Showing posts with label medical. Show all posts
Showing posts with label medical. Show all posts
It is about to begin
10/05/2012 01:01:00 AM
In the name of Allah, the most gracious and the most merciful,
I'd been finally hired by the Government of Malaysia. Thanks God.
Yesterday was the first day of working although it was all about filling up the many forms and listening to talks/advices by some officers and plus trying new stuff such as the punch card. In fact, within this week, it was all about introduction to the hospital and getting to know important stuff that a house officer (HO) should know. A tiny bit of it
Honestly, it was quite surreal, especially when people address you with the title 'doctor' in front of your name for almost everything. Two weeks ago, it wasn't there although I had been conferred on June 6th of this year. In fact, before this, occasionally people will joke about it and I will just laugh as I bear no real responsibility yet holding that title. And as of now, it was all a different story.
However, the induction held on the previous week sort of prepared me mentally on stuff that I have to expect when registering with the hospital and the Kedah states's health department. Although it was quite far from home, the induction place is superb. Living and eating in an at least 4 star hotel is something that I don't get for free often. Everything was for free. We all have to just go there and listen to talks and get to know a bit about being a government officer.
And the best of all is the way they pay the claim here for newly posted doctors. I kinda got some extra duit raya for that thanks to the induction which was held in Pahang. About 700km away from my hometown which means more money into the pocket! :)
other than that, we are also very lucky to have a week of orientation period in this hospital compared to others who were posted to various hospital around the country. Some of them even have to start the real doctor's job on their 3rd day.
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As my working life starts, I know things might be a bit busy than usual. All I can say is that I will do my best to cater both, working life and family life.
The above quotes sum up my stand and hopefully yours too.
wassalam.
wassalam.
My First
12/11/2011 12:01:00 AM
It all happened last Wednesday (7/12/2011). The date would probably be hard to remember but definitely I will treasure the experience. First time ever performing a surgery! I stick a scalpel into a lump of a golf-ball's size on someone's neck to remove the abscess and on another occasion, I also removed some adenoids tissue. Alhamdulillah.
Although before this I assisted in a few procedures including caesarean section, popliteal artery bypass, anterior resection of the bowel and a few more, this one was special to me as I held the scalpel on my own and making the incision myself. A very rare experience for medical students I think.
The consultant ear nose and throat (ENT) surgeon first asked me if I ever seen an abscess and perform incision and drainage. While looking straight at him, I answered that I'd seen pericolonic (around the large bowel) abscess but never done any kind of incision and drainage. The next thing was very surprising as he asked me if I want to do any surgery today. What sort of answer would you expect if you ask someone who really into surgery? Definitely a YES and from that moment, there was no way back. Since most of the ENT procedures don't require a full scrub, I put a surgical mask, washed my hand (scrubbing kind of wash) and a size 7 surgical glove.
I sat next to him while he talked me along the way. A small 1cm incision was made inferior to the angle of mandible area by me although at the end he guided my fingers and push it deeper because it wasn't deep enough to drain the abscess.
Honestly I was quite scared since it was very close to major artery (the carotid artery) of that 7 months old baby. Once the abscess started to drain, the rest was just simple squeezes to force the abscess out. Quite a lot of it came out. No wonder the lump was a size of a golf ball! Within 15 minutes, the procedure completed as no stitch required since it was small and a drainage tube was inserted into the lump so that the remaining abscess could drain later. We thanked the nurses and the anaesthetist and the surgeon then congratulated me and said 'you can now tell your friends that you performed a surgery'. I'm not sure if they will ever believe it', he added. ^__^
Honestly I was quite scared since it was very close to major artery (the carotid artery) of that 7 months old baby. Once the abscess started to drain, the rest was just simple squeezes to force the abscess out. Quite a lot of it came out. No wonder the lump was a size of a golf ball! Within 15 minutes, the procedure completed as no stitch required since it was small and a drainage tube was inserted into the lump so that the remaining abscess could drain later. We thanked the nurses and the anaesthetist and the surgeon then congratulated me and said 'you can now tell your friends that you performed a surgery'. I'm not sure if they will ever believe it', he added. ^__^
Before that procedure, he actually showed me a bilateral (both side) appendicectomy and also adenoidectomy in which he allowed me to do (adenoidectomy) when we saw the same case after that. This was also relatively a simple procedure although it carries quite a big risk of bleeding. Adenoidectomy is basically a scrapping of the adenoids tissue on your pharynx. No cauterization even required for adenoidectomy in most cases.
The surgeon was so cool and I can't wait to sit with him again next Wednesday hoping that I will have more chances to perform some minor surgery! Hopefully ^__^
A long journey always starts with a small step. Pray for my success guys.
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