Obstetric & Gyanecology Guideline for houseman.

Assalamualaikum ,

Just nak share satu guideline Obstetric &Gynaecology untuk Houseman.
Sangat membantu bagi saya , so nak share dengan houseman lain =)

Boleh klik gambar bawah ini untuk download

dan ada website yang ada collection guideline untuk posting2 lain - boleh klik SINI.

Life @ dewan bersalin

Posting O&G dah berakhir ;)

Penuh dengan kisah - ada yang sedih , ada yang gembira
Yang penting , banyak pengajaran in and out. Bukan hanya belajar tentang perubatan itu sendiri tetapi tentang kehidupan.

Ada satu kisah yang nak dikongsikan , ini kisah masa my second last oncall at O&G.

Masa tu dah tengah malam bunyi macam cerita mistik pula , bila di'intro'kan macam itu  , dah penat , mata mula dah mengantuk , tetiba ada seorang patient datang. dan of course , pregnant lady la kan.
Nampak macam biasa , tiada yang luar biasa. Dan macam biasa juga saya akan cakap " Ok , suami ambil kad pengenalan isteri dan boleh daftar di kaunter 5A. Isteri boleh masuk dalam , tukar baju , nanti saya check ye.". Itu yang normal respond la , except la kalau patient dah nampak sakit sangat , dah macam nak bersalin , cepat-cepat je bawa kerusi roda , terus ke katil belakang , check VE (vaginal examination) sama ada 'jalan bawah' dah buka ke tak.

Ok berbalik kepada cerita patient ni. Sementara menunggu patient ni tukar baju , saya pun mula la clerking dengan membelek-belek buku merah (buku untuk pregnant). Belek-belek ada any antenatal problem ka. Lalu ternampak - " RVD - on HAART treatment". Terus tersentak.

RVD - retroviral disease. Nama lain untuk HIV.

Dalam tempoh saya belajar dan bekerja , memang kalau terjumpa kes macam ini , selalunya masa O&G posting. Mungkin kerana memang wajib blood test dibuat untuk pregnant lady. Dan kerana itu , benda itu direveal terus-terang.

Semasa belajar dulu , selalunya kes ini melibatkan isteri-isteri kepada penagih dadah. Kesian , mereka mangsa keadaan. Kisah yang paling saya ingat sekali , kisah seorang patient semasa saya posting di Hospital Pasir Mas. Pesakit ini nampak biasa , ye la patient RVD bukan boleh dinampak di luaran kan?
Dia mengandung of course-dah nama pun wad O&G dan bersama dia ada anak kecil, lebih kurang umur 5-6 tahun , anak sulung patient ni. Kerana tiada orang nak jaga anak sulung dia , dia bawa anak tu bersama masuk wad , dan kerana itu hospital daerah kecil , dibenarkan bersebab. Dan bila dibelek foldernya , ye baru tahu ini pesakit RVD. Dan bila ditanya , ini jangkitan dari suaminya , si penagih dadah. Jatuh sedih tengok patient ini , lebih-lebih pada anak sulung itu juga pada anak kecil yang masih dalam kandungan. Tapi patient ini masih kuat semangat. Saya sempat tanya condition anak sulung itu , RVD atau tidak. Dia tersenyum dan jawab " Alhamdulilah , dah check , dia ok ". Rasa sedih dan geram menimpa-nimpa pada suami dia. Kalau menagih , tak bawa masalah pada orang lain , takda orang nak kisah pun. Tapi masalahnya , bawa banyak bahana , lebih2 lagi pada orang terdekat. Entah apa jadi pada pesakit itu sekarang , moga Allah kurniakan yang terbaik untuk dia.

Berbalik kepada kisah patient di atas ,
jujurnya bila tengok perkataan RVD , saya jadi sarkastik. Mula berfikiran tidak baik. Jika di kelantan , saya automatik akan berfikir , ini mesti kes mangsa kepada suami pengaih dadah. Tapi di penang , fikiran positif itu kurang menjadi. Ada negatifnya , mungkin kerana negeri ini lebih maju , jadi perkataan 'mangsa' itu kurang menjadi.

