بسم الله الرحمن الرحيم

In the name of Allah, the Most Gracious, the Most Merciful.

Saturday, July 30, 2016

Of course I'm everyone's favourite...

Today was EMSA gathering. I got roped in by Abang Nipah aaargh as my dad's namesake I cannot defy him. Anyway I was looking after the registration and updating the Facebook as we commenced.

Nash arrived, saw me at the counter and smiled. As always I was smitten, but then he said

"Dah study ke untuk September?"

I facepalmed. "Kenapa buat saya stresssss."

"Ye la nak exam kan kena la study."

My God. I love this guy but really. Why is everyone talking about exam? #cries

Later Bang Nipah piled on more job for me and handed down his title to Nash because he will soon sit for his Year 2 exam and go for Year 3 which will be tougher on his time. Nash grinned at me and started piling jobs on me as well.

And they got me. Damn they know I can't say no to them.

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Today updated on Mr. Zaidi's Facebook was him granted the title Dato'. Wow. Just, wow. Mr. Zaidi my surgeon kesayangan, the cute surgeon with "seluar macam nak terlondeh" as dad said haha is now a Dato'. I cannot imagine calling him Dato' Zaidi bwahaha he's too cute for datoship.

Anyway of course I was happy and congratulated him on Facebook. Of course I immediately messaged Gossipmonger Luqman asking what have Mr. Zaidi done to earn that title.

Mr. Zaidi replied me with "Tq future surgeon Dr. Atiqah" and I blushed bwahahahahaha okay now I must study for MRCS. But I'm busy

1) EMSA news x 1 (ala buat la cepat nanti basi)
2) taip balik natang ape tu (important not urgent)
3) study Orthopaedic cepat la nak EOP esok lusa
4) compiling list to buy books
5) project research with Poknik
6) self project blast injury ape citer
7) case summary malrotation in Hirschsprung ni ape citer

But mostly I want to do nothing. Esok aku oncall balik, Orthobay pulak tu, I really want to just sleep tonight.

Monday, July 25, 2016

Atiqah was having a not so happy day so here she is blabbering

Today I was feeling tense. I went through my job passively. I wasn't my jovial menjawab self. I got through half of the morning by reminding myself of Abengoh telling me to "bertenang, tarik nafas" and Nash teeling to "senyum sikit".

After round I went to the hospimart to find something to soothe me down and saw Shikun. I told her I was feeling tense unsure why. Most probably hormonal. I asked her what was in the fridge that could soothe me, something not sweet. She directed me to what she was buying, a lemon flavoured water. I took her advice and went out of the store with straw in my mouth.

In front of the lift I saw Abengoh Azrul as I like to refer to him on social media. Beside him was a houseman. I held my hand up in greeting but my expression remained passive.

"Postcall ke? Jap.. kau bukan postcall." He calculated.

"Tak saya tak postcall." We were oncall together on Saturday. Yesterday he sent me a message that left me speechless, well actually I read his message in between sleeping and has not really double read it let alone answer it with my sharp persona.

My lift arrived and I entered.

I went to get my bag in Dahlia. I was covering periphery patients today and my job was done so I should go help out in the ward. But I didn't feel like doing anything. I told Atik who was doing discharge in the room where I kept my bag of my ethical dilemma and like every other guy, Atik heard me out because he was there and I was blabbering. I checked my message and there was a new patient admitted to Anggerik from clinic. That's mine. I told Atik thanks for listening. He said I should treat him to something as thanks. I took out the KitKat I gathered while cleaning up the ward during my oncall the day before and gave it to him.

I settled my Anggerik patient and went to the clinic to trace his xray myself because round will be at 2.45pm and I don't know if the staff will get the xray in ward by then. If you want things done, do it yourself. On my way out of the deserted clinic, I passed a patient walking in with his wife and overheard what he was saying to his wife. Suddenly a happy Mr. Anwar called me from behind. I turned to address him.

"Did you hear what that patient was saying?"

"He said "datang klinik petang sikit la takde orang"."

Mr. Anwar chuckled. "But he didn't know clinic is closed petang."

Haha ngenak molek bos. I grinned and we went our separate ways. I went back to Anggerik with the xray and left it there before going to the ward for our preop round.

Mr. Sanusi was taking history and the MOs beside me chatted with me.

Dr. Irwan: Atiqah jap lagi awak examine deh.
Me: Eh tak nak.
Dr. Irwan: Full knee examination ye.
Me: Susah. Saya tak reti-reti lagi.
Dr. Ashraf: Awak nak amik Basic Science kan, kena la.
Dr. Irwan: Bukan Basic Science. MRCS ni.
Dr. Ashraf: Ha lagi la kena.

On another day because aku tak reti la aku akan nak buat kalau bos offer, tapi aku takde mood harini, tak boleh nak layan. "Not today doctor." Mane diorang tahu aku nak amik MRCS? Aihh ke habis semua dah tahu? Kuatnya MO gosip.

