Mastodawn

Part 1 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | The Emergency Department

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Upon entering the Medical Posting, I was stationed into the “Peri-Medical Pool”. My “birthplace”, so-called.

Prior to entering the Medical Posting, many of my colleagues commented that the Peri-Medical pool is probably one of the worst place to enter considering that it is rather hectic, busy and messy, not to mention the joblist is never ending.

The working shift for a Medical House Officer is as such:

Short Day (SD): 7am till 6pm
Long Day (LD): 7am till 10pm
Night Shift (ON): 8pm till 9am

The Emergency Department in Hospital Umum Sarawak is rather huge and consists of:

Green Zone
EDAU
CSSD
Yellow Zone
Yellow Respi Zone
Green Yellow Zone
Red Zone I
Res Zone II
Decon

Usually a House Officer is allocated to take care of more than one zones.

For example:

Green Zone / EDAY / CSSD
Yellow Zone / Green Yellow Zone
Red Zone I / Red Zone II / Yellow Respi Zone

When the amount of manpower is high, the job gets done quickly and keeping track of the patients is easier.

However, in days where we are stretched thin it is rather difficult.

The Day Shift

Photo by Laura James on Pexels.com

Since I entered the Peri Medical Pool on my Day 1 of tagging in the Medical Posting, my working hours were from 7am till 10pm every day till I offtagged.

I begin my day by first tracing the casenotes of the patients in the zone I am allocated to, snap pictures of the chest x-rays, any relevant radiological reports as well as to trace their bloods.

If bloods were not taken or not in the system, we would then proceed to “summon” the post-night team for help with their bloods.

After all the patients have been traced and the Google Lists have been updated (this is to aid us during our rounds as well as following up on their location later, to ensure that they are not being missed), then I would proceed with my morning reviews.

The morning reviews are just as usual as any morning ward reviews, rounds with the Medical Officer and Specialists and finally carrying out any active joblists.

Since we are in the emergency department, there is usually no afternoon reviews. It depends on the medical officer. Most of the time, rounds are just once daily.

After we are done with our morning joblists, we have to actively screen through the patients in our allocated zones as there is constant movement of the patients in both in and out of the emergency department.

Thus, this means assisting the current on-call team for the day with any STAT bloods or STAT radiological requests as well as updating their progress.

On most days, it is manageable despite the chaos. However, on days where we are lacking in manpower, the difficulty sets in.

The Night Shift

Photo by Photo By: Kaboompics.com on Pexels.com

The night shift begins at 8pm till 9am the following day or until we are done with our “summons”.

I was blessed enough to have gone through perimedical with a partner. Thus, there were two House Officers allocated for the night shift.

As night House Officers in Peri-Medical. We are expected to continue screening through all the casenotes for any new joblist or patients in all the zones in the Emergency Department as well as to assist in any procedures, take STAT bloods or request STAT radiological procedures.

In addition to that, we also have to cover the main building and the side building. This means, if there are any medical patients lodging in non-medical wards, we are in charge of them as well. Most of the time, it is just new transfer ins, sometimes, it is attending to any acute issues.

This is then followed by taking the “coming mornings” or bloods of the stranded patients in the Emergency Department of the lodging patients.

The amount of patients in the Medical Department is extremely high and thus, the medical patients can be stranded up to days in the Emergency Department which can even last till they are being discharged.

Thus, this ensures that the patients are being continued on their treatment irregardless of their location within the hospital.

The night shift as a perimedical house officer can get rather hectic if there are back-to-back influx of new patients in the Emergency Department, tons of coming mornings as well as acute issues in the ward.

In the morning, the “summoned” list can get rather extensive and chaotic as well and can be rather endless.

Hence, on top of the constant walking about the whole hospital, it can get rather tiring. But like I said, it is doable and manageable.

In fact, I enjoyed life as a perimedical house officer a lot.

If you are due to join Peri-Medical, fret not. Keep yourselves equipped with necessary forms and just work quick and as fast as you can.

On some days, one might get lost in the sea of chaos. However, stay strong and know that help is always within reach and that you are not alone.

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My Evening Routine In The Medical Posting | Housemanship Diaries

An article regarding my Evening Routine while I was serving as a House Officer in my Fifth Posting, the Department of Medical.

