Kuantan House Renovation & FREE interior design website

Bismillah..

Selepas memutuskan utk meng-Kuantan-kan diri sendiri,kami mmbeli sebuah rumah comel di kawasan luar bandar sket,i'Allah bebas banjir..Berbulan2 lamanya survey dan akhirnya atas kuasa Tuhan,finally terjumpa sebuah rumah comel di kawasan Kg.Padang Kuantan..Menepati ciri2 rumah yg daku mahukan : single storey semi-D,corner lot,flood free..Lokasi pon not bad.
Lepas beli rumah,mmg byk idea nk renovate dan part paling best,decoration! Impian kebanyakan byk para wanita di luar sana,kan?

So ive found a website yg percuma,utk mmbantu anda susun and hias halaman ruang mengikut cita rasa anda. Website "Room Sketcher" CLICK HERE  ni sgt berguna utk memberi idea si tukang hias byk mana perabot yg harus diletakkan,samada muat ke x or sesuai ke x untuk diletakkan di ruang itu.
Yang bestnya boleh adjust size ruang dan bentuk bilik/halaman ikot keluasan sebenar rumah anda :)

Susah nk dptkan apps android/IOS yg percuma dan best cmni..Selalunya berbayar.
Dgn website ni,even perabot2 pun dorng ade bg contoh yg best..semua ada dari dapur ke katil,meja ke lampu dan pokok2 hiasan..Janji ade internet yg laju shj..

Ni beberapa contoh design ruang tamu dan bilik tidur yg daku dah sketch2 kat website tuh.

Superior view je lah..x abis explore lagi website ni if nk betul2 3D view sbb internet sni cm hidup segan mati takmau.But this is good enough lah kan? :) Semoga bermanfaat.

Berkenaan House Renovation,nk mencari pelukis pelan ke kontraktor..satu pekerjaan yg memeningkan dan merunsingkan..sbb my fear is only one -- takut kene tipu: kontraktor lari rumah x siap duit habes..
Tp alhamdulillah setakat ni berjalan lancar spt yg dirancang malah lebih laju dari yg dirancang..Moga sebegini sehingga siap semuanya..Duit tu xyah cerita,mmg mcm air..terover budjet pon ade..*lap2 peloh*.. Akan daku kongsikan kisah house renovation in the next entry,i'Allah..


Till later ~

have i done enough?

Bismillahirahmanirrahim

With His blessings,today i have stumbled across some difficulties in life
I am not feeling well lately and it has been a week.And my daughter was down with a high fever too,but luckily subsided after 24 hours of close monitoring and care by me.

Yesterday i received a call from this person and it suddenly raised my worries and guilt.Tho' i have never been the bad guy in any department and my absence has a good purpose and it does not cause harm or trouble to anyone,it still made me feel bad.

And then it hit me.I had a gush of negative thoughts ; what am i doing here ,where am i heading to, what's going on with my life,what if all my salaries has zero baraqah in it , does all my prayers and solah been accepted .. . things like that.

All those thoughts had led me to this:
Self discovery -- i finally know what i want : I want to lead.According to myths,horoscopic predictions,motivational studies etc,(tho i knew it was not good into believing them) they found out that those who were born at the exact month and date as mine,will be a good leader.Amin to that!
I was never a leader.I never had the chance to lead officially.When given work in groups or a team,i admit i was the ones who gave most of the ideas,but in the end being so-called 'compassionate' and 'thoughtful' towards the rest of the teams, (note the sarcasm), i ended up doing all the work on my own.I dont know why but i was being okay with that then.Honestly, i hated to be led.I wish i could lead.So that i can do more with my people.But does that mean the subordinates cant do more?

And then it hit me again.Despite being the ones accepting orders,carry and finishing the orders,is that it?Receiving government sallary at the end of the month and tht's it?Go home,spend some time with families and go to bed,woke up the next day and repeat.Really?
What happened to inspiring people..or giving charities..or do something amazing..or performing the simplest good deed..even smiling to strangers seems like a torture these days.What about travelling the planet to see the hardships the other side of the world have to do to survive..?A leader or no leader,have i done enough to strive for akhirah?

:(

“The purpose of life is to live it, to taste experience to the utmost, to reach out eagerly and without fear for newer and richer experience.”
― Eleanor Roosevelt

“The purpose of life is not to be happy. It is to be useful, to be honorable, to be compassionate, to have it make some difference that you have lived and lived well.”
― Ralph Waldo Emerson

How to know who

Bismillahirrahmanirrahim

Speaking of PPK,SN and other hospital staffs on previous posts , here's the colour code and how to recognize them utk org yg x tau,sbb frankly,aku mmg tak tau ape2 masa 1st poster dlu and ssb tu lah aku buat suma kerja sendiri dgn gembira dan heartache-free tanpa mengharapkan pertolongan org lain.

