A&E Night shift during valentine's day... What kind of patients do u expect to have to attend the department?
Drunken People? - Yeah, you are right... Lost of drunken people came in after partying hard outside and had a fall and have laceration everywhere, the arms, legs or head... And with alcohol onboard, some couple who are suppose to be loving turn out to be aviolent monster and started hitting the partner with empty bottle... Two cases of those came in... escorted by police officers somemore.... I guess they are seeing each other anymore after that night....
Overdose? - Yeah... you will be surprise how many overdose we get that night.... anything u can think of, paracetamol the most common... love and hatred.... scary eh...
and lots of cardiac arrest as well... for reason no one understood.... hmmm.... argument maybe?
Well... not bad shift afterall...
Monday, February 22, 2010
Tuesday, February 16, 2010
Life so far...
In the UK, after completing your foundation year training as doctor... you will move on to specialist traning pathway... over the past few years ... there have been some drastic changes in the pathway...
Every year, around Dec to April, most of the second year foundation doc would be busy dealing with jobs application and attending interviews and waiting eagerly for their job offer... many ppl would pray hard for getting job offer within the first round because trust me... getting through all the application forms are tedious and attending interviews are not enjoyable activities to do... Core medical, core surgical, acute care commom stem, paeds, o&g, anaethestic.... all different route and different requirement...
I attempted for the paeds pathway this time... and going through interviews by giving contradicting advice on swine flu vaccine, the ever so disheartening MSF, critically appraise paper and present it in 45 minutes... structured interview that make u pissed in ur pants trying to hold your nerve to answer it in the sensible way... are interview the best way to judge whether a doctor is suitable for the job the best way?
some might argue how a person react in nervous situation is exactly how a doctor is when facing emergency situation and would be all protray out during interview thus supporting having medical interviews to seek for the best candidates... however, have you ever wonder how many good doctors outside are left jobless and in great disappointment when job offer was not given after putting millions effort and time in perfecting the portfolios...
Today... the results revealed... and i am not in their first choice batch... i have to say... i am never a good speaker... never a good person in expresssing myself... never a good presenter... but i think i am fairly a caring doctor who stands on patient sides... how i wish i am a doctor in an ideal world where a Multidisciplinary team actually work perfectly without any flaw... how i wish i am so competent in doing everything that they suppose to teach me in medical school... and how i wish i do not need to ask a nurse to do anything for the patient if i can have extra 30 minutes everyday for each patient... and how i wish i am capable of dispensing medication and doing IV drugs by myself without needing to go through u know who...
sometime ppl think doctors just like to order nurses around to do things for them and doctors are just stealing glamours and are just diagnosing machine who do not care for patients... A lot of ppl do not understand doctors nowadays are restricted by unnessary rules and law that limit doctors training and often the important price to pay is the necessary skills that was used to be required...
At the moment, i am quite better off than a lot other ppl and i shall not be complaining as i am now... maybe this is god's plan for me... Prayed to him and he answered and i am doubting about his decision and not abiding to his plan? I often said God never answer my prayer... but when he does... i doubted him... perhaps this is what human being are... ever so difficult to be pleased.. and greedy ... i am just the typical one... perhaps i should do it... perhaps this is his plan... perhaps this is my DESTINY :)
Every year, around Dec to April, most of the second year foundation doc would be busy dealing with jobs application and attending interviews and waiting eagerly for their job offer... many ppl would pray hard for getting job offer within the first round because trust me... getting through all the application forms are tedious and attending interviews are not enjoyable activities to do... Core medical, core surgical, acute care commom stem, paeds, o&g, anaethestic.... all different route and different requirement...
I attempted for the paeds pathway this time... and going through interviews by giving contradicting advice on swine flu vaccine, the ever so disheartening MSF, critically appraise paper and present it in 45 minutes... structured interview that make u pissed in ur pants trying to hold your nerve to answer it in the sensible way... are interview the best way to judge whether a doctor is suitable for the job the best way?
some might argue how a person react in nervous situation is exactly how a doctor is when facing emergency situation and would be all protray out during interview thus supporting having medical interviews to seek for the best candidates... however, have you ever wonder how many good doctors outside are left jobless and in great disappointment when job offer was not given after putting millions effort and time in perfecting the portfolios...
Today... the results revealed... and i am not in their first choice batch... i have to say... i am never a good speaker... never a good person in expresssing myself... never a good presenter... but i think i am fairly a caring doctor who stands on patient sides... how i wish i am a doctor in an ideal world where a Multidisciplinary team actually work perfectly without any flaw... how i wish i am so competent in doing everything that they suppose to teach me in medical school... and how i wish i do not need to ask a nurse to do anything for the patient if i can have extra 30 minutes everyday for each patient... and how i wish i am capable of dispensing medication and doing IV drugs by myself without needing to go through u know who...
sometime ppl think doctors just like to order nurses around to do things for them and doctors are just stealing glamours and are just diagnosing machine who do not care for patients... A lot of ppl do not understand doctors nowadays are restricted by unnessary rules and law that limit doctors training and often the important price to pay is the necessary skills that was used to be required...
At the moment, i am quite better off than a lot other ppl and i shall not be complaining as i am now... maybe this is god's plan for me... Prayed to him and he answered and i am doubting about his decision and not abiding to his plan? I often said God never answer my prayer... but when he does... i doubted him... perhaps this is what human being are... ever so difficult to be pleased.. and greedy ... i am just the typical one... perhaps i should do it... perhaps this is his plan... perhaps this is my DESTINY :)
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