Pasca Gigitan Charlie

Sejak kena gigit dengan Charlie ni, ramai betul yang mengambil berat. Alhamdulillah, terima kasih. Ada yang panjang lebar menerangkan perihal aktiviti Charlie, ada yang menceritakan pengalaman lepas, ada yang risau sebab aku masih bekerja walaupun mata kiri membengkak, ada yang memberitahu krim terbaik untuk menghilangkan parut, dan sebagainya. Kesakitan yang dialami terubat oleh kasih sayang mereka. Ya, aku masih datang kerja, malah on call sebab masa tu masih cuti CNY, jadi tiada siapa boleh mengganti. Aku dah pun beli Mederma cream itu, harap-harap berkesan. Aku semakin berhati-hati apabila berhadapan dengan Charlie. Cukuplah sekali gigitan cinta pada kelopak mata kiri, dagu kiri, leher sebelah kanan dan pergelangan tangan kanan.

Abang juga siap beri sepotong doa dan zikir amalan untuk melindungi diri daripada Charlie. InsyaAllah sudah mula aku amalkan. Hanya kepada Allah aku berserah untuk perlindungan dan keselamatan.

Esok harus menghantar kereta ke klinik!

Hungry

I am hungry yet I have nothing to eat, I have to go out and look for food but I do not want to...I have stove but without the gas...so I don't have anything to cook also..pity me..lonely and alone in this house..

Bad call last night, only slept for half hour. My call used to be tiring because I slept too much but now it has become tiring because I couldn't sleep well...

I still disagree with parents who waited till 3 am to bring their child who already been sick for the past three days..these parents don't have courtesy for others. I even dislike parents who kept quiet and became numb when ED people ask to admit their child, but once arrived in the ward, they started asking about not getting admitted. Do you think we are so free to bother your wish? You come to ED at odd hours, then you didn't voice out that you refuse admission, suddenly in the ward you want to cancel admission? No way!

Last night I had to transfer out a 30 day old baby as he was very tachypnoeic with fluctuating SPO2. The receiving MO was skeptical to me as her nurse told that his SPO2 on admission was 98% under room air. When we went and check...nah..88%!!! She quickly ordered for face mask oxygen and thanked me. Come on, we don't simply send stable patient to you okay!

Okay, I complaint too much. Be thankful with what I have and what other people don't.

Review on Ipad mini

I have the thoughts of buying an Ipad before. I love the quality and luxurious image of an Apple brand. Yet I ended up buying a samsung tablet because 1) the online strore that I visited did not have an Ipad. 2) People said Ipad is less friendly in terms of subject exchange. Hmm...my Samsung tablet only lasts 6 months...in desperate, I started eyeing on Apple product again, and now I am using an Ipad mini to type this entry.

Samsung tablet - smaller size, heavier, white and black available, more difficult typing keyboard, easy to get warm when use longer, very easy to transfer files, can capture screen, can download many applications from Play Store, price is cheaper.

Ipad mini - size is slightly bigger but still between palm grab, much lighter, white and black available, very easy to type keyboard, does not get warm on longer use, difficult to transfer files, cannot capture screen, limited applications from App store, price is higher.

Still trying to get use to it. This time I promise to use it wisely. Barakah is important in keeping it alive longer.

Bad call

Bad call yestarday...started off with a three year old boy who presented with status epilepticus, TRO meningitis. His seizure was never aborted despite iv valium and phenytoin load. Perhaps the dose we gave was not enough...he ended up being intubated by anaesthetist for airway and cerebral protection. I really hope that he won't have complications like hypoxic ischaemic encephalopathy and end up bedridden...

We transferred him to PICU HPP, luckily they manage to slot one bed for us, if not then we have to call Alor Setar. The journey was eventful...patient desaturated twice due to a lot of oropharyngeal secretions...after suction he improved. He also woke up a few times that we had to purge his midazolam infusion. The ambulance driver recklessly drove the vehicle...only God knows how I felt. I ended up taking IM Stemetil once I got back to hospital.

My prayer for the boy for his cure and health.

Menyusahkan

Baru berangan nak bayar lum sump dan settlekan hutang dengan MARA sekaligus, tiba-tiba pegawai tu kata dokumen yang kuhantar pada 31 October 2012 via poslaju tu tak diterima pun. Dah keluar surat blacklist bagai, sekarang baru nak bagitahu yang dokumen tu tak sampai?

