Good Things Today :)

May 24, 2018


After working 105 hours straight, finally I have an off day - which was spent for another medical program called Neonatal Resuscitation Program (NRP) 7th Edition. Haha. Although I was a bit sad at the beginning to think that I didn't have time to drive home to visit my parents or have a day off from the hospital... however at the end, alhamdulillah, it was a good off day. :)





1. I woke up feeling fresh after 10 hours of sleep yesterday.
Being a doctor, I need to train myself to always search for opportunity to eat and sleep whenever I can. To be honest, it was a bit hard from the beginning. During my first few oncall days, I felt bad to sleep at night thinking I am paid to take care of the patients at night. But, I learned that I need to take care of myself too. Doctors are still human being and we can't function well without enough sleep. 

I must say that most of my MOs are excellent doctors to be able to think wise in the middle of the night and that is something I need to learn as well. 

Still finding tricks to function well under sleep-deprived condition. Haha.  

2. I passed my first Neonatal Resuscitation Program (7th edition).
Neonatal Resuscitation Program (NRP) is a program that must be attended and passed by all housemen to be able to attend babies either freshly born or the one in the Special Care Nursery (SCN) / Neonatal Intensive Care Unit (NICU). 

As a houseman in Obs & Gyne, this course is important too. There must be at least a reason to call Paediatric team to attend newborn at the Labour Room or Operation Theater - like babies of mothers with diabetes mellitus, meconium stained liquor, fetal distress etc. Paeds team will not always be there to stand by in advanced if there is no indication. 

So, doctors and nurses of Obs & Gyne need to know at least basic stuffs of what to do with babies if suddenly they are born flat (not crying, no muscle tone) before Paeds team rush over to attend. 


3. I had iftar with good friends (although they are leaving the department soon sobss)
It is not hard to know new friends but to maintain a good relationship is not that easy. There are people you know you can rely on and you can also put aside your own problems just to help them as well. 

Working in this field is energy and mental consuming. I am glad that I can still survive so far. It is not easy but insyAllah let's just pray hard Allah will guide us throughout everything. 

I am a bit anxious to think about the seniors who are leaving in few days - as I will be one of the most senior housemen in the department soon. There will be colleagues (from other departments) coming in and I hope I can help them to adapt efficiently plus all of us can work in a harmony environment - though I am still adapting myself to work fast. 


4. I received a postcard from Lithuania.
It has been a while since I last exchanged postcards. I miss writing my thoughts on them and share with others but it was a bit challenging to find time to look for good postcards around. To be honest, I went into lots of book stores and came out with nothing. Fortunately, I decided to visit the Tourist Information Center (my current town is a tourism site) and the lady gave me 12 pieces of postcard for FREE!

And sending a postcard from Malaysia is EXTREMELY CHEAP I AM TELLING YOU! only 50 cents for the stamp! It was at least 25kc (RM4-5) just for the stamp back then in Czech :D

5. I received my 2nd salary!
Gaji dah masuk oh yeah. Haha. I don't really put much thought on the salary to be honest but... I just knew it is a beautiful feeling to see the account balance. 

M, Perak, Malaysia
180524

Sleep in a Capsule!

May 19, 2018


I had good 3 days off in Kuala Lumpur recently. To be honest, I didn't have much plan (packed plan) to do in KL, just my aims were to wave my parents off in KLIA2, to meet my friends and to join the KL International Book Fair.


For the first night there, I decided to try a hipster place to stay. And ruling few lists down, I finally decided to try this one hotel - Space Hotel. It is located in Chinatown, which is in between LRT Masjid Jamek and LRT Pasar Seni. So, from location wise, this place is in good area with many people around.

So, let me share with you how the hotel looks like and how the facilities provided there for the ideas.


The hotel is located on upper floor of the building. Once you enter the hotel, you can obviously see this logo. Let me tell you, when I was here, the lift was not functioning, so I think it would be hard for elderly if they want to stay here. Just, so far that I could see, most of the customers there are foreigners and younger people.

Since the receptionist located on the 3rd floor, you can use this slide to get down to the second floor in less than few seconds :)


Lobby.

I booked a capsule for mine via Booking.com. It was about RM43 +- per night for 8 capsules female room. You can get a cheaper price if you don't mind a mixed room, in which a night will only cost you RM38 +-. Prepare a deposit of RM50 as well.