The Theoretical Doctor

The Theoretical Doctor Apr 11

Working on New Year’s Day (2025)

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This will be the second year in a row that I’ve chosen to work on New Year’s Day. If you’ve read my previous similar article last year, I’ve mentioned how my father has this tradition of working on New Year’s Day every year, ever since he started working at the age of 18. It is something that I’ve adapted as well.

This year, I began my year in the Department of Medical which is my Fifth Posting in my Housemanship Journey. I entered this department on the 11th of December last year.

Having just off-tagged the week before, I was still allocated in my first pool which is the Perimedical Pool.

Looking back as it is currently April 2025, at the time of writing this article, I do not quite remember where I was allocated to. I think that I was most probably taking care of the stranded Medical patients in the main building.

Thankfully, I remembered it not being a hectic day and I was allocated the “short day” shift, meaning that I had the opportunity to return home at 6pm.

Considering it was New Year’s Day which is a Public Holiday here, things were rather slow and tuned down.

Thus, it was a rather slowed down and uneventful day, ending with me returning home on time and unwinding early.

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The Theoretical Doctor Apr 9

My Reflection of 2024

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Albeit it being March 2025, at the time of writing this article, let’s take a walk down memory lane.

2024 started with me being in the Obstetrics & Gynaecology (O&G) Department and ended with me being in the Medical Department.

Each department has its own sweet memory of which I shall cherish when I reflect upon my days as a House Officer.

2024 was also the year I took a 6-week-break from my journey as a House Officer, unintentionally, while I was in the Surgical Posting which was a good break indeed. It felt more like a school holiday and I returned home and was being pampered by my family and loved ones.

Sadly, it was also the time I regained all my weight that I have successfully lost along my journey as a House Officer and have more or less kept it on since then.

The struggle to lose weight has returned and amidst the busyness, I still somehow managed to eat which certainly did not help with my weight management.

2024 was also the year I met my partner and best friend as well as his family. My circle of loved ones have been expanded of which I am truly grateful and blessed. Despite being in a long distance relationship, we both try our best to make time for each other everyday which was not at all hard and leaned onto each other for moral support. It made my journey even easier and lovelier.

In short, 2024 flew by rather quickly just like every year. But, it was a beautiful year, one that’s filled with love and multiple odd and funny experiences as well as important ones.

There were challenges as well. The year would not be complete or interesting without it. However, I pulled through or else I would not be writing this reflection today.

As for 2025?

I’m hopeful and I know , it’s going to be another interesting and beautiful year.

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Surviving Tagging And Finally Celebrating Christmas In The Medical Posting – Housemanship Diaries

A short article regarding the time I officially off-tagged just in time to celebrate Christmas with my parents in my Fifth Posting of Housemanship.

The Theoretical Doctor

The Theoretical Doctor Mar 22

My First Day In Medical Posting – Tagging Day 1 | Housemanship Diaries

Tell us about your first day at something — school, work, as a parent, etc.

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Finally, my much awaited posting… Medical!

Ever since I was a first poster, I have always looked forward towards the Medical Posting but one I decided to keep as my last as I wanted to “learn“ and understand the posting rather than just “float” through.

This served as a disadvantage in other postings as when it came to simple management of hyperkalemia or hypokalemia, I wouldn’t know, neither hypoglycaemia or hyperglycaemia.

Instead, I simply memorised my way in terms of the simple management and “referred to Medical” rather than actually learning to correct them myself in other postings.

Thus, I went complex and complicated first prior to building my way up.

My first day in this much awaited posting was on the 11th of December 2024. I had just completed the Surgical Posting and was on a 5-days-break.

On my first day, I was allocated into the “Perimedical Pool”. Deemed as probably the “worst place” to be allocated in. Thus, as usual, the fear starts creeping in.

I started asking around in regards to my job scope as well as the superiors.

Most of them advised to just arrive on time, which I did, at 7am sharp.

That morning, I was allocated to handle the “Yellow Respi” zone of the Emergency Department.

Thankfully, I had a good friend who was my partner for the day.

We began with tracing x-rays of the patients as well as their blood investigations.

After we have gone through all of the patients, we began with our morning reviews while awaiting our medical officer and specialist.

The medical officer arrived and started reviewing the patients with my friend. Here I was, on Day 1, extremely blur.

