Monday, September 28, 2009

Bullying..

There is one patient admitted to yellow zone. He is having seizure and he looks restless. The doctor suspected that he is having meningoencephalitis. His parent looks so worried. But what happen behind the curtain made me terribly sad. The MAs slap him, pinch his nose and put their leg in the patient’s face. I cannot believe my eyes and I am sad that I cannot do anything.

I do not know whether that was a treatment or something because there is also one incident involves one female patient. She had syncope. The nurses and the MAs said that she is lying. They pinch the patient’s nose and her nail. Then they used syringe and gushed water in the patient eyes. After that, the patient wakes up. Huhu… I don’t really understand whether that was ‘treatment’ or anything else.

Bad communication skill...

There is one Indian women and she had cervical carcinoma. She is on morphine and she needs to take it for every four hours. She came to hospital as the medication was not enough. She complains of having body ache. The doctor screamed at the patient and said that she was also having body ache. I just want to scream at the doctor back and said that she is having cancer and you don’t have it. It was totally a different thing. But of course I am just a medical student and I cannot do anything.

There is also one Malay doctor who used ‘I’ and ‘you’ to communicate to old Malay patient. I felt that I want to slap her so that she can speak Malay properly. She doesn’t even touch her patient. I just cannot believe my eyes to see all these kinds of doctors in the hospital.

Haya (Shyness)

The Prophet (saws) has said in one hadith, "When there is no haya left, then do as you please."

I am sad and sometimes stress when I see that there is no more shyness in one self.

Being in hospital made me asking Allah every time to put haya in my heart. I am sad when I see one nurse talk about dirty thing to MAs. I am sad when one MA asks a nurse to open her cloth as there is blood stained in her cloth. I am sad when one doctor makes a joke and said that a man is always ‘active’ and a woman is always ‘passive’ in bed.

I do not know if this culture was normal in hospital. Touching among genders seems to be normal in hospital. And of course no one is guarding their gaze. I keep on asking myself whether this is the place that I want to be. I felt that everyone is losing their track in hospital. Everyone is becoming worst in hospital.

I do not know whether I can become a good practicing Muslim when I was in hospital. I asked Allah for strength. I will choose a place where there is a good friend for my horsemanship so that there is someone to remind me. May Allah beautify haya in my heart.

1 Malaysia..

I met one Indian friend here. She was studying medicine in Russia. The nurses are totally biased. Sometimes they scolded her without purpose. She evens cried to me. She said that the idea of 1 Malaysia is bullshit.

I agreed to her statement. Sometimes the nurses will scold the Indian patient and talk badly about Indian patient in front of my friend.

There was one time a Chinese lady quarreled with the MA as he speaks rudely to her. The lady evens said to the MA that he spoke nicely to Malay patient but not the Chinese.

I think it was a great disaster when someone does not really practicing Islam. I am sad with what had happened.

Back..

I don't really want to open back this blog. But maybe my experience can benefit others. I share my elective experience here. Shh..

Moses Maimonides prayer.

I would like to thank Dr Musa for teaching me such a great prayer when I was in pediatric posting. That was my first and the most memorable posting.

When I was alone in hospital, I always remember the prayer. Life was really tough. Sometimes I thought that I want to quit doing medicine but this prayer came to me and inspire me to move on.

There was one time I introduced my self thrice to one doctor, she doesn’t even uttered a word. It was such an embarrassing moment as everyone was looking at me.

I was also being scolded by nurses for so many times whenever I failed to insert brannula or do the catheterization. Sometimes the nurses will frighten me by taking my hand to insert the branulla so that I understand the pain. I already underwent one operation and I knew the pain. I do not have an intention to create pain to patient but somehow I am not so good in my skill. Sometimes I do not have a confidence to move on but this prayer will motivates me back.

It’s good to be in CUCMS when my lecturer is not only preparing me for the academic purpose but also to face the reality of challenging medicine world. Thanks Dr Musa for teaching me such a great prayer.

Thursday, June 25, 2009

Necrotizing enterocolitis~


  • Picture shown pneumatosis intestinalis in necrotizing enterocolitis.
  • Symptoms: Related to introduction of feeds, bloody stool, lethargic.
  • Treatment: Resect necrotic bowel

Hirschprung~

  • Fail to pass meconium in the first 24-48 h of life.
  • Also known as congenital aganglionic megacolon.
  • Barium enema: dilated megacolon
  • Gold standard: Biopsy (absence of ganglion cell)
  • Treatment: Surgical