Dari awal saya berjaga , sampaikan 2 sterile gloves dipakai sebagai precaution. Bila berbicara , suara patient ini sungguh naive , seriously dia nampak sangat innocent. Namun bayangan luar dia masih tidak dapat menjauhkan saya dari fikiran negatif itu.Dan saya biarkan perkara negatif itu bermain dalam fikiran saya tanpa saya bertanya lansung kepada patient itu - Macam boleh dapat RVD itu? Itu soalan yang patut saya tanya sebelum fikiran negatif yang saya layan.

Saya 'diselamatkan' selepas itu , apabila MO saya datang dan review patient itu.
Dan MO saya yang terus bertanya soalan yang bermain dalam minda saya -
Dan ini kisahnya -
Rupanya dia dapat RVD itu selepas dirogol semasa dia berumur 18 tahun. Dia taktahu lansung dia ada RVD sampailah masa nak kawin. Bila nak kawin , kan ada HIV test yang wajib , dan masa itu baru dia tahu dia ada RVD. Dan kerana itu , perkahwinan dia delay 3 tahun. Delay 3 tahun bukan kerana bakal suami yang tak mahu , tetapi kerana dia sendiri yang tak mahu. 3 tahun bakal suami menunggu dan masih setia pada dia walaupun dah tahu status RVD dia dan akhirnya mereka berkahwin. Kisah cinta yang bagaikan cerita novel terus memadamkan anggapan negatifku. Ya, dia juga mangsa keadaan.

Ya , sebagai doktor , secara externalnya saya melayan dia sama sahaja walaupun dia RVD , namun internalnya saya masih manusia biasa yang rasa ingin tahunya tinggi sampaikan negatif yang membelenggu.

Yang pentingnya untuk itu , pengajaran yang saya dapat - selidik dulu sebelum membuat spekulasi sendiri. Kalau saya tanya terus , takda la berfikir yang bukan-bukan kan? 

Ini kerana di O&G juga selalu terjumpa kes-kes 'single parent' ini - kisah mengandung luar nikah . Jadi bila gadis muda datang , mengandung - ada sedikit negatif-minded yang datang.Potensi berfikiran negatif itu tinggi.

Teringat lagi satu kisah. Kisah pesakit single parent. Dah la single parent tapi tidak tahu malu. Bukan apa , dah la tak berkawin , tapi encik boyfriend asyik datang melawat siang malam. Kalau melawat sahaja takpa , ini tidak  , bermesra bukan main macam dah suami isteri. Sakit mata ni tengok. Sampaikan staff nurse sorang ni cakap " Doktor , cuba doktor pi tegur sikit patient bed 16 tu. ". Saya pun pergi la , tapi tidak la saya tegur directly. Tegur & pertanyaan - " Siapa ni? Maaf la ye , ini wad perempuan , tak boleh masuk sesuka hati kecuali la suami , itupun pada waktu melawat je." Sedas saya bagi , pastu diorang boleh lagi tersengih-sengih kerang busuk.

Tu la , manusia bermacam jenis. Rambut je sama hitam , tapi hati lain2.

Cerita atas macam kena kan untuk AIDS Days 1 December.

Apa pun jangan sarkastik pada mereka. Mereka mungkin mangsa keadaan. Jika mereka bukan mangsa keadaan pun , mungkin AIDS adalah permulaan untuk mereka berubah menjadi yang lebih baik. Siapa tahu kan?

Kisah 21/12/2012

Assalamualaikum ,

Kisah 21/12/2012

Pagi itu seperti luar biasa. Bangun pagiku hari itu agak lewat. Bergegas bergerak untuk ke hospital kerana tuntutan kerja.

