Der Schuh
Erzähle uns von deinen Lieblingsschuhen und wohin sie dich getragen haben. Die heutige Kolumne beschäftigt sich mit einem alltäglichen Gegenstand. Der Schuh ist ein unverzichtbares Ding, es sei denn, man gehört zu den Menschen, die lieber barfuß laufen. Eigentlich soll ja sogar über Lieblingsschuhe geschrieben werden - das wären dann solche, die man besonders gerne angezogen hat. Und dann soll die Geschichte erzählt werden, wohin sie einen getragen werden. Darin steckt vielleicht […]
I prefer to be barefoot… Weekly Recap 2/16/2026
Well, all of the writing prompts were trash today, so here’s where we’re at: footwear.
I don’t have a favorite pair of shoes. I don’t like shopping for shoes. I don’t even usually like wearing shoes.
Most of the time, I’d just prefer to be barefoot. In fact, I’m barefoot right now!
Would you have preferred to hear my approach to budgeting? Or what the word “patriotism” means to me? Those were the other prompt options.
They can’t all be winners!
Daily writing prompt Tell us about your favorite pair of shoes, and where they’ve taken you. View all responsesGood morning and happy Monday, friends! If you’re in the US and you’ve gotten a little vacation for President’s Day, then please enjoy the extended weekend.
This past week, I decided to travel back in time. I took an in-person journey to the library (my local college campus library, to be exact) and checked out a physical book that I need for a class. It even has a paper card and everything, with checkout dates that go as far back as the 80s.
So check this out: Within this book, I found an essay by Penn Jillette—you know, the magician? Growing up, I can remember how much my dad hated this guy due to his staunch atheism.
In honor of that memory, I decided to make Jillette’s essay, aptly titled “There Is No God,” the focus of a literary assignment I must complete for my class.
The entire book is short essays by a random collection of people. There are some famous names in there, like Bill Gates, Albert Einstein, Eleanor Roosevelt, as well as a whole bunch that I’ve never heard of. They’re supposed to be about a core belief—the type of thing that defines you. One of them is titled “Be Cool to the Pizza Dude.” A lesson we could all learn from. Fascinating stuff, really.
Everyone around here is still sick. Mostly on the mend it seems, but sick nonetheless.
It’s been a rough week. My classes have been pretty brutal. I’m not sure how having 30 hours of coursework per week for one class is reasonable, but that’s how it’s been and I’m trying to make the best of it. I managed to churn out a short article here recounting our experience at Tides this year, so you can go check that out or look at some of the pictures that I took. I warn you, it’s on the shorter side.
I’m still pounding away at my book. I have crossed the 60,000 word count goal, but the finish line is still quite off in the distance. Now it’s time to wrap up the remaining thoughts in the most appropriate and concise way possible and… well… revise, revise, revise until the end of March.
What’s coming up?
This weekend I’ll be teaching a workshop at WitchCon. And in a few weeks after that, I’ve got another workshop planned for Botanica Obscura.
To whoever or whatever spammed my website last week, producing thousands of user session in 24 hours… thanks? Maybe aim for my YouTube channel next time. I could use the watch hours!
Recently I had a very interesting conversation with Kirk White, which was not only my first opportunity to talk with someone in politics, but will also be the first episode of Season 4 of M3—coming to a YouTube near you soon!
In the world of sodas, I tried the new Cherry Float flavor of Coke.
I rate it a solid 5/10, but I’m not usually one to appreciate the subtle tastes of cherry sodas, including Cherry Coke, Mr. Pibb, and Dr. Pepper. The closest I’ll ever go there is Cheerwine. I mean, who doesn’t like Cheerwine?
On Sunday, Selene and I stopped into a random diner. I really wanted an egg salad sandwich. When we got there, we saw that they also had fruity crepes. How does one decide between egg salad and crepes?
One does not. One orders both. They were delightful.
Oh, and we watched KPop Demon Hunters. I now feel so much more educated on pop culture.
That’s all for now. Stay tuned for more soon!
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My New Year’s Eve – 2025
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31st December 2025. I was NOT oncall.
It was a Wednesday and it was a normal working day. Hence, at 7:45am, I left to work as usual and was there by 8am. It was the New Year’s Eve. I thought that maybe, just maybe, there would be less patients in the clinic.
