HKL February 2008 Attachment - Part 2

BERITA SETERUSNYA!

Dr. Amar

Dia ni doktor yang paling selamba aku pernah jumpa. Actually he does not belong to Jabatan Kecemasan (JK). Dia ni Dr. Orthopedic yang selalu merayau kat JK, mungkin kat Jabatan Orthopedic (JO) tak ada banyak kes kot. Maybe, but for what I’ve heard JK and JO ni adalah dua feuding department sebab JO selalu pass their cases ke JK, even non emergency cases. So Dr. Amar ni mungkin wakil dari JO untuk settle orthopedic cases di JK. [pening tak?]

Well where do I start with him? He is very friendly, dia ni graduate dari Manipal. First case yang kitorang observe dia handle adalah case hemathritis about Indian patient yang got involved in accident and broke his tibia and got a big swelling in his knee, he’s bleeding to his joint. So dia kena buat procedure called arthrocentesis. According to that patient, he got drunk and ride his bike, and before he know it, there he goes lying on a bed in a green zone (not critical case). Bila Dr. Amar tanya patient ni berapa banyak yang dia dah minum, patient tu cakap only one can, and Dr. Amar has his round of laugh. Dia kata, mana ada orang mabuk setakat minum satu tin je. (Speaking from experience ke? None of my concern). Actually ada citer lucu pasal procedure ni, which I will tell you later. [dengan izin saudari Farah].

Bila dia tanya kitaorang medical student dari university mana? Kitorang bagitau from MSU. And as usual, orang tak kenal kat mana MSU, so we explain formerly known as KUTPM, did he get it? Nope. So kitorang just bagitau university kat Shah Alam (titik). Pojan explain yang kitaorang ni student Pre-Clinical and will further our Clinical Year kat India, then he gets all exited and start discussing and sharing his experience studying there. Dia buat procedure arthrocentesis sambil berborak-borak dengan kitorang, tengok betapa expertnya dia. Dia bagi tips yang the first things your experience in India before anything is our holy DIARRHEA (there goes my blog title), not just ordinary diarrhea, tapi BLOODY DIARRHEA probably caused by G.lambia, E.histolytica. And he gives us some funny tips;

TIPS: Don’t go purchasing drug or antibiotic at local pharmacy, just let the diarrhea settle for itself, it will be our active immunization.

Arthrocentesis procedure tips yang dia bagitau, guna large needle and syringes because the blood maybe clot and heaven knows what else you may extract from the injured site. It’s quite vague with me tapi rasanya dia tak inject anesthetic pun kat mamat tu, sebab it is no use because his knee is all inflamed and tender, that anaesthetic will not work. As a result mamat tu meraung-raung and Pojan pegi calm him down.

One thing good with him is, walaupun dia ni graduate from ovearsea university, he is not like some local university graduate doctor. He is so humble and tak nak kitorang panggil dia ‘Doktor’ panggil Amar je tak macam seorang intern dia tu nama Nurul, siang-siang lagi cakap “Panggil I Doktor!” [Question? tak tanya dia pun, and tak ada hati nak learn anything from her]. Dia ni lulusan U tempatan je, she got a big head as big as her…whatever, just thinking of her made my adrenalin all circulate around. Kitaorang berempat masing-masing exchanging glances with each other. Meluat! Uekk!

Things we should learn from Dr. Amar are, he got a good at communication skill and building rapport with his patient. Dia pakai selipar jepun je and his scrub gown. Very simple, approachable and humble, kitorang ni yang all suit up siap dengan tali leher rasa cam terlebih sudah!

Next case is foreign body extraction. Patient, Indian guy yang main bola tak pakai kasut then stepped on a piece of glass. When he pull the piece out, ada lagi sisa yang tinggal kat tapak kaki dia and it is deep. Dia pergi klinik and the doctor suruh pergi HKL. Based on the x-ray, kaca tu located in right lateral side of his plantar. Dr. Amar buat procedure ni dengan selamba (experience tu!) sambil explain kat kitaorang apa yang dia sedang buat and tips.