After settling the payment, the receptionist showed me the room and how to use the capsule. He was really welcoming and always with his warm smile. :) The hallway of the hotel looked like in the picture above. 

The room with 8 capsules. Actually, each capsule is provided with a locker outside of the room but it can only fit cabin-sized luggage. So, that's the main reason why you can see the luggage in the room.

Once I open the door of my capsule, the bed looked like this. Comfy, right? I felt like I want to jump in and sleep right away. Huuuu. 

The table provided and it can be removed from the wall.

Safety box is provided as well, in case you want to put your valuable items like wallet etc.

They provide 2 pillows which were totally comfy for my stay!

The view when lying down. On the left side is an Android television (?). I am not sure how to use it but I was unable to connect to any tv channels. But, no worries as the television can be connected to the Internet - so, we can still enjoy watching YouTube videos or any videos online! :D Amazing!

Lockers outside the room.

Decorations of wall at the pathways.

Access card for room and capsule. This card is also important to switch on our capsule - the aircond, the lights, the screen.

Clean bathroom and toilets.

The shower with at least 3 water outputs. Water heaters are provided - just adjust the showers.

I love dry toilets!

You can use the iron for free and you can also wash the cloths with the machines provided (you need to pay for the washing machine)

All in all, this kind of place is a new thing for me and I am sure for most of us as well, right? Go and try it! Get a night off there and share your experience :) There are few of them around Malaysia and the one that I tried is located in Chinatown.





M, Perak, Malaysia
180519
status - waking up for sahur

Nasi Lemak RM2 and I

May 13, 2018



Stay back = 7am - 10pm
On call = 7am - 5pm, return to work at 10pm
Post call = go home at 1pm

So, the story was that I was post call one fine day, trying to get myself something to eat for breakfast. Luckily, they announced that Kak M was selling meals at the thumbprints / punch cards area. Since I was on call the day earlier, I didn't sleep much and I managed to get my work done (Prostin review, AM review etc) by 7 am.


Example of doctor's diet.


I took a RM 10 note and even collecting orders from the nurses, volunteering myself to buy meals. Excitedly, I walked towards the side door to exit the ward, passing few beds occupied by patients. Just about to leave the ward, a patient gave a signal to me that she was in pain. 

Pain in O&G (antenatal ward) mostly means contraction pain. 

So, I returned to the procedure room to do vaginal examination (VE) to see how much her os already open. "Oh, nice, dah 5 cm ni Puan, kita hantar pergi labor room untuk bersalin ya."

After documenting the VE findings, I informed the nurses to prepare the patient and her file as the patient was going to be transferred out of the ward to the labor room. Upon leaving the counter, once again another patient claimed she felt leaking of liquor. I went back to the procedure room with that patient and was about to do per speculum to see if there was really liquor pooling in the vagina. Luckily, a MO, Dr. XYZ was there and volunteered to do it for me (thank you very much doctor!), so I prepared the documentation instead. 

Then, Dr. XYZ decided to continue with morning rounds. Finished the round around 9am and proceed to carry out all plans like tracing investigation results, taking blood, doing discharge summary yada yada, it was already almost 12noon. 

Good bye, nasi lemak.
See you when I see you.
:D




So many experiences with meals, to be honest.

Not to forget, I bought nasi kerabu at 9am and was only available to eat at about 8pm and found out  that my nasi kerabu was not in the pantry. T___T I suspected the nasi kerabu was not in good condition anymore and people threw it away. 

Another best moment was when akak PPK offered an extra patient's meal for me. Honestly, meals in my hospital are very good, especially the doctors' diet - available for me especially if my duty is in the labor room. Ayam masak sambal hijau, ayam masak merah, ayam masak kicap nyum nyum.

Cuma itu lah, masa nak makan properly tuuu. Hahaha.

That's the main reason I provide myself with something to eat on the go. 


M, Perak, Malaysia
180513


SPRING & DUCK GIVEAWAY BY BLOG NADIAIZZATY.NIA

May 4, 2018


Yuhuu Nadiaaaa :) Hehe finally I am able to sit down properly and write this post. Here I am!