Salah siapa, poslaju kah atau Mara officers yang tak efisyen? Sekarang aku kena resubmit dokumen tu balik. Menyusahkan betul.

posted from Bloggeroid

MENGOMEL

Sejak balik kerja tadi tak habis-habis aku mengomel sendirian tentang ketidakpuasan hatiku ini.

Astaghfirullah…banyak betul mengomel dan merungut. Tak reti bersyukur. Semuanya gara-gara sikap rakan sekerjaku yang lebih senior yang tidak mahu bertanggungjawab.

“She helped me review half of the patients in isolation room.When it comes to patient number 8, she just dumped the responsibility to me when she saw my plan in the morning was to keep in view for discharge if afebrile and lungs clear.The case was discussed earlier with another senior (more senior than her). She was the one who converted IV antibiotics to syrup and she agreed that patient is fit for discharge PM if no more fever.Of course I would not write “case discussed with Dr S” as she is also a medical officer like me, not a specialist. And I was firm enough with my decision to discharge the boy.He is clinically well, no fever, lungs clear and her mother was super keen on discharge, she has been asking for it for days already. I’m afraid she will ask for AOR discharge tonight if we still keep the boy in the ward. Pity the oncall person. And that “senior” kept asking me about the discharge and proposed that I make it AOR discharge instead. She even called to find out who was the specialist on call. Perghh…if you can lift up the phone to find out about the specialist on call, why don’t you just call and present the case if you really want it to be an AOR discharge! And if you think that patient is not safe to be discharge, why don’t you step forward and do something about it, not just dumped it on me and then became busy body.  S was right , she likes to act like a specialist. The staff nurse said to me,”Kesian, doctor kena buli.” I replied her,” takpa, saya doa saja banyak-banyak.”

I believe and still strongly believe that WHAT YOU GIVE YOU GET BACK, and WHAT GOES AROUND COMES AROUND. Eh, macam tajuk lagu pula.Yeah, that will happen to her. She always dumped everything that is hard or more difficult to me. Her reason…”you’re the most junior, so you have to do it. Last time I also had the same thing.”

Okay, do you repeat the bad things people did to you to other person? It’s like buat jahat dibalas jahat. So if you call them jahat, so who/what are you? You don’t forget that life is like a wheel, sometimes you’re on top, sometimes you’re down there. We will see what happen to you when you go to HPP as a junior for your exams later.

Teringat aku masa di MRSM dahulu.Ragging masih wujud pada tahun 2011 itu tapi tidaklah teruk sangat apabila melibatkan perempuan.Aku tak boleh lupa perangai tidak matang seniorku yang memanggil kami berkumpul pada pukul 4 pagi semata-mata untuk marahkan pelajar yang tidak memakai kain dalam semasa berbaju kurung.Masa tu baru hari ketiga atau keempat minggu orientasi kot.Ingatlah sikit, pelajar datang dari latar belakang yang berbeza, ada yang tak pernah tahu pun kewujudan kain dalam tu.Sekurang-kurangnya bagilah masa sampai habis orientasi untuk pergi beli kain tu.Ini tidak, pakai sergah saja.Panas betul aku, nak tergelak pun ada.Masa tu lagi aku dah berjanji pada diri sendiri, apabila aku jadi senior nanti,aku takkan buat perkara-perkara bodoh ni.Nak kumpul pukul 4 pagi kenapa?

Aku juga ingat lagi bagaimana cadarku direntap kerana tak cukup stretch. Rasa macam nak menangis jugalah tengok rupa cadarku kena rentap macam tu.Masa aku jadi senior, kami cuma denda 20 sen saja, itupun wang disalurkan ke tabung blok…dan mana pernah kumpul pukul 4 pagi..cuma ada sekali warden yang panggil kumpul pukul 1 pagi sebab geram dengan kekurangan ajar sekelompok kecil pelajar masa minggu aktiviti tu..

Dalam aku dok mengomel tu, sempat juga bersiap-siap ke masjid.Alhamdulillah rasa tenang sikit lepas berjemaah Maghrib dan Isyak. Di antaranya ada kuliah berkenaan Rasulullah dan isu kalimah Allah. Rasa “lupa” sekejap pada hiruk-pikuk duniawi. Hari ni dah masuk 12 Rabiul awwal, ulangtahun kelahiran Nabi Muhammad SAW.

3/1/2013

Alhamdulillah genap sebulan aku berada di sini.

