I know, it has been a long long time since the last post. The last two months were hectic, maybe its because i'm new in this environment and need more time to adapt to it. The first module which actually is the foundation,has finished, and i'd sat for the first exam last week. That's life--- taking exam when you have only studied for less than two months.
My life in Ipoh is quite exciting. One thing that surely cheer me up when i feel homesick is the food! No wonder people call Ipoh as the heaven of delicious food! Especially when my house located just in ipoh town and easily reachable to every direction in Ipoh. For now, i've tried quite a lot of food here (I'm still considering whether to write them down and give ratings and comments about the food.)
I miss people on KL, Subang Jaya and Kajang. Sometimes I feel sad for not able to study overseas, in "real" universities, where they write thesis and do extensive researches, like many of my friends who definitely are going to do. Some are going to US, to UK and also to Singapore. Do i have a chance? Yes, but it surely is more than 7 years later. I'm considered to be faster than many of my peers, which are only going to sit for STPM end of this year. That's the only thing i can console myself with.
My university life is not the same as i expected. I thought to have more freedom, like more time for own study, and activities which i've missed in past, but it's not. My timetable is even more packed than before, study hours even longer than any stage of education i'd experienced, which annoys me. Half of the time I have to attend for university compulsory subjects that are useless except for English subject. The long hours make everyone of us lethargy after class, what energy left to drive us to revise or study? Moreover, we still have to eat, sleep and do house chores.
And tomorrow starts the new module. Life goes on.
Showing posts with label Medical. Show all posts
Showing posts with label Medical. Show all posts
02/09/2012
05/07/2012
My first day lesson in medical college
Alright, how do i start this? Today is my first day of lesson in RCMP. The orientations were done in past three days, and there will be more orientation in Pulau Pangkor weeks later. I guess the additional orientation is to built stronger boding among the seniors and us.
Out of my expectation, the first lesson started with a patient entering the lecture theatre. We were required to ask her questions to find out the cause of her condition. She was assigned to be in the condition of Severe Dehydration and answer our questions according to the relevant signs and symptoms. Based on the questions we asked we can know how she get into this situation. Thus we had an experience of first day becoming a doctor.
After taking down all the information, we were divided into small groups to discuss furthermore on this to confirm the diagnosis. I'm fortunate to be in an active group that everyone contributes their ideas that we have to further study on. Lastly the ideas were organised into learning outcomes that we hope to find out and bring to the second discussion later on.
There was a tutor that guide us in the discussion so we can stay in the path. I'm happy that he asked questions to lead us there but not feeding us. It was a nice brainstorming session.
Although the patient is not really having the condition (fake),I feel that the whole Q &As and discussion helped us to think more critically and relate the ideas into main points.
Later on, the first lecture i attended was Anatomy. The proffesor explained so fast that we couldn't catch up taking down the notes.
The way that i'm studying now is different from my study skills earlier. In university level group study is definitely imperial, if not, you might bored to death or couldn't understand the concept well. Most importantly, they are someone to listen to your ideas.
Out of my expectation, the first lesson started with a patient entering the lecture theatre. We were required to ask her questions to find out the cause of her condition. She was assigned to be in the condition of Severe Dehydration and answer our questions according to the relevant signs and symptoms. Based on the questions we asked we can know how she get into this situation. Thus we had an experience of first day becoming a doctor.
After taking down all the information, we were divided into small groups to discuss furthermore on this to confirm the diagnosis. I'm fortunate to be in an active group that everyone contributes their ideas that we have to further study on. Lastly the ideas were organised into learning outcomes that we hope to find out and bring to the second discussion later on.
There was a tutor that guide us in the discussion so we can stay in the path. I'm happy that he asked questions to lead us there but not feeding us. It was a nice brainstorming session.
Although the patient is not really having the condition (fake),I feel that the whole Q &As and discussion helped us to think more critically and relate the ideas into main points.
Later on, the first lecture i attended was Anatomy. The proffesor explained so fast that we couldn't catch up taking down the notes.
