oh Emergency Department Medical Officer!

Many non-ED MOs somehow complain that ED MOs not doing their jobs. Especially dealing unstable patients. Let me clarify:

1. If a patient came in BID or clinically and hemodynamically unstable, it’s the job of ED MOs to stabilize the patient, given that it’s medical cause. If it’s surgical, obstetric, orthopedic causes etc etc we call our respective colleagues to come help out. We can’t do cesars or laparotomy in ED. Sometimes we call up our Anesthesia colleagues to help out with difficult and failed intubation. A lot of times ED MOs were questioned/queried/bambooed/scolded/blasted why they did not call the primary teams FAST ENOUGH, although we can stabilize patients on our own.
Continue reading

Weekend snippets – midlife crisis?

It’s been long since I updated this blog – I was busy working to replace people on holiday; there was christmas and new year, and then there was post christmas and new year holidays some people are taking. Then come along Chinese new year where I worked like crazy for 3 weeks and got a leptospirosis scare and get MC for 3 days.

Adventurous two months. A lot of hours are spent working and working. Got me thinking. Is this what I really want in life? Well, that’s quite a midlife crisis. It’s very true for some KKM doctors though – when we are overworked and underappreciated, we will rethink our life’s game plan. Even when we are just in our late 20s. Continue reading

Snippets – clarity clearance

At this time of the year my feet are getting itchy again, perhaps for some more traveling and backpacking… I always get jealous when my friends are traveling, but I am pretty competitive. I would travel (to same place or different place) with more show offs!

I have been traveling since childhood, but my traveling pace grew exponentially when I was in medschool. Since the medschool days, I have been traveling independently with very limited budget, limited halal food choices, limited experience and God knows the language barrier I always ran into. But I have always loved it. The best thing about traveling for me are: Continue reading

When becoming MO

20121018-190012.jpg

Emergency retrieval unit

– Responsibilities increase, a medical officer has to oversee all patients, knowing cases from A-Z. Something gets wrong, the MO will be bambooed, not the houseman. People will look to MOs for leadership.

– A Medical officer has to buck up and upgrade his/her knowledge as well as knowing ward management skills, or in my case emergency department management skills. He or she can no more work like medical students or houseman. Instead, they need to supervise and teach the houseman, so that they won’t kill or do harm to any of the patients under their care. Continue reading

Goodbye Emergency Department

Emergency department is the most enjoyable department I went through among all the six postings as a houseman. Initially I wanted to do anaesthesia as my six posting, but it was full, so they sent us to do Emergency Department instead. When I first started at emergency department I was so depressed. I did not like the shifts, my sleep pattern became haywire, one shift can be so busy as if you’re doing a 24-hour shift. Even before I started I already kinda hate emergency department because they keep sending and referring patients over and over again.

Resus or red zone where all the actions are happening and the real business of emergency medicine is here…

Continue reading

To MO-ship

Alhamdulillah I just finished my final assessment in A&E department yesterday. I have learnt a lot more than when I first started in this good department and when I first started my humble housemanship.

To be honest, I enjoy doing housemanship in the hospital I am working in. I like the patient demographics, from the very poor and homeless to the very royal and rich. I like to sympathize to their bad and dark history, although at times I judge them. I like their spectrum of illnesses for me to examine and analyze. I like the procedures they let me do here. I like that it’s busy around here, but at times I curse it. I also like the dynamic relationships of the specialists and medical officers of various specialties. Continue reading