Private thoughts

It’s been awhile since I posted anything on this blog and I apologize for that. There has been some problem with my internet connection. Namely the fact that it has a download limit of 4 GB and I have spent it all on porn watching Mandy Niko on youtube.

Anyway, the first couple of weeks in my new department have not been very motivating. The nurse scolded me for not getting rid of the MA’s sharps, the MA scolded me for being stupid (and arrogant), the HO scolded me for not washing the laryngoscope’s blade and the MO scolded me for not knowing how to prepare an LMA on the metal introducer thingy (to be honest I’ve been to operating rooms in the Freeman Hospital in Newcastle, to North Tees Hospital, and to Kajang Hospital and that was the first time that I’ve ever seen an LMA metal introducer thingy, heck even Morgan the textbook has no mention of it. In fact all the LMA instruction diagrams I’ve seen shows the hands stuffing the damn thing into someone’s mouth WITHOUT the metal introducer thingy). Well, at least the 2 new specialists are really nice. One of them is so keen to teach that I actually feel bad for being genuinely stupid (as opposed to feel annoyed bad because people keep scolding me). Anyway I guess I should take it like what my new boss said “Masuk kandang kambing mengembek.”

Speaking of doing as the Romans do, there are some rather interesting differences with regards to terms used in daily practise here on the East side. They call it NPO for nil per oral as opposed to NBM for nil by mouth. RTA for road traffic accidents as opposed to MVA for motor vehicle accidents. HGT for Hypo count (how the hell?) as opposed to GM for glucose monitoring (and how did people end up with BM anyway?). They don’t have RP here for renal profile, instead we get BUSE/Creat for blood urea and serum electrolytes / creatinine and they don’t offer creatinine and LFT after office hours because apparently renal and liver failures don’t happen after 5 o’clock (full marks if you notice the sarcasm).

They don’t have a dedicated emergency or trauma OT here so the on call guy actually has to finish off all of his/her elective cases before calling for the emergency ones. Having seen this set up for about 3 weeks now the thought that keeps coming back to my head was “Come on la... We have freaking 8 (EIGHT!) OTs. Just set one aside for all those emergency cases and let’s get them done with”. Worse still there is his policy whereby after 4 o’clock they only allow 2 emergency OT on simultaneously despite there being a lot of manpower left after the elective sessions. I mean, I know that if there are not enough people (e.g going for pre medication rounds, not enough nurses etc) we can’t run an OT but there is no premed rounds on Fridays. Why let the cases be postponed at night when there is hardly anyone around?

Ugh stress...