Lieblingsmenschen

Mit welchen Leuten bist du am liebsten zusammen? Lieblingsmenschen sind solche, mit denen man gerne zusammen ist. Das ist #sozusagen zunächst die Binsenweisheit der heutigen Gedanken zum Tag. Photo by Andrea Piacquadio on Pexels.com Doch warum ist es so und was sind die Auswahlkriterien? Weshalb ändert sich die Zusammensetzung dieses Soziotops mit dem Lauf der Zeit? Das hat sehr viel damit zu tun, dass wir Menschen soziale Wesen sind und daher auf Interaktion aus sind. Diese […]

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Chapter 1: The High-Contrast Crisis

The rain outside didn’t just fall; it “carried on like a pork chop,” hammering against the corrugated iron roof of the studio. Inside, the air smelled of burnt espresso and ozone. Liam, Dax, and Dev—the Three Best Friends—were locked in a battle against a deadline that felt like hard yakka on a Saturday arvo.

The Philosophy of the Studio

The trio didn’t just build websites; they built gateways. Their manifesto was simple: Writing for Web Accessibility wasn’t an afterthought—it was the foundation.

  • Liam (The Content King): He believed that for each web page, one must provide a short title that describes the page content and distinguishes it from other pages. He was currently obsessing over the “Space Teddy Inc.” homepage, ensuring the page name came before the organization name.
  • Dax (The Visual Architect): His monitors were filled with color wheels and luminance grids. He knew that foreground text needs to have sufficient contrast with background colors, a rule that applied to buttons and background gradients alike.
  • Dev (The Logic Master): Dev lived in the “code order.” He was currently ensuring that the order of elements in the code matched the logical order of the information presented. He often checked this by removing CSS styling to see if the content still made sense.

“If we don’t get this right,” Dev muttered, “we’re just pulling a swifty on every user who relies on a screen reader”.

The Arrival of Elias

When the thud came at the door, it wasn’t the sound of a visitor; it was the sound of a warning. Elias, a retiree known to the boys as a frequent tester of their designs, stood in the doorway. He was a man who lived with low vision, hand tremors, and mild short-term memory loss.

“I couldn’t get through the ‘Space Teddy’ checkout,” Elias panted, his voice shaking. “It was the Shadow of the Raven’s Wing. It’s back.”

Dax went pale. “The Shadow? That’s just a myth developers tell to scare juniors.”

“It’s no myth,” Elias said, leaning on a desk. “It’s a deliberate design to exclude. It’s when a site uses color alone to convey information, like marking required fields in red without an asterisk”. “But this was worse. It was a shroud.”

The Mystery of the Raven’s Wing

The Three Best Friends gathered around Liam’s main terminal. Elias pointed a weathered finger at a specific block of text that seemed to shimmer and fade.

The Raven’s Wing (Definition): A technique used by rogue developers to create “unnecessarily complex” content that bypasses the need for clear and concise sentences. It creates a “lack of headings,” making the document nearly impossible to edit or navigate for assistive technology.

“Look at the code,” Dev whispered. His fingers flew across the mechanical keyboard. “They haven’t just ignored the WCAG requirements. They’ve weaponized them. They’re using ambiguous link text like ‘click here’ to lead users into a loop”.

“And the images,” Dax added, his eyes narrowing. “There’s no meaningful text alternatives. For these informational images, they’ve used empty alt-text as if they were purely decorative”.

The First Clue: The “Superbear” Anomaly

As they dug deeper into the “Raven’s” source code, a name popped up that Liam recognized from a recent news article: Superbear.

“Wait,” Liam said, pulling up a local news site. “I just wrote about this. ‘Superbear saves the day… rescuing a young cat from a tree'”. He looked at the code Dev had unearthed. “The Raven is using the Superbear story as a mask. But look at how they’ve marked it up.”

Dev pointed to the screen:

  • They used a <h2> for the title “Superbear saves the day”.
  • They included a <time> tag for “7 Aug 2015”.
  • But hidden inside an <aside> was a list of “Related Articles” that didn’t exist in the real world.

Fair dinkum,” Liam breathed. “These links… ‘Superbear stands for mayor’. That never happened. They’re using WAI-ARIA roles like role="search" to hide a data-mining script”.

The Friends’ Vow

The “Shadow of the Raven’s Wing” wasn’t just a technical glitch; it was a digital wall built to stop people like Lakshmi, the blind accountant, and Ian, the clerk with autism, from accessing the truth.

“We need to audit this entire city’s infrastructure,” Dax declared. “Starting with the contrast ratios of every government portal”.

“And I’ll start rewriting the instructions,” Liam said. “No more unnecessarily technical language. We need to describe input requirements, like date formats, so even someone as stressed as Elias can navigate ‘no worries'”.

“I’ll handle the keyboard accessibility,” Dev added. “I’ll ensure every custom widget, from accordions to buttons, uses tabindex="0" to stay in the navigation order”.