I am very excited to update myself with all of Nadia's Instastories from her trip to Korea back then. Walaupun dah pernah pergi Korea zaman Korean stuffs ni belum up lagi kat Malaysia ni... still my feet are itchy to go there once again. Especially to seek for the full bloom cherry blossoms - for sure this will be included in my wish list after completing my housemanship (or maybe while completing? hahaha)

Anyway, this is a second giveaway organised by her. Feel free to join together with me and the rest. The gifts are very interesting, guys!


Click HERE to join!






I guess I have completed most of the rules quite a long time ago, I am a frequent reader of her, though. :D 

Anyway, Nadia, about your blog... I have nothing against it. I love the contents, the concept, the pictures / flatlays and most of all, I love reading your experiences of anything plus reviews of your trips / movies / books.

Just, I somehow feel the pictures are quite big for me to enjoy them as a whole. I mean, when I use the laptop to read, I need to scroll few times to get a full view of the pictures :) Maybe that's the style of using one-column template? But no worries as I read blogs more via phone for now and they are perfectly fine on mobile, hehe :D

Thank you very much for this giveaway and thanks once again for including me as a part of your blogger circles. Hugssss.

M, Perak, Malaysia
180504




Letter of Happiness Giveaway by Blog Siqahiqa

April 21, 2018


One of the bloggers who love to read :D

I believe good environment will nurture the good habits in us - like this one, reading.

So this time, I am joining another giveaway by Siqah. The presents are wonderful, guys!

Click the image to join!

Nak tunggu beli sendiri dUCk ni memang macam tak nampak dalam imaginasi. Haha. 

I always love all good soft words from this author :)

I love the color!

Siqahhh, sorry for the very short post. Your blog is beautiful enough to my eyes, posts are very beneficial as well :)

M, Perak, Malaysia
180421

Off and Food


Day 47+ of working and life is still bearable, alhamdulillah. 

Laksa and rojak by the sea.


I am such a happy young-at-heart kid every single time I have proper meal. :D 

Honestly, I feel guilty to tell / ask patients to take care of their lifestyle (like to get well-enough sleep, eat proper food in good quantity, reduce stress in life) - when in fact, I am the one who are lacking of them. I am sorry. 

Adoi.

Well, it is just me who are still adapting to find time to have meal in between work, plus feeling guilty to eat while other colleagues are doing their work. The hospital is small compared to any other hospitals but I still find the cafe to be far from the wards that I feel bad to leave to buy meals. 


  • "Eh, doktor, bila masa ada kat sini? Tak perasan pun... tu la, kecil sangat."
  • "Ehhh, I think I saw you there, since when you are here?"
  • "Tu la doktor, meh akak transfer lemak ni, baru la tak sejuk dalam OT"
  • "Kau senang lah nak cari baju kat online shop tu, badan kurus."
  • "Weh, lainnya muka kau dalam nametag."
  • Doktor, makan roti je ke? Patut la kurus."

Honestly, these kind of reaction are new to me. T_T 

Usually, on off days, I will prepare myself with enough stocks of breads, Gardenia will always be my preference haha. 6 tahun duduk Czech bukan main payah nak jumpa roti lembut. So, I will bring 1-2 packs to work plus plain water and air kotak. So, in case I don't eat proper meal, I have my backups :D (in which most of the time tak sempat nak makan pun hahaha)


Sunset in Lumut :D

One good, valid reason to work here is the sea :)

My vitamin-sea. :D

Thank you Allah for this life plan. You surely know the best. Alhamdulillah. 

M, Perak, Malaysia.
180421



Breakfast by the River - Sungai Sitiawan

April 19, 2018


One of the way to treat myself on my off day is to have good, proper food. :)

Since this town is still new to me, there are so many things to explore. I have not much idea on yummy food around, not much experiences on best restaurants that I should try. So, I asked people around (my colleagues of course) and Google!

So, it leads me to this place.

Roti Canai Pak Tam Kg Sitiawan


If you are looking for good roti canai with good view to relax your mind, this is the place. I am not sure about other menus, but the nasi lemak served there was also delicious. Not to forget, you can always buy kuih muih from few stalls around - like lempeng pisang, otak-otak, etc. Yummy too!



My friend and I went there on a weekday morning and I believe this place is quite popular as there are so many people! I bet on weekends will be even crowded over here.

Check the directions and more details on Google Maps :)


M, Perak, Malaysia
180417

Wisdom to Differentiate

April 18, 2018


Working life is so far bearable. I have no thought of giving up or resigning and hopefully none of them till the end. 