The way that i'm studying now is different from my study skills earlier. In university level group study is definitely imperial, if not, you might bored to death or couldn't understand the concept well. Most importantly, they are someone to listen to your ideas.
29/05/2011
Life as a Medical Practitioner - Photos
These are some photos taken during the 3-days program:
Pharmacy:
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| Inside pharmacy the hospital, the "drugs" rack |
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| Blood store in pathology lab |
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| New born baby in delivery ward. Cute~ |
Radiology unit:
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| X ray machine |
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| Mammogram |
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| CT scan in radiology unit |
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| The haemodialysis machine |
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| Outside the forensic unit office |
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| The "saw" (found it?) and other apparatus for post-mortem examination |
In meeting hall:
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| Me & my new friends from the course |
26/05/2011
Life as a Medical Practitioner - Day 3
This is the third and the last day of the program. Today our only mission is to visit the Forensic Unit. Early in the morning, we gathered in a hall in the hospital. At 9 a.m., we get into our group and went to the unit according to schedule so that not too many people get into the post-mortem room together.
Our group arrived at the forensic unit when the previous group still inside the office. They haven't finish their session. At first we were worried that some of us will vomit while seeing the deceased as we just ate our breakfast that time. When the previous group came out from the unit office, they were brought into the post-mortem room. The forensic pathologist saw our group standing outside, so he asked us go inside with the previous group together.
A post-mortem room is a room where the post-mortem examination is carried out to find out the cause of death of the deceased. Inside the room, we have the chance to see the apparatus they use to examine the dead. He explain the function of each apparatus to us. In all of these apparatus, the most horrifying app they use is a "saw". The "saw" is to cut open the skull to examine the brain. Then, we were led to the freezers where dead bodies are kept.
Before this, we were being told that to become a doctor, one must have a "tough stomach"to see dead bodies, blood and all horrifying scenes. So, to let all of us experience this, so we would not regret afterwards, we had the chance to see 3 dead bodies in the freezer. They are a baby, the baby's mother and a male patient. They were kept in the freezer becuase their familys do not come to collect. They will be given to the police to be cremated after some time.
After that, we entered the office. The forensic pathologist explain the duty of the unit and all the procedures (such as, bod and doa). He also showed us a video of a post-mortem examination done by him. It was to examine the cause of death of a foreign worker (which already got permission from the embassy) that fallen from a building. This was to ensure that he was not murdered. We saw the "saw" being used (i'm sure you all would not want to know this...).
Our session ended with the video. We walked back to the hall and were offered free lunch from Kak Su who brought us in these 3 days. Luckily none of us vomit. We had our lunch and took photos together. We know each other very well in these three days. After this program, we will study in respective colleges offered by JPA and later, some will go to overseas universities.
I think this program is beneficial and good for all of us (medical students) to know about our future career we had decided and gain knowledge from it. After this, some students change their course after realising that it is not suitable for them or not similar to what they think it would be. For me, when i wanted to choose a career for myself, i have already know it would not be easy, so ... no effect on me. I have learnt a lot from this and had a great time in the HOSPITAL. (haha)
Our group arrived at the forensic unit when the previous group still inside the office. They haven't finish their session. At first we were worried that some of us will vomit while seeing the deceased as we just ate our breakfast that time. When the previous group came out from the unit office, they were brought into the post-mortem room. The forensic pathologist saw our group standing outside, so he asked us go inside with the previous group together.
A post-mortem room is a room where the post-mortem examination is carried out to find out the cause of death of the deceased. Inside the room, we have the chance to see the apparatus they use to examine the dead. He explain the function of each apparatus to us. In all of these apparatus, the most horrifying app they use is a "saw". The "saw" is to cut open the skull to examine the brain. Then, we were led to the freezers where dead bodies are kept.
Before this, we were being told that to become a doctor, one must have a "tough stomach"to see dead bodies, blood and all horrifying scenes. So, to let all of us experience this, so we would not regret afterwards, we had the chance to see 3 dead bodies in the freezer. They are a baby, the baby's mother and a male patient. They were kept in the freezer becuase their familys do not come to collect. They will be given to the police to be cremated after some time.