They looked at each other. The task was heaps big, but they were the best in the business.

The Audit Checklist

Before they could head out into the “arvo” to confront the Raven, they had to prep their toolkit.

ToolPurposeContrast CheckerTo identify “insufficient” contrast that hides text.Screen ReaderTo hear the “info and relationships” hidden in the markup.Responsive DebuggerTo see how the “Raven’s” site adapts to a “narrow mobile phone”.Aussie GritTo ensure they don’t “pull a swifty” on their mission.

She’ll be right,” Elias whispered, watching the Three Best Friends work. “As long as you keep the content clear and concise, the shadow can’t win”.

To Be Continued…

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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:

  • AM Shift: 7am till 7pm
  • PM Shift: 10am till 10pm
  • Night Shift: 10pm till 10am

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;

  • A total of at least 4 daytime shifts (AM or PM Shifts)
  • One night shift
  • One off day

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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I SURVIVED My First Month Of Tagging As A Floating Medical Officer

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Thank God. Seriously.

I started my journey on the 21st of August 2025 and officially off-tag on the 14th of September 2025 after my last tagging oncall shift.

Technically, it was not a month but 3 weeks. Nevertheless, a very tiring 3 weeks with every other day oncalls and one sick leave in between.

The tagging oncalls were every other day (EOD), this meant an oncall shift followed by postcall and the following day is an office hour shift only to be followed by oncall again.

Overall, it was a mixture of fun and tiredness. My sleeping schedule was definitely off as I am usually disturbed in the middle of the night as the time I am usually able to sleep peacefully is during my postcall shifts.

Thankfully, I always had a senior with me to guide me. Thus, every referral I received, I would discuss on the management plan with them. It was mentally challenging as well as the learning curve is extremely steep for a junior medical officer such as myself.

Having completed my tagging period, I am still at lost in terms of management especially for extremely complicated cases. Thus, I find myself running to any of my seniors or the specialists.

Am I confident now though?

Not really. Less terrified and yes somewhat a tad bit confident than when I initially begun. However, just a tad.

The fear is still there as I just do not know what to expect on the types of referrals I will receive during my call.

Some things just don’t change. The fear that I felt during my House Officer days are still there and at times, I wish that I could just simply disappear run away from the issue but doing so, does not help.

Thus, the only solution for me is to dive head on into the issue and call for help whenever needed.

If any of you are experiencing this, just know that you are not alone and sometimes the feelings felt internally just can’t be expressed properly either via words or verbally.

If you are showing up everyday despite feeling this way, you are doing a good job. Take comfort in that as it is not an easy thing to just do. Sometimes, showing up daily in itself is a hard task.

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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:

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My 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 finallyofftagand 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:

  • AM Shift: 7am – 7pm
  • PM Shift: 10am – 10pm
  • Night Shift: 10pm – 10am

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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Day 1 Of My Final Posting – Day 647 Of Housemanship

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My first day of my final posting, The Emergency & Trauma Department, commenced on the 11th of April 2025.

Day 647, finally. Finally! I’ve pulled through and entered the last pit stop of my journey as a House Officer.

In every posting, I have always looked forward to this posting. Prior to joining, I’ve always had mixed feelings and initially wanted to join Anaesthesiology. However, a few weeks prior to entering, the other postings such as Psychiatry, Klinik Kesihatan and Anaesthesiology were removed from our options and everyone had to rotate in the Emergency and Trauma Department.

This is good. This meant more manpower.

However, just as the previous postings, prior to joining any new department, I’ve always had this fear and mixed feelings because it is after a new environment.

My fear was stumbling too badly on my first day. Thus, of course, I did my research and questioned the people I knew who were already in the posting.

My First Day began on a Friday in the “Yellow Respi Zone“.

The Yellow Respi Zone consists of patients who are unable to saturate well under room air, usually less than 90%. Having just completed the Medical Posting, the patients allocated there are primarily Medical patients or in particular, having respiratory issues such as patients developing acute pulmonary oedema or fluid overload secondary to non-compliance to their fluid restriction.

Thankfully, I have just completed Medical. Thus, I am able to apply my knowledge learnt which was still fresh at that time.

I arrived a little before 7am since the tagging shift is from 7am till 10pm, introduced myself to the medical officers and talked to a fellow friend who arrived and would be working in the same zone as well. I went through the triages and casenotes of the patients to see if there were any active cases or cases that were due tracing of bloods or referrals.

The day started off rather quietly and it was manageable. I followed the morning handover rounds at 7:45am and after that attended to any new patients or refer if needed.

Basically, when a patient comes in, especially to this zone where the patients’ chief complaint is “shortness of breath“, the first person who attends would usually auscultate or “listen” to the lungs and check the vital sigs prior to taking blood or doing a “full clerking” such as obtaining their past medical history or history of presenting illness.

