Woah,its the 5th day already and I don't want to go back!I want to stay on as a DOCTOR!LOL.But,reality has sunk in and the fact is finishing my pre-u is my first priority now.Anyways,today was the day i appreciated all the pain my mum went through to bring us into this world.The day I sa a mum in labour.Thank you for letting us watched madam.We arrived early and our group was supposed to go to the neurological department but instead we asked for permission to go to the O AND G.When we arrived at the labour room,Sister Norliza separated us into 3 groups each consists of 5 people.Then,when my group entered the labour room,the loady was already in labour pain.But first,let me explain to you the normal process of giving birth:
a)The vagina should be at least 10 cm for the baby to come out.The vagina will increase in length every 1 hour 1 cm.
b)I f the increase in length is slow,a medication called Ritosin is to stimulate pain in the vagina.If the patient is very sensitive,she will give birth in no time.
c)Now,if this does not occur,They will have to use a suction pump to bring the baby out.
d)And if this fails,a Caeserean operation will have to take place.They will make an incision below the umbilicus(belly button) to take the baby out.
e)And yeah,the perineum,the region between the anus and the vagina must be guraded to ensure it does not tear to cause excessive bleeding.
Now,back to our case,the mother was in labour pain.We were really nervous and scared.There was a machine taht was connected to the mother abdomen to detect the heart rate of the baby and had a graph reading being printed.I was really speechless when the mother was asked to push several times and still the baby could not come out.They waited for a few minutes and tried again.Still cant come out.The MO arrived and was really stern.Almost like shouting at the mother to push harder but the best part was when the specialist came in.He was super cool,took control of everything and tried to use the suction pump to take the baby out.He was 'tegas'but had good manners with his patient.But sadly,this too couldnt bring the baby out,so they brought her to the operation theater to do Caserean.Wow,too bad we couldnt see the baby,but we got to see a lot of processed before it could be delivered.
After that,we were just lepaking at the guest area while filling up our forms.Well,lets a fast forward a little.Now,we are at the neurology wards.There was not much explaination by the sister in charge so here are 2 of the cases we saw.The first patient had a tumor and a swollen head.The 2nd patient had an accident and needs fisiotherapi to assist him recovery.This was at the male wards.When we went to the female wards,that was when a cool doctor who studied in glasgow,scotland gave us so many advice on the life of a doctor.Well,what is job a doctor.Basically they have to follow these few steps called diffential diagnostics:
a)History of the patient
b)Physical examination
c)Resustitation(this is suppose to be the first step during an emergency case)
d)Find the cause
e)Treat by using medicine or surgery
Owh yeah,as an housemen,make sure everything is done before going to your senior(either medical officer or the pakar) during the ward rounds and you must know each a every patient's problem during the rounds.For examplae,if someone with appendicitis the first pain is below the belly button but later part it might be more on the right.So,this is an important thing to know before making a diagnostic.
And another thing is that during a emergency,always call the MO OR THE SPECIALIST if you cant handle it yourself.ALWAYS ASK FOR HELP as everyone works in a team.Speak openly with others,dont be shy and dont be rude.Very important thing on becoming a doctor.THE MOST IMPORTANT THING IS TREAT YOUR PATIENTS WITH RESPECT NO MATTER WHAT.Owh,and she gave us a few tips for the interview with JPA.Read up on the current issues and voice must be loud and clear.Really good advice on the last day.God sent this angel to talk to us.Thank you very much DR MIZATUL LAILI.
After lunch,we headed back to the Pusat Bersalin for the final taklimat.They put on a video of HSAJB tihe their motto,KAMI MEMBANTU ANDA SIHAT.Short and sweet.LOL.And then,there was a presentation by the Deputy Pengarah Hospital.There were slides on the road of becoming a medical doctor.Here are few of the important things:
a)A levels/pre U
b)Entry to a medical school
c)Housemanship
d)Provisional registration with MMC
e)Acquisition of apointment with SPA
d)Letter of placement by MOH
e)Houseman training for 2 years
f)Under the supervision of medical officers and pakars
g)Must fill up log books
And another thing is doctors should follow these principals in life:ABCDE CONCEPT
a)Appreciation
b)Be positive
c)Commitment
d)Discipline
e)Eveready and energetic
And here are few quotes that inspire me to become a doctor:
a)Satisfaction does not come with achievement,but with effort.Full effort is full victory
b)Everything should be made a simple as possible but not simpler
c)If you don't ask,you don't get.
AND LASTLY JOIN THE HANDWRITING CLUB.HAHA.Well,this is the end of the program but a new beginnig for me and everyone else who wants to be a doctor.I will be a doctor and I will fulfill my medical mission.I wish everyone else good luck in achieving their dreams and I AM gonna miss everyone especially group 1.Hope my readers enjoying my interpretation of the events.Take care and appreciate life!