There are ups and downs every single day. You can be congratulated and scolded by the same person in just few minutes apart. But, slowly I developed a barrier to my heart to accept the good in any bad things. 





I feel very happy when the MOs have the same diagnosis and plans as mine. Here, every single thing need to be discussed with the MOs in which in one way, is very good as juniors can avoid making mistakes or improper plans can be prevented to be done to the patients. On the other hand, sometimes I feel bad to inform the MO for simple stuffs like, if I can give even Tab. Paracetamol (panadol) to the patients if their temperature rises, or syrup MMT if they complained epigastric pain. 

But, in real life, MOs surely have FAR MORE EXPERIENCE than the juniors. They can give other plans that juniors can't relate enough, yet.

One thing junior doctors need to do well - is to know the patients well like any important antenatal problems, any previous medical illness, any allergies and current conditions of patients. With this, junior doctors are basically helping A LOT with the MOs plans.   


Few things I learned - I need to:
  • Be someone who can contribute to the patient's good progress even though I am not the one who decide the right plans for them.
  • Be brave enough to double confirm the plans especially if the MOs give out the plans too fast and I can't keep up with them.
  • Be calm but fast.
  • Be careful in everything without affecting the speed of the work.

Change the things that can be changed, accept those that cannot, and have the wisdom to know the difference.

Another thing I can do is, to change myself and my approach to every situations :)

M, Perak, Malaysia
180417

A Morning Stroll at the Mangrove Park

April 17, 2018


Haha, I can't tell how much I miss blogging and blogwalking. 

Anyway, it is another off day today. Going to share something I did on one of my previous off days - which was hmmm, more than 10 days ago? There are postcalls that I am still strong enough to still drive home - for 2 hours ride one way. But, there are some days I totally dozed off upon arriving home, took my bath and performed my prayer. The moment when I thought I would take only 30 minutes to an hour to rest before driving... would turn out to be 4-5 hours sleep. Heee.

And the day I went to this Taman Paya Bakau was that kind of day.

I decided to stay instead. 


That morning, I went breakfast with a good friend - we used to know each other during high school and our parents are friends to each other as well. And turn out, we are colleagues in the same hospital right now. I have no idea to know someone here, but the moment I know she is in the same place as mine, I feel happier :)

After breakfast, I proceeded with this mangrove forest plan, while she had something else to do.

So, yeah, I went there alone. There were other visitors as well, but they came in a group.

Mangrove trees

To be honest, the place is FULL of monkeys! I warned you guys, there are a lotttttt of them. Since I went there alone, I thought I could survived till the end until I was nearly ambushed by one of them.

Gosh, I wonder how I survived my high school life with monkeys.

See. They were waiting for me. 
But, I finally succeeded till the end! :D

Tadaaaa, the view was so amazinggggg!

The river. 

It is interesting to see the mangrove trees and imagining how they help with the ecosystem to prevent flood. Something I used to see from books.

Well, I think my parents had took me and my brothers to this kind of place when we were still small kids.

Good view, good air.
Thanks to this family of three for allowing me to join them. :D

Life survival skills of mine, please stay with me and never fade away :) After nearly being ambushed by the monkey, I slowly retreated until I saw this family started walking approaching me. Gently, I asked permission to join them walking together.

"Boleh je dik, takde masalah :)"


Kak Farah and family.

The mangrove roots searching to water source, maybe?

All in all, this place is very nice to hang out with friends and family in the evening of during weekend. Just, because of the monkeys, please be careful with the bags, phones and please please don't bring any food with you. I can say, the safety is about 6/10. But, the pathway is well taken care of. Very clean too! :)

There are jambatan gantung as well, just under renovation right now. 


Here, I attach a map to this place. :)



Till next post.

M, Perak, Malaysia
180417

Segmen: Making A Blog List by Blog Siqahiqa

April 8, 2018


Having an off day and I decided to stay here. A bit tired to drive home, insyAllah next off day I'll be back to my hometown. 

So, let's spend few minutes for the blog :D

Anyway, Siqahhhh, here I am, joining your segment :D


Click the banner for further details okay?
Or HERE.

Everyone who join this will be included in her blog list, anyway. Let's join this one!

