Jumaat lepas, maka berakhirnya posting paediatric. Agak memenatkan & moody sepanjang posting ni..Daily ward works, tutorial nearly everyday, on-call every alternate 8 days, ward rounds were some of our routine. Added with some extra radiology classes, prescription workshop, lectures, CPCs, patho logbook, orientation with freshies etc.
Hu...agak memenatkan dan moody. Aku x de mood pun nak study and most of my free times, aku tidur, layan english drama, kluar tgk movie etc. Nasib la dlm posting ni ada konvo. Dpt balik jmp kawan2 lama, so mood aku naik ckit la..Tp x bertahan lama sbb peristiwa kena marah dgn Prof aka HOD 2...Hu...Korg leh baca post lama 2...
Tapi, ada bestnya time posting ni. My group dpt ward rounds dgn Dr Anna & Prof MT Koh. Org kata, Prof ni menakutkan & malignant. Aku punya la cuak dpt dgn ye..Tp, bila 1st class dgn dia, Prof sgt baik. Seriously. Respect r Prof. Tambah dpt Dr Anna aka Dr Halle Berry yg mengajar dgn penuh bersemangat. Seyes, klau hari2 ada class dgn yeorg, tentu aku jd paediatrician yg hebat nnt...Ha....
First 2 weeks, I was posted 2 ward P6 aka Paeds Oncology & Haematology ward. Best gak kat cni. Main benda aku bljr kat cni adalah pasal leukaemia and tumour lysis syndrome. Patients with cranial nerves findings pun byk esp those with brain ca. Bukan senang nak jmp cranial nerve findings kat paeds patients. He.... Tp, yg lebih penting, aku rasa, aku belajar macam mana nak handle dgn perasaan & bad news yang mana amat susah skali. Satu benda yang aku perasan kat cni, most bdk2 yg have poor prognostic factors are those yg comel, hepi2, yg baik2, yg peramah etc. Sedih bila tgk telatah yeorg tp prognosis yeorg x berapa cerah. Ada gak patient aku yg masuk Bersamamu. He...Tp, time rakaman 2 aku dah kat ward lain..Hu...
Minggu ke-3, posted 2 ward P2. General ward tp most of the cases r respi, cardio & genetic cases. Minggu 4- Neonatal ICU (NICU) or special care nursery (SCN). Kat cni byk bljr pasal prematurity & complications. Minggu ke-5 dan 6, P4 aka gastro ward. Time ni la kecoh pasal kisah hantu kat bangunan paeds baru ni..He..
Last 2 weeks lak, posted kat P1 aka paeds ICU. During ward posting, we were expected to clerk all the cases, follow the rounds etc. 1 benda yg tak best. Time follow round, aku mcm x bljr apa2 coz fhm2 je la kan, eyes did not see what mind doesn't see. Hu....
On call? Follow past over round smpi maghrib, then x sempat dinner, mandi, clerk new admission and follow night round smpi lebam. Tp usually, around 1130 mlm ktorg minta balik dah...He...
End of Posting? Hu....Theory paper?? Mampus. MCQ memang susah gile, subjective, hanya mampu tersenyum.. Tak menyesal aku x study...Klau aku study pun, aku bukannya leh jwb soklan2 yg ditanya..1st question pasal short stature. Boleh gak la aku hantam2 ckit. 2nd question pasal Infant Mortality Rate yg memang tembak2 la kan. soklan ke3 pasal chronic cough. tekaan aku asthma or TB tapi rupanya retained foreign body & last question pasal enuresis. Time review, Dr ckp the relevent of setting such question is to exposed us with community paediatrics which, we upon graduation and after housemenship will facing of. Not such elegent2 cases seen at ward esp a tertiary referral centre like UMMC. Hu....Matila..
Short case? aku kena dgn Prof Wan & Dr Aida. Dpt case chronic suppurative lung disease. Pergi2 je, aku x dgr sgt apa yg Dr Aida ckp, aku just dpt tgkp Dr ckp this patient dtg sbb SOB & pliz examine respiratory system. Yg Dr membebel pasal umur soma aku x dpt tangkap..Ha...My own comment? Hancus sbb aku x tau nak present findings aku cam ne & seriously patient 2 memang byk findings. My first impression, assal bdk ni eks. Mcm x de respiratory problem. Kira respiratory rate 32 jer. Borderline..Penat aku meneliti recession, x nmpk..Tgk bdn cam ok so aku ckp growth ye appropiate tp kena confirm, bila sruh buka baju, teng, teng, teng... Failure to thrive. Terus aku tarik balik...Inspect chest, ada left lateral thoracotomy scar. Ada chest wall deformity. Aku pun ckp la, "There is pectus emmmmm.."(sambil tgn ala2 menari makyung nak menunjukkan lekukan ke dlm). Then, Prof tny, "pectus what?" Aku pun jwb, pectus carinatum padahal excavatum. Chest expension symmetry but reduced. Percuss hyperesonance lung with lost of cardiac & liver dullness. Auscultation, expiratory rhonci & course creps all over the lung field severe at base. Vocal resonance & fremitus cam x membantu. Then, Prof tny "in respiratory distress x?" Aku jwb x sbb RR 32 borderline jer bg ye, x de nasal prong soma 2..Recession pun x nmp..Then Prof suruh ye dongak ckit. Skali lagi, jeng, jeng, jeng...Suprasternal recession..Ha...
Overall EOP? Theory, ntah cam ne, aku sorg jer past MCQ out of 31 students. Padahal aku byk hantam kowt. Subjective x hbis tanda lagi tp nampaknya cam suram jer.. Short case, Prof & Dr puji aku punya skill, mantap & dpt buat respi dpn blakang dgn cepat. Tp aku buat 2 major mistakes, missed suprasternal recession & salah sebut pectus excavatum. SANGAT, SANGAT BERDOSA BESAR bagi kesalahan tersebut. Huwa.....
Petangnya lak, ada exam CPC O&G. and of coz O Em Gii, aku memang x study. Case pre-eclamsia jd HELLP syndrome, beranak premature, eclamsia, then mak anak mati. Mak mati sbb intracranial bleed, anak lak sbb sepsis. Soklan lak byk tny pasal management & ha....No comment....Yg bestnya, bila ada soklan pasal complications associated with prematurity. Memang aku goreng dr NICU la...He....Nasib ada soklan 2...
Overall posting? Paeds memang busy & no wonder la, org kata klau jd paediatricians tak de life. Ada best & tak best bila kena marah & mood down. Aku malas study time posting & yang peliknya hbis posting lak aku jd rajin buat nota paeds. Ha....Anyway, 4 months b4 final exam..Matila aku....
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