On d way ke hospital , tiba-tiba
ada kesesakan jalan raya di Bukit Tambun, kelihatan ramai orang beserta bomba kelihatan. Tertanya juga apa yang terjadi tetapi kerana dah lewat , aku endahkan sahaja dan terus bergegas ke hospital.

Sesampainya di hospital , aku dikejutkan dengan berita dari staff nurse

" Doktor , ada disaster pagi ini ".

Disaster - adalah term yang medical staff gunakan bila ada sesuatu peristiwa berlaku yang memerlukan khidmat perubatan melebihi kemampuan seuatu hospital. 
contohnya macam tsunami , banjir , kemalangan dll yang melibatkan terlalu ramai pesakit sampaikan dewan bedah penuh , perlukan staff tambahan. contohnya la

Pagi yang kelam kabut untuk saya pagi itu , jadi bila terdengar 'disaster' , saya mcam 'blur'.
then staff nurse tu sambung lagi

" Doktor , dah la hari ni 21/12/2012 ".

dan saat itu saya baru teringat.

Ya , that date yang kononnya kiamat ?

dan untuk itu baru saya dapat input yang kak staff nurse itu mahu sampaikan pada saya.

saya pun membalas " alamak , saya patut solat hajat dengan solat taubat pagi tadi ",

it was seriously , itu yang terus terkeluar.
walaupun saya tak pernah percaya dan ambil tahu sangat pasal tarikh konon kiamat dan how's it happen , sedikit sebanyak pagi yang kelam kabut itu berserta 'disaster' pagi itu buat saya sedkit risau.

dan pada masa itu , saya masih tak tahu apa 'disaster' yang dah berlaku.
kakak staff nurse itu juga tidak tahu.
Setiap kali ada disaster yang berlaku , pengumuman dibuat di seluruh hospital sebagai pemberitahu kepada staff yang berkenaaan untuk turun membantu dalam 'disaster drill' itu. Jadi , semua tahu ada disaster tapi masih tak tahu apa disasternya.Jadi macam-macam la andaiannya.

tak cukup dengan itu , kak staff nurse itu menambah lagi . " saya dengar di radio tadi , ada pengumuman laut bergelora , ada amaran jangan dekat dengan laut. ".

masa itu otak saya terus berfikir " aihhh tsunami ke? itukah disaster nya? ".

Risau dan risau.

Then , ada ward round pagi. occupied dengan ward round , jadi tak sempat berfikir banyak pasal disaster.

then , baru dengar cerita sebenar.

Rupanya disaster yang berlaku - ada kemalangan bas yang berlaku. Dan rupanya itulah kemalangan yang saya terserempak on d way ke hospital.
itu bukan kemalangan biasa. ini kemalangan melibatkan banyak orang . ada dua kematian beserta beberapa orang yang memerlukan rawatan kecemasan. yang menyebabkan dewan bedah occupied pagi itu. Dewan bedah  hospital yang hanya tingggal satu itu , dengan pesakit yang ramai , memang 'disaster'.
sehinggakan kes bedah elektif kami terpaksa ditundakan ke hari khamis depan sedangkan untuk dapatkan tarikh pembedahan itu bukannya mudah.

Ini kisah panjangnya yang ada di suratkhabar : klik sini 

itu kisah 21hb saya.
Kerana kisah kononnya 21hb itu hari kiamat , semua staff hospital jadi risau. Dengan 'disaster' yang kebetulan berlaku , tarikh 21hb kiamat seakan betul dan menakutkan. Saya juga termasuk.