Ni staffs2 dan pendamping sejati doktor di pusat kesihatan klinikal kerajaan and supposedly you could ask them for help.Identify them,and use them wisely. :p

Matron : Ketua of all ketua Jururawat (Yg ni jarang doctors mintak tolong,sbb dorng ni handle sekecil2 misi ke sebesar2 misi,dan dorng mmg power dgn selok belok hospital dan sistem kesihatan.Garang.Even doktor pon tatott kdg2.Selalunya perempuan middle age, pakai tudung/nursing cap putih dan baju long sleeve dark blue).Depa ni jarang2 ade kat ward/OT.Datang pon selalu wat spotcheck kerja2 SN.And yes,not all but mostly sisters dan SN mmg kecut perut dgn Matron. "Eh matron nk dtg matron nk dtg!" ptu kalut2 satu ward n OT secare tibe2 nk make sure suma benda kena topnotch.

Sister: Ketua Jururawat.Pakai baju nursing light blue.Tudung putih/cap nursing putih.And scrub cap warna pink if dalam OT.Selalunya perempuan middle age jugak.Mereka ni selalu ada dalam ward or OT and akan tolong SN buat kerja2 basic jgk if situasi memerlukan khidmat.Selain nursing mereka jugak kena handle pengurusan department tu.

StaffNurse(SN): Jururawat. Ade yg basic2 nurse dan ade yg post basic.Yg post basic tu lebih berpengalaman selalunya.Pakai baju nursing serba putih,dengan ribbon biru dekat tudung/nursing cap.Dorng ni is what i called super woman.Tapi ade jgk staff nurse lelaki.Jarang2 jumpa yg lelaki.Malaysia perlu lebih ramai SN lelaki krn sy akui tugas SN mmg agak berat dan memenatkan.Lagi2 bab sponging dorng tuh.
Pendamping sejati seorang doktor dan pesakit.Dorng ni la yg daku doakan mendapat balasan Allah dgn sebaik2 balasan selayaknya sbb bab nursing :bersihkan,angkat patient yg berat2,bg makan nasi or ubat,jaga betul2 adelah seorang jururawat.Mereka ni telah menggantikan tugas kita sebagai anak2 if mak ayah sakit dan terpaksa dok spital.Dorng yg selalu akan carry out doctors' order.Anda sgt beruntung jika dpt SN senior2 yg pandai psg branulla dan amik darah,esp ABG.Mmg daku saaaayangg kakak2 SN yg cmtu dan tak berkira.Patient adalah tanggungjawab bersama.Tapi -- mereka sgt obsess dgn passover.Time passover tu mcm dh x igt ape dh,meriah mengalahkan pesta.Kadang2 patient sebelah katil collapse n doctor tgh CPR/defib pon dorng nk jugak abiskan passover.Ade jugak yg berebut mobile laptop or BHT dgn doctor semata2 nk passover..(But then again,itu hanya kes2 terpencil).

Jururawat Masyarakat(JM):Jururawat muda is wht i called them :p. Selalunya yg muda2 je yg daku jumpa.Ada jgk yg dh berumur sket.Pakai sama dgn SN td serba putih tp ribbon purple.And yes kebanyakkan perempuan jgk.Tugas mereka yg daku perasan setakat ni adelah merekod benda2 basic yg penting..--- amik vital signs (BP/HR/Temp/RR/PS) or height and weight.And kerja2 basic documentation.Dorng amik fetal heart rate and CTG and contraction time jgk if x silap klo dlm O&G dept.Simple nursing or procedure pon dorng leh buat.

Sumber gambar dari Google,Hospital Kapit -- According to the colour coding, can you identify them apart now? :)

Medical Assistant (MA) : Abang2 dan hero2 kita yg lazim dan paling banyaknya ada di ED department.Ada jugak di setiap ward n OT di setiap department.X berkesempatan lagi nk jumpa dgn MA perempuan.Baju kemeja putih dgn seluar n kasut hitam..If yg senior sket pki baju hijau cair (if not mistaken).Tugas mereka dah lebih kurang mcm doktor.CPR,stabilizes,handle ventilator,pasang POP..Yang mana MA yg betul2 senior tu,mmg lebih awesome time handle cases as compared dgn doktor2 muda,sebab experience,beats everything else.Ada yg boleh intubate siap.And ive known a very senior MA,boleh start cut and initiate an operation dlm OT sambil2 tunggu surgeon smpai,takat mana kemampuan dia.Doktor2 junior lain dok perati je.Ala2 supervisor gittew.Tp time dia initiate cutting utk tebok laparoscopic probe je,Cuma terkejut dia boleh initiate.Mmg waktu tgk tu i was like .. "Fuiyoooo..." Dibawah pengetahuan ku tugas2 MA ni..Papepun this MA i know mmg bukan calang2 org,dia mmg ada pengalaman berpuluh2 tahun dan berpengetahuan yg mendalam,and very vigilant..Cuma mereka xde kelayakan utk sign MC dan bagi ubat je. :p