The day started off smoothly. Surprisingly, there were many patients who came for their follow up followed by additional patients (the defaulters and walk-ins) but it was manageable. We went about our day, seeing each patient and when lunch time came, we went for our lunch break.
At 2pm, we went about our work, seeing patients as usual and I was taking my time with each patient. The patient load in the afternoon shift was lower compared to the morning shift and both my colleagues were done with their patient load.
Suddenly, a staff nurse barged into my room saying that there is a massive accident that just occurred nearby, 2 patients were already brought in and 2 more were on their way. They called in all available doctors (which were only the three of us) to help out.
I told my colleagues to head out and help out first while I rushed through the consultation of my final patient. After that, I rushed to the tiny Emergency Room of the clinic. My colleague who was oncall on that day was already attending to a child. I went over to the other patient, an old lady and did my primary survey and fast scan.
She was desaturating badly under room air and needed oxygen support. She had an open skull fracture, multiple abrasion and laceration wounds over her face, upper and lower limbs as well as rib fractures and on top of that, her left leg appears shortened and she has a closed fracture over her right lower limb.
I didn’t think that we should proceed with an x-ray at our clinic even if we had the facility at that time, the best would be to send them straight away to the hospital because she could deteriorate further any time. Thankfully, her GCS (Glasgow Coma Scale) was full.
I was focused on my patient, stabilising while referring her to the specialists of various specialities as well as the emergency physician that when I finally got ready to transfer her out that I noticed the child that my other colleague was attending to. The child’s right arm was crushed and the distal limb of his right arm was pale and his right lung was obvious till mid-chest.
Just how in the world is he still awake? The poor child was crying out in pain…
Judging by the state of his and my patient’s injuries, it was definitely high impact.
The story was, the whole family were travelling back from Miri to Kuching. Both the parents were sitting in front and the father was driving whilst the two children and their grandmother were sitting at the back.
The father claimed that he was not speeding but as he was about to make a u-turn at a junction, he claimed to have hit the curb and the car turned many times into the other lane before finally stopping and the grandmother and one of the child were thrown out of the car.
It sounded like a very high impact collision. Thankfully, the parents and the other child were well and unscathed.
We had to transfer both patients in two separate ambulances to the Red Zone of the Emergency Department at Hospital Bintulu as one ambulance could only transport one patient at a time.
Upon arriving, I met my colleague and friend at the Red Zone of the hospital. After we have handed over to the medical officers and specialist in the Emergency Department, we headed back together. However, upon reaching back, there was another patient who came in who was extremely tachypnoiec.
Oh, here we go again… Another Red Zone referral…
We stabilised the patient and referred her to hospital again. The clock was already showing 10pm when we left. The journey to the hospital takes about 45 minutes to an hour for each journey and the both of us have yet to have our dinner. This time, I choose to accompany her for the referral, mainly for emotional support and also in hopes of stopping by McDonald’s to get a takeout.
Yes, we did stop by McDonalds after sending the patient safely to the hospital and yes, we used the ambulance and went through drive-through.
By the time we left, it was already 11pm. The journey takes around 45 minutes to an hour and it was raining heavily. At this point, I was wondering if we would end up celebrating New Year’s in the ambulance.
Me and my friend ate in the ambulance on the way back while we joked and exchange oncall stories. Thankfully, we reached a little before midnight. The day was completely unexpected, not to mention tiring but it was nice to have spent it with a friend.
It’s still the beginning of 2026, so if I’m not too late, Happy New Year!
If you are travelling anytime soon or in the future, do drive safely, stay within speed limits especially if it is raining. Remember to get your car and tyres checked before any long distance journey and NEVER drive under the influence.
Stay safe always!
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12 Hours Shift – Counting Down My Hours Each Time At Work
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How do you waste the most time every day?
At the time of writing this article, which was back in June 2025, I was going through my 6th Rotation of my Housemanship which is in the Department of Emergency and Trauma. As a House Officer in the Emergency Department, we go by the 12-hours shift.
This meant, our shift is from:
In this department, they are strict in regards to adhering to a minimum of 60 hours per week in total. Thus, in a week, our schedule is as follows;
That is provided one has off-tagged of course.
Perhaps, it is the “last paper syndrome” that I was experiencing being in the 6th and final rotation, I would be counting down my hours each day at work. Thus, upon arrival at work, I would start my “12-hours countdown“ on my phone.
