Well, I had passed all the assessments in Paediatrics a week before raya. There are a total of 5 assessments in Paediatrics.
1. Off Tag
Need to pass within 2 weeks of tagging. There are NICU and Ward topics. I remember I worked 9 days straight because I wanted to get a day off on Saturday so that I can see Shahrin but turned out MCO started luls. This 9 days of working really burnt me out, I hardly had time to study, eventually I made it. I sacrificed my precious sleep time, I burn the midnight oil. Paeds is a new thing to me. It is totally different from previous posting, I'm dealing with fragile one now, no silly mistakes allowed here.
2. MO Assessment
This one is usually after 5 weeks in Paeds. For NICU, I were asked regarding Severe Neonatal Jaundice secondary to Presumed Sepsis.
Day 3 of life, born term 40 weeks with birth weight of 3.5 kg, current weight 3 kg, came with yellowish discoloration of skin with TSB of 420. Looked lethargic, generalized hypotonia and inconsolable crying.
For Ward topics I were asked regarding Moderate AEBA secondary to Bronchopneumonia complicated with Left Pleural Effusion with underlying newly diagnosed Severe Persistent Bronchial Asthma. The second question was Right Cerebral Abscess with Metabolic Acidosis and Hypokalemia (causing the fitting episode). It was a case based discussion. My MO gave me the situation from the initial presentation and question me my next plans.
3. Neonatal Resuscitation Program (theory & practical)
I started my rotation in NICU. So of course when labour room calls for baby flat or standby, I need to go. This NRP thingy prepares us for things like this, step-by-step algorithm on how to deal with newborn, term and premature. I managed to finish the 300 pages book of NRP during 1 week quarantine in Pagoh. Thank goodness for the free time. During practical session, the MO will give us the situation and assess on how we manage the baby mannequin.
I get the question of 29 weeker, with weight 1 kg, born flat. And I forgot about the plastic wrap and the baby didnt survive. I nearly failed the assessment. Fortunately, the MO gave me another chance and I made it.
4. Theory
Just answer the questions lah, MCQ, subjectives and some calculations.
5. Specialist assessment
The scariest of all obviously. Cant believe I nailed it ha-ha. There were 2 parts mini cex and also case based discussions. For 10 minutes mini cex: abdominal system. I were asked regarding causes of finger clubbing, causes of hepatomegaly, causes of bilateral pitting edema, causes of hypoalbuminaemia, the pathophysiology of edema in nephrotic syndrome and congestive cardiac failure.
As for case based discussion, I were given the situation in which I were a MO in district hospital dealing with prem baby born flat. My specialist is a very detail one. She asked regarding anatomy of self inflating bags, she wants to hear every detail event in resuscitating the baby like how we connect the suction catheter to suction apparatus, how we make sure that the bag is functioning well, how we dilute the adrenaline and more. Same goes to the next questions of status asthmaticus, severe AEBA, she even asked me how to dilute magnesium sulphate. Luckily, I managed to catch a pharmacist prior and she taught me how.
Nevertheless, I had passed all the assessments. May Allah ease the rest of my days in paeds. 1 month more inshallah. Next posting shall be O&G ^^,
Till then,
:)
Friday, May 29, 2020
Tuesday, May 26, 2020
what happen in 2020 so far?
Cant you believe how quick this year feels like?
Ramadhan left us already and now Syawal has come, June in few more days, half way through 2020. From early this year the only thing that taking over the news and all is just Covid-19. It's Covid 19, not even Covid-20, man! You get me? Ha-ha. Now Covid 19 has already become like a norm to us. Everything wont get back to normal, the days before Covid, believe me it takes years to settle this pandemic. We will get used to it eventually. Now that MCO isnt as strict as the first time being implemented, I can see countless cars on the road, people already went out like it's nothing, we can even cross the states, provided we have a pass and a strong valid reason.
