Suffering

Something is suffering deep inside me. Mentally. Mentally. And even mentally. No doubts that physically I am normal. Yet, still actively gymming and jogging. Just jogged today. Life is never be awesome without exercise. I am serious. Feel so fresh after a sweaty jog and a good nice cool bath. Woohoo~Sitting infront of my laptop, playing online game for an hour. Seeing the clock, "Oops, time's up...Time to return to my books!"

Obs and Paeds combo is always the "best". However, if they give us more time, I am sure that I wont be suffering right now. No matter how, still aim for the best! Wu Jian Dao!

Our beloved taiko, Cheng Jun, is now staying with us. Together with other Bmed students, namely Liyann, Pui Fun, Jc, KS, Chester, and others, they are currently posted in clinical school Seremban for two weeks. Their main objective: For clinical exposure before they head to Queensland! It is a good experience for them to learn something before getting a culture shock in the clinical year later on. Too bad we Sem 7 people are facing our main obstacle right now: the end of posting exam and of course, the Sem 7 professional exam! Adui~

Just a short post for today. Tomorrow will be adrenaline-rush-moment! Everyone will be so stress and tense. I am trying to remain chill and happy. Smiling around always brings comfort to myself. This does not mean that I am schizophrenic or maniac. Haha~Alrite then. *toot* *offline*

Ob Red Alert

Had a class on Ob emergencies. Four common emergencies had been performed together with sem 9 seniors: Cord prolapse, eclampsia, postpartum haemorrhage (PPH), and shoulder dystocia. The sem 9 seniors were the ones that showed us how to handle an Ob emergency. We had our all time favourite actors to help us: Jen Lye as the patient in cord prolapse, Kajen as the patient in eclampsia, Wen Leong as the patient in PPH, and Eugene as the patient in shoulder dystocia.

1. Jen Lye: Heard a 'pop' sound with gush of liqour, on digital vaginal examination by a house officer, was found to have cord prolapse, had to deliver via ELSCS (no choice-lah~)
2. Kajen: Admitted due to hypertension and severe proteinuria with headache and epigastric, went fitted on the bed, treated as eclampsia, also had to deliver via ELSCS
3. Wen Leong: Delivered 'her' baby, but there was severe bleeding, with possible uterine atony, alerted as PPH (No worries for 'her' baby. Just have to save him from going into shock)
4. Eugene: Man of the day, who was halfway delivering 'her' baby, was found that there was shoulder dystocia by house officers, was asked to be in McRobert's position (well, kind of obscene position whereby you have to abduction and flex your hips until the chest), few manoeuvres were tried before sending him to OT for ELSCS

Interesting class. Very funny. I enjoyed it. However, I almost dose-off in the next class. What a tiring day. Seksa-nya! Anyway, going to gym now. Need to increase some blood flowing into my cerebrae! :D

?Big Baby?

Phiew~What a tiring day. It's 12 plus midnight now. Just want to make an entry here before I go to bed. Was covering ward just now since 7.30p.m. As usual: Clerking, examining, reading case files, and ward round. However, something funny happened during the moment I entered the ward. I saw a baby boy who looked so huge. *stunned* I walked to the mother and below are the short conversations:

*Build rapport. Da Da Da*
I asked the mother, "Puan, berapakah berat baby ?"
She said, "5 kilos."
*exophthalmos* "Wah...besarnya. Bilakah puan bersalin?"
"Oh...Saya bersalin dekat March."

*toing!*
My brain, "Aiyak! Zha dou!"

The actual story is like this: She came for elective bilateral tubal ligation after having six children. Since there was no one at home taking care of her baby, plus she is still breastfeeding him, she brought him to the hospital for convenience. And I was wondering why she was admitted into the Obs ward instead of Gynae ward. She explained that in Obs ward, there are nurses who can take care of her baby when she goes for operation.

*I see* What a surpise occurence!

P.s. Of course, I don't miss the chance to play with the baby! Aiyoyo so cute! :D

OBs

Time flies and this is the fourth week of my obs posting. Woot! I must admit that Obs is NEVER BE EASY! You can study all the diseases in Obs if 'chiong' 24 hours /7 days / 52 weeks. However, when comes to management, you have to take care of both mother and fetus. (Well, the term baby better rite? :P ) When a mother goes into shock, resuscitation comes first. Then, only later assess the baby. If the baby not alive, sigh...

Even worst scenario, when a disease e.g. abruptio placenta sets in, even the baby is less than term, you have to deliver the baby no matter what. Saddest thing is that when the baby is delivered and appears to be quiet, it's a 'kaboom' to both parents. Even more sigh...

Yesterday we had a session on how to deal with bereavement in perinatal death. I must admit it is very difficult to break bad news to parents. Imagine...The mother was sweating and screaming in pain, often spending so much time than the time you spend for sleeping, just to deliver her baby safely into this world. Finally, she got through the difficult moment, hoping to see her baby crying and lying on her chest. Then, there's no crying at all *pause* *stunned* Medical officers / speacialists came to her, shook their heads, informing that her baby couldn't make it into this world. *even stunned* *more pause* *tears rolling* (Sigh...think about it)

That's obs. No doubts that we celebrate new lives in the labour room everyday; but sometimes there are sad moments too. Survival of the fittest? Who knows...

P.s. Obs clinical next friday...Must do my best!
P.s.s. Obs & paeds MCQs next thursday...Go go go!
P.s.s.s Miss my dear...I'm hereby apologizing that I spend so little time to talk to you. Hope you understand. Above all, love ya! <3

*Off I go*