I am happy.. i am a definitely happier doctor now working in the current MAlaysian Government system .In most other disciplines you'll here doctors loathing about how it sucks ; but in my current department it is definitely good life !! haks.. Though i know that the extra time i have now is because i am not on-call but the working hours are excellent and very convenient. The reason being ; the nature of job. It is more OT ( Operation theatre ) oriented. But as i've mentioned before , this department requires dedicated personals and competent skills.
Today i was doing the UPM list. DId my surgery housejob with them previously. The surgeons were quite surprised to see me there !! HAks.. In HKL , the UPM surgeons are not usually in line with the anaes team. Thats why the Anaes Specialist in charge will always be the ones who have strong personalities ; sometimes UPM make "funny" requests !! ( talknig from experience !! ) So i was like their "connection" duirng this morning's OT. But they are nice people and passed nice remarks about me to my specialist. Only GA's today ; did not get the chance to do epidural as yet .. takpe la.. man-man...
I am very happy with my training. ( Macam Jedi la pulak.. hehehehe) It is very structured and knowledge oriented ; as how the discipline is. Having a good HOD makes it more obvious.To my own surprise i am actually reading and studying eventhough i dont have any immediate exams !! I suppose due to my own interest and the fact of filling in my logbook ; vivas on different topics each OT session.Being the only MO to be admitted to this department within this 6 months made me popular !! Yang paling muda lah katakan.. hehehehhee This is a discipline where one needs basic knowledge before committing doing !! well , in Malaysia unfortunately ( like my previous postings ) it was learning as you go along !! haks.. Mesia..mesia...
The one thing i really appreciate in anaesthesia is maintaining sterility and adequate analgesia ( pain relief ) ; starting from the normal peripheral lines !! haks.. in the wards , belasah jer !! i've inserted before the biggest line ; orange 14G cam tu jer.. hehehe.. in the OT , one gives local analgesia !! haks.. gile terperanjat.. tu la pasal , ancient skills practiced in the medical wards. And talk about inserting Central LIne ; Kena scrub dulu etc ! haks.. i never did that in the wards and sometimes i did not even bother to inject local before inserting ; eg IJC line ! kesian lak ingat-ingatkan , asking the patient to bear the pain as i insert the BIG NEEDLE through the side of his NECK !!! hahahahaha.. tu la ajaran sesat ...
In a way , i do miss my clinic sessions in medicine. Where it was the time for me to talk, advice and at times being sarcastic to patients !!( somehow i entertain myself , the nurses and the patients !! ) In anaesthesia the human contact is mostly during the pre op visits ; not very extensive though. But then again , i am not trading it for what i have now.
True , they mentioned that the on-calls are busy. But i can assure you that it will not be as heavy as medical calls !!!
p/s Our CME( COntinuous medical Education ) is on Wednesdays. The timing is wonderful.. known amongst us as KULIAH SUBUH ANAES. time 7.00 am - 8.00 am !!! well , i have no problem with that coz its always DEPARTMENT's BREAKFAST after CME..
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