because i do not know much how the last posting help us survive in professional exam, and later on our carrier.
Now, i can construct my schedule for the whole year, because i've less than 44 weeks before i can contribute my little knowledge and experience to the community ,which i've been using so much of their money till today.
i'd been through a lovely experience in the last posting actually, meet patient face to face ( not only doing physical examination and history ) but i can prescribe patient drugs.we also can do most of the thing there.
While in the first center(klinik kesihatan), being with dr.nik azhan was most exciting. he gave us a lot of advises on how to to survive during the housemanship, how to be a good doctor , how to manage a patient as a whole and etc.
At district hospital, we had been in the A & E for on-call. Being there, made us so excited. on my first day on-call, i'd praying to have a good day ( i did not specifically mention of a free day or a busy day), but ALLAH give me a precious day (but not to the patient family members). entering the door, i was facing a gloomy room. one patient died due to retroviral disease(HIV). 2 hours later, one pakcik come with mild shortness of breath and was putting on a nasal prong. he kept on talking to us that he can't bear the difficulty, so we helped him to sit up in 45 degree position, he looked better. Then, the doctor gave him MMT and IV diuretics. Medical assisstant was asked to insert CBD, but failed. the paediatric size catheter was also being used, but the result did not changed. That pakcik looked stable and was transferred to the yellow zone. then, Dr. Z started to shoot us question about the pakcik, which actually having acute pulmonary edema. MA asked for help to put ECG on that pakcik. i looked at that pak cik, he looked very bad even had been transferred to yellow zone. he swet a lot.his shortness of breath worsen. Dr Z asked nurse to prepare some drug and asked patient on putting a ventilated respiration. then, dr inserted the drug. patient collapsed. teribble! i was asked to bagging the ambubag. it lasted for i hour, before we went for our zuhur pray.

at night, we came back to A & E, doctor fadzilah told us that pakcik had been transferred to HKB and condition worsen (50-50), patient also had GIT bleeding upon delivery to HKB.
i kept on thinking of that pak cik a for most of my day there. i kept on imgined what doctor could i be in the future! ( i'm hoping of being at least the one who not cause harm to patient - so called save doctor)

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