On slow days, I made it a point to go to toilet every hour, technically my so-called “hourly break” whereas on busy days, the toilet break is the only time I could take a break. This is followed by ensuring I have at least one meal per day during my shift.
Otherwise, the schedule in the emergency department is relatively better as compared to my previous rotations. Nevertheless, the tiredness is still there.
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My First Tagging On-Call Shift As A Floating Medical Officer
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My first tagging oncall shift was on a Sunday with a fellow medical officer I knew when I was a House Officer in General Surgery. Back then, he was having his attachment in General Surgery.
Just like a House Officer, we had to undergo a period of “tagging“.
In the Department of Plastics and Reconstructive Surgery at Sarawak General Hospital, I had to undergo a tagging period of one month, every other day (EOD). This is because, I am a newborn medical officer with no previous experience in General Surgery (as a Medical Officer).
This is an advantage as I would be able to learn as much as I could within a span of 1 month. However, it was also a disadvantage as I’m afraid, I would be burnt out mentally and physically considering the on-calls were on every other day (EOD).
“I can do it. If others could, I could too.” , I repeated this mantra to myself but the learning curve is going to be an extremely steep one.
During my first tagging oncall, thankfully, it was with a fellow senior colleague who I was rather comfortable with.
We started with our morning ward rounds followed by passover and peri-rounds. After we were done, we went back to the ward to settle our pending job-lists followed by lunch.
As a tagging on-call medical officer, the first call would be to me for referrals. After which, I would discuss with my senior and proceed to see the referred patient together. After reviewing our newly electively admitted patients, pre-op rounds with surgeon and demarcating the op site and pre-op meeting, we went back home in the evening and returned at night together for our night reviews which we updated in the Department’s WhatsApp Group on the progress of certain patients. Incidentally, a patient whom we were awaiting for op was called into the operating theatre and the operation ended at 2am. Finally, we returned home for the night.
I was nervous of course as I usually get anxious easily. However, I took my shower and headed to bed.
My phone was kept beside me in case I were to receive calls or referrals. At 6am, I returned to the ward and started our morning reviews as well as prepared for our morning rounds.
Since, it was a Monday, it was morning ward rounds, handover and peri rounds as usual. However, since I was still tagging, I was expected to stay till 5pm or to join the ongoing surgeries.
Thus, my first postcall was spent in the operating theatre assisting till 6pm. However, despite the ongoing operation, I excused myself to return home and rest.
The following day will be another one, thankfully, not oncall but within office hours.
Thankfully, it was a good call with a fellow senior that I was comfortable with in terms of approaching in regards to my doubts which was undoubtedly, many.
I can only hope that I would be able to survive this whole month of tagging.
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My First Day Of Locum And As A Medical Officer
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A locum or locum tenens, is a person who temporarily fulfils the duties of another; the term is especially used for physicians or clergy.
– Wikipedia.
The first time I ever tasted or ventured into locum or a so-called “part-time doctor” was on the 3rd of August 2025.
At that time, I was back in my hometown and on a 3-weeks-break post housemanship / internship at a small private clinic, yet to officially begin as a Medical Officer.
While I was in medical school, I would occasionally hear this term “locum” from my fellow seniors or batch mates, lecturers, parents or even friends of my parents. However, in order to locum, one would need to be fully registered with the Malaysian Medical Council (MMC) and possess a valid Annual Practicing Certificate (APC). In short, I had to graduate medical school, finish my internship or housemanship first, then only am I able to dive into this.
Thus, upon acquiring my full MMC and APC licence, I was looking forward to locum. Looking forward to it as well as nervous to dive into this. Thankfully, I had just completed my final rotation in the Emergency and Trauma Department.
In the Emergency and Trauma Department, there are various zones in which the patients would be triaged into in terms of presenting complaints, severity and their vital signs. The least critical in severity would be triaged into Green zone. The Green zone is similar to a clinic setting, thus, it gave me some idea on the type of cases I would be expecting.
My first locum was just 3 hours long, from 7pm till 10pm. I figured that since I am just starting at that time, it would be better to start with minimal hours in order to get used to it and also.. if I would enjoy it.
The clinic was quaint and small but equipped with basic necessities and a scan machine. The only thing that it did not have, was an x-ray facility. The moment I sat down, the patients kept coming back-to-back. As soon as I was done with one, another came.
