Thursday, September 22, 2011

Attachment 2

Alhamdulillah..final year here i come! =D After a month of 'bertungkus lumus', got good grades for my final 5th year exam. Alhamdulillah.

It has already been almost 2 weeks since we started our attachment in PPUM (because the first 3 days we attended the BELS course). Yeay! berjaya masukkan cannula for the first time. I failed twice before, and it actually pulls my confidence down. But then i gain back my confidence as my third one was a success. ngeee..

Actually i randomly entered one of the bed (bed kot? tutup ngan langsir ape sume la tak tau nak panggil ape), that was after i left the resus room. And i saw a doctor which is not very familiar to me, was doing a procedure. I was with leyl that time, and we joined her. Right after we entered the room...

Doctor : Tolong set line. Boleh set line tak? Tahun berapa ni?
Me : Tahun lima (sengih)
Doctor : Haa, tahun lima mesti dah pandai nak set line kan? boleh kan?
Me : errr..(pandang leyl jap) Okay.

And so i did it. hahaha. gelabah2 gak la, sebab dah 2 kali tak dapat, so cam cuak tak dapat jugak..tapi kali ni mmg vein tu obvious gila, so senang kot? haha. siap boleh lak tak biasa nak guna 3 ways valve tu, melimpah2 darah. =p Hopefully next time will be a better one. Yang 2 kali tak dapat tu was on the same patient! right and left! haha. even the doctors also missed for few times, takkan la kita students nak perfect kan? so dimaafkan. heee

Another experience is buat CPR 2 kali! letih wooo, belaja dalam kelas tak sama dengan real life punya tau! mmg boleh semput jugak laa..

1st time : masa 'night shift' (ecehhh). the patient collapsed and was rushed to the hospital. Kebetulan kiterg je dekat situ, so lima2 take turn buat CPR, tapi tak berjaya, patient meninggal time tu.

2nd time : case MVA (motor vehicle accident), polytrauma.

Hmm, masa buat attachment ni, bukan belajar skills semata2 tau, doctors pun ada soal2 jugak, management, interpret ABG, interpret ECG, why this, why that. ingat boleh datang semata2 nak belajar buat mcam2 ke? heee...

Tapi time kena soal tu la boleh test sejauh mana korang ingat, sejauh mana tahap 'belajar untuk exam' kita.hahaha. Dalam exam korang result nak gempak macam mana pun, kalau tak lekat pape, mmg tak dapat laaa. U will find, not everything u have to follow the books, sometimes kan benda2 simple, jangan strict sangat. Yang penting tahu concept!

Eg : compartment syndrome. apa yang korang tau? mungkin ada orang akan jawab dekat wrist and ankle je boleh jadi. dekat joint je boleh jadi. that is what u learned. that is what written in the books! but the concept is?At first, i was thinking like a compartment syndrome is anythg to do with a space that is filled with fluid or etc that can lead to compression of the structures inside the sheath/space. (berterabur. abaikan, asalkan boleh paham =p)

The doctor asked us, what happen if a hematoma is collected after fracture femur. i was about to answer compartment syndrome, but then i thought and they said, it should be at joint. so i was ooo, ok. mcam biasa, aku ni suka cakap ikut sedap je. bantai je sume bnda. hahah. Surprisingly, the doctor's answer : compartment syndrome! Pikir2 balik, i shouldnt be so strict, some things are fact, and some are concepts.

Are we going to be a doctor who thinks like a doctor should, or a doctor who only follows the book? hmmm, think about it. Nana! jangan belajar untuk exam je! huh!

Buat mereka yang selalu rasa inferior sebab result ke apa ke macam saya, jangan give up! seriously! ingat..masa exam tu, mungkin bukan rezeki korang nak dapat soalan yang korang tau, mungkin rezeki orang lain, sebab dapat soalan yang diorang tau. kan? Tapi exam sebenar korang, in practice. Time dah kerja orang tak tanya dah result korang dapat berapa, biar la benda da lepas, tapi kalau korang hebat in practice, korang mmg paling outstanding la. heee. (message untuk diri sendiri jugak)

Poyo je aku ni. cakap mcm orang dah kerja lak. tapi ni pendapat je, selepas beberapa hari buat attachment ni, rasa la sikit2 life mase dah jd doctor nnt, cuma kurang beban skit. Banyak benda jugak nak kena improve diri sendiri ni. =)

owh kena tido. esok 8am lagi! nyte!

~nanaain

ps : sorry entry berterabur