Penolong Pegawai Kesihatan (PPK): Senang je nk identify depa ni,pakai serba putih,kasut hitam.Masa 1st poster dlu kerja kat O&G dept mmber kesian tgk daku htr sample specimen sendiri,last2 dia ckp.."awk htr je sample tu suruh PPK htr ke lab,nk tau PPK mana satu,tgk kasut.Dorng pki kasut hitam" LOL true enough,mmg menjadi tektik tu.Tugas PPK adelah berjalan2/berlari2 menghanatar apa2 je documents/sample/specimens/bloodbag etc ke tempat2 masing2.Lebih kurang mcm opis boy.Tp PPK kite sjk kebelakangan ni byk pompuan,yg peknen2 dan obese2...so mmg kdg2 nk suruh pon aku kesian.In the end,mmg daku htr sendiri sample2/documents2 patients ku.Abis cerita.

Radicare -- Radicare is a big company,dorng handle semua bab pengemudian hospital cth electrical dan cleansing.Yg selalu korng akn jumpa kat ward dan OT adelah radicare bahagian cleanisng.Dorng ni pakai baju hijau kuning2 sket,seringnya berbangsa asing (indon/mnyanmar/nepalese/bangladeshi etc).Jarang jumpa radicare berbangsa melayu sndiri..So kalau nk suruh dorng tolong buat pembersihan,anda akan kena 'mem-bangla-kan/meng-indon-kan/men-nepal-kan etc diri anda ikut percakapan mereka.Ade tu pelarian yg fresh (eg dri Rohingya) so mmg xtau ckp sepatah melayu/english pun,jadi kena guna bahasa isyarat utk mengarah.Apa2 tugas mencuci lantai habok2 dan kutip semua cadar2 kotor dan sharp bin,dorng lah punya kerja.Tradisi kat malaysia,kalau ade jumpa tempat ward/OT punye lantai kotor ke kena urine ke,SN / Doktor akn jerit " RADICAAAREEE??!!" byk2 kali dan kuat2 sampai satu banggunan dgr.Tapi kan,if korng semua yg ada barang2 elok dan x digunakan cth baju/seluar or ape2 je lah,bagi sedekah lah kat mereka2 ni..Mmg kebanyakkannya org susah..Bg belanja makan pon ok jgk.

Apa2 pun tugas dan pangkat kita sebagai kakitangan kerajaan atau swasta,masing2 ada kepentingannya..Tanpa salah satu,nescaya xkan siap kerja dan membawa masalah.Series tak tipu.
Ada beberapa lagi staff2 hospital yg penting yg mungkin daku ter-miss..and coretan penerangan berkenaan tugas masing2 di atas hanyalah berdasarkan pemerhatian dan pengalaman daku sahaja..Mungkin ada salah silap nya sana sini,dan mohon maaf dan mohon pembetulan beserta keterangan jika ada bg yg mmbaca.

Itu saja dress code utk hospital kerajaan yg aku tau.If swasta im not sure.Yang pasti baju2 mereka cm tantek2 n stylo sket dri kite ni..Hihihih

Sekadar perkongsian.

Till Later ~

Housemanship era's (Part 3 - final)

Bismillahirahmanirrahim

Antara job scope houseman yang wajib kena buat di mana2 hospital di Malaysia mmg banyak.Lazimnya:

1.Come early for passover and to examine patients
2.Know your patients,cases and memorize if possible
3.Present your cases during morning rounds or any rounds
4.Carry out plan : eg, Branulla insertion/minor procedure/major nursing/sample taking/order for bloods/CXR etc/write reports/discharge summary/basically anything that was ordered by your superior

AND more importantly,a gentle reminder:

Dont trust anyone to help you do your job 
Tak boleh harapkan org lain tolong anda buat kerja.
Contoh: It's 9 am.U're super busy taking care of acute bed patients.And you need to come down to speak to radiologist requesting for an urgent MRI and you're afraid its gonna take forever.U ask help from one of your collegue for simple things like discharge note and FBC at 10am for a dengue patient.They say they'll do it,no problem.Tp bila time ko naik ke ward around 11am tgk blood x amik lagi,discharge note utk patient pon x buat and patient's relative da ketuk2 meja suruh cepat.Bila tny ckp sorry lupa and buat bodo.Dey,kalau takat jaga 3 org patient stable and cubicle kosong tp x nk tolong ckp je la.Taappii bila mereka2 ni mintak tolong kita x kire busy mana pon kemain je kita boleh plak tolong!Ni contoh terpencil je la kan.Tapi impact nya sgt besarr..So much for helping each other out la kunon.pfft.More like stabbing ade la.
Im only saying this because happened to me once before,and it will be the last.Dah kena sekali tu dh cukup.. serikk sgt2 dh..SO DONT TRUST ANYBODY to help you do your job,If possible x kire anda jonah and busy tahap mana,buat yg mana urgent dan buat je kerja tu sendiri.If dah ditolong pon,double check the work yourself.

