it's been a while..

Wah!
i can finally write something here again! i thought i have lost my blog to some viruses coz i'v tried writing last month or something but it just wouldn't publish. Was feeling wuite down with the thought of losing this blog since i've had it since 2007!

anyhow, i am now halfway into my 3rd posting which is Obs & Gynae. Alhamdulillah. O&G is alright, good mxiture of ward work and surgical. But i dnt think it's my cup of tea. the enironment is not so favourable. can definitely feel the tensions during emergencies. all labours are like medical-emergency-going-to-happen kinda thing. and the blame game at the morning briefing...is just awful. nevertheless, i learn stuff, i really do. but the learning curve is not that steep. maybe because i dont put lots of effort into it like how i should.

here's few fascinating stuffs i encountered during this 2 1/2 months.

                                                               very bad decelerations

                              An even worse - sinusoidal pattern of CTG (found out mom had an abruptio)

                                                        Ruptured tubal pregnancy at 13 weeks

job scope as a houseman

...at least in a surgical department.
It was hectic at work today. As always. Love it or not, here's a list of what we do on everyday basis or whenever it needs.

1. know our patients' case inside out.
2. review and examine patients regularly.
3. take bloods.
4. set lines.
5. request for imagings - US,CT MRI etc
6. make referrals
7. chart patients' notes for every ward rounds
8. give chemotherapy
9. wound desloughing and debridement
10. simple toilet & suturing
11. assist in the OT
12. prescribe medications.
13. clerk new patients of course
14. discharge patients
15. admin stuffs - referral letters, re-admit forms, blood form, nutrition form etc
16. CME (continuous medical education) - presentations & seminars

that's not all, some addition..
17. off lines
18. ward procedures like NG tube, catheter insertion etc
19. wound cleaning and dressing
20. put up IVDrip
21. run errands for bosses (work related)
22. change venturi tube
23. flush lines/catheter
24. manual blood pressure
25. send bloods to lab
26. fetch transfusion blood from blood bank
27. call up patients for surgery/appointments
28. digitise imaging
29. flash CT image to other hospital
30. accompany patient in an ambulance to another hospital for referral
31. do tracheal suctions
32. do chest physio

that's all for now..will add to the list if i happen to do something bizzare later.