Medical Journey in Serian

[Serian]
[16 August 2019]

Semalam aku follow sorang MO(Medical officer),Dr Safwan kat Maternity Ward(ward ibu bersalin). Masa aku approach Dr tu, beliau tengah bagi counselling/consultation kat ibu-ibu yang mengandung, dari katil ke katil.

"Assalamualaikum. Morning, Dr." aku mulakan sapaan.

"Waalaikumussalam, morning." sambil review case note patient.

"Dr tengah buat Ward Round ke? Can I join?".

"Yes, sure" 

MO kat sini buat ward round sorang-sorang je weh, without specialist,or houseman and only with seorang nurse. Kat hospital lain, ada? hehe. Kalau kat Sarawak General Hospital (SGH), ward round sahaja, ada specialist, MO, HOs, students, elective students, pharmacist join  sampai penuh satu cubicle. Eheh.

"Ada kelas ke harini?" beliau soal

"Takde, Dr. Datang untuk Ward Work, je."

"How long you guys going to be in this district Hospital?"

"3 weeks."

"So your learning objectives mainly on what?"

"Emm, mainly on management in district level with emphasise on referral system ke tertiary hospital.. and the limitation in district hospital.. management and common cases kat sini."

Beliau berhenti sejenak. Stop bagi consultation,

"Kejap ya Puan, sy mengajar bakal-bakal dr ni sekejap" in heart---banikya Dr, me issss terharuuuu.

So aku simpulkan huraian dari apa yang Dr Safwan cerita semalam;

Doktor kat hospital daerah ni takde stick to any department. sebab as a MO, diorang akan rotate each department every month. Bulan ni maternity ward, next month Medical Ward, then  Paediatrics ward and so on. Basically you will have to cover whole hospital include emergency department bila sampai your turn.

Berbeza dengan kat smeenjanjung, beliau kata, sejujurnya, pesakit di hospital daerah sedikit dhaif.

Dhaif dari segi kewangan, transportation dan education--ini menjadikan sedikit sukar untuk semua rakyat di Sarawak mendapat accessibility ke pakar perawat.

Kalau cita-cita korang dulu nak serve community, tolong orang susah, maka bekerjalah di district hospital/klinik kesihatan. korang akan faham, taksemua patients yang datang, sama background as you all. 

Ada yang naik van sapu pergi hospital RM10, balik RM10. Belu kira lagi kena naik boat express macam kat Kapit tu. Jalan perhubungan HANYA melalui bot express ni. Orang sini panggil boat, tapi dia sebenarnya ala-ala ferry yang nak pi Pulau Langkawi gitu. Tapi taklah sebesar tu.

Bercerita pasal boat express ni pulak, dia ada sampai pukul 3:15 petang je. Any emergency lepas tu, memang perlukan bantuan Flying Doctor Service. Tapi FDS ni hanya available sampai pukul 5 petang je. Lepas tu pilot tak berani nak bawak. And cost untuk fly can up to RM 5k for one hour. Very expensive. So i'm not sure Medevac n actually function ke tak. but yes, very helpful in supplying vaccine ke remote areas, or any other emergency cases...

Sebab tu dorang cakap, kalau emergency after pukul 3 petang memang antara diri dan Tuhan. Kalau patient tu boleh survive sampai ke esok paginya, maka ada lah peluang dia untuk jumpa doktor pakar, untuk dapatkan rawatan. 

Hospital Dibu dulu pun Hospital daerah jugak, tapi level dia tinggi jugak. agak-agak macam HOSHAS kot..? Sebab Hospital Sibu siap ada colorectal surgeon. Hoshas ada tak..?

Transportation is the main issue. Accessibility. Pembangunan pun sama.

Even Serian Division ni yang hanya 1 hour away dari Kuching, pembangunan dia sangat slow. Even clinic kat sini hanya ada satu Type 4. Others Type 5 (based on design tau, bukan kehadiran)

Bukan setakat tu je, klinik-klinik kat sini takde Lab, tau. Farmasi ada tapi ada limitation ubat dia. Any lab punya thingy nak analyse semuanya kena hantar pi Hospital Serian. Lab kat hospital Serian ni pulak tak cover semua. Sample darah yang suspected Paracetamol toxicity pun kena hantar ke Sarawak Generah Hospital (SGH-one hour away) untuk being analyse. Even untuk confirm Rabies pun, sampel darah kena hantar ke Perak..

