Sunday, January 4, 2009

Lesson 1

ok blog, from now on i will be posting many entries on the tittle 'lesson x'. since my reason of working is to learn lesson, so, i'll be posting more lessons that i have learnt so far...
so, we will begin with lesson one today...

suffice to say that first day at work i was at lost. new place, new faces, new system, new everything. it was just hard to cope on the very first day when u are oncall and everybody else is at home having their new year celebration. u have no body to ask, if u ever found any difficulty. what was more daunting for me is, that was my very first day working as an SHO. takut...

the first day was okay,though i have to brave myself walking down the street in the midle of the freezing winter at 12 midnight, 2 and 5 am in the morning. i was scared, but thanks to my baby, i have a company.

the second day was terrible, with cough and headache, i met my colleagues at work. rosie(the reg), and eimear(my fellow SHO who is on GP scheme and has been working many years as an SHO), and john morley(the intern). nyasha (the other SHO) is away on study leave.

so, on my second day, i have learnt soo many lesson.
i dont want to go and elaborate everything on what happened that day. i will put on short notes why and what i need to improve to survive...

1) dont ever get fooled by Dx made my A & E officer. they are all wrong. start from scratch and develop ur own impression!
2) do full examination. dont ever leave neurological examination behind even though the patient confused/sick etc.
3) dont be fooled by patient's history. sometime they dont know what petit mal/grand mal seizure yet they told u they have that. and get full hx on previous dx. if patients tells u they had TIA before, ask them for elaboration, as they might have STROKE instead.
4) improve on ur way of presenting the history. be quick and remembers the details of the patient. and the medications!
5) write down meds in generic form, not the brand name. it makes things confusing!
6) be tough. dont be like a kid.
7) be helpful to others.
8) be generous, and offer help when others in need.
9) dont act u know something if u actually dont know. and please dont act as a dumb either.
10) leave good impression about yourself to others. but to please others is not priority. complete your tasks, and do not take things easy.

last but not least, go fizah go! i have to be strong for baby. yes, it's only for 3 months. i know i can survive it. yes, i will...
to sayang, doakan saya. please pray for me dear. let me someone that can stand on my own feet.
i miss u soo much dear. this decision i regrets so much, but i will prove to u that i can...insyaAllah...

to baby, be strong for ibu okay. thanks for accompanying ibu here. otehrwise i would have cried endlessly without u around. thanks baby. thanks to ur abang too, afnan. he taught be to be patient and brave. insyaAllah, i will be one..
God willing

to myself...dont fret over small little things. u can do it. believe in youself....

No comments: