Tuesday, 3 September 2013

Surgery

Assalamualaikum, salam sejahtera, salam merdeka, salam hari raya...ha....

Huh...2 bulan dah kat surgery, baru ada masa nak taip pasal posting surgery... Ha...byk cerita2 panas kat surgery aku dah lupa..ha...

As a new HO kat posting tu, mula2 aku kena campak kat general surgery team hepatobiliary surgery ( team lain kat gen surgery colorectal, upper gi, breast)...team HPB ni paling free katanya dlm byk2 gs..tp as usual, kena tagging dulu la...proper tagging since byk HO buat hal kat surgery. around 1 minggu gak la kena tag, then by the end of the week, ada end of tagging assestment..viva jer and alhamdulillah aku lepas...

Ok, start dgn HPB, as usual, bila aku tukar team jer, aku mesti stress....almaklumlah, since team2 la perlukan functioning HOs, kat team aku byk HOs lain kata HOs sampah.. Initially, satu team dgn aku 2 1st roster HO yg blagak nak mampus, just tau mengarah & tak tahu buat kerja. and dengar2 gosip, sbb yeorg ni la, yg proper tagging bagai start...hu....then, masuk sorg fresh graduate, x smpi 1 bulan x tahan & minta tukar spital.... past tu dpt team8 baru, 5th posting, yg memang org lain dah kenal...aku initially sronok la coz thougt 5th posting reti buat kerja, tgk2 kaki MIA..miss in action...asyik hilang jer...until specialist yg ganas ala2 osama laden panggil dia "MIA"...initially aku tertanya2 sapa mia, then dia spell M.I.A baru faham....next dpt lak another 5th posting & hopefully dpt la kurgkn burden...ni lagi teruk, dah la kaki MIA, past tu kerja soma x boleh buat...yg paling aku panas skali, that day aku kerja berdua jer dgn dia, soma kerja aku buat & dia tu sudahla asyik MIA, then aku suruh ye settlekn 1 patient ni jer, "ambil darah FBC, RP, LFT and coag" & then settlekn PTBD dia...korg tau apa dia jawab "oh sazali, why u give me this job, i can't do 2 job in one time...." aku pun bengang la coz the other 26 patients soma yg ambil darah, bagi ubat iv, buat referral, review and arrange scan??? pendam tu dalam hati... past tu aku ckp, "hmm...ok la, y not u just took d blood while i arranging d scan". Bila aku balik jer ward arrange 2,3 scan, settlekn kerja2 lain aku check balik either darah patient tu dah ambl....then dgn selamba badak jer dia jwb " i not take the blood yet coz i dont know coag should be in which bottle..." WTF????? 5th posting x tau coag botol mana? dah 4 posting ko kerja, slama ni tak pernah ambil darah ke??????? then aku ckp botol cp light blue... 1 jam past tu jmp aku sengih2 kata x dpt, patient tu susah... 1 JAM? ko ambil darah 1 jam & tak dapat? aku pun prepare barang2 & p jmp patient & yg peliknya, vein uncle tu bukan main cantik lagi tp dia yg 5th poster tu x dpt? hello, aku baru nak start 3rd poster kot.... & x smpi 1 min, settle aku ambil....

Next, aku tukar ke urology.. aku yang minta... since aku minat geriatric, & byk org tua ada prostate problem & acute urinary retention, pakai cbd, so it is a good learning opportunity...malangnya b4 next roster kluar, sorg specialist uro tny kat tl, who ll coming 2 uro next...then, tl ckp la aku..& dia ni bkn main melenting x nak aku masuk uro coz kata aku x bagus, x reti buat kerja soma etc...tl pun eh, tak pernah dgr lak, byk org puji aku ada la katanya & tl pun buat survey... sisters, nurses, HOs lain & even MOs pun puji aku. x de pun kutuk...so dia pun convey la result survey ni kat specialist tu...& the specialist balas, x semua lecturer akan bgtau kat tl & ramai x tau yg dia ni tl...& akhirnya cite ni smpi la kat aku... aku pun sedih la kan...& emo kat fb & buat status "apparently i'm not a good HO, got complain from a lot of lecturer & others" & tl pun comment " ni semua sbb wanita pendusta yang memfitnahmu" ... & teng, teng, teng...specialist tu mcm mana ntah boleh stalk aku n printscreen d thing & hangin satu badan & give a long lecture....hua... & 1st day kat uro jer jumpa dia...speachless...on d next week, ada mkn2, & sister & matron2 tarik aku duduk sebelah dia & smbang2 sambil puji2 aku... dr M, ni la anakku sazali, bagus dia ni, patients byk suka, staff saya pun suka etc etc etc...hadoi, palmface, kena puji dpn org yg kutuk & tak suka kita...mampus....& ckup jer sebulan aku minta tukar team....

