Saturday, September 19, 2015

ELECTIVE POSTING @ HQE 2


"CERITA BUDAK NOOB MASUK ETD"

AMARAN : PENULISAN DAN JALAN CERITA YANG DIHASILKAN DALAM CERITA INI ADALAH HASIL KARYA PENULIS YANG TIDAK BERPENGALAMAN.  CERITA INI TERLALU LUCAH BAGI PELAJAR SPM DAN KE BAWAH KERANA GAYA PENULISANNYA YANG TELAH MEROGOL TATABAHASA DAN MELANGGAR BUDAYA MELAYU. PELAJAR DI BAWAH UMUR 18 TAHUN DINASIHATKAN AGAR MEMBACA BERSAMA GURU BAHASA MELAYU MASING-MASING.


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A ChitChat

“Weyh, cuti ni buat attachment kat Sabah jom!”

“Sounds great. I’m in! Boleh  jalan2 round Sabah sekali. Alang-alang dah menyeluk pekasam kata orang.”

“Aku nak join skali boleh?”

“Jom. Six is quite an ideal number. Ramai sangat serabut pulak nanti.”

“Kita apply Emergency department and Medical department la. Seniors kata dua ni memang banyak gila benda boleh belajar.”

“So? Macam mana nak apply ni
?”

Maka bermulalah kisah budak-budak noob sorang ni teruja nak buat Attachment (Elective Posting) di Hospital Queen Elizabeth@Sabah untuk yang ke sekian kalinya.

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How to Apply ?

1.      Pertama sekali, kena dapatkan dan isi :

a) APPLICATION FORM from Kementerian Kesihatan Malaysia (KKM).
-boleh muat turun dari laman web KKM atau layari 

b) RECOMMENDATION LETTER from Dean of Faculty.
-boleh dapatkan di Pejabat Setiausaha Dean Fakulti atau
-edit sahaja surat dari senior-senior yang pernah buat Elective Posting


2.      Lampirkan dokumen (a) dan (b) di atas bersama SALINAN I/C dan SALINAN PASSPORT (bagi pelajar yang belajar di luar Negara).

3.      Scan dokumen-dokumen tersebut kalau nak hantar melalui emel. Kalau nak hantar melalui pos, tak perlu la. Alaa, sifir mudah je tu. Tak perlu pening-pening.


4.      Setelah lengkap dokumen-dokumen (No.1) dan (No.2), hantar dokumen-dokumen tersebut samada melalui :
a) emel Kementerian Kesihatan Malaysia atau
b) emel direct ke Hospital yang telah dimohon.

5.      Anda akan menerima respon selewat-lewatnya 3 minggu dari tarikh dokumen permohonan tersebut dihantar.

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We  got a reply!

1.      We received a bad news from HQE’s officer saying that only 2 of us are on the list and they are both Sabahan (Me and Syuk). Permohonan 4 yang lain TIDAK DITERIMA. Racist? Ya memang racist pun. In addition, the quota for elective posting in HQE has been already at the limit. So, there is no way they can help.

2.      Then we start to make a backup plan. “Kalau tak dapat buat kat Sabah, kita buat kat Penang pun jaadi la.”

3.      Selepas seminggu berlalu dan dokumen-dokumen permohonan untuk elective posting kat Penang pun hampir siap , kami sekali lagi menerima emel dari HQE saying that Permohonan kami berenam TELAH DITERIMA pula dan nama kami tertulis gah dalam senarai! Alhamdulillah. RACISM? Lu pikir la sendiri! Anyway, the point is, jangan panik, sabar dan doa. InsyaALLAH semuanya berjalan mengikut perancangan.
By the way, we are not at the same roof!  3 of were placed at the Emergency and Trauma Department, HQE 2 and another 3 of us were placed at Medical Department, HQE 1.

4.      Print out surat PENERIMAAN PERMOHONAN dari Hospital berkenaan yang telah diemailkan kepada anda  untuk dibawa bersama semasa lapor diri di hospital nanti.

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Noober’s  Daily Diary :

#Day1 : Lapor diri di Unit Latihan. Dapat student pass.  Tunjuk pass pada ETD security guard. Enter ETD.  Join the morning prayer conducted by dr. Hafidahwati (Head of ETD/BOSS). Introduce ourself to all staff and explain the purpose of our visitJoin round (boss, specialist, Medical Officer, House Officer, Medical Assistant, students and all staff  are involved). Walk and look around the department. Make friends with doctors, medical assistant, nurses and other staffnesses. 