This Covid thing has robbed so much things from us, you name it. Freedom, jobs, families, well last time I went out for movie and shopping was in December. Wow that was 5 months ago! and I havent seen Shahrin for 7 months now. Miss him already. I'm glad I'm working in Muar so I get to stay with my family. Some people didnt event get to see their parents for a long time, didnt even get the chance to go back home for Raya. Some people lost their jobs, can no longer provide food on the tables, some need to face the lost of their loved ones, children can no longer get proper education from schools, big exams like SPM and STPM need to be dragged to a year ahead of unknown dates. SPM kids from the year 2019 should have already by now get a placement in matriculation/ foundation/ A-level etc, yet they're still waiting. Gladly students from universities, colleges that had been stranded for months finally get to be sent home.
What else? Not to forget those who need to postpone their wedding ceremonies or worst case need to cancel it. The saddest part is when the MCO implemented few days before their weddings. If I were in their shoes I would cry to death. Imagine all the efforts, the preparations that they had made go wasted. Not only that, all the religious activities need to be stopped. No more congregational prayers. This Ramadhan feels so fast since there were no more solat tarawikh, no bazaar ramadhan, no solat hari raya. We cant go visiting our relatives during raya, that's our tradition.
The funny part is, this is the year we have been waiting since our childhood, while singing Wawasan 2020, we wondered how 2020 feels like, we imagined there are flying cars as in futuristic movies. Heck no. Other than this Covid thingy, minimum salary for fresh grads still 1.2k, houses getting expensive, doctors that are previously considered as critical jobs now are no longer critical, from permanent position changed to contract, just because I was born in 1993 makes me stuck in this kind of situation. You see, people born 2-3 years before me get to secure a permanent position in goverment no matter how suck they are at doing jobs, while us born later no more permanent dey. Last time they said, if you maintain good attitude, and excellent CCP and if you pass a paper, you would secure a permanent placement. Now, in your dreams. No more! Even already finishing housemaship still UD 41, last time after 2 years of housemanship directly straight away to UD 44 with a raised, now the salary is even lesser than house officer.
Sometimes, I wonder why I were not born in 1990? If so, I would be a permanent medical officer by now. But then, I might not meet Shahrin. Meeting him is one of the greatest blessings. Hopefully we can have a proper wedding ceremony next year or else we just do a simple solemnization with our small families. I'm still hoping for miracles to happen. Just please let us have a proper wedding so that we can invite our big families and friends. It's a celebration of course you wanted to bring joy to others. Well good food makes people happy!
I think it's not too late to wish Selamat Hari Raya people! This year is my first year celebrating raya as a doctor. First raya in hospital, I worked on the first and second raya, so I brought raya food to work. First time giving duit raya to family members, it's kind of hm what we call it, I feel happy when I see them happy. Thought can meet Shahrin and his family this raya like the last time, but Allah knows best. Hoping for a better tomorrow.
#fightcovid #kitajagakita
This Covid thing has robbed so much things from us, you name it. Freedom, jobs, families, well last time I went out for movie and shopping was in December. Wow that was 5 months ago! and I havent seen Shahrin for 7 months now. Miss him already. I'm glad I'm working in Muar so I get to stay with my family. Some people didnt event get to see their parents for a long time, didnt even get the chance to go back home for Raya. Some people lost their jobs, can no longer provide food on the tables, some need to face the lost of their loved ones, children can no longer get proper education from schools, big exams like SPM and STPM need to be dragged to a year ahead of unknown dates. SPM kids from the year 2019 should have already by now get a placement in matriculation/ foundation/ A-level etc, yet they're still waiting. Gladly students from universities, colleges that had been stranded for months finally get to be sent home.
What else? Not to forget those who need to postpone their wedding ceremonies or worst case need to cancel it. The saddest part is when the MCO implemented few days before their weddings. If I were in their shoes I would cry to death. Imagine all the efforts, the preparations that they had made go wasted. Not only that, all the religious activities need to be stopped. No more congregational prayers. This Ramadhan feels so fast since there were no more solat tarawikh, no bazaar ramadhan, no solat hari raya. We cant go visiting our relatives during raya, that's our tradition.
