Posting numero 2

26th Jan 2012 is my first day of tagging in Medical posting. When you think about it, i have done my housemanship for 4 months already! Im glad and grateful to God for letting me to get through my first posting successfully. I hope He will still be guiding me for this posting.

So, for today, I noticed that being a 2nd poster does have the benefits. For instance you dont feel that tired by 10pm. Whoopss, it might still be too early to judge that but we'll see!

Otherwise, the procedures and form fillings are something that i am already getting used to. It's just that i need to get used to be seeing male patients!

Ending the first posting!

It's 22nd Jan today! I am glad to announce that I will be ending my current 1st posting in a few days time! I must say that it did feel short and that i have wasted the opportunity to master the posting. It is a mistake that i must not repeat in the next posting; to be proactive and to learn how to do as many procedures as possible.

Otherwise, since I have spent almost 1 month in the gynae ward, i am already feeling comfortable of it. Things becomr easier and faster to handle. The followings are the common cases in gynae ward :

1. Miscarriages
2. Hyperemesis gravidarum
3. Ectopic pregnancy
4. PV bleeding
5. Gynaeoncology
6. Insulin commencement for Pregnant mothers
7. Post SVD complications; episiotomy wound breakdown, retained POC and maternal pyrexia

Before i forget, i want to remind the first poster of this : to send SKT forms and your logbook at least 2 weeks before u end your posting.

ketua darjah

since i am currently the most senior houseman in the posting, i have been chosen to be the HO leader. it is definitely not an easy job. i have to come out with the oncall timetable, something that is easier to say than done. i have to make sure i distribute the days evenly and not being biased. at the same time, i have to fulfill the wishes of those planning to have holidays during the festive season.

since Chinese New Year is 2/3 weeks away, many of them were asking for leave and that remain us with only few housemen left. Thank God for His mercy, He has given us with new housemen coming in. Even though i have to make changes to the timetable whenever new faces come in but i do appreciate the extra man power.

otherwise, i am currently working in a gynae ward. Not as fun as it should have been to me. Gynae ward gives a different environment compared to the maternity ward. The patients consist of the terminally ill patients who refuse further management as well as those who fear their unborn babies will end up being miscarriaged. For a houseman, Gynae ward involves some "medical elements" such as management of electrolyte imbalance, fluid regime, analgesia level to be given to patients. We also have to do quite a lot of referrals to the surgical, medical and radiological department who kinda not keen on having extra work. There are times that i make successful referrals and i still fail in some.

Since i am close to the end, i am sad to leave the current department. I have heard of other postings, having to deal with emotional stresses dealing with the colleagues and senior doctors who like to torment the housemen who are not at par to their eyes. I am glad that my current dept treat housemen as their working colleagues and treat us professionally. Such a good posting to start my housemanship with.

Well, well, to those who wonder, i am going to a killer posting next; MEDICINE. throughout my medical school, i am definitely not interested in the posting. it is such a complicated topic, creating a lot of differentials just for a symptom. i hope i can finish my 4 months posting there without difficulties. Hence i should be mentally and physically prepared for my 4 months of....... struggles.... NOW!