M, Perak, Malaysia
180408

Detour by Raudhatul Hifza | Book Review

March 27, 2018


Despite the busy working days, I decided to have a goal of reading at least one book per month. It was a bit hard to keep in track as I don't have the luxury to read the book in the hospital and upon reaching home, I am already tired to even hold a book. 

Memang bila pegang buku nak baca, the next moment I wake up... it is already 5am plus and I need to get ready for another working day. 

So, after analyzing the trend, I got the pattern; to read few pages for 5-10 minutes in the morning while having my breakfast before leaving the house for work. 

And finally I finished reading a book! :D


Detour by Raudhatul Hifza | Book Review


Title: Detour
Author: Raudhatul Hifza
Pages: 268
Publisher: Iman Publication
Publication Date: Jan 2018

There is no specific synopsis of this book unless you haven't read Hiatus. Oh, this book is kind of a sequel of Hiatus, just it is not written by Budak Tomato (I think?) and to be honest I imagine Muharikah is the one who wrote this piece. WAllahualam.


Detour by Raudhatul Hifza | Book Review


In this book, you can get a better understanding of Hiatus, from Raudhah's point of views.

A good, simple book to be honest, with not much cliffhanging parts but I am a bit disappointed with another open-ending book. Tapi, dah tu penulis nak buat, I can do nothing but to read, observe and apply the lessons I've learned from it.

--------------------------------------------------------

1. Be the person who can bring someone closer to Allah (together with us).
Detour by Raudhatul Hifza | Book Review


I believe I can relate well to the verse as Raudhah and I share the same career. Alhamdulillah I haven't deal with dying patients yet in this department, hopefully not but I believe it is something unavoidable in the hospital. Patients can die every day. 

In O&G, it is more towards happiness of welcoming a newborn into this world. But, there are tears as well. Some women who really want a baby but unable to have one. Some women who got pregnant and really treasure their pregnancies suddenly came to the hospital because of per vaginal bleeding and upon examinations, they are diagnosed to have miscarriages T_T 

'Bukan rezeki saya, kan doktor?' while shedding her tears.

Only Allah knows how sad I am to deal with this. But, I need to be professional as well even though quite a few times, I got carried away with this empathy emotion. What I can do is to calm them (in a rush, I need to help with other patients too) and reassured that 'Allah nak bagi yang lebih baik untuk akak. Akak pun muda lagi, insyAllah nanti akak cuba lagi ya.'


2. Rejection is another part of learning.
Detour by Raudhatul Hifza | Book Review


Well, rejection is my daily meal in the hospital. Well, it is for my own good anyway. Rejections really help me to improve on how to present cases, how to decide on the plans and the most importantly, why I need to perform such examinations and how to persuade patients.

Like, in O&G, not all cases we need to do vaginal examination (known as check jalan). In fact, there is another way to check the vagina - per speculum (orang panggil masuk mulut itik kat bawah) which is usually done if pregnant women complained of leaking liquor (rasa macam ada air mengalir lah doktor)

Same goes to abdominal ultrasound. In some cases, we need to do trans-vaginal ultrasound (masuk probe ultrasound melalui vagina untuk nampak organ peranakan lebih jelas) instead of trans-abdominally. But, we still need to respect the patients if they refuse any. 

  • 'Dah dia taknak, kita tak boleh paksa, Hanis. Yang penting, kita dah bagitahu baik buruk sesuatu prosedur tu dan make sure tulis dalam fail dia yang dia refuse.'



3. This too shall pass.
Detour by Raudhatul Hifza | Book Review


Every time I feel down with my own achievement, I always pat myself, "You have done the best for now, there are always rooms for improvement. And this too shall pass." 

I hope my ability to work will be more efficient and fast with time. Ameen.  


4. Dealing with depressed person.
Detour by Raudhatul Hifza | Book Review

I love how the author described this part well.

It is not that easy to deal with these people in real life. Theory and words are totally different than in reality. People are too different from each other. But, I think that I can use this as a guideline.


--------------------------------------------------------

All in all, this book is a bit monotonous but I believe that if we read this book for the sake of just to finish it, we will reach to higher disappointment. Anyway, if you have read Hiatus, I would highly recommend this one to continue reading after Hiatus :)

My rating: ★★★☆☆

M, Perak, Malaysia
180327

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