Wednesday, December 23, 2015
Tuesday, November 17, 2015
Recently, I let my guard down for a brief time and let new people into my life and stepped into my bubble. I let myself fall in love and trust others. Worse decision ever, with wrong person.
It is hurt, really.
Monday, November 9, 2015
Friday, November 6, 2015
Second d*ngue m&m (mortality and morbidity) within a month. It getting worse day by day. The strain more difficult to treat. Both cases 14-15 years old girl. sigh. Too young to die, and because of infectious disease summore, which is preventable. They're not supposed to die.
I wasnt involved directly in both cases but some things make me ponder.
The second girl, she just passed away last week. 14yo post delivery 6 months, coming alone to ed because of fever. Initially was treated as throat infection and discharge well after hydration that night, and to repeat again blood coming morning as borderline suspicious of d*ngue. The next day when she's coming, the platelet drop massively to double digit. Then when my colleague ask, where is your family members? Do you hv your parent's phone number that we can call? she said, I dont remember. She's admitted to resus, intubated in ward and later passed away in icu few days after admission.
Was she thrown away by her family? Does her baby has a father? Does the family/parents know now that their daughter has passed away? What happened to the baby? How her life before actually. Come alone to hospital, and eventually die. Shes too young. Poor girl. :(
You will never forget the pt passed away on ur hand, and under ur care. I still remember mine, my very 1st case. Not yet a mo. But in my 1st week in final posting as a houseman in ed. 27yo young man mva. cause of death: pulmonary hemorrhage. He passed away 2days later in icu. The moment started from pass over by my colleague uptriage from yellow zone as they noticed the unequel chest expansion. I still remember his name, his face, his expression, when i examined him, treat him. And recently, accidently come across his social media account page. You know the feeling.. Its like the lightning strike over your chest. Speechless and im almost cry. Cant help myself not to think.. what if?
I did my best to save the patients life, and yet, still, things happened. Death happened.
Oh i hate myself when too emotionally involved.
Tuesday, November 3, 2015
Saturday, October 31, 2015
Last few weeks, i got a pt. Shock in front of me and i failed to detect it earlier. Young pt, no co morbid complain only 2days hx of fever and urti, coming with tacypneic. Bp normal, slight tachycardic. Chest equal ae, crepts at left mz. Dxt normal. Ecg sr. But i noticed the pt is not in a good condition, so i upgrade to resus for close monitoring after given antibiotic and hydration as wbc slightly raised, no drop in plt or hb. 2 of 4 sirs so i treated as sepsis 2ry pneumonia. Pt gcs full. At that time, no other result come back yet. Later in resus, abg shows severe compensated metabolic acidosis with single digit NaHO3, and aki features. After 20cc/kg/h hydration, ivc distended and urine only in tubing. Somethings wrong. i called my boss. Ask wether to intubate pt or not as no other senior colleague on the floor. Because honestly, i dont know what else to do.
The answer i got; hani case macam ni pun tak boleh manage ke? You cannot ask to intubate or not via the phone.
ok mayb i should not. Then, tell me and guide me what to do. You know what i feel at that moment? And the worse part, he came and saw the pt as he was at hosp that time, and he called up everyone to resus and told me in front of everyone; even houseman can do better than you hani.
Can you imagine how i feel. After all, the management he did only give more hydration and escalate the antibiotic. So what in term of management i did wrong? is there any negligent? Or did i do any harm to the pt? If i dont care and concern about pt, i dont even want to call him to ask what to do.
Later pt expired in ward after 6hours of admission. That made me even feel more bad of myself.
went home and cried all night. That is one of the day that you just want to quit to be a doctor.
Life is sucks.
i missed my ep back in edhkl even more. I know im new, still a lot to learn and improve myself. But discouraging and underestimate ur staff and humiliating wont help to provide a good environment.
and more and more discouraging words from him afterward almost everyday.
now i dont know if i hv interest in ed anymore. Very stressfull working environment now.
I cried to my friend over the phone who're willing to listen. Desperately need a hug and a shoulder to cry and a comfort. Im fragile and clingy like that. I wish im in kl now. And she said to me, dont be sad, insyAllah something good will always happen after this.