Dr. Irwan: Okay Sabtu ni awak examine.
Me: Okay Sabtu.

Boss Sanusi asked to start examining there and Dr. Lana suggested to move to the procedure room because we were standing beside the main door of the ward. Dr. Ashraf and Dr. Irwan sniggered beside me.

Dr. Irwan joked: Bos kata examine situ examine je la situ. Ape la Lana ni.
Dr. Ashraf: Boss is always right.
Dr. Irwan: Kan Atiqah? Dr. Hanifah mesti pernah kata camtu kan.

I thought about Surgery and Mr. Zuraimi. "Saya pernah dengar "boss is always right" tapi ayah saya tak pernah kata macam tu dekat saya."

Dr. Ashraf: Ye? Ayah awak pernah oyak gitu ke saya.
Me: Okay nanti saya tanya dia.
Dr. Irwan: Haha jadi menantu Dr. Hanifah dah la.

I don't know what Dr. Irwan meant by that but I don't joke about food and marriage. So I didn't reply him and silently observe Dr. Fakhri examining the patient. Ten minutes later as we were examining the patient, I remembered Saturday I'm off. Wahaha. I chuckled silently.

Round ended and Dr. Lana and I went to Anggerik to see the earlier patient. She was her strict perfectionist self as usual and I took her at face value as usual. She reminded me to inform OT with full knowledge of the patient's history of childhood asthma and told the story of one time some HO did not mention the medical issues of a person going for emergency OT. This sounded familiar. Then she stopped midway and asked

"Saya tak tahu awak atau orang lain, tapi kita ada berapa Atiqah?"

"Dua," I answered curtly.

Actually it was during her oncall day and I knew this case because my name got brought up by that Dayah Anaes. The HO who informed the two problematic cases was in a different team (HOs only inform cases for their respective team) than mine and her name was not even Atiqah, the anaes people heard her name wrong when they received that case. When problem arose they searched for the name of the informing HO and Dayah immediately said in OT "Atiqah? Atiqah yang suka putar belit tu ke?"

That night the HO oncall live updated the story to us and I was flattered she think I was the only Atiqah around, not. She was behaving simple mindedly, not the type of person I'm interested in.

Nevertheless I looked Dr. Lana in the eye as she reminded us of that case. Then she dismissed us and I thanked her. She's not friendly but to me she's not bad. I've heard her been mean to some HOs and because of that I will not be doing any personal favours for her, but professionally I have no problem with her. Imperturbability is something I must master since I am becoming a surgeon.

Then I saw Luqman and for the first time I sighed heavily in front of someone and said what I needed most today.

"Say something uplifting please."

"The cat you ran over is in heaven right now."

I sighed a laugh and cursed him. "Damn you." He was referring to when recently him, Dr. Mustaq and I went to a cafe after work and I ran over a cat while speeding in the city. They laughed to make me feel better of the situation but I remember clearly muttering "stupid brothers of mine."

Anyway death is physiological and I was not affected by that. He said something about he was serious about the poor cat but nevermind I gave up listening to him. Sometimes when I need Luqman to be thoughtful, he never really hit the spot. Why did I think he could read my mind just because I think of him as a brother? So I ditched him without a word and went to finish my work.

Afterwards I needed something to physically calm me down so I head to the hospimart again, mumbling to myself all the way. I stumbled across one smiling Poknik with his backpack on the way heading for his fast round at the ward. I smiled at him.

"Hai."

Yesterday I saw him at the clinic and I hi-ed him as well. I made it a point to always hi Poknik because last Tuesday I was clinic duty in JRU Clinic and I didn't respond to Poknik when he was making comments to me. Afterwards I felt bad.

"Nak pergi mane?" He asked.

"Nak menyejukkan diri."

"Mana?"

"Kedai." I've already walked past him and made hand gestures towards the hospimart. I went inside and bought a bottle of cold water. As usual I left the store with straw in my mouth. I took the lift and passed Poknik talking to some visiting patients in the hallway. I grinned at him with straw in my mouth. Poknik is that type of doctor people will remember.

I went inside the ward and sat on the counter. I like sitting on the counter instead of properly sit on the chair and will usually do so unless someone pointed I was being impolite. Poknik was doing his fast round and after he was done, he taught us how to read a knee xray.

Later I went down to Anggerik before punching out and met Izzah at the praying room. I told her I was tensed the whole day. She said no wonder I was quiet and have not been bothering her life today. I laughed at her. Then she said to listen to Quran recitation since I cannot recite myself.

My eyes teared a bit.

Sunday, July 24, 2016

Allah cuma bagi apa yang kita mampu handle je

Attended Ortho patient with recurrent SVT with Medical MOs. Patient non responsive to adenosine x3 so they planned for infusion and taking over the patient, but need to discuss with their cardiologist first.

