Friday, August 30, 2013

reflection of one month working as MO

Part of the new family and team player. Great photo by Dessmon W. Ajong


Too little knowledge, too much to learn, trying hard to survive and accommodating the workload, the burden and responsibility. the inevitable mortality, incorrect diagnosis, the delay.

Despite of shift working system, now i know that emergency department has a very big scope of job; educating, treating and preventing. the pre hospital, the disaster, the adrenaline rush, the heat, the miscommunication, the teaching..

A long way to go for specialist training but definitely won’t giving up the dream of joining the other ED physician to stand at their level. Gosh! Insha’Allah it is achievable.

Insha Allah, I have a burning desire that I will become an outstanding Muslim emergency physician by 2020.

jacknaim,
Quarters Hospital Lahad Datu

Thursday, August 15, 2013

Reality is Painful. Dying of Diarrhea is more painful




In Islam, if you die because of diarrhea then it is considered to die as a martyr. It looks simple and one might question. How could die of diarrhea is considered as martyr?



If you ask me, as a doctor, I would say that it is pitiful to die due to diarrhea. Most of the diarrhea are due to viral infection. The treatment is very simple. Principle treatment is to rehydrate. Replace everything that is lost. Only sometime, it get a little bit nasty when certain bacteria starts to invade and produce damage. But anyhow, with intensive fluid and electrolyte management, rarely they will die. Unless if GOD said so.


Personally, I think that if patient died of diarrhea, then something is wrong with our health care system. Or due to community itself. If we can choose our dying method, definitely nobody want to die of diarrhea.


A true and sad news. I received one child age 9 months old who was rushed to casualty by his mother. The mother was running while carrying her baby.


“help doctor! My child doesn’t want to wake up!”


“Wait at the outside first, let me see how we can help.”


Child was unresponsive, bluish and in flexion position. Is she fitted?


No Pulse!


Starting CPR attaching the cardiac monitoring and then realize that it was already rigor mortis patient. There was nothing that we can do. I’m not GOD that I can resurrect dead patient.


Some staff said to me. Go and scold the parent. Such an irresponsible parent. Remembering about my oath during my student time; not to scold patient or relative un necessarily or excessively, I tried to remain calm.


Closing the resuscitation bay’s curtain, I headed towards the mother.


“What happen madam?”


“She was having bad diarrhea and vomiting since last night. More than thirty times and don’t want to take his milk.”


I was angry but I’m holding it inside my heart. Slowly I ask her.


“Then why you bring her now?”


“She did not wake up since 5.30 pm today.”


“5.30 PM and you just arrive now at 8 PM.”


“I live in plantation which is nearly two hours from here. No transportation and only now we manage to get the manager’s car.”


“Is there any nearby clinic?”


“No!. we try our best to reach here and the road was full of car. It was still Hari Raya season.”


I was shocked! I remain silence for a while. Handed her a chair and asked her to sit down.


“Madam. I’m really sorry to say this. When your child was brought in, he was already dead for quite some time. There was nothing that we can do to help you.”


She was crying heavily. I can do nothing more except than walking out to the yellow zone and attending the other patients.

Thursday, August 1, 2013

Berhijrah ke tempat baru: Hospital Lahad Datu

Pemandangan Malam terakhir di Tawau dari Bumbung bangunan LA Hotel sambil menikmati makan malam istimewa


Berhijrah ke tempat baru. Setelah dua tahun yang penuh suka duka dan jerit perih sebagai seorang house officer di Hospital Tawau, akhirnya saya disahkan jawatan sebagai pegawai Perubatan berdaftar penuh dan kini ditempatkan di Hospital Lahad Datu di Jabatan yang saya idam-idamkan selama ini.

InsyaALLAH, semoga ia menjadi batu loncatan buat saya dalam mengejar cita cita saya iaitu pakar Perubatan kecemasan dan traumatology dan juga menjadi medan untuk saya ceburi subspecialty yang saya idamkan iaitu cardiology dan pediatric emergency.

Saya cuba untuk memujuk hati saya agar tabah dengan ketentuan Ilahi ini. Meninggalkan ruang selesa di Tawau walaupun hati terasa begitu berat sekali. Rayuan untuk ditempatkan di Jabatan Kecemasan di sana tidak diluluskan. Di Tawau, rumah sewa begitu murah dan berdekatan dengan hospital. Ada kawan-kawan seperjuangan yang sudah dua tahun dikenali. Bekerja juga tidak begitu kekok kerana sedia maklum dengan Standard Operation Procedure serta budaya kerja dan ragam staff. Paling utama, title ‘senior’ setidak-tidaknya berada dalam tangan.

Di tempat baru ini, saya menjadi yang paling bongsu. Kembali menjadi bayi kecil yang perlu belajar untuk minum susu, merangkak dan membesar. Budaya kerja, ragam staff perlu dipelajari kembali dan diri perlu disesuaikan sebaik mungkin agar dapat meneruskan kesinambungan kehidupan di sini.

InsyaALLAH, sekali kaki melangkah, ia tak kan mungkin berundur ke belakang. Mungkin langkahan ini perlahan atau terhenti di berapa titik, namun sesekali tak kan diundur. Biarlah medan ini menjadi medan juang yang baru. Yang bakal mengubah diri untuk menjadi insan yang lebih baik.

Hari ini, saya akan memulakan hari pertama tagging. Semalam, selesai memindahkan barangan dari Tawau ke Lahad Datu menggunakan khidmat lori. Rumah quarters yang diduduki masih kosong dan kotor. Digagahkan juga untuk mengemas kamar tidur dan menyusun kembali barangan yang dibawa dari bilik lama agar menjadi seberapa selesa yang mungkin.

Lain-lain bilik, rasanya terpaksa lah saya menunggu khidmat cleaner kerana memang tidak larat untuk mengemas satu rumah ini. Sampah yang banyak, dan banyak juga yang perlu dibaiki. Semoga dipermudahkan segalanya.

Allah Matlamatku, Rasulullah ikutanku, Al Quran pedoman hidup, Syahid impianku.

REVOLUSI MAHASISWA MEMBENTUK PEMIKIRAN MERDEKA

"Janganlah kamu bersikap lemah, dan janganlah pula kamu bersedih hati, padahal kamulah orang-orang yg paling tinggi darjatnya, jika kamu org-orang yang beriman."[ Surah Al-Imran ayat 139]

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