Steady state..

I'm still adapting to the system here in UMMC OT. Iti s a bit different from what I'm used to , not just the physical machines , but how you work , who you work with and establishing rapport with the supporting staff.

Honestly , the machines in our OT are real old and looks old .I'm not sure why they are still keeping the old ULCO ventilator machines. Ancient giller !! I will snap pictures for your viewing some find day. Takde budget ke UM ni ? haks.. HKL and Selayang has better reliable machines. I miss my old Datex Ohmeda in HKL !! haks..

Everyday , I'm doing list with either a senior of fellow colleague. We do our pre meds ; see patients but we don't have to report to any specialist unless it is really problematic ! haks.. Well, i suppose it is important to develop our confidence in preparing anaesthesia plan as a specialist soon. It felt awkward in the beginning but coping slowly.. For example , I was sent to do ECT list ( electroconvulsive therapy - zappin them up ) for psychiatric patients on my third day of life .. belasah jer lah.. and yesterday , I was guiding a fellow colleague who had never done ECT before.. haks.. macam tera je..

It is definitely more academic here in UM. When the Profs speak up during our CME or tutorial , you can appreciate their knowledge and see how they apply simple physiology and pharmaco in our daily practice. Very high expectations woo..Haks.. I'm impressed really.. coz it was never academic but more of practical clinical practice before this..

P/S An I guess only in UM , they have a surgical remedy for failure of ejaculation..