MO 1: Call dah Dr. Faiz tak dapat.
MO 2: Kena call Dr. Wazi la pulak.
MO 1: Aku takde number Dr. Wazi.
MO 2: Aku pun.
Me: Saya ada number Dr. Wazi.

Maka berlari budak ini cari henset yang simpan kat kaunter sebelum ditanya nape MO Medical takde number boss diorang tapi HO Ortho ada. Tapi sempat terdengar MO 2 tanya "awak jadi macam mana dengan Dr. Wazi?"

Nak mengaku anak murid tapi SVT pun aku dah tak berapa ingat anak murid natang ape.

---

Tengah pasang branula yang tak habis-habis masa Team Onco datang round patient yang banyak songeh masa oncall aku malam tadi. Yati tengah present case.

"Semalam c/o pain dekat boot POP dia."

"Compartment ke?"

Yakk Yati hang present pain for patient on POP terus la mention probability of compartment. Aku pun terus approach diorang.

"Dr. Helmi, saya Atiqah yang oncall dan attend patient ni semalam-"

"Ayah awak Dr. Hanifah kan?" Muka dia excited.

"Hahaha ape kaitan?"

"Saya kenal ayah awak."

"Sebab doktor Kuala Krai sekali kan? Hehe. Btw semalam dia complain pain at heel and discomfort at toes. But no disproportionate pain no pain on passive stretch not tender, and boleh je tidur semalam and all toes okay sebab tu saya tak plan nak bivalve lagi."

---

Gila la oncall wad semalam. Berderet isu start dengan chest pain elok2 after office hour. Terasa legendary pulak dapat venesection dan SVT di wad Orthopaedic, tu la nak sangat terror medical dan surgical ambik kau Tuhan bagi. Fresh post op patient pulak semuanya tak straightforward. Lepas sorang, sorang patient memanggil.

Aku tak tidur langsung malam tadi. Pukul 8.15am lepas mandi terus join the ending of passover, walked in smooth like a boss sambil Dr. Annas sengih tengok aku jalan confident sangat mentang-mentang Mr. Anwar takde. I was glad I went sebab as I predicted, boss tanya pasal kes referral yang aku tengok tu. Kalau aku tak datang passover memang krik krik dah la... and kantoi Atiqah tak datang passover.

Thursday, July 21, 2016

The Unapologetic Doctor

One time I had an overly friendly and talkative patient electively admitted for an op scheduled that morning I was reviewing him. He was asking me if I was married yet, why am I not, why am I not in a uniform, those sort of chit chats. I automatically became professionally cold as I review him that morning.

"Last merokok bila?" Taking note that his last smoke documented was yesterday afternoon. Stupid patient. If his operation was cancelled because of his smoking, we lose a time slot that could have been benefiting someone more in need.

"Nak jawapan jujur ke tipu?"

"Mesti la jujur. Ni untuk encik jugak."

"Last saya merokok 12 tengah malam tadi."

"Summbak patient ni." I cursed him loud and clear. He and the patient behind me laughed.

Three weeks to go and I'm missing Ortho already

I'm enjoying my time in Ortho. I get to do a lot of procedures and I'm improving as an operation assistant. Socially I'm chummy with the MOs and part of a great HO team. Most importantly I have a lot of photo evidence of it unlike when I was in Surgery.

The other day I was in Anggerik doing a personal project compiling all our blast injury cases. I sat at the nurse counter going through their census with L sitting across me.

"How do you find Ortho?"

"I'm enjoying it very much."

"You traitor."

"Manade." I'm still taking up Paed Surgery. Don't start merajuk on me just because I enjoy working with my current MOs.

Mr. Tarmizi walked nearby and I greeted him. Luqman then said to Mr. Tar

"Atiqah dah minat Ortho pulak Mr. Tar."

"Heey ikut suka hati." I semi glared him. "Tak la Mr. Tar."

Mr. Tar gave me a look and said "Ada Masterclass Ogos ni. Awak join ye."

He then proceeded to tell me where and to give my IC to Luqman for registration. I told him I'll ask my dad about it.

Mr. Tar continued "Yuran seratus nanti saya bagi."

I grinned. "Seratus? Gaji saya lagi banyak boss."

They laughed. "Dia takpe, tak kahwin lagi." Luqman commented.

Later Luqman told me I'm lucky that Mr. Tar is nurturing me from an early age, "ear-marked" as he said and I have to show gratitude.

I know I'm lucky.

In another news, I asked Dr. Nik for guidance for my first study. He said the person fit to guide me would be Dr. Fadhil as he is busy with studying as a first year Master student. But we threw ideas at each other and he proposed a study pertaining to close fracture reduction. Somehow discussion got dragged to the next day and I think I'm roped into this.

I have a feeling this personal project will have to take a backseat for a while. But I'm only down to three weeks in Ortho.

The best thing for me right now is to study. God, I really hope I'm not inducted into this September exam. I barely studied for it and with tempting offers around... Allahumma sahhilni.

Haru & Associates