For a first-timer, I felt it was equivalent to the Green Zone in General Hospital whereby the cases were always there but the patient load was manageable.
However, I was extremely scared.
Mainly afraid that I might accidentally jeopardise the patient’s safety in terms of mismanagement. Thankfully, by 9:30 pm, the clinic assistant stopped accepting new patients and prepared to close the clinic.
For a first experience, it was a good one despite it being rather terrifying for me.
But, we all have to start somewhere and build our confidence, don’t we?
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My First Night Shift In Emergency & Trauma | Housemanship Diaries
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Remember when I mentioned that I love the night shifts?
No? Well, here are the articles advocating my love for that shift:
Photo by Chauhan Dixant on Pexels.comMy first night shift in this department was in the Red Zone and I was terrified.
Thankfully, it was with a fellow Registrar who is rather patient, kind and one who loves to teach.
The scary part however was that it is the Red Zone after all and on my first night!
The Red Zone basically caters to patients who are unstable be it haemodynamically or in terms of their vital signs or that they are in a state of severe acidosis, on the verge of collapsing, you name it. Basically, how severe of a state a person must be in to end up in that zone.
The night started off smoothly with cases coming in one at a time. Alright, I kept repeating to myself, “attend them, transfer them to another bed, vital signs, bloods, fill out forms, clerk and basically just listen to your superiors”.
The night eventually turned into midnight and into the wee hours of the morning and finally the sun has risen. Before I knew it, it was 7am and the AM shift House Officer has arrived. I am not alone again.
Time to prepare for handover rounds at 7:45am.
It was better after that, having another person with me as it felt less intimidating.
At 10am, I took off and headed home. Not a bad experience for the first night shift.
The good thing about the night shift in the Emergency and Trauma is that we are not alone. There is always a team or at least your superiors are always there.
However, I don’t quite prefer the night shift in this posting. Having actually completed this posting, at the time of writing this article, the daytime shift is definitely better.
Nonetheless, in all the night shifts, albeit that it could be a terrifying one especially prior to the start of your shift, always remember that you are never completely alone even if it feels like it and that help is always nearby.
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Life After Offtag In Emergency & Trauma | Housemanship Diaries
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The tagging hours in the Department of Emergency & Trauma is from 7am till 10pm, for a total of 10 days and one off day per week. There are no assessments required to off-tag, only hours required to cash in.
During our tagging season, we were not allocated for night shifts as well.
For me, tagging in this posting felt like an eternity. I remembered counting down my days before I would finally “offtag” and be switched to regular working hours. I also remembered being extremely exhausted at the end of my shift, wondering how did my fellow colleagues managed to pull through.
Tagging in this posting as compared to the other postings was considered less stressful as we were not required to arrive early for morning rounds. We merely had to arrive on time and upon the end of our shift, we leave, as compared to other postings where we would stay back almost every time, cash in “unpaid overtimes.”
Finally after 10 days of tagging, I officially “off-tagged“.
So how was life after that?
Much better. Thankfully.
Regular hours in the Emergency & Trauma Department meant working a 12-hours shift per day with an off day per week and a single night shift.
Basically, we had to ensure that in total, we had to meet the total 60-hours shift per week.
Thus are the timings for our respective shifts:
If you have read my articles on “The Joy Of Working The Night Shift As A House Officer” as well as “My Favourite Time Of The Day At Work“, I mentioned that I absolutely love the night shift. The disadvantage of working the night shift is that we are usually alone and the night shift can be rather unpredictable.
However, it is not the same for me in this posting. Out of the shifts listed above, my favourite is the AM shift, 7am till 7pm. Initially, getting up for work at 7am is tough especially after working the PM shifts back-to-back. But after the initial morning sleepiness wears off, the day proceeds as usual and we return home at 7pm which is nice.
Life after offtag in this department ensured that I had adequate rest prior to my shift starting. No doubt, it is a 12-hours shift every time, we usually arrive and leave work on time as compared to other postings.
Nonetheless, I was still exhausted after every shift. Perhaps it was due to the accumulated mental and physical stress throughout the previous five postings that when I am finally blessed with extra rest, I am still tired.
If you are still in the tagging phase, be it in this department or others, please stay strong. Remember that it doesn’t last forever, it is merely over a certain span of days or weeks.
Keep showing up, keep doing the good work to the best of your strength and abilities and keep moving forward.