Hospital
Kedudukannya kurang strategik. Sebelahnya sekolah, jadi trafik jam teruk waktu pagi dan petang. Right before pintu masuknya ada sebuah kuil, betul-betul tepi jalan. Imagine jika ada kes kecemasan, pemandu kelam-kabut atau mungkin dalam kesakitan, kemungkinan untuk rempuhan berlaku adalah amat tinggi. Pada musim perayaan, jalan menjadi semakin sesak kerana kuil di hias cantik dan dikunjungi ramai orang. Jadi semakin sukar untuk orang ramai akses kepada emergency department.

Parking...setakat ini bukanlah masalah besar sangat, jika sampai pukul 7.55 pun masih ada parking. Tapi staff yang masuk PM shift pukul 2 sukar dapat parking.Aku selalu parking di kawasan belakang, biar jauh sedikit tapi selesa untuk keretaku.Aku tak blok orang, orang tak blok aku.

Security guard...aku tabik pada mereka...mereka memang menjalankan tugas dengan baik. Pada waktu puncak 7.30 am - 8 am dan 5 pm, mereka beramai-ramai mengawal lalu lintas.Maklumlah jalan masuk-keluar agak sempit, jadi kesesakan akan berlaku jika tiada guard yang guide. Mereka selalu buat rondaan ward on time dan minta pelawat beredar on time...memudahkan kerja kami di ward.Mereka kawal di pintu masuk ward, terutama wad kanak-kanak dan maternity.

Pengarah...aku dengar macam-macam yang negatif tentangnya. Pertama kali berjumpa, aku dapat sense sesuatu tapi aku abaikan saja. Cuma perlu menjaga diri dan avoid daripada ada hal dengannya.

Staff nurses- they are all very supportive!!! I love them all...very hardworking indeed. Ramai yang senior, lagi senang nak buat kerja or tanya apa-apa.

PPK...even they are also good. Semuanya perempuan, sebab tulah rajin.Bezanya yang muda sikit lebih proaktif dan cergas, yang lebih berusia lebih  pasif tapi semua kerja jalan!

Cleaner - semua perempuan juga...mereka pun friendly and feel like a family.

Sisters - setakat ni ada dua orang sister. Dua-dua pun baik belaka, sangat supportive dan tidak menyusahkan.

Apapun aku perasan, di sini, mereka lebih menghormati para doktor. Dalam erti kata lain, aku rasa doktor lebih dipandang tinggi dan mereka pandai menunjukkan rasa hormat pada doktor.Macam kawan aku kata, kita sekarang dah MO...tapi aku tengok MO di hospital lama pun tidaklah dihormati sangat macam di sini...

Makan - oncall food is awesome! Disajikan dalam mangkuk tingkat, biasa ada nasi, sayur, sup dan lauk [ayam/ikan]. Ikannya dimasak sempurna, tidak berbau hanyir.Semuanya bergula garam elok, alhamdulillah.

Tapi ada too many ''sisters'' iaitu mereka yang naik pangkat tapi masih buat kerja staff nurses, naik pangkat sebab dah cukup tempoh bekerja,Aku confuse nak panggil sister ka staff nurse.Dulu aku tak tahu, aku tengok kat clinic ramai betul sisters yang in charge, terkagum sebentar. Rupa-rupanya staff nurse juga.

Cuaca  di sini boleh jadi panas macam biasa boleh jadi sejuk ala genting highlands pula, cuma tiadalah wap keluar dari mulut. Faktor geografi - terletak di atas bukit, menyebabkan kalau sejuk, memang sejuk betul. Kadang-kadang pagi-pagi kereta dilitupi lapisan ais beku, walaupun dah guna wiper pun masih blurr lagi sampailah after 10 minutes kereta jalan baru clear.Kabus pun ada juga di awal pagi.

Jerawat -  entah mengapa sejak aku di sini, wajahku ditumbuhi jerawat halus di pipi dan dahi, dulu tiada pun. Faktor air kah, cuacakah, angin kah, ataupun perubahan hormon?

Rumah sewa - kini aku menyewa kondominium bersama rakan sekerjaku. Best, walaupun talian internet tidak begitu memuaskan, tapi aku bersyukur kerana aku suka sangat rumah ni. Jaraknya hanya 10 minit ke hospital, ada semua facilities, bukan high crime area dan ramai Muslims di sini.Nak cari makan pun dekat saja, ada di mana-mana.

Sekian review buat masa ini.