Hello peeps, here again for the update for the end of my 4th posting. As some of you may notice, I have a slightly newer blog skin (although it literally is just one of the templates that I saw in the blog, not completely satisfied with it to be honest, it takes quite a lot of searching to actually find what I want, since I don't have a complete picture in mind?), so this will do for now haha. It is officially the end of my ortho posting today!! Am actually surprised that I have enjoyed myself quite a bit over these 4 months of ortho. I mean back in PMC, ortho was really never my favourite subject, plus it's just like not really focused on that much as well? Looking back there were definitely a few MOs that stood out in helping me throughout this posting. We will slowly go into it down there I guess.
As mentioned in my previous post I guess, I was dreading going into ortho for the simple reason of I don't like orthopaedics. Bones just really aren't my thing and I couldn't care less about ligaments and shizz. These 4 months slowly changed me tho, thanks to the friendly MAs, MOs, and some fellow HOs who are nothing short of great orthopods. Clerking for Ortho is much simpler, majority of your patients come in with very little prior medical illness, which makes your life in the ward much easier. Normally patients come in due to MVAs, weird mishaps in the middle of the friggin night (which generally begs the question like wtf were u doing at this time of the night), workplace injuries (can be freaking nasty), or infection cases. Now the trauma cases, finding the fracture honestly is fun. Scanning the Xray just to detect any abnormality that can be a cause of tenderness.
Trailing back to like tagging week of orthopaedics was just super culture shock tho. First of all the rounds were like lightspeed, especially coming from medical where the rounds are like 2-3 hours long LOL. Second day of life memang kena from MO and Specialist, lol what to do when the entire team was all taggers and we had no idea how orthopaedics even worked that time. You have to focus only on a few things, Biodata, Dx, Post op day what, Culture, Abx, dressing, Blood ix. Done. Yeah, sooner or later we got the gist of it. DXT all, supposedly it's expected for HOs to deal with it on their own. Great if ur a senior poster, if you're a first poster? Hmm.. It's tough. Think my first memorable ED experience was with Shah and Dr Izzah where she basically taught a lot about primary survey and the primary ossification centres of a child. Think I will always remember clerking a supracondylar fracture of humerus for my first case in ortho haha. Let's not forget how horrible my offtag assessment was with Dr Rushda haha. Everyone else listening knew the answers except me and miraculously I still passed xD
Slowly as the weeks go by, then MOs start trusting you, and they let you do more procedures as well (up to proactivity really, which I have to say, not my strongest suit, hence won't say I did a full package). Ortho generally has a really chill vibe compared to the other postings. You're only really busy during the day preparing for rounds. After morning rounds, if nothing happens, it's just free time, where you pray for your patients to be stable until you go home haha. Few MOs that I really enjoyed working with was definitely Dr Srinivas who is like among the nicest MOs that don't leave you out to dry in front of the bosses, Dr Kalai, Dr Zufar, just to name a few. Like they are super committed to the job without being a total arse when troubles arise lol, definitely fun to work with. Will be happy leaving Ortho knowing I hit it off with a few MOs here as well. Regarding specialists, generally there were only 5 in the beginning (Miss Nura (HOD), Miss Amirah, Mr Robin, Mr Hijaz, and Mr Azrin). Ortho was special as it was split into two teams. I was in Miss Nura, Miss Amirah's team for 3 months and it was really nice working there because the rounds I felt are much more complete. It's like a nice pace to get things done as well. Generally the specialists were all like amazing. Miss Nura and Miss Amirah were fun as they listened to what you had to say and had mini teaching lessons as well. Mr Robin was this cool guy graduated from Manipal Melaka that had mini teaching sessions on weekends if he is oncall as well, and in the end added a lot of cool insights into the hosuemen CMEs. Mr Hijaz was cool as well as I rounded with him for peri rounds a lot so the management also makes sense, plus it's more relaxing to be with him in the OT definitely. Mr Azrin is the efficient guy who works at godspeed inside the OT. He is terribly talented, which makes it extra stressful to work with in the OT as well. Definitely. Overall, they were all amazing in their own ways la really. Speaking of OT, this is probably an ortho exclusive. The implant reps buy food and drinks for the surgeons during ELOT times, so hello to free food and drinks (which tbh are often cold by the time the HOs get to it HAHA). Quite an interesting time as well.
Coming down a level, the HOs in Ortho are a mixed bunch. Some are amazing to work with, some are just like FML. I mean obviously I'm not gonna name names but gosh its so annoying to work with some. Luckily Preston, Tricia was pretty much always with me for every oncall so I know like it's not going to be a terrible night. Knowing you have a full team to back you up day and night always feels better. Can't say the same for the day shifts tho, can be brutal sometimes picking up other people's shit. Got back the same posting as Far again, quite excited actually since we worked and were pretty close back in medical as well, so at least that's like one less thing to worry about when I started Ortho. Sadly, only managed to work with her twice for nights, once during my first night and the second we got ED together hehe. Think we grew increasingly close throughout the posting so.. let's just see where this takes us then. 😜 I mean things are great the way they are now, even though dating is pretty much impossible due to the horrible MCO... Think that was a slight hint into my own personal life, probably too early to comment on anything for now hahaha we'll see xD. Day by day, day by day :) All I can say is it's fun hanging out with her :)
On the other hand, Covid is definitely more rampant now compared to how it was when i last blogged. We have broken the 10k daily cases barrier and it's getting absolutely ridiculous now. Hospitals are overcrowded, EDs are overflowing, frontliners are getting tired, resigning one by one. It's worse than before and our government honestly isn't doing much to rectify the whole situation tbh. So many guidelines and various versions of MCO, it doesn't even help at all. Covid has honestly become a HAP among HSAS and other Selangor hospitals because with the new variants, the old guidelines don't function that well anymore, plus no one is doing anything to change it. Vaccines are rolled out at an alarming pace sure but are we really winning the vaccine vs virus war. Seems, like the vaccines are still getting outpaced. Nevertheless, the vaccines do have protective properties so that's the hope that we can count on for now I guess.
Back to my life update, 5th posting will be surgery even though I requested for ED. At least I don't have to deal with the trouble of being a 6th poster in surgical. When you are a 6th poster everyone just has very different expectations of you. But yeah, definitely surgical first will be a good step although a lot of my friends are on their way to ED right now. At least Nabila will be in Surg with me hehe. I haven't been touching anything surgical for a long time, and honestly the only thing I remember now is Appendicitis, even that it's like surface knowledge. Hopefully I won't be that dumb guy huhu. Will update back mid posting if there is the need for it. For now, just want to enjoy whatever's left of my AL before the dreaded tagging periods urgh.
As usual, here are some pictures for now to leave behind! :) See y'all real soon hehe :)) Stay safe, and I mean it.
Had so many night calls with Tricia, mostly in ED, helped me with bloods too. Super functional HO and friend hehe. See you in 6th posting la (doubt I will go Anaes tho). Shoutout to Pres also, didn't manage to get a photo with le busy HO leader xD 2 of my complaint sponges hahaha
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