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My Last Shift As A House Officer in Medical | Housemanship Diaries
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At the time of writing this article, I am no longer in my Fifth Rotation, Medical but already in my Sixth Rotation, The Emergency and Trauma Department and at the same time, due for my last shift in my Sixth rotation as well as being a House Officer.
Looking back, my last shift in the Medical Department seemed ages ago.
However, I remembered that I was night shift at that time and was at Male Medical Ward (MMW).
My duration working in this ward was around 3 weeks. However, it was my least favourite as compared to Medical 3, Medical 4, the Infectious Disease (ID) Ward or being part of the Perimedical team. The superiors were alright but it was the vibe of the ward in general that I found unsettling that I can’t quite place my fingers on.
The night shift in Medical is from 8pm till 9am. However, on that day, I recalled leaving home at 6:30pm to go to work as we were not allocated any “long day” shifts.
“Long Day” or “LD” are those who work from 7am till 10pm. Thus from 6pm till 8pm, prior to the night shift person coming, there is a 2 hours gap which is filled by them.
On that week, there were no “Long Day’s” and everyone had the opportunity to return home at 6pm. However, who would fill in the “2-hours gap”?
Thus, I remembered me and my colleagues at that time coming into a mutual agreement and compromise that one person would stay till 7pm and the night shift person would arrive an hour earlier at 7pm.
It was a good compromise except there would be nobody to accompany us till 10pm and usually their help is valuable. Those hours till 10pm can get rather hectic at times.
I remembered arriving around 6:45pm and started receiving handover from the AM teams and was cautioned to lookout for a particular patient in the acute cubicle who was rather unstable.
Upon finishing our handover, the Medical Officer on-call for that ward arrived and things started to go hectic.
I can’t exactly remember what happened but I was on my feet the whole time and did not begin my “coming mornings” till 3am.
Thankfully, I was still able to complete them before 5am and the morning bloods were out in the system on time.
That morning during my post night shift, I was “summoned” for minimal bloods which I completed immediately. Usually during my post night shift, I would remain within the sights of the “AM team” and offer to help out where I could.
But I remembered at that time that I was completely spent. I decided to rest in the House Officer’s room and take any bloods a little later prior to my shift ending, if there were any.
Surprisingly there were none after that. I recalled seeing a junior taking the blood of a patient as I was exiting the ward and asked him as to why he did not just ask me.
He claimed that upon arriving for his morning shift, I looked rather spent and after I left to take a short break in the House Officer’s room, he just did not want to disturb me. After all, he said, it was only one patient.
I was touched and grateful. It was a small gesture. However, it’s small, simple things that sometimes touches you.
After that, I clocked out for the last time as a House Officer in the Medical Department.
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Jobs That I’ve Had
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What jobs have you had?
Teacher
Photo by Tima Miroshnichenko on Pexels.comMy first job that I’ve ever had was as a Teacher.
I had just completed my STPM which is a form of pre-university course in Malaysia, equivalent to that of the UK A-Levels and I was waiting for my results.
At that time, I was on a holiday with my parents and was perusing through Facebook when I came across an advertisement on a job offer at a nearby language centre, looking for an English Language teacher.
Without any expectations, I applied for it. At least, I’d have some exposure and regularity prior to entering Medical School in September that year.
Shortly after I returned home, I received a call and an email responding to my application. I went for the interview session and was soon called back and offered a job to which I accepted.
Barista
Photo by Barcelona Albertus on Pexels.comMy second job, I was a barista at a coffee shop as well as worked at the cash register of a store, both at the same time during my first and second year of medical school after which I stopped and subsequently used to work as a waitress for an F&B company. That was my third job. My second and third jobs were jobs mainly to earn extra cash after classes amidst my free time.
Looking back, I probably should’ve just focused on my writing.
Junior Doctor
Photo by RF._.studio _ on Pexels.comMy fourth and current job is working as a junior doctor at Sarawak General Hospital. I still am one since I started practicing in 2023 and is currently going through my sixth and final rotation (at the time of writing this article) before finally receiving my full APC or license to practice independently both in government or private sector.
Am I ready for it? Certainly not.
However, somehow I haven’t quit and I kept pushing through. I don’t know how or why and before I knew it, 2 years has flown by.
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Aerik Arkadian
The Theoretical Doctor