After that, we entered the office. The forensic pathologist explain the duty of the unit and all the procedures (such as, bod and doa). He also showed us a video of a post-mortem examination done by him. It was to examine the cause of death of a foreign worker (which already got permission from the embassy) that fallen from a building. This was to ensure that he was not murdered. We saw the "saw" being used (i'm sure you all would not want to know this...).
Our session ended with the video. We walked back to the hall and were offered free lunch from Kak Su who brought us in these 3 days. Luckily none of us vomit. We had our lunch and took photos together. We know each other very well in these three days. After this program, we will study in respective colleges offered by JPA and later, some will go to overseas universities.
I think this program is beneficial and good for all of us (medical students) to know about our future career we had decided and gain knowledge from it. After this, some students change their course after realising that it is not suitable for them or not similar to what they think it would be. For me, when i wanted to choose a career for myself, i have already know it would not be easy, so ... no effect on me. I have learnt a lot from this and had a great time in the HOSPITAL. (haha)
25/05/2011
Life as a Medical Practitioner - Day 2
We gathered at meeting room at 8 a.m.. After everyone had arrived, every group continue what they left out yesterday. Our group still haven't visited the wards yet. So early in the morning, we went to visit Ward 2 Medical, which is a male patient ward. Later on to Ward 3 Medical (female). These two wards are exactly the same, they have isolations room for infectious disease patients (except that i personally feels that female ward is better). Ward 4 is physiotherapy ward, for ortopedic patients.
Ward 5 and 6 are specially for pregnant womens who are waiting to deliver and also delivered mothers. The sister (head of nurse) of this ward welcomed us warmly. To really explain to us whats the difference between a life of other profession and a doctor's life is, so that we won't regret after choosing this profession, she told us the tough working conditions, hours of doctors. She even brought us to the Female Housemans' Oncall Room where the on-call housemans rest or take a quick nap inside. On-call working is very long hours, it is from 8 a.m. in the morning, until 5 p.m. in the next day, a no sleep day. For a houseman, there are at least 8 on-call days in a month. In the resting room, we met some resting on-call female houseman, and "interviewed" them. They told us exactly the same like what yesterday Dr. Rohaniah, and the head of nurses told us. Therefore, in conclusion: "Only become a doctor if you really interested, not because of your parents' choice. Once you enter this profession, your life is for the patients."
Our next visit is the Rehabilitation Centre. In the centre, we saw the apparatus for heat treatment, eg. short wave diathermy, Infra red ray and ultraviolet light. There is also a gymnasium in the centre, where the cervical traction and lumbar traction are placed. Usually, patients who experienced stroke will come here to exercise.
We have the opportunity to enter the Radiology Department led by the person in charge there. We saw a mammogram, a x-ray machine and a CT scan machine.
The Haemodialysis Unit is just beside RD. We went inside guided by a sister. She briefly explained the unit and how the haemodialysis machine works. I feel pity to the patients there who need to sit for 4 hours every week because of kidney malfunction.
The Psychiatry Unit is in the newest building of the hospital. We were being introduced what is the psychiatry unit do and who will receive treatment there by a pshychiatrist. After that we went to visit the psychiatry ward. At first, few of us were quite worry to enter because normally psychiatry patients give the public an impression of being aggresive and violent. Fortunately, there were no patient in the ward the time we enter. The sister there showed us the modern tie they use to restrain some uncontrolled patients. Later in day 3, we heard from the on-call group that went to psychiatry ward at night that a patient who attempted to self harm and commit suicide stayed in the ward.
We still haven't got chance to enter the forensic unit (bilik mayat), again, it is postponed to day 3. But after 5 p.m. we continue our "on-call" experience by paying visit to units and wards until 10p.m.. This is to observe how the on-call houseman carry out their duties and experience their tiredness ourselves.