Bila difikirkan bila-bila saja sebenarnya kiamat itu berlaku. boleh jadi hari ini , esok , lusa , hanya DIA yang tahu. Kita kena bersedia sahaja.
tetapi ye la , kita ni manusia , yang asyik LUPA sahaja dengan hakikat itu. Asyik ALPA ja dengan dunia.
Bila kononnya kiamat , baru nak teringat balik . baru nak risau dan nak bersedia konon. Itu juga termasuk saya.

dan setelah 21hb berakhir , ada rasa syukur masih ada lagi hari untuk saya. Hari untuk saya terus menambahkan pahala saya dan juga meminta ampunNYA untuk dosa-dosa saya. Dan untuk itu , saya terfikir nak menulis post ini. Moga ada inputnya.

Bosan dengan hidup.

Assalamualaikum ,

sudah sebulan lebih tidak menulis ,

sibuk ? Itu betul tapi tidak la sampai tiada masa mahu menjenguk blog ini. Hanya tiada mood nak menulis , takut bila menulis hanya unsur negatif yang terlihat. kerana itu yang saya rasa , hanya unsur negatif dalam diri.

Pergi kerja , balik kerja. Kena marah itu lumrah. Sampaikan rasa berdebar itu satu kemestian.

Passion itu sudah hilang.

tapi ada satu benda yang saya pasti - I still in love with my job . Yup, percaya atau tidak saya suka menjadi seorang doktor. Berjumpa dengan pesakit , mendengar dan berkomunikasi. Love that !! find the cause of their problem , tried to cure it.

yang menjadi 'barah' dalam profession ini adalah masalah riak dan pangkat. Riak dengan pengkat yang ada , melayan orang bawahan seperti kami ini tiada lansung nilai dalam profession itu. Ya , kami masih baru , banyak kesalahan dibuat , tetapi tak perlu dilayan macam sampah ditendang ke sana ke situ.

dan satu lagi 'barah' dalam profession ini  - menunding ke sana ke sini. if anything happens , mula la sibuk mencari salah siapa. siapa yang perlu ditunding untuk menanggung semua kesalahan itu. Perlukan? kan lebih mudah kalau diselesaikan permasalahan itu daripada mencari salah siapa.

dan kerana barah-barah ini la , aku mula bosan dengan profession ini.

Ini baru 2 bulan , aku taktahu lah aku sanggup tak nak menempuh tempoh 2 tahun ini dan tahun seterusnya.

last word from me , i love my job but i hate the MOs.

Off-tagging

Assalamualaikum !!!


saya OFF hari ni *nada gembira yang amat*

ok secara rasminya , saya dah off-tag few days ago. Dan saya dah mula berkehidupan normal sedikit *houseman-life kan tak normal*

di dept yg saya keja sekarang : ada 2 shift saja - AM shift & PM shift.
AM shift : 6.30pg-5.00ptg
PM shift : 4.00ptg-8.00pg
secara mudahnya begitu la tetapi takda maknanya la kan,boleh balik tepat pada waktunya. Selagi workload anda2 tidak habis,sila habiskan sebelum anda balik walaupun anda telah terlebih kerja beberapa jam sekalipun !!

Ikhlaskan bekerja , jadi kena berkorban sedikit *positif-minded*

Dan selepas off-tag , saya ada kelayakan untuk bercuti sehari dalam seminggu. Tetapi sehari dalam seminggu itu tidak boleh dipilih sesuka hati dan boleh jadi cuti weekend atau weekday. dan untuk minggu ini , saya cuti hari ini - di hari khamis , di tengah minggu, jadi melepak di rumah je la - qada' tido ^___^

ini hakikat yang perlu saya hadapi untuk 4 bulan ini sebelum saya masuk ke dept lain yang lain pula kaedahnya.

Doakan saya !!!



p/s : Semalam , sempat  saya berjumpa dengan 'bulatan gembira' di area penang. Baru hendak mulakan perkenalan. Moga ukhwah yang baru bermula ini boleh berikan kekuatan untuk saya teruskan perjalanan saya di sini pula.

Saya Houseman Tagging !

Assalamualaikum

Entry pendek dari saya =)


Seminggu sudah bekerja.

Komen : Stressfull + penat yang amat !!