Oh ya! Sebelum kitaorang observe procedure tu, ada seorang friendly Chinese med student from UPM yang ajak kitaorng join tengok sekali, kalau tak, kitoarang ni melangut je lah kat locker room. Dia kata Dr. Amar yang suruh dia tanya kitaorang nak observe porcedure ke tak? [tengok tu, attending doktor yang panggil tau! Tengoklah betapa baiknya Dr. Amar tu] When the second procedure is over, that Chinese guy tanya kat ‘DOKTOR’ Nurul (Hah! Cukup besar tak gelaran tu Dr. Nurul?) macamana nak buat jaw-thrust on a patient, **this is the emergency procedure on site, it is how we try to clear air passage so that the unconscious patient would not choke on his tongue. Jaw thrust help keep the tounge from obstructing the air passage. So Dr. Nurul ni pun nak try demonstrate, tapi judging from her expression, obviously she has no idea at all what is Jaw-thrust and cam ragu-ragu je nak tunjuk (padan muka, ko berlagak lagi dengan kitaorang) tapi nasib dia baik sebab Dr. Amar tak bagi dia demonstrate, tak berapa ingat sebab apa.

Dr. Anisa

Judging by her look, tak tahu pun dia ni Melayu, ingat nama dia Dr. Chong Meng Meng ke ape ke. Dia ni doctor dari RESUS, well Pojan yang approach dia sebab nak belajar baca ECG [but we’ll talk about that in another chapter post].

Actually dia ni nampak je badan kecik, tapi dia ni very experienced doctor. Dia dah pernah keje kat Singapore and Afrika etc. And dia ni suka travel overseas semata-mata nak gain experiences. Dia sengaja je nak kumpul cuti dia banyak-banyak then BAM!!, dia ambik cuti sebulan gi travel. I adored her so much. She has a different view of life as a doctor. She having fun on whatever she did. And she is a very good teacher also.

Bila kitaorang tanya apasal tak banyak kes emergency? Supposedly as hospital utama kat KL, mestilah emergency case lagi banyak, bukankah pemandu-pemandu kat Malaysia ni adalah pemandu yang ‘rude’ (no offence to any driver, I’m discussing in general). Dia bagitahu waktu malam baru banyak kes-kes RESUS. Time bar-bar and night club dah dibuka and people start to consume alcohol dengan tidak berhemah. Dah tu stupidly drive their car, there is when the party begin kat Red Zone. Dia siap ajak kitaorang buat on-call dengan dia kalau nak observe bloody emergency cases. Dia ni tak kedekut ilmu nak mengajar, it’s her pleasure I think. She has a charisma, sebab tu kitaorang siap offer dia untuk mengajar kat MSU. Dia nampak berminat. Tapi rasanya dia ni busy, maybe kalau sebagai guest lecturer oklah kot.

PANTRY

Kitaorang time attachment ni rajin tul nak melantak. Selalu je kitorang pegi kedai beli air lah ape lah. Selalunya kitaorang minum kat luar emergency department. Tapi entah satu hari tu kiteorang terasa cam nak minum kat pantry. Masuk je kat pantry, tengok ada banyak makanan kat situ, semuanya makanan ringan yang kurang berkhasiat (siap dikunci dalam almari lagi, simpanan darurat kot), and ada kusyen and sofalah ape lah. Tu tak masuk lagi air bungkus basi. My first impression, maybe ni tempat doktor-doktor on-call membute. Tengah best-best melantak tiba-tiba ada seorang staff masuk (cleaner kot) dia terkejut tengok kitorang kat dalam. Dia kata pantry ni biasanya untuk staff-staff lelaki je. Apa misi dia cakap camtu kat kitaorang? Aku ni ber’va-jay-jay’ ke? Tak! Rupanya ucapan itu ditujukan ikhlas kat Zue and Farah. Tapi dia kata takpe, tafadhal melantak tu. Kitaorang pun abiskan makanan cepat-cepat dan blah. Lepas tu kitaorang tak masuk-masuk lagi kat dalam pantry ‘sexist’ tu.

NEXT UP: Cafetaria, Neurology Ward & Somebody is fainting…who? Wait for the next post.