#Day2 :  Observe on how to set an intravenous lineblood taking/perform injection, apply ECG lead on patient and ECG graph interpretation. Help the nurse/MA (take off patient's nasal  prong). Dr. Fariza introduces some important instruments in ETD (e.g E-trolley and its content-ABCD). Met new friends (SYAK and SARIAH) from USM-4th year medical student (buat attachment juga). They show us the procedures of general examination esp. for Cardiology examination e.g auscaltation, palpation etc.

#Day3 : Syak shows us how to run history taking and general examination e.g auscaltation, palpation of lung sound, palpating foot pulse etc. Dapat tugasan daripada Dr. Fariza (specialist) to clerk patient and present the case to her.

#Day4 : Attend Clinical Medicine Education (CME). Practice on clerking patient. Practice on case presentation to USM girls. ECG reading and calculation of Heart Rate based on ECG graph. Interpretation of Brain CT scan (patient of MotorVehicleAccidentbilateral fracture-hematoma.). Observe procedures of CMR (patient patah tulang radius dan ulna-terjatuh lepas ambil wudhu’ di masjid). Met elective post. students from London (BELL n indian gal) and get to know each other.

# Day5 : Observe Intubation procedure performed by dr. Illy. A Lecture by Dr. Chia about Intubation Items. Take photo with elective posting mates.

# Day6 : Apply ECG lead on Napi. We found that he had STEMI-but fortunately it was insignificant ST elevation as mentioned by dr. Hanifah. “ECG reading cannot give us the provisional diagnosis. So dont worry with the elevated ST huh.” London girls show us how to run a urine test/Combur test by using Urine drip stripe. Interpretation of Thorax CT Scan. Observe wound sutures.

# Day7 : We ask for permission to enter Surgery department and enter Operation Theathre (ongoing surgical cases : Inguinal hernia and lt. Mastectomy)-put on the surgical attire  and observe!

 # Day8 : Perform injection (venopuncture) on Napi but I failed to drain any single drop of his blood. Dr. Illy teach abnormal ECG.  Run a cardiology examination on random patient. 

# Day9 : Attend CME (Plaster Of Paris cast)sharing from Dr. Fariza about life as a staff in Emergency department and life as a doctor as a whole.

# Day10 : Observe doctors perform CardioPulmonary Rescuscitation (CPR).  Observe Dr. with Bell as Bell  will leave tomorrow and fly to Hong Kong for another elective posting.

# Day11 : (ponteng)-super exhausted after our thrilling trip to the islands.

# Day12 : Learn ECG with Dr. Nazmi.

# Day13 : (ponteng)-not sure why. Malas kot. 

# Day14 : Attend CME (Rapid Sequence Intubation-7Ps). Found a patient having Cerebral Infarction. Listen on how doctors explain the condition of the patient to the family members.

# Day15 : Clerk a schizophrenic patient. Perform our final case presentation assessed by Dr. Fariza. Take a farewell photo with dr. Fariza and Dr. Rozaimi (a Medical Officer). Goodbye ETD! Gonna miss everyone in ETD!. :'(

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Cases Found :


1.      Acute Upper Gastrointestinal Haemorrhage  4.1 Intraabdominal bleeding
2.      Intracranial bleeding
3.      Acute Coronary Syndrome (Unstable Angina) 1.1
4.      Immune Thrombocytopenic Purpura (SLE) 8.1
5.      Acute Gastroenteritis & Food poisoning (Appendix) 4.8
6.      Hyponatremia
7.      Gall stone – Charcot’s triad
8.      Hematemesis
9.      Obstructive jaundice & Hemolytic Anemia
10.  Dilated cardioangiomyopathy
11.  MCA infarct
12.  Acute Liver Failure (Pancreatitis-HAV) 4.5
13.  Upper Respiratory Tract Infection
14.  Acute Cholecystitis
15.  Dengue fever
16.  Acute gouty Athritis
17.  Acute Exacerbation of bronchial asthma
18.  Septic Shock (Sepsis) 10.1 with HAP n AKI. Hyperkalemic 2ry to AKI. Idiopathy Pulmonary Fibrosis
19.  Thalassemia
20.  Subcutaneous emphysema
21.  Cerebral Infarction
22.  Schizophrenia
                                                            ********************


Weekend Days-Off!

Lok Kawi Wildlife park
Inanam Tamu Market
Monsopiad Cultural Village
Dalit Beach
Islands (Manukan-Mamutik-Sapi)
Muzium Sabah
Jambatan Tamparuli
Upside down House
Kinabalu Park
Desa Cattle Farm
Tea Garden (Sabah Tea)
Fish Spa @ Kg Luanti
Poring Hotspring
Philipine Market




          -THE END-


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