Bayangkan seminggu  - working from 6.30 am - 10.00 pm , without holiday even weekends. Dan ini bukan kerja pejabat yang boleh duduk , tiada maknanya. Berdiri dan berlari ke sana-sini  , itu perkara normal yang biasa *senyum pahit*

sampaikan hari pertama saya kerja , malam itu saya semacam terdengar-dengar nama saya di panggil untuk ke sana ke sini . " Doktor Ain , Doktor Ain ". Tiba-tiba rasa tak suka , dulu teringin sangat ada title tu kat depan. Sebab bila dipanggil itu , maksudnya ada la tu kerja tak siap ka ada masalah ke ataupun kerja tambahan. Aiyoooo !!

dan saya sekarang di O&G @ sakit puan , jadi jangan harapkan patient boleh kurang kan..lagi nak malam lagi ramai pulak yang nak lahirkan anak kan..kenapa ye? kena kaji ni  ;)

Dan hari ini saya dapat perlepasan khas sebabnya saya konvo hari ni.

Dan untuk itu , rasa lega sekejap. Kalau takda konvo ni , takda maknanya nak dapat cuti bagai *huh*

Semalam pukul 10 malam saya masih di Labour Room sedangkan esok paginya saya berkonvo. Sedih sangat masa tu sebab minta cuti half day tak dapat. Reda' je la =(

Esok kembali bekerja , jadi cuba kumpul semangat balik.

Saya ada assessment lusa untuk off-tagging jadi tolong doakan saya !!
Seriously nak habiskan tagging ni cepat-cepat !! Tak sanggup nak mengulang 6.30am-10.00pm setiap hari tanpa off.
Nak jalani kehidupan yang agak normal sedikit. *hidup houseman memang tak normal !!*

that's all !! Nak tidur , esok kena kerja *semangat*

wasalam

p/s : bila saya stress saya selalu fikir benda ni
"aku tak nak dah sesiapa dalam kaum kerabat aku ambil medic jadi doktor , jadi la benda lain. Dan percayalah suatu hari nanti mereka akan berterima kasih kalau diorang ikut nasihat ini. Cukuplah aku sorang rasa semua benda ni !!" - Ini serius !!

Survival Tips for House Officers / Interns

Assalamualaikum

first of all - Selamat Hari Raya !!
Takda mood nak post pasal raya tahun ni , sbb full of problems.
Dan menambahkan kekurangan mood itu , bila dapat berita & surat induksi diawalkan.
Induksi diawalkan + tempat yang tak berapa nak best = terus rosak mooood huhu

But still realiti perlu ditelan.
Dan debar tak ingat nak start kerja ni hoho

5 years of study

after 5 years of study , another 2 years of survival.



Dan ada seorang sahabat ada kongsikan " Survival Tips" ni di FB jadi saya just nak share pada yang lain.

Debar tak kurang but at least ada panduan emosi sebelum masuk dalam " pressure cooker " tu nanti ^___^


Here it is :

Survival Tips for House Officers / Intern from Dr Harlina


SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no. 1 - Set your intention right. It's neither about the money, the highly respected position and the power. It is about PUBLIC SERVITUDE, serving those who are in need of healthcare. Only after you have served well, then only you could deserve the rewards, privileges and rights allocated for medical practitioners! Welcome on board!

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no. 2 - Have the right attitudes. Being the most junior officer in the team, you really have a lot to catch up and learn. Never pretend that you know all. Never hesitate to admit that you do not know, to ask questions and assistance. Respect those who are more experienced than you. People with the right attitudes are welcome wherever they go, always...all the time!

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no. 3 - Put on your best smile and outstanding manners. Greet everyone with a cheerful salam. No matter how busy you are, don't forget to move your temporo-mandibular joints and carve out a big smile. It will stimulate a fountain of endorphins in your neuron synapses, and aha...the feel-good feeling will set in. Don't believe this? Just try....just do it.