 Speaking of do ur own job yourself, i literally mean it!
I started to send all of my patients' specimens and samples since from 1st posting on my own,turun naik tangga sendiri,sebab tau PPK x banyak dan yg ada pon kebanyakannya jenis x guna dan pemalas.Dari masuk kerja sampai ke separuh hari tgk sample dalam despatch box tu macam tuu jekk..Bila tegur buat muka.Memang dalam hati cuba memendam rasa tp lebih baik hantar sendiri samples tu (esp yg urgent/stat) dan yakin dah sampai ke lab tinggal nk trace je.Kalau suruh PPK,hrmph..dh serahkan depan mata ckp kat dorng nk stat/ urgent,depa boleh sempat pergi pantry makan2 kejap.Lepas tu jalan perlahan2 makan angin ,singgah jap gelak borak2 sket dgn staff2 lain.. -__-" Kalau pukul 3-4 pagi shift malam,nak2 kena jaga patient dengue..ya rabbi...tak ke naknye dibuat nye? Tuhan je tau berapa puluh kali daku turun naik lif/tangga..Gaji buta dorng tu bank in je lah ke account daku.Nak harap kan mereka? Babai la jawab nya.Tp x semua PPK mcm tu..Ada jgk yg bagus.

Once dah tau scope kerja and nak buat apa,carry out your work,and iAllah you wont face problems.
Penat.Memang penat.Say goodbye to your vacay or family and friends gatherings..lagi2 yg dah berkahwin ada anak2 time houseman and kena manage household sorng2..Penaattt...!Boleh amik cuti time houseman,but use it really wisely sbb cuti terhad.I kept my holidays and used them up lump sum for my express wedding *peace*.During this era jugak la weekends and public holidays meant nothing to you.But hey,this is what you want from the beggining,dont you? So dont complain and move on.This too,shall pass.

Now,come to the more serious part : Complaining house officers.

Was once a hot topic in our country.And i certainly cannot understand this.Im not the good,competent and proactive type of houseman sgt pun,like i said im just the average type,paras2 idong.Selalu jugak kena maki hamon dan diumpat dgn superiors.Mmg rasa nk quit at times..Tapi tu lumrah hidup,xde apa yg senang.My motivation and mind set ada a few.

1)Tgk seniors (MO/Sp/Consultants)..they are where they are at today sebab previous experience and good basic skills.Dorng pon pernah jadi houseman sengal2 cm kite,mesti pernah kena marah,and yes,i love to hear their hardship stories just to motivate me.These people dont have it easy.Jaga patients > 2 wards and > 100 patients sorang2,BHT kena campak lua corridor by specialist sbb x hafal case,tie kena ikat dkt katil patient etc..sgt demotivated.Bila pk semula mmg x patut mcmtu,sbb ikut adat resam padi,semakin berisi,semakin tunduk.Tak boleh buat dpn patient dan ada cara2 menegur..But that was then la kan..Namun,if they dont do tht and be as fierce,most of our consultants/specialist wont be pushed to be where they are supposed to be now.Ada ke dgr dorng komplen? Penat,sumpah penat.Dan mmg xkan ade life.Luahkan perasaan pd rkn2 yg memahami dan let go je lah.Xperlu keypo2 and memanja kan diri sgt.You want to be a doctor dont you? So be it.Or perhaps boleh kita salahkan kemudahan media zaman sekarang yg terlalu canggih.Samapai luahan perasaan elektronik disalah tafsir sebagai 'aduan/complaints',mungkin?

2) Hasil drpd komplen2 tu jgk,kerajaan setuju mewujudkan shift system, dan kenaikan gaji among house officers.And i was the 1st batch to be innit.Honestly,no complaints.I was fine because i got the time everyday to go home and see some familiar faces.Mmg ada masa2 in certain department x sempat makan satu hari,xdpt itu and ini..Tp biasa lah..tgk SN pon x kurang busy jgk..And you are not alone.Tgk MO's and Sp..They are even worse..MO oncall more than 24 hrs,xde perubahan pada shift system.Specialist lagi la, ade certain time they had to stay in 2-3 days kat hospital sbb Sp lah yg incharge of the whole ward time mrk oncall and they are responsible for anything,more than the MO's themselves.They are the ones yg paling stressful,if x penat stress physically,penat stress mentally.Do u know this?Most dont know because they dont really talk about this.They dont want to complain.If internal query or masuk kes2 makhamah,these are the people yg akan kena step up and answer.Penat mcm mana pun they still kept their mouth shut and do their job.I discovered this when i was in my MO-ship,surprised to see my consultants and specialist decided to 'stay in' when a complicated case arises..So houseman yg mengadu anggap semua ni inhuman ape kes?If you think you are not fit to carry the tittle "Dr" in front of your name,so out you go.You will never make it further.To be a good superiors,you must be fit physically and more improtantly,mentally.And remember,these people had it even worse and faced a more difficult situation in the past than you did today.Yes,i faced the 'complaining houseman issues' when i was a houseman myself.I am ashamed when superiors labelled us as the Y generation yg very weak.Only now im letting them all out.