The funny part is, this is the year we have been waiting since our childhood, while singing Wawasan 2020, we wondered how 2020 feels like, we imagined there are flying cars as in futuristic movies. Heck no. Other than this Covid thingy, minimum salary for fresh grads still 1.2k, houses getting expensive, doctors that are previously considered as critical jobs now are no longer critical, from permanent position changed to contract, just because I was born in 1993 makes me stuck in this kind of situation. You see, people born 2-3 years before me get to secure a permanent position in goverment no matter how suck they are at doing jobs, while us born later no more permanent dey. Last time they said, if you maintain good attitude, and excellent CCP and if you pass a paper, you would secure a permanent placement. Now, in your dreams. No more! Even already finishing housemaship still UD 41, last time after 2 years of housemanship directly straight away to UD 44 with a raised, now the salary is even lesser than house officer.
Sometimes, I wonder why I were not born in 1990? If so, I would be a permanent medical officer by now. But then, I might not meet Shahrin. Meeting him is one of the greatest blessings. Hopefully we can have a proper wedding ceremony next year or else we just do a simple solemnization with our small families. I'm still hoping for miracles to happen. Just please let us have a proper wedding so that we can invite our big families and friends. It's a celebration of course you wanted to bring joy to others. Well good food makes people happy!
I think it's not too late to wish Selamat Hari Raya people! This year is my first year celebrating raya as a doctor. First raya in hospital, I worked on the first and second raya, so I brought raya food to work. First time giving duit raya to family members, it's kind of hm what we call it, I feel happy when I see them happy. Thought can meet Shahrin and his family this raya like the last time, but Allah knows best. Hoping for a better tomorrow.
#fightcovid #kitajagakita
 |
| Me and my colleagues at work on second Raya |
Thursday, May 7, 2020
is blogging still relevant?
Few days ago, I happened to talk to Shahrin expressing how excited I was when I started writing back on this site, and the first question came out from him "ada lagi ke orang main blog sekarang?"
Well, the answer is obvious.
I used to blog a lot back then. I remember going back from classes, feeling so much enthusiasm with tons of ideas on my head, started writing, blogwalking and such. It was way before instagram, the time where twitter was still using an egg as a twitcon, and where facebook was meant for youngsters. When I write, I feel happy. It was like an escape for me from reality. The moment I started medical school, I blogged lesser and year by year blogging is no longer relevant.
Yet, here I am still writing.
Luls.
Years later, I will go back here reading my old self expressing herself and wonder oh this is how I was in 2020. Like walking down memory lane ha-ha.
Okayss time to sahoor and revise for my next assessments.
Alhamdulliah, few more assessment to go. May Allah ease everything, can feel chills down my body whenever I think of my specialist assessment, inshallah this too shall pass. As we are in Ramadhan, the month of blessings, just keep on praying, like a lot, He hears, fuhh fuhh (like casting a spell luls) a bit inshallah she shall become very soft and pass me hihi.
This assessments remembers me of my medschool life, endless exams till we already became immuned ha-ha. Inshallah this too shall pass.
Later ^^,
Luls.
Years later, I will go back here reading my old self expressing herself and wonder oh this is how I was in 2020. Like walking down memory lane ha-ha.
Okayss time to sahoor and revise for my next assessments.
Alhamdulliah, few more assessment to go. May Allah ease everything, can feel chills down my body whenever I think of my specialist assessment, inshallah this too shall pass. As we are in Ramadhan, the month of blessings, just keep on praying, like a lot, He hears, fuhh fuhh (like casting a spell luls) a bit inshallah she shall become very soft and pass me hihi.
This assessments remembers me of my medschool life, endless exams till we already became immuned ha-ha. Inshallah this too shall pass.
Later ^^,
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