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no. 4 - Work extra hard to convince people that you are reliable, responsible, accountable and able to complete tasks and meet expectations - within the first two weeks! Once people know you're committed, you'll gain their trust, respect & cooperation. Just mark my words!

SURVIVAL TIPS FOR HOUSE OFFICER : Tip no.5 - Refresh your inner self with daily, constant and effective spiritual input. For Muslim, don't ever neglect your 5 times daily prayers, no matter how busy you are. You really need that 5 -10 minutes regular breaks. It acts as a cooling oasis for you to rejuvenate.

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no.6 : Mend your bruised heart and dented self-esteem, quickly and effectively - each time you received unpleasant reminders of your incompetency & shortcoming from your seniors. It's a part and parcel of the job. Admit your mistakes, but PLEASE, try hard not to repeat them. To err is human, but to keep doing the same error is a major blunder!

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no.7 : Keep in touch with your loved ones - parents, spouses, close friends, teachers etc. Don't shut out your life, which mainly linger around your wards, call roster and private room now. There is more to life out there than just work or crashing into bed to recover from sleep deprivation.

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no.8 : Make friend with the nurses. Never ever be their enemy. Life would be much easier if you know how to win their hearts. Dr Meena (Paeds MO) gave me this very precious advice : Harlina, be nice to these people (nurses). They will decide whether you will have your meals or not during your calls. Yesss, I later realized how true that advice was!

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no.9 : Forgive those who raised their voices at you. They might be angry patients, stressed-up MOs, overwhelmed colleagues, frustrated consultants, irritated nurses etc. Nobody had ever shouted at you before,eh? Being a HO, anticipate your first experience here. Forgive them, forget them and live on. After all, we're all just humans living in the same pressure cooker!

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no.10 - Thank God for the honour of being His instrument/tool of Mercy to mankind. A great opportunity is at your doorstep to catapult your good self to be bigger than life. Grab that opportunity and seize the golden moments. Nothing compares with the feeling of satisfaction whenever your patients & relatives say : Thank you, Doc !

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no. 11 - Handle yourself well when dealing with difficult people. Feeling victimized, bullied and discriminated? After reflecting on yourself, I suggest you pluck some courage to meet face-to-face. Clarify, admit your mistakes and make peace. InsyaAllah, things will be fine.

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no. 12 - Treat your patients as if they are your own parents/relatives. Just as how you would like any doctor to treat your parents, that's exactly how you should treat your patients now. Remember, what comes around, goes around! Motivate your patients always, you'll feel the positive energy seeping into you too.

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no. 13 - Express your love to your spouse everyday, using his/her love language. Let him/her know how much his/her support & understanding means to you. Share your ups and downs, laughter & tears. Thank Allah everyday for sending you this special person. Those who are still unmarried, what's keeping you, guys?

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no. 14 - Be sincere in treating your patients, be gentle and caring. Control your anger and frustration, avoid explosive emotional outburst in front of your patients. If you really need to release the steam, do it in the washroom with the tap running (peace, Mother Earth)- I consider that as an effective form of anger management!

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no. 15 - Keep abreast with what's happening around you - medical & non-medical, locally and globally. Read the papers, journals & magazines, listen to the news bulletin, engage in general discussions. Have your own opinions. You're a doctor now! People wanna know what's going on in your brain.

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no. 16 - Always extend a helping hand to your peers/colleague HOs.That's the only way to ensure help comes your way the next time you desperately need one. Less of `Me, Myself & I', please! More of `We & Us' now. Be a sporting team member, will ya!

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no. 17 - Make effort to remember names esp. your patients'. Address them appropriately. If you're greeting them for the first time, use `Encik, Cik & Puan' instead of `PakCik, Makcik, Pak Aji, Apek, Aci, Akak, Abang, Adik'. Make quick glances at the patient's file and pronounce his/her full name clearly. Just see how impressed they will be!