Hence,bila bukak suratkhabar/tgk berita ckp issue psl houseman demand itu ini and komplen life is hard,i feel like screaming "Shut up!Buat malu kita as houseman je!You dont know what hardship is..Hardship is having to work 2 -3 different jobs just to make end meet,to make sure you have enough to place a food on your children's and wife's plate,to give them a piece of new cloth every year for wearing and to protect them from harm by giving them a decent place to live.." and some people in other country are living a harder life than you housemans!

*Face palm*

I apologize for my grammatical errors or my language mixture..but it was all intended.

So adik2,being doctors is no longer a trend (if it ever was).For those who have just embarked medicine out of so many purpose,or about to graduate,i wish you all good luck."Go with god",my husband reminded me when i kissed him goodbye for work at 5am.Really,niat pergi kerja lillahitaala (sungguhpun daku selaluuu lupaa) and i'Allah penat lelah kita takkan  sia2..dan kita akan komplem less..

Sekadar perkongsian pengalaman dan pendapat.

Till Later ~

Housemanship era's (Part 2)

Bismillahirahmanirrahim

Alhamdulillah berjaya habiskan housemanship for a complete 2 yrs,without being extended.I wont say it was smooth sailing,im grinding sebenarnye especially when i had to start fresh every time i entered a new posting.Tp pape pun daku berjaye menghabiskan tempoh latihan tersebut.

Some say the most difficult part of being a doctor here or elsewhere was during residency.
Sbb time tu lah kita nk mempraktikan ape yg dh belajar,n time tu lah nk kena sesuaikan diri dari zaman belajar ke zaman bekerja,masa tu jugaklah kena berhadapan dengan 'gergasi' system malaysia beserta budaya hospital dan perangai org2 sekeliling.

Utk adik2 yg nk grad,i'Allah jgn risau.Sebab i am the average type of person in everything i do,and in terms of knowledge,if i want something,i have to work extra hard to get it.So if i can do it,so can you guys.Lagi2 yg super smart and sentiasa rajin n bagus2 tu kan..saye ni 'pomaleh skek' kate org melake ehehe..So chill.

Housemanship di Malaysia ni senang je nk lepas sbnrnyakalau ikutkan.Bkn nk ckp lagak tp tips n pengalaman yg daku belajar adelah,do as you are told,then you'll be safe.Yes i think i am the 'under radar' type of house officer without me noticing it.Know your job,do it,and jangan jangan jaangaannn susahkan your colleagues.Sentiasa tolong mereke2 yg korng rs agak terkapai2 (1st posters/department newbies).Extra mark to yourself if sambil2 amik kesempatan utk belek buku nota n belajar,be proactive dpn MO's and specialist/consultants..Org2 cmni sure akan jd superstar n fave kat department2 tu..For me,i dont look for fame,xreti pun sbnrnya,and sbb tau diri xde la sebagos mana,and would be lucky enough if i dont harm people!Aim nk jadi yg bagus tp waktu tu, benchmark daku adelah 'be a safe doctor'.Tu je.(Cakap mmg senang kan sbb saye dah lepas stage tu! :p)Struggle jgkla nk lepas,air paras idong,doa xmo kne extend n nk abes cepat je time tu.. *breathe breathe*
Alhamdulillah,benda tu dh jdi zaman lampau pon sekarang.

Time ni jgklah korng akan berkenalan n bekerja dgn org2 yg pepelik dan normal yang akn menguji tahap kesabaran n keimanan kamu sume.Kongsi cerita sket,2nd poster daku kerja kat medical ward,terpaksa cover kerja sorng minah ni sbb dia EL x tau sebab apa,n tau dia EL time nk dekat ward rounds.So terkapai2 lah kite nk kena tau n jaga case dia..And tht wasnt the 1st time.Cuba husnu dzon (sangka baik).Husnu dzon pon sebab daku ada pengalaman rakan sekerja yg lebih kurang sebegitu masa 1st posting..At the end of the day,we made it..mmg penat x terkata sbb kerja bertambah dan buat kerja org lain plak tuh..mmg rs nk nyumpah2..Percayalah,u'll face this not only during housemanship,lepas jadi MO or Specialist pon ada,cuma tahap kesan severity nya mungkin agak berbeze..Kesimpulannya,janganlah EL sesuke hati tanpa sebab atau sebab yg boleh dielakkan,kmudian mnyusahkan org.If x menyusahkan org xpe,nk EL seumur hidup pon den x kesah.