The thing is.. being a doctor in district area, akan membuatkan kau jadi lebih empati akan orang sekeliling. atas keaadaan patient, status sosial pesakit.

semoga Allah bukakan hati kita akan menjadi sesorang yang lebih sensitive dan peka atas kesengsaraan orang lain. Amiin ya Rabb.

Love, Aishah.

4th Year School of Medicine.

Assalamualaikum and hi!.

Since aku duduk sorang dalam rumah ni whereby semua housemates lain keluar pi tengok wayang(and aku jenis yang tak tengok wayang haha) makanya, mehlah kita update blog sebentar.

Alhamdulillah we made it into year 4. And currently tengah Forensic Medicine posting kat faculty medic Kota Samarahan. Being able to balik ke Kota Samarahan feels so good. Yelah, dekat setahun tak balik faculty sini sejak masuk year 3 yang mana we have to stay kat City Campus, tengah Kuching.

They are some that couldnt make it into year 4, please do pray for them. And im praying that mereka ditabahkan hati, dipermudahkan urusan. it's hard but you have more chance to learn more, insyaAllah. Medicine, Surgery, O&G and CMPH. really tough. but i never failed to think of you, throughout the postings.

And, please do pray that me and my friends able to pass with flying colours throughout year 4 ni. 10 posting, kau tahu.. boleh separuh meninggal aku. eheh. Hope able to survive this year 4. Allahumma amiin.

Entahlah, aku rasa macam takde point pulak nak tulis ni. hmm. chau lah dulu. bye!

Love,
Sha

Ilmu

Entah kenapa, kagum aku terhadap mereka yang berpenat lelah sebab menuntut ilmu. sampaikan takde 'me time' pun.

Balik kali ni, i just found out that yati is currently taking occupational safety health course, 4 months. Class on weekdays, weekend balik UPM, class untuk her masters. Yang comelnya, yati sama kelas dengan cousin ktorang, mok ma. Dahlah dalam kelas duduk sekali, depan sekali 😂

Sebab abang aku dah officer, senanglah kakak aku nak masuk bidang OSH bila dah habis belajar nanti.

Sometimes, i do jealous of other people, sibukkan diri tahap gaban despite their pack schedule. When you’re busy, sedikitlah masa untuk berlagha.

Dan lagi insan yang buat aku kagum sangat, are my parents. Since past few years, weekend je pergi kelas mengaji kat masjid negeri. Under MUIP. That’s why pattern of my family changed.. dulu we used to spend our weekend kat kedai buku pollpular. But now, no longer.

After ayah cmpleted diploma dulu, azam ayah untuk belajar tak terhenti lagi. ayah selalu ceritakan lepas dah kahwin, ayang sambung degree kat UITM Jengka. It was a rough times, back then. Alhamdulillah, ayah made it into his degree in business studies.

Abang chor also planned to pursue his master studies dalam OSH.. I remember when he completed his diploma, he was kinda unstable. but i see his hardwork. he masuk kursus tu, ini, kena hantar kerja contract ke Penang bagai.. Gambang..Muadzam..Johor. Tapi among our siblings, dialah paling banyak $$

Lepas raya nanti, yah ada exam.. Cert for accountancy something like that, aku tak bertanya lanjut pun, segan. Just wanna say, my parents, my siblings, are my ultimate idols..

The thing is, im kinda miss my abang. Last time jumpa dia last november, he’s seem to be struggling very hard. What’s app pun lambat reply. Nanti ye sambung master, pjj.. makin susahlah aku nak jumpa dia. Dia ni dah nak masuk 3 series.. aku harap dia tak lupa untuk kahwin.. Bestnya kalau ada anak buah lagi..

Ans i'm missing my adik.. doakan my adik pass with flying colours for her foundation in law exam.. and dapat masuk Uni yang dia harapkan untuk sambung law degree.. Allahumma amiin..

Unshakeable

“Sha.. my heart shattered into pieces..”
As we were walking from hospital, after done with exam last week. It was raining.. alang-alang hujan.. berdoalah..

“Wani.. wani’s heart shattered into pieces, sy dah jadi debu, wani..”

We tried out best, study groups each alternate days.. but when you got specialist for your long case.. you are dead meat.. when you did your job.. as best as you could.., i am still, belajar untuk serahkan segalanya pada tuhan. Kekuasaan Tuhan tu, melebihi segala-galanya. i believe in that.

