What have i being doing?? Pictures tell it all

Reviving!!

Lots of thing happening since my last entry... firstly... I am no more FY1 Doc... i'm now FY2... haha... what's the diff?? Nothing really... other than changing how i introduce over the phone when i answer my bleep... no more surgical house officer... but SENIOR House Officer...!!!
No more attached to Vascular... nightmare team over... now to ENT.... Still couldn't believe i got over it... not entirely smooth sail... lots of bumpy rides and unforgettable one... without forgetting Mrs. A's surprise visit... which grant me 2 weeks off... The day after we swap over... Lagy still pulls me away from my new team asking me how all his patient doing... without realising we have already changed over.... Bumped into him on the corridor with his new houseofficer who happened to be the hottest Fy1... The only comment he could give to me was '' Hey Teck, Look now... we have a better looking bunch then u lots'' bitter... -_-''

So how is it like being a SHO? Running the surgical side of the Hospital as the most senior Dr sometime is again not for the faint hearted... One Important tips for every junior Drs, next time always get hold of your registrar mobile no... cause the bloody bleep will never be loud enough to drag your registrar out from the cozy bed to help you... The first set of nights where Mr. W the consultant surgeon, with a reputation that i shall not disclose here,whom i met for the very first time, caught me eating pizza in the mess before the working hours is deeem unacceptable. Not a very good first impression... :( I am actually not allow to be in the mess before my working hours, i am suppose to be working the minute i step into the hospital... and his comment about me when he first saw me.... " SO, you are the famous TECK '', left me and the rest of the team puzzled about what is the factor that have made me famous... the other comment that Mr. W said to the surgical directorate director (N.V)

Mr. W: How can the night team not consist of a SHO?
N.V : Hold on, you are wrong... you did have a SHO... that's Teck....
Mr. W: Oh no... Teck is not a SHO, he is pretending to be a SHO...

(His comment above was not unfair... because the day before, i was still a FY1, the next day i am already a FY2 )

Covering orthopaedics was not great experience... accepting too many inappropriate referrals have made my registrar annoyed... and me having to discharge them myself hopefully to keep him happy really not the ideal way of practicing medicine... putting my GMC registration hanging on a very thin string... So far... all the ortho cases have not been repeating... until now... i have not got a single case which is similar to the other... amazing what ppl could do especially on a bright sunny days.... instead of keeping themself safe when doing the good outdoor activities fun... they rather live life the dangerous way by presenting themself to Emergency Dept with broken humerus, radius, ulnar, femur, hips, tibia, fibula, clavicles, ribs, maxilla, jaw, skull or torn biceps, triceps, achilles tendon etc. So far the most bizzare injury i have attended was lifted off ground playing kite surfing and fall from 10m high... sustained no major injury other than 2 broken incisor teeth... Being the only Orthopaedics specialist in the hospital at night is really . ridiculous when ED is only staffed by two other fellow FY2s who have not done orthopaedics before... My conversation with an A&E sister about the state of the A&E at night.... :

Me: Don't you think it's absolutely a joke when the A&E is only managed by two Fy2 doctors... who in fact none of them are trained neither in ALS, ATLS nor APLS...
S/N: Well... that's not true... we have been through all this before... our consultants have got this planned....
Me: Oh, really... tell me about it...
S/N: Well, you see... although there's no senior drs down in A&E at night... there are still senior Drs of all specialties up there that shall be called immediately if have troubles...
Me: True... that's true... in the ideal world.... BUT... just consider tonight... do u know who is around tonight? It's ME... and me alone... covering General Surgery, Urology, ENT, Orthopaedics... my registrar's sleeping at home 5 minutes away.... Paeds SHO is again another Fy2... The medical SHO who happened to be my friend... another FY2... well ya.. medical SpR is around... SO to be honest... the only senior Dr. in the hospital tonight... is the medical SpR.... I am sure your consultant did thought about it... but i bet he/she forgot to tell the department their great plan
S/N: ..... Ooops...



I bet all the non doctors outside who happen to reading this entry must be thinking...
(OMG, I better make sure myself not getting admitted to that hospital)
(What kind of Hospital is this guy working in ???)
(Hmmm.... OH NO... how can we give our life and our love ones to all these people... )
To be FAIR ppl... your life will be fine... coming to hospitals at night... similar things are happening throughout the UK... especially in the district general hospital... we might not be able to help you the time you admit urself to the hospital.... but we and the nurses are definitely capable of prolong your life till the bosses come in... SO NOT TO WORRY!!!

Well... here i am starting my nights again tomolo... so ppl .... please take care of yourself... dun come to hospital at night... if you happen to pick up by the ambulance (touch wood) ask them to divert you to poole or bournemouth... don come to Dorset County... Although i doubt it would be much better on that side of the world...

Being blame again

*Sigh Sigh* To add on... Friday did not get better....