Ha,yg cerita masa 1st posting tu,dpt sorng colleague ni,sama2 masuk as 1st poster kat dept sama,beliau siap dilantik sbg ketua houseman..tp towards the middle till end of posting,jarang npk dia during ward rounds,and selalu perasan dia curi2 tdo rehat2 dalam bilik...Mula nk rasa semacam sbb rkn2 yg selebihnya akan kena cover kerja dia..Tp setahu kami semua beliau mmg seorang yg berpewatakan bagus,cheerful and very helpful,cuma ada masa2 nya begitulah..Waktu tu,jarang nk rasa apa2 sgt sbb jarang dok satu ward n kerja dgn beliau..
Who knew tht she was fated dgn a very severe illness...And on one gloomy day,daku dtg kerja pagi tu..tb2 suma org kecoh kwn ku itu disahkan meninggal sbb pancreatic cancer.. :'(
Since then daku bersumpah sepanjang hayat esp dlm bidang pekerjaan ni,mmg daku takkan buruk sangka lagi dan cuba mendoakan kebaikan utk mana2 mmber / colleague yg EL dengan alasan " sakit/x sehat/ade hal".Moga Allayarhamah ditempatkan di tpt yg tertinggi di sisi-Nya...Al-Fatihah. :((

Ok cukup part yang itu.

Survival Tips serba serbi dah boleh agak dri previous entry.Xde cara lain dh rasanya nk survive HO-ship..Dan mmg akan ada mini tests jugak occasionally campur viva in each posting to test your skills and level of knowledge.So part2 ni mmg kne betul2 belajar n kawtim lah kaw kaw masa viva.Part viva ni mmg klaka utk daku,sebab maser tuh daku mmg x tau ape tu viva..1st poster,dgr2 senior ckp dorng kne viva smua pucat lesi..and i was like "heh?viva?mende?".Viva ni oral exam la,same cm time kite student dlu..I'm like "ooo...igtkan if dh kerja xde exam dh..rupenye kne oral test skali lagi?jem btol.."Bisik hati kecil ku..
Sekarang setiap posting total training duration 4 bulan kan? So usually viva dorng akn bagi dlm the 3rd month depending on the examiner's availability.Viva pon sehari tu je and will take no longer than 1 hour.Dorng bukan tnya ape pun,cuma since dh nk abes posting dorng akn tny balek ape yg korng dh belajar sepanjang berada dlm department tu sebelum memberi kelulusan utk tamat latihan..Dan viva ni ade dlm setiap department supposedly sbb nnti konrg kena sign dlm log book latihan house officer.
Honestly,nak tercabot gak la jantung sebenarnya evrytime kena viva dpn your consultants..daku ni bukannya pandai pun,merangkak time belajar..tp alhamdulillah Allah mudahkan..Honestly,i am never good in writing format sgt,,i prefer secara lisan,senang sket nk bgtau examiner ape yg kita tau dengan cara sempoi,siap boleh tunjuk2 cara2 dengan megunakan sign and body language,eg CPR/defibrillation,karang ayat medic sket2.. :p baru fefeeling sket org ckp hahahh..Sungguhpun ada masa2 waktu viva kne maki hamon dgn examiner,tp mungkin Allah lembutkan hati org tersebut,daku lepas pon akhirnya.Papepon,setiap maki hamon examiner anda kena igt dan dijadikan iktibar ye.Pastuh bgtau ilmu tu kat kawan2.Sgt berguna di masa akan datang.

Oh,lagi satu,kena carefull dgn ur superior yg sukeee mark org.If ada superior yg suka anda,mmg dia akn suka anda sampai ke hujung hayat,x kiralah buat salah ke jawab memain ke,mmg OK punye la..tapi...if mereka dah mark anda n aim nk buat hal dgn anda,berjaga2 lah waktu viva or ward rounds..even if towards the end of posting you are getting better and improving a LOT,mmg superior2 jenis ni tetap xkan suka..dh ada beberapa org colleagues ku yg kena..mmg kesian,Caranya nk hentam superior tu,adelah ILMU dan SABAR.Mmg xde cara lain melainkan hentam mereka smula dgn jawapan yg bagus dan bernas.Bagus juga kan kena aim?Kita akan jdi lebih bagus dari yg kita sangka...Allah punya kerja.