The next person that steps in usually helps with the bloods and fills the forms.

Everyone worked together as a team and somehow indirectly we were communicating with one another without actually voicing it out. It seemed almost like a dance, or a workout.

Afternoon came and afternoon handovers started at 2:45pm. I met a lovely medical officer who is a junior herself but one who was extremely upbeat and more than happy to guide me.

I learnt a lot during my first day with her. She even encouraged me to consider joining this department during my floating period.

The evenings became extremely busy to which I did not really realise. Maybe because it was my first day or maybe because I have just completed my Medical Posting (and it was much busier over there), or perhaps because I simply enjoyed working with my superior or team on that day.

The day ended at 10pm and I walked back home. Thankfully, I lived within walking distance thus I saved time and did not have to worry regarding transportation or parking issues.

My first day in my last posting or rotation started off well which is something I’m more than thankful for.

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Overcoming My Fear To Refer A Case I DO NOT KNOW | Housemanship Diaries

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What fears have you overcome and how?

At the moment of writing this article, I am in my sixth and final rotation which is in the Department of Emergency Medicine, pushing into my third month.

One might think that as we become more senior in our current job, it gets easier or the fear fades.

Well, the anxiety certainly reduces but that does not mean that it disappears.

For me, the fear is still there as to who I would be working with or who I would be referring to and most of all, referring a case that I not know.

I’m sure we’ve all been there before. Especially upon arrival to work and to be absolutely clueless about the patient and their case and progress and to not have anyone handover the case to you.

Not that we won’t take the time to understand. It is just that, we will or at least I would take the time to digest the initial presentation, clinical examination and findings followed by the initial management of the patient and other teams as well as the current progress.

Once I have finally understood the issue of the patient from A to Z, then I can confidently refer the patient for a simple thing.

That’ll usually take me about 5-10 minutes, especially if there is just one too many writing. To others that may seem like an eternity.

The thing is they will somewhat give me a template of what to say in regards to the patient but I am still absolutely clueless and wishes to kindly absorb the pages and information about the patient before I walk into the battlefield.

This is because, one too many times, I will be asked about things totally irrelevant to the case of the patient which will take me some time and if I’m not so lucky, ended up being shouted at. I mean, that’s the worst that can happen right? Certainly reminds me of my early days of housemanship.

Maybe it’s a form of childhood trauma or maybe not, but I need to at least have a reason to defend myself and the patient.

It’s like a debate or a business deal which I find that I may need to fib or exaggerate myself in order to get a test approved or to refer, all for the sake of the patient or sometimes the superiors.

It’s alright but at times it can be rather annoying especially when they want it done in a minutes time.

The next that I have to actually open my mouth and communicate. Being an introvert, I can easily talk to people but I dislike being in groups, small talks or actually talking at times.

I find it exhausting and thus upon the end of my shift, I just need time to recuperate.

However, back to the question of this article, my fear, to refer to other departments, especially, if it is a case I do not know and to a tiger of a person who loves finding any fault just to reject the case is still present to this day and what have I done to overcome it? Nothing, really, just extreme patience.

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Jobs That I’ve Had

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What jobs have you had?

Teacher

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My 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

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My 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

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My 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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Reflection – After Almost 2 Years Of Practicing As A Junior Doctor

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“Would you want to return back to medical school?”

No.

I enjoyed my 5 years of medical school very much and I appreciate the memories formed throughout those years.

However, after working as a junior doctor for 2 years, I would not consider turning back time, just to go through medical school all over again. I enjoyed studying and it was equally tough and fun. Besides that, I had the best study group, “The Impostors”.

Going through the COVID-19 Pandemic season of social distancing and online classes made the journey easier. I remembered staying back in Kuala Lumpur and waking up in the morning prior to starting class just to set up my laptop and my connecting screen, sending the link earlier to the group, sharing the slides if needed and while the classes are on-going, I would go about cooking, cleaning or folding clothes.

My coffee and tea would be on standby and everything was prim and proper. Besides that, breakfast, lunch and dinner would always be prepped by me, for me or my friend who lives upstairs. After that, I would proceed to study during the wee hours.

I think the time I managed to complete reading various textbooks were during the COVID pandemic.

Then, I graduated and started my housemanship. It was extremely tough at first and it’s still difficult now at times but I’ve grown to accept the fact that there will be difficult days as well as good days.

Three months later after starting my housemanship journey, my first pay was banked in and subsequently, every month I received my monthly pay.

Eventually as I become more and more senior, things became more and more familiar and easier and some things or procedures became a reflex, even the management plans.

Thus, considering, the things that I’m doing now which I think is much easier as compared to my medical school days, would I want to turn back time?

Nope. Medical school is important and equally tough. On top of that, I’m not getting paid. Instead, my parents had to pay for my medical school fees.

So, no. I cherished those days as I said. But I certainly do not want to relieve them again.

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