Alhamdulillah akhirnya aku dpt tukar ke team cardiothoracix surgery (CTS)..CTS daily single HO jer kerja, pt x byk & sgt chills...ntahla, staff nurse ckp aku jer kat CTS chillax, klau HO lain ke hulu ke hilir...Ha....x byk berlaku apa2 sgt kat CTS....

Oncall? haaa...jangan cakap la... starting surgery la aku jonah.. x kira la oncall mana la, mesti buat cpr... klau 1st call, tgh nak review patient kat yellow zone, baru dtg...tgk2 patient collapse...melompat atas katil smbil buat cpr, nurse tolak katil ke red zone.. cam dlm drama kan??? 2nd & 3rd call aka ward call jgn ckp la.. & yg pelik, x pernah2 OT call or 4th call, dlm OT, pt baru tukar katil nak buat operation, patient on table, before induction aka bius collapsed... Ha... cpr la gamaknya.... klau org lain during 1st call, slalunya paling max 15 patients jer... Aku??? at least 20 patients... Ha.... & siap kena p HKL lagi post call utk refer pt & nyaris ke HUKM transfer patient... 2nd call, review soma patient kat ward...bukan yg acute bed saje, SEMUA PATIENTS, mampu?? nangis kot.. habis rv pkul 3 pagi... x dgn iv medications, branula, darah, cultures & collapsednya lagi.... hu....

Specialist & consultant? Ha.... Dari medical student lagi sapa x kenal HOD... Ha... tp alhamdullillah la, aku masih suci... x pernah kena FUCK dgn dia pun since medical student... Ha..... kat HPB pun...almaklumlah, dah most HO kerja dgn aku sampah org kata, so memang boss percaya kat aku la.... pernah aku buat round berdua dgn consultant jer yg lama x follow round... nasib kenal soma patients... Ha...& ada sorg specialist ni, byk HOs kena dengan dia, tp 1 hari ni dia oncall mlm sblmnya, dtg awal nak review patients yg masuk mlm td under dia & MOs tak datang lagi... aku buat round be2 jer dgn dia & dia suruh aku manage sendiri & ajar ckit2 yg mana aku missed. He trust me...Time MOs exam, tak ckup MOs, my specialist ckp kat consultant, tak pe, kita ada Sazali, we upgrade him become acting MOs & whole week tu aku kena buat kerja MOs...Hu.... kat uro lak, few types la..Yg dah benci aku awal2 tu tak yah nak cite lagi... ada sorg baik & ada sorg yg management dia aku tak faham... batuk baru skali pun terus nak refer Chest (medical) team... haish....overall, since aku jer HO lelaki kat team uro during the time, patients & bosses asyik2 cari aku since most patients adalah lelaki dan berkaitan ehem, ehem... Ha..... CTS, bosses baik2 belaka... siap main cuit2 & cubit2 dgn aku... Ha.....

Dan akhirnya berakhir gak la posting surgery? kesimpulannya, aku memang x minat surgery... & byk kali gak la & few bosses tny, nak x join surgery... aku ckp "TAK NAK" & their respond, rugi la aku x jadi surgeon coz aku ada ciri2 a good surgeon & they can trained me 2 b a good one... terima kasih je la boss oi... Berapa byk aku buat operation???? assist ada byk gak la, tp performed satu jer, tu pun incision and drainange, & next day during round, consultant buat wound inspection & tanya who performed the surgery??? dup dap dup dap takut kena marah....then specialist sorg ni jawab kata aku & tny aku "Mr Sazali, is the patient can be discharged today?" aku tak faham, then consultant tu puji cantik hasil kerja aku....& pujuk aku ambil surgery.... ha....memang x la kan.... sebab aku x reti surgery... Hu.....

Alhamdulillah, akhirnya berakhir surgery... i thought surgery ni suffering tp bila dah hbis rindu la plak... he....