Cukup part viva,Ok skrng ringkasan psl house officer training bg yg xtau.
Standard training 4 months for each 6 main core department.
Hence,standard total house officer training duration: 2 yrs if no extension period.
For each departmental training,bg yg problematic sket,it is extendable up to another 4 months + another 1 month in probation,kalauu x lepas jgk,then kne kick out from the hospital and kena repeat the same department in another hospital,tak perlu repeat dri 1st posting.Cuma kena repeat department je.And nama pun jadi sebutan lah ye.Femes x bertempat.

1.O&G -- 4 months training
2.Medical -- 4 months training
3.Surgical -- 4 months training
4.Paediatrics -- 4 months training
5.Orthopedics --  4 months training
6.Emergency/Anaesthesiology --- 4 months training

* Ada circular mengatakan psychology pon termasuk salah satu core training jgk utk houseman,but tht i am not sure. Psy..agknya org malaysia ni byk saket mental kot.*angkat dan jatuhkan bahu*

Stiap kali masuk new department,anda akn diberikan buku log (warna mngikut department).Eg cm O&G buku log nye pink,ortho buku log warne biru..Habit time hosmen dlu,suke sakat mmber2 tny,next posting ko nk pink ke kuning ke ape?kikiki..And yes,boleh request kat opis sumber manusia(HR) ur wishlist nk masuk deparment ape for next posting,ikut availability and keperluan.Buku log ni buku activity,dalam tu penuh dgn senarai activity ape korng kne buat,cth: venopuncture/central line insertion,suturing,intubation ,assisting procedure/operation etc etc.Korng kena isi nama pesakit n nombor identity mereka.Belakang log book tu akn ada markah viva dan comments by examiner.Kena cop by supervisor/specialist n submit pada HR seminggu sblm tamat 4 bulan training tu.And ofkos daku htr sebulan lepas tamat training LOL! Ade yg dh nk final posting baru nk htr 2nd posting nye logbook.Jangan tiru aksi kami ye adik2.

Kita sambung final entry berkenaan HO-ship di lain hari..

Till later ~

Housemanship era's (part 1)

Bismillahirahmanirrahim.

Lepas graduation,daku dok melangot kat rumah x tau nak buat ape sbb nk bls dendam rehat makan tdo puas2 katenye. Plan nk melancong jugak.. if not nk cri kerje part time.Taapii mcm x igt knp in the end x ke mana2 or buat ape2 pun..Hmm..knp eh?srsly cnt rlly rmmber...Last2,ended up dgn depression sbb terperuk terkurung dlm rumah je 3 bulan tuh hihih.In between ade hantar notification letter to KKM awaiting for interviews and induction..

 

So finally lps 3 bulan tu if im not mistaken dlm bln October baru depa panggil untuk kursus induksi.
Berdebar rasa padehal induction je pon (biasela i kan newbs).Tempat dpt kat KL jgk,hotel putri ape tah tgh town tu..xtau nk rasa apa sbb alhmdulillah dekat n sng org nk htr pickup suma..TP sedikit dissapointed hrpan dpt kat jauh2 sket utk induction cm terengganu ke..sabah ke...sbb bosan lama dok rumah nk lari jauh2 sket 2-3 hari tuh mihmihmih..Induction mmg okok je if u asked me..Dpt roomate yg baik,sejuk je mata memandang -beliau seorang graduan from UK - usrati yg tgh peknen gravida 1 yg husband dia pon induction kat tpt yg sama...ptu time course plak dok sebelah sorang minah ni,seorang pendakwah n graduan frm UK juga..sgt osem tp super pemalu orgnya (sgt teruje n happy bila dpt tau beliau dh kahwin baru2 ni).Asal budak johor..Bila tanya nk dpt housemanship kat mana,beliau dgn konfiden ckp "sabah or sarawak!"..Sbb bosan dok dgn femly n nk lahirkan sifat berdirikari katenye.Padehal most of kite2 ni beriye nk dpt lembah klang kan hahah.Nak dijadikan cerita surat tawaran diberi n alhamdulillah i was placed in Hosp.Sg Buloh and my coursemate dpt Sarawak...Suke!Suke!Doa dan harapan makbul,bukan pe,susahh sgt nk dpt lembah klang esp if ure single n KKM salu akan campak anda ke Borneo dan rumors ckp indah khabar dari rupa - nk apply balek ke lembah klang pon maser tuh agk payah sbb depa akn suh anda dok kat situ smpai beranak pinak.Tamau den!

1st day Housemanship
Awal pagi pergi admin,diorng tanya nk masuk dept mana,and i said "mane2 je lah".
So daku dimasukkan ke department ObGyn.