Betullah kata orang, clinical years is where life gonna torture you in and out, no wonder depression among medical students is not uncommon. I miss those days, when im aiming for distinction.. but now, everyone including me, is aiming for the mere pass. Mohon doakan Aisha🌞

“Shah, can we go out after sending off farahin? Sy ajak wan keluar makan..” said wani

“Sure.. kita pergi kubah ria nak?”

Few weeks back, wani cried, because she felt she lost her friends.. it is me, and wan.. because wan dah berbaik dengan 'kawan' dia, so she felt left behind. While Im in other group.. she felt lonely..

There are times, when we dont feel like ourselves, being away from home, assignments every week, bed side teachings everyday, kat hospital, kena marah dengan specialist, exhausted yeah.. trying my best untuk biasakan.. betullah kata senior masa aku year 1 dulu.. 5 years of clinical sangat kejap.. and it is common to see people being extended, in this faculty.. few weeks of each postings.. rasa macam tak sempat nak belajar apa2 sangat.. bila masuk housemanship, struggle dia tak berhenti lagi.. housemandhip kata orang, multiple times harder because you work alone. No more friends berhuha macam zaman belajar.. Senang cerita 'hell' lah kaa orang.. Tapi I know, neraka Allah tu lagi scary..

Sebab tu, never force anyone into medicine.

3 of my friends.., they decided to tukar faculty because they knew, diorang boleh pergi jauh dengan minat mereka, dipenjarakan dalam sesuatu bidang yang bukan minat mereka, is killing them, slowly, everyday.. making they lost their smile..

Aku baru siap memasak sebenarnya. Now i miss Instagram.. sebab i used to post on recipes in my insta story..

Why deactivated Insta, sha?
Sebab i see that Instagram brings more harm than good..
Memang.. banyak je info we can learn from insta.. tazkirah ketuhanan, quotes best-best. Tapi the thing is, from instagram, you can see betapa alimnya seseorang itu, terserlah aib dia.. just how much you rspect a person, tapi you saw him 'like' an inappropriate picture.. wanita pulak tu. okeylah, ada orang lain yang buka ig dia.. bersangka baiklah. *tiba-tiba teringat kat kawan aku.. i was mad a him, tersalah kata. terus dia bagi ayat Quran. Surah Al-Hujurat, ayat 12. pergh, masa tu terbakar syaitan dikeliling aku. (actually it was my ego yang terbakar haha) * Facebook still a better place.. a tleast people dnt post inappropriate picture.. scholars are more in Facebook.

and.. i wanted untuk jaga hati. Daripada usha entah sesiapa entah. Daripada usha artis. Daripada usha benda tak sepatutnya. bukak discovery entah apa-apa keluar. Maksiat can happen, even when youre not out of your home. Betullah kata orang. zaman sekarang ni, nak dapat pahala senang je.. nak dapat dosa pun kacang putih saja ma..

and.. i realized, bila buka instagram, you tend to compare yourself with others.. When you started to compare with others, apa jadi? Kuranglah rasa bersyukur.. Kurang rasa nikmat yang Allah bagi.

Kak Shikin awal-awal lagi tegur.. kenapa takde profile picture.. kita nak deactivate ig kak shikin.. tapi dok tau mana nak tekannya. rupanya kena buka instagram kat web. kak shikin selalu tegur.. pasal dia suka baca blog aku. thank you kak shikin, for your support. please send my kisses to insyirah!

Pastu aku teringat.. event hari Sabtu ni, kitorang kena ada Instagram to vote on one competition.. haila.. later lah aku activate balik. hmm

Anyhow, mohon doakan sha dan rakan-rakan.. semoga result EOP O&G baik-baik aja.. and everyone could pass with flying colours.. insyaAllah, amiin. dan.. doakan sha dipermudahkan urusan jodoh.. semoga beroleh 'someone' yang boleh menyempurnakan iman. entahlah. bagi aku jodoh ni dah macam urusan hidup dan mati aku je.. it is like gali kubur sendiri. hm. tapi kalau tak jumpa jodoh lagi pun, it is a good thing.. because being protected from gali-ing own kubur.. #eh?

"Jodoh dan mati tu rahsia Allah, it is written, darling"

Love,
Sha,