New patient not being seen during ward round when i was busy in other ward yesterday because my colleague did not bring the consultant to see him... turned out to be my whole team fault...

Patients not handed over to the juniors after being reviewed by our registrar without our presence turned out to be our fault again because of the absent minded registrar... and his poor communication...

Blood got stucked in the pod system in the system that delay the surgery happen to be our fault as well... get a grilling and cold and hard slam on the door by the consultant...

Patient refusing to be cannulated and being aggresive and deemed not safe for us to approach...thus bloods not taken for 2 days... turned out to our incompetency as well....

"Team!!! I expect a higher level of care for my patient in my team!!! " said the boss...

And just being woken up by a fast phone call today from night house officer... telling me that another houseofficer deleted our one and only list from the computer accidentally but refused to admit her mistake.... thus a new list is created based on a random piece of old list dated few days ago... when there were such high turnover and at least 7 new patients lying in the hospital which might be missed during today round...

Oh GOd... i really do not want to go in and work this monday!!!

Being Blamed...

*Sigh*... have u ever been blame by someone for something that you have not done... or something that went wrong but it's just not your fault.... or something just happen during ur absence and being ignored by your colleague but it just went all wrong just on the first day when you are back onto the work...

Started my Vascular rotation... Always been interested in Surgery and putting up my hope real high about getting into it... wanting to get involved in all those sophisticated surgical skills that i yet to master... so much expectation... so much hope to have such a good time... Previous houseofficer who have done surgery posting gave good feedback about surgery but, they have straightaway rolled their eyes once i mentioned i am going into vascular surgery and wished me good luck... so ya i did enter the rotation with some reserves in mind...

Enoxoparin not prescribed to post op patients after two days in hospital while i am away starts to develop symptoms very much suggestive of PE... turned out to be my fault because i am suppose to telepath such reminder to my colleague while i was away ??

Acute Pulmonary Oedema being missed by two of my Registrars during ward round, turned out to be my fault as well when my role during the ward round was just to write down whatever they said in less than 10 seconds...

and not being able to attend theatre to assist in operation turned out to be my fault as well when my team has 35 patients that need to be seen daily and looked after... when the other team have less than 10 patient shared between 3 of them...

Inaccurate fluid balance recorded by the staff nurse turned out to be my fault again... because i was supposed to make sure i have eyes on everyone back to make sure everyone in the ward do their work properly...

Deranged U&E which being left by my fellow team mates for 3 days without doing anything... turned out to be my fault tooo when patient deteriorate...

what else ..!!! this is madness!!!

this is enough!!!!! No MORE!!!! I NEED TO TAKE CONTROL... Never before ever I felt like not going to work the next day.... well... guess i have to carry on!!! Jia you lo!!!

Strange Encounter

I am pretty sure that everyone will be able to experience some culture difference whenever u visit another country. Other than the local, sometime you also realise that being the minority in a place, all our fellow malaysian strangers whom you have not met before in your life, would approach you and say hi and asking where are u from and all... suddenly you will felt Malaysians are all so friendly... I think most of us would have this sort of experience... some encounter would brought you some extra benefits like more chickens or side dishes when u meet a malaysian cashier working in KFC... but most of them would leave u with lots of ????? ... For example; Was waiting for lunchtime in victoria rail station with Glen in Costa, we were talking in hokkien quite loudly as we normally do... then one chinese lady in her 50s approached us and speak to us in HOKKIEN!!! (For easier understanding sack, i used english below)

Auntie: Where are you two from?? Singapore ar??
(Me and Glen shocked coz someone interrupted our super educational conversation)
Glen: Malaysia
Auntie: Oooo ... (look excited) which part?
Me: Kuching le... Where are u from? Are u from Penang? (from how her hokkien sound)
Auntie: No no... Port Dickson... What are you guys doing here??
Me: Working and studying lo...
Auntie: Huh.. what? can get visa meh?? Eh you, really one or not?? Dun be illegal immigrant le... can go into jail one...
Me: Really one... no problem getting visa at all...
Auntie: (Look unconvinced... change her target to Glen) So (looking at glen) what are u doing ?
Glen: Study lo...
Auntie: Study what?
Glen: Medicine
Auntie: Wah, you wan to be lokun ar (Doctor) ? Where you study?? How long have you been studying? What kind of lokun you studying?
Glen: St. George, 4 year lo... general... (pointing at me... ) this one working already le
Auntie: (Looking at me) so what are u working??
Me: Lokun lo...
Auntie: Stop lying la.... come on.. tell me ... what are u working as??
Me: !@#$%^&* Auntie, really one la.... -_-"
Auntie: (Finally looks a bit believed after i said many many time really la) wat kind of doctor are you?
Me: General lo....
Auntie: Oh... junior lokun is it... Anyway, boys i got to go now... you all take care k... all the best
Then she left... leaving me and glen burst out laughing non stop for the next 3 minutes...