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Tuesday, November 20, 2007

Hospital Attachment (Day 1)

My 4-day hospital attachment (or rather exposure programme) started yesterday...
The location : Hospital Sultanah Nur Zahirah [HSNZ]

1st day

  • went to the admin department
  • waited for one hour plus before the officer from Unit Latihan posted us to our respective wards
  • found out that the officer-in-charge is my former maths teacher's husband
  • also found out that he is related to Zulfadli, a coursemate of mine in INTEC
  • this is such a small world :-)
  • basically, we had spent our entire morning at the paediatric ward and eventually called it a day
  • lessons learnt :
    1. medical officers (MO) are not rich as informed and reminded by Dr. Rahsdan [that was the first thing he told us when we first met :P]
    2. preclinical years are both stressful and hectic
    3. the ward is like a chess board. MO's and nurses are the chess pieces; the specialists are the players who move the chess pieces on the board to their likings
    4. MO's work hard around the clock....going from one bed to another of the entire ward, asking the patients questions, referring to their medical history and diagnosing them with possible illnesses
    5. and guess what? The diagnosis is a premature one. They will then have to follow the specialist for another round around the ward, explaining to the specialist about the patients' various conditions
    6. the specialist listened briefly to the MO's, asked a few questions to the patients. And there and then, the MO's stand to be either harshly corrected or given a comforting nod by the specialist
    7. TADA...!And the job of a specialist is officially done after that. The specialist reached for her handbag, gave us a quick glance and said, "My job is done here. But the MO's still have obligations to fulfill. They need to complete their report, do an overall review and carry out every single thing which was instructed by me." OMG, doc slavery will be an issue in decades to come... yeah...considering my personal opinion that the newer generations of docs might be pampered to an even greater extent
    8. Dr. Rahsdan told us to learn to categorise things in our medical studies later.... for instance, pharmocological and non-pharmacological. This can be applied too in answering the questions later. According to him, techniques of answering questions are utmost important
    9. though tired of his job, Dr. Rahsdan, a medical graduate from University of Malaya (UM),still put great efforts in cracking cold jokes (really cold) and convincing us to continue pursuing our far-reached dream to become a doctor... The evil reason behind his encouragement? We can help to lessen his workload. *swt* zzzZ...
    10. to a certain degree, I think MO's need to have durable legs and strong backs if we consider the hours spent beside the patients' beds. FIY, I had almost broken mine. Thanks god my femurs and backbone are still intact
    11. oh yeah, and another thing... one of the housemen, who seemed very anxious, revealed to us that what she learned in Russia is totally different from what is required in the local hospital and that she needs to really struggle now
    12. wonder whether Malaysian Medical Council had looked into this issue thoroughly... Really pity the houseman for this. Imagine studying overseas for years and come back with nothing, but the must to start everything for all over again
    13. paediatric ward is different from other wards in terms of the time spent on attending to the youngr patients. Blood-taking, for instance, is much easier with adults than children. And, the questioning is directed towards the parents, which sometimes becomes extremely troublesome as they might be unsure of their own child's conditions
Okay... Guess that's all for the 1st day. FYI, we are stationed in the pharmacy department on the 2nd day, medical on the 3rd and emergency on the 4th.

-ZhaoMing-

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