In the wards at night, the condition is almost the same as in daytime. There were a few people being sent into the emergency department by ambulance at night. We were there to observe the doctors diagnose and treat the patients in the yellow zone. One of the patient had bone fracture in his left arm.Another had his leg wounded and the doctors guess he might have fracture in his toes too. An elderly had chest pain and the doctor we saw yesterday in cardio clinic came to diagnose using the echoscan.
It was a tiring day (my legs hurt) but I've learnt a lot.
Ward 5 and 6 are specially for pregnant womens who are waiting to deliver and also delivered mothers. The sister (head of nurse) of this ward welcomed us warmly. To really explain to us whats the difference between a life of other profession and a doctor's life is, so that we won't regret after choosing this profession, she told us the tough working conditions, hours of doctors. She even brought us to the Female Housemans' Oncall Room where the on-call housemans rest or take a quick nap inside. On-call working is very long hours, it is from 8 a.m. in the morning, until 5 p.m. in the next day, a no sleep day. For a houseman, there are at least 8 on-call days in a month. In the resting room, we met some resting on-call female houseman, and "interviewed" them. They told us exactly the same like what yesterday Dr. Rohaniah, and the head of nurses told us. Therefore, in conclusion: "Only become a doctor if you really interested, not because of your parents' choice. Once you enter this profession, your life is for the patients."
Our next visit is the Rehabilitation Centre. In the centre, we saw the apparatus for heat treatment, eg. short wave diathermy, Infra red ray and ultraviolet light. There is also a gymnasium in the centre, where the cervical traction and lumbar traction are placed. Usually, patients who experienced stroke will come here to exercise.
We have the opportunity to enter the Radiology Department led by the person in charge there. We saw a mammogram, a x-ray machine and a CT scan machine.
The Haemodialysis Unit is just beside RD. We went inside guided by a sister. She briefly explained the unit and how the haemodialysis machine works. I feel pity to the patients there who need to sit for 4 hours every week because of kidney malfunction.
The Psychiatry Unit is in the newest building of the hospital. We were being introduced what is the psychiatry unit do and who will receive treatment there by a pshychiatrist. After that we went to visit the psychiatry ward. At first, few of us were quite worry to enter because normally psychiatry patients give the public an impression of being aggresive and violent. Fortunately, there were no patient in the ward the time we enter. The sister there showed us the modern tie they use to restrain some uncontrolled patients. Later in day 3, we heard from the on-call group that went to psychiatry ward at night that a patient who attempted to self harm and commit suicide stayed in the ward.
We still haven't got chance to enter the forensic unit (bilik mayat), again, it is postponed to day 3. But after 5 p.m. we continue our "on-call" experience by paying visit to units and wards until 10p.m.. This is to observe how the on-call houseman carry out their duties and experience their tiredness ourselves.
In the wards at night, the condition is almost the same as in daytime. There were a few people being sent into the emergency department by ambulance at night. We were there to observe the doctors diagnose and treat the patients in the yellow zone. One of the patient had bone fracture in his left arm.Another had his leg wounded and the doctors guess he might have fracture in his toes too. An elderly had chest pain and the doctor we saw yesterday in cardio clinic came to diagnose using the echoscan.
It was a tiring day (my legs hurt) but I've learnt a lot.
23/05/2011
Life as a Medical Practitioner - Day 1
For all of us who apply for medicine course under JPA and get offered, we are compulsory to attend Program Pendedahan Kerjaya Seorang Doktor in a hospital we chosen in the online application form. Well, i chose Hospital Kajang, which is located just behind my secondary school. It is a good opportunity for us to attend this program to know more about the real life of a doctor, which is not glamorous as most people would think it is. We also get the chance to walk around the various departments in hospital, where as a patient or a visitor does not have the chance to enter. Yup, i entered the RESTRICTED section. (haha)
We arrived there at 8 a.m. this morning and gathered in the meeting room in the hospital management office. There were only 8 of us. After an hour of waiting, we started the orientation by the head of emergency department, Dr. Rohaniah as the director of hospital was away to attend some medical course. She briefly introduced the hospital and mentioned a doctor's responsibilities. What gave us a surprise is the sudden arrive of a group of 40 JPA scholars which will be sent to study medicine course in Egypt soon. Hospital Kajang is very old, its 113 years old today. And still, it is the third busiest hospital in Selangor, behind Klang and Selayang. We also being informed that, to really expose the life of a doctor to us, we also get the chance to experience the "on-call" duty tomorrow!