FYI mana2 adek2 yg belajar obersi n x familiar lgi dgn system KKM ,ade dua jenis hosp di malaysia : satu -- computerized,dua -- manual(paper/sheet based).Ada a few hospital (esp the new ones) in Malaysia yg computerized,and the rest (esp yg hospital yg lama2) suma still pakai paper based.
Hospital Sg Buloh ni fully computerized tp ade jgk file BHT for certain cases yg akan digunakan,or if system down mmg satu pekerjaan lah nk kene tulis and order suma dlm papers..ade pros and cons nya..Mana2 if u asked,den tak kesah.Layan kan jek dek non janji kerje ko kena siap.

Dan system kerja di hospital malaysia ,terms and management sini jauhh beza dgn tpt blajar daku dlu..Mmg xnk komplen apa2 tp keyword di sini adelah "sink or swim"..Even topic pembelajaran dlm class n lectures byk yg sama tp time nk manage tu yg daku kena start from zero.Boleh kata masuk dept tu with zero knowledge lah..!Hafal lah byk mana buku pon tp once you face a real life situation,suma tu lupa.Gamble habis.Tp daku datang dgn semangat waja yang membara..Mindset ckp mmg akan kene ketuk gile2 n i'll be the dumbest a** they'll ever seen tp WTH la kan.Nk belajar key in round report n notes , order darah pon guna system..n seriously serious,i am the slow learner type.
Waktu tagging daku melekat dgn beberape org seniors n tulis dalam buku nota kecik stiap benda yg depa buat.Tak berani nk tny banyak sbb frankly,O&G ni antara dept yg super busy.Takut senior2 akn rs irritated if i bombard them with too many questions.By one week later,alhamdulillah,i am able to cope, pretty much most of the things if not all on my own.Mmg kena belajar pick up cepat.I started with the shift system.Never had experience the full oncall system untill i was a houseman in anaesthesia dept.Even shift system,sangat memenatkan.Tak tau cmna senior2 kita dulu boleh cope dgn oncall system.*tabik spring*







Another key word penting housemanship.. " kalau tak tau tanya". Dont you dare act on your own.Sebab? Bcuz now you are dealing with real people and real lives.Esp in O&G,we are dealing with 2 lives.Medicolegal alert red button are always on if youre in this department.Plus,org kat malaysia ni suka sgt saman org.Silap sikit je saman.Sampai golongan profesionals skarang ni mmg sampai traumatic. Kongsi cerita sikit,dari 1st poster sampai ke MO-ship,specialist or consultants always remind us not to do beyond our limit,and always play safe.Alasan? "Patient or their relatives can question and sue you.Nak kena saman?".Ayat yang sama ku dengar berulang2 sampai sekarang.Sad but true.Banyak cerita pasal patient-doctor case ni..Dah terbukti dlm akhbar.Tp mls nk cerita lebih2.Cukup takat ni,

 

Memang biasa je 1st poster kena marah.Ye lah,everyone have their first time kan.Jangan igt daku x tau.Even yg pakar2 or consultants tu pun mesti pernah kena marah jugak time dorng level bawah2 dulu.U have to start somewhere to get to somewhere.So if your superior do some scoldings ke pe,senyap wat bodo and do as they said.I understand tht it is stressful being a superior or a houseman.HO's kene marah,tp HO's dont have to tanggung responsibilities.And plus,i always believed that experience is a better teacher than mere knowledge from the books itself.Books may say this and that,but only through experience is when you can prove whether the knowledge is apllicable or not.Your seniors have experience more than you.U just have to trust them.Sure they might not be right at all times at certain things,but you can always ask them for judgement.A good superior wont have a problem of answering all your doubts.Tho sometimes,i hv met a few yg x sukee btol kita tny dia mcm2,as if kita question suma tindakan dia.Hahaha.Biaq pi la aku nk tanya apa pon.Padan muka hang klo dpt ak as ur future doc nnti bila ak nk rawat pon ak x reti nk wat apa pasai hang xmo ajaq ak lekloq dlu. pfft. Eheheh.Emosi sket situ.Ok,skip tht.

Adik2,nekad pilih nk jadi doktor x boleh complain byk2.This is your choice.
Like my father once told me,when he called me up ckp awat lama x call bapak,so daku ngadula kerja mcm kuli batak ngalah org indon ngn pinoy!Camana nk call pergi kerja kol 6pagi sampai,pukol 10 mlm terbongkang atas katil,bukak mata dah pukul 6 pagi smula.
Si bapak pon ckp la " haa tulah!dulu nk sgt jadi doctor,ayh suggest pharmacy ke bnd lain xnk!"
--yeke nak sgt? -_-|| 
Senyap je lah.Jokes aside,itulah realitynya..sampai keluarga pon terpaksa diketepikan..

Remember adik2 like i said before..this is your choice ,but if it isn't,lain cerita.
Kena jiwa kental tulang besi urat dawai emosi kontang.Tapi Iman dan sabar kena nombor satu.

I shall continue my other 2 yrs journey of housemanship in the next write up.

Till Later ~