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no. 18 - Endure the disappointment when you discover the realities of the system. Witnessing unprofessional, unethical conducts - far from what you learnt in med schools? Feeling upset, angry, demoralized? Good, at least I can count on you to be a future committed agent of change!

SURVIVAL TIPS FOR HOUSE OFFICERS: Tip no. 19 - Learn to read your consultants'/specialists' minds. What do they want from a HO? Dedication, commitment, eagerness to learn, willingness to be corrected & guided. Give them those, and they won't make your life miserable.

SURVIVAL TIPS FOR HOUSE OFFICERS: Tip no. 20 - Keep your room in the HO quarter clean, tidy & cheerful! Hire a keeper if you could afford one.Throw away all the rotten left-overs. Buy an air-freshener & some flowers. Pull up the curtains, let the sunlight in. It's supposed to be a bedroom, not a cave!

SURVIVAL TIPS FOR HOUSE OFFICERS: Tip no. 21 - Spend your salary wisely. Share your first paycheck with your loved ones. Pay up your debts / credit card bills. Recall your financial planning lessons. Avoid weekly shopping mall rounds. Window shop with your stomach full, you'll be able to control the cravings

SURVIVAL TIPS FOR HOUSE OFFICERS: Tip no. 22 - Push the `pause' button, get out for some fresh air, watch the sunrise/sunset. Reflect & contemplate. Remember, you just a small part of a very complex design. Put your perspectives back on track. Inhale & exhale - be grateful to Allah for everything you have.

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no. 23 - Volunteer to help arranging the call roster.Experience the pain in accomodating all requests and dealing with unhappy colleagues who could not get their wishes. Best time to learn how to give & take here!

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no. 24 - Be friendly & mix around with everyone. Do not reserve your greetings only for the bosses & VIPs. Greet the staff nurses, PKs, cleaners, security guards, gardeners etc. Drink your coffee at the pantry. Stop being choosy & selective. Snobs are lonely people.

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no. 25 - Pray for your patients' well-being. Support their emotional & spiritual needs. Listen to their stories. Don't be afraid to be close to your patients. You will learn how to detach your emotions & rational thinking while looking after patients - so you'll remain objective and professional.Learn the balance to keep the ideal distance between you and the patients.

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no. 26 - Surprise those who look down upon you by exceeding their expectations. Impress those who think highly of you by exceeding their expectation too. Whatever it is, do your level best. Be brave to take up challenges, be humble enough to ask for assistance and be ready to receive feedback - Recipe for a satisfying career!

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no. 27 - Do not allow self pity to consume you now. Never curse yourself. Regretting your life choice of becoming a medical doctor, feeling envious with those friends who are enjoying life, free to do whatever they like? Well, I bet they're envious of YOU too! Just hang on there, persevere & be strong.

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no. 28 - Admit your mistakes and try to redeem yourself. It takes a lot of courage, self-esteem and confidence to own up for your shortcomings. At the same time, do not boast around and inflate yourself. If you've really done good, let others acknowledge. You do not have to keep reminding others.

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no. 29 - Enhance your medical knowledge thru' revising textbooks/notes ( I hope you haven't sold all textbooks to the juniors in med school!). Get answers to questions ASAP. Experience medicine with accurate knowledge/information, not simply following orders like zombies -without critical thinking.

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no. 30 - Let the deaths of your patients serve as gentle reminders/ tazkeerah - that you will also face yours, sooner or later. Treat the dead with respect, whoever they were. Look at those cold, still bodies - now separated from their souls. Pray for them. Convey your condolences to the mourning relatives... they'll appreciate that.

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no. 31 - Keep in touch with your emotions, but avoid being overwhelmed. Acknowledge the anger, sadness, frustration, confusion etc. Don't simply brush them off, what more trying to stiffle them! Manage those emotions - you're a human being, not a robot! Ventilate, it helps clearing up your lungs & mind.