And indeed, she's true. The next day i went out for breakfast with my colleagues to find a comfort. But then accidently bumped into my other specialist, and awkwarly i invite him to join us. we had breakfast together for 3hours of inspiring words and talk about life somehow put my foot back on the ground. Thts really what i need at the moment.
Last few weeks, i got a text from old friend who are concern. She's reading my blog, and she said it quite depressing. Haha!. Somehow you glad to know that you have someone who still have faith in you, and remind you back who you really are with so much courage and uplifting words, and you know you're not alone in this world.
I met my hkl specialist in one of the ngo event last few years. But actually i never work with her before in hospital. And somehow we become close after that. I think its a quite an awkward conversation to discuss with ur boss but, what not? She's been in this field longer than i am, and truly speaking from brain and experiences.
You're glad when you meet all these people.You feel like you're all alone in this world, that the whole world is against you (exaggerated) and you feel so hopeless. And Allah send these people to you to remind you, that you're not all alone, and to still have faith in Him.
You never know how a simple word or a simple gesture or a simple act of kindness can motivate and inspire those around you.
Saturday, October 17, 2015
Wednesday, October 14, 2015
i dont know whts wrong me. or what im trying to prove? am i too independent? am i too spoil?
a girl (dunno if im already a women) who has really fragile heart yet try to be strong (and independent)
i cry over silly matters, always. i feel guilty to accept any kind of kindness because i think i dont deserve it. i dont like to ask for help for everything i can do by myself. i really dont like people who rely on others for everything. can you please be independant, please.
am i too independant, and selfish?
i have my own bubble that i dont like people step into my bubble. i can be friend with you, but please stand out side from my bubble. im very selective to anywhom can enter my bubble. and once you're in the bubble, i love you so much, you re my everything and i trust with my life, and i can open up everyhing with you. ok thts actually too exaggerated.
so now, i dont have ANYONE in the bubble. 2months here seems like forever to me. i dont have a good support system and awesome company to layan my random ranting. who i can hug tighly, who can lend a shoulder for me to cry, who i can tell everything to lighten my shoulder.
why its so difficult for me to accept new people in my life? i mean, to invite people into my bubble. am i too defensive? or am i having a trust issue? i rather spend my time alone rather than hangout with the people outside the bubble. huhh then im stress because of lonely. pathetic. and if i dont like you, i will forever will not like you. stay away from me please.
to buddies inside the bubble who accept me for who i am, who can tolerate my clingyness. i miss you.
macam mana nk kawin ni if i am too comfortable with myself, and im very difficult to accept people in my life.
Sunday, October 4, 2015
i told my sister for all what happened, and she replied, what did you do in your life for you to meet all these nice people? my heart is warm.
now im still struggling. as a mo, bigger responsibility ahead. sumpah hari-hari rasa bodoh sebab tak tahu nk manage pt. and some case mismanaged. good thing to have some senior colleagues and EP that really helpful. they guide and correct my wrongdoing and everything i didnt know, they always available to answer my doubt. the truth is i never, even once intubate patient during my ho life. so when im incharge resus alone, im struggle really hard to manage the case by myself. and the worse thing, to have ur inferior to look down at you. once the ho ask me something and i answer honestly sorry i pun tak sure i never accounter this kind of pt before, you can ask more senior mo. and the ho replied straightaway in front of me, kan best kalau dr G (my senior colleague who just recently transferred back to semenanjung) ada kat sini lagi, die tahu semua bende. and the worse thing, they even bully you. You saw the case together, but you are the one who writing, to give medication and prescribe, all by urself. paling sumpah kena buli, dr la refer sendiri. omgg! i cannot. during my time (the words we dont like to hear so much during houseman) i wouldnt even let my mo to clerk the case by themselves and even akan siapkan settlekan semua pt baru balik. now, they just simply balik awal sharp when they finished their shift tinggalkan kerja tak habis. omgg im so pissed off. im so mad.
setiap hari pergi kerja tak sabar nak habis shift nak balik. setiap hari menangis. setiap hari i wish im in kl right now. setiap hari i wish i got transfer back.
i miss kl badly. i miss my soup family, really really much. their occasional text and call really soot me. i really really want to back to kl, badly.