After lunch and all had been settled, we were divided into groups of 6 people to visit the wards, labs and departments in the hospital. Our group first destination is to the paediatrics ward. The head of nurse in the ward act as our guide, she explained the routine of the doctors to us and led us around to see the place. There are isolation rooms which saperate the children with chickenpox, meascles and diarrhea. We then headed on to the specialist clinics of pediatrics, obstetrician & gynaecologist, cardiac and physiology. In the cardiology clinic, we saw the Echo scan machine and the image it produced when the doctor was examining the patients heart contractions. It is similar to ultrasound on pregnant women.
We were supposed to visit the forensic department and observe the post mortem examination today but it was postponed to tomorrow. It is closed today. So we continued our visit to the pathology lab. It is the most interesting visit today! Blood and urine specimens are sent here to be checked and it is also the blood bank of the hospital. There are many sub-departments in this lab. Microbiology lab where we can see agar plates (this is the first time i see it with my eyes! it jumps out from the text book!) Urine were examined in the urinalysis lab. There are also biochemistry lab and histopathology lab. We cannot enter the AFB lab as infectious disease, TB is diagnosed here.
Then, we visited the busiest pharmacy department where drugs are kept. The pharmacist pack the medicine and keep them systematically. They have their own little "factory" room that they produce the creams themselves.
Lastly, we entered A&E department with a nurse. It is divided into red, yellow and green zone. Red zone is for critical or severe injuries.
Thats all for today.
We arrived there at 8 a.m. this morning and gathered in the meeting room in the hospital management office. There were only 8 of us. After an hour of waiting, we started the orientation by the head of emergency department, Dr. Rohaniah as the director of hospital was away to attend some medical course. She briefly introduced the hospital and mentioned a doctor's responsibilities. What gave us a surprise is the sudden arrive of a group of 40 JPA scholars which will be sent to study medicine course in Egypt soon. Hospital Kajang is very old, its 113 years old today. And still, it is the third busiest hospital in Selangor, behind Klang and Selayang. We also being informed that, to really expose the life of a doctor to us, we also get the chance to experience the "on-call" duty tomorrow!
After lunch and all had been settled, we were divided into groups of 6 people to visit the wards, labs and departments in the hospital. Our group first destination is to the paediatrics ward. The head of nurse in the ward act as our guide, she explained the routine of the doctors to us and led us around to see the place. There are isolation rooms which saperate the children with chickenpox, meascles and diarrhea. We then headed on to the specialist clinics of pediatrics, obstetrician & gynaecologist, cardiac and physiology. In the cardiology clinic, we saw the Echo scan machine and the image it produced when the doctor was examining the patients heart contractions. It is similar to ultrasound on pregnant women.
We were supposed to visit the forensic department and observe the post mortem examination today but it was postponed to tomorrow. It is closed today. So we continued our visit to the pathology lab. It is the most interesting visit today! Blood and urine specimens are sent here to be checked and it is also the blood bank of the hospital. There are many sub-departments in this lab. Microbiology lab where we can see agar plates (this is the first time i see it with my eyes! it jumps out from the text book!) Urine were examined in the urinalysis lab. There are also biochemistry lab and histopathology lab. We cannot enter the AFB lab as infectious disease, TB is diagnosed here.
Then, we visited the busiest pharmacy department where drugs are kept. The pharmacist pack the medicine and keep them systematically. They have their own little "factory" room that they produce the creams themselves.
Lastly, we entered A&E department with a nurse. It is divided into red, yellow and green zone. Red zone is for critical or severe injuries.
Thats all for today.
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