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no. 32 - Promise yourself that you're gonna make one person smile today! He/she might be your patient, colleague, MO, consultant, staff or spouse & parents at home. Simple rule of life - if you wanna smile, make another person smile, if you wanna be happy, make another person happy, if you want people to appreciate you, appreciate others first!

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no. 33 - Commit yourself to life long learning from your surroundings. Your patients are your best teachers. Learn how they handle bad news, manage their emotions, ask for help and accept their fate. Despite all the pain & sorrow, they still tell you how much they appreciate what you've done for them.

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no. 34 - Master the negotiation skills, otherwise life can be so inflexible and stressful. No matter how busy, there is definitely time for short prayers, quick meals, brief naps & shower time. The secret? You just have to know how to negotiate with people around you.

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no. 35 - Start scribbling your life journal / log book. You're facing new challenges everyday, it's too precious to simply let them pass by without any acknowledgment. Write down the lessons learnt. You will have to share those with others one day.

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no. 36 - Agree to disagree - the best way to handle difference of opinions. Speak your mind out, share your concerns & input. Don't be a YES-man all the time, people won't notice that you exist! Learn to say ` I beg to differ' as a subtle way to say `No, I don't agree with you!

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no. 37 - Observe your consultant's leadership style closely - emulate what is exemplary, avoid what is not impressive. Do not get involved in power play. Be principle-centred. At times you have to disagree with your friend if he/she is wrong and compliment your enemy if he/she is doing the right thing

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no. 38 - Be professional - what does that mean in simple term? Doing the right thing when nobody is watching! Three elements of professionalism - self reflection, self regulation, self correction. You're expected to give your best and place patient's interest above self! How's that?

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no. 39 - Put aside some money for charity. For Muslims, start saving for your Hajj pilgrimage. Make time to open Tabung Haji account, if you haven't done that yet. Share and be generous. Enjoy the feel-good feeling of sharing your wealth with others.

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no. 40 - Try to perform one task extra than what is expected of you each day. This is to avoid boredom out of routinized activities. How about volunteering to push the patient's trolley to the OT, buying lunch at the warong for the ward staff or helping a patient to the washroom? Yes, it is not YOUR job, I know. I'm just suggesting. Don't be angry with me!

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no. 41 - Ask yourself these questions time and again: `Is this world a better place because I am around?' Do I make a difference?' Human beings need to have answers to those questions. It's our spiritual need : self-actualization in Maslow's Pyramid on Hierarchy of Human Needs.

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no. 42 - Always end your conversation with your patients with this magical question : ` Is there anything else that you would like to know from me?' So many questions can spring out from the patient's mouth - worries, concerns and misunderstanding which need immediate attention & clarification. Now you know why so many patients did not turn up for their follow-up visits, eh?

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no. 43 - Visualize who you would be in 10 years time. It's not too early to apply creative visualization techniques now. That's the first step towards your success. Come on guys, you shouldn't just barely survive this housemanship, you have to succeed!

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no. 44 - Keep holding to your principles, even when nobody seems to bother. Be the only one doing the right thing, tho' everyone else seem to favour & do the opposite. Truth will always prevail, sooner or later. You have to be strong to be a person of substance & integrity.

SURVIVAL TIPS FOR HOUSE OFFICERS : Tip no. 45 - Be an outstanding team member. Always be helpful, considerate and committed. Be ready to take up leadership role whenever necessary. At the same time, don't be bullied around. Defend your rights, stand strong on your ground. You'll be liked and respected, just mark my words!


Loves,
Dr. Har (( Alumni HO ; General Hospital KL - August 1991 to July 1992)


p/s : Yosh , ainsabrina akan mula bekerja . Tolong doakan saya dapat menghadapi 2 tahun HO yang penuh cabaran ini !! Yosh !!!

p/sss : mungkin bila dah start keja nnti , ssh dah nak update kat siniiii.