I introduced myself to the medical officer and he proceeded to tell me to go about my own reviews while he assessed the other patients with my friend.

Alright, here we go again, just like in every posting. Just how and what am I going to review?

Soon, the specialist came and I proceeded to follow the rounds as I was used to in the Surgical Posting where we all followed the grand rounds.

Instead, I was again asked to proceed with reviewing the other patients in the other cubicle while they go about their rounds.

Feeling quite lost and left out, I proceeded as such. Before I knew it, I reviewed all the patients in that particular cubicle just in time when the medical officer and the specialist came.

Thus, I started presenting and writing, still being tuned to the work culture in the Surgical Posting.

Just like rounds in the other postings, we presented, followed, write and after rounds, proceeded with discharges and carrying out the active joblists.

Surprisingly, I had time for lunch.

Afternoon rounds started at 2pm with just the medical officer and my superior was more than kind enough to start explaining and teaching me as to why certain things are as such.

After the PM rounds, I proceeded to screen through the casenotes and update the list of patients in my zone as well as to take any STAT bloods. Before 6pm, I went for my early dinner.

Considering I was tagging, I had to stay till 10pm whereas the rest who are “Short Day” or “SD” went home by 6pm. Thus, from 6pm till 10pm, I was actively screening through the casenotes in the Yellow Zone, Yellow Respi Zone, Red Zone, Red Zone 2, CSSD, EDOU, Green Yellow Zone and updating the list as well as to take any needed STAT bloods which mainly included blood cultures.

A little before 10pm, I approached one of the medical officers to get my signature for the day and went home.

That concludes my first day of tagging in the Medical Posting which surprisingly turned out rather well. For the first day at least.

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My Morning Routine Being A House Officer Leader In The Surgical Posting | Housemanship Diaries

An article regarding my morning routine while being one of the surgical leaders in my fourth posting of my housemanship journey.

The Theoretical Doctor

The Theoretical Doctor Mar 20

My Morning Routine Being A House Officer Leader In The Surgical Posting | Housemanship Diaries

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There are three main leaders in the Surgical Posting. One is in charge of curating the weekly schedule, the other, in charge of ward and cubicle / bed allocations as well as to reallocate if there are any people who took emergency leaves or medical leaves and the third one, in charge of our attendance at work.

I was the daily allocator. Being the “allocator”, I would be in charge of designating the house officers to the selected cubicles of both the male and female surgical wards (MSW and FSW), the Peri, EMOT and ETD as well as to look for substitutes if there are any last minute changes or leaves.

Usually, I will prep my allocation in advance after the schedule leader has done the schedule and make necessary changes along the way. The leader in charge of the schedule usually determines which person works the night shift and when as well as to approve any leaves. Usually, the house officers will be divided into their respective wards.

The night before, I usually run through the suggested allocation in the “Leaders Group” with the medical officers in charge of the House Officers to screen through.

After receiving the green light from them or making necessary adjustments, I would then upload the list in the House Officer’s group. Thus, they would then know where they would be covering.

The list is usually sent in the “MOHO” group, meaning the group containing the House Officers and Medical Officers at 6:30 a.m.

Thus, I would wake up and be on standby at 5am everyday, even on my off days as I would wait for any messages should anybody take medical leaves or emergency leaves and make the necessary adjustments needed.

At 6:30 a.m sharp, I forward the daily allocation into the “MOHO” group.

If I happened to be working on that day, I would pause in between work just to send and then go about my work.

However, if I happened to be on leave or having my off days, I would then return to sleep or go about my other activities after 6:30 a.m.

It was an interesting experience having had the privilege to hold the position as one of the posting leaders.

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Reflection Of The Surgical Posting | Housemanship Diaries

An article regarding my overall reflection of my fourth posting, Surgical as a House Officer.

The Theoretical Doctor

ΞVΞ Feb 26

Improvising Living In Small Spaces In New York City: My DIY Micro-Studio

Describe the most ambitious DIY project you've ever taken on. A highly ambitious project I took on, that I didn't know I was taking on, was how to make the best use of small spaces when I first moved to New York. Originally, from the South and used to living in big apartments and two-story houses with a yard, I had no idea of the severe reduction of living space I was about to subject myself to. When I first moved here 10 years ago, I didn't have a high-paying job, so I found a room in […]

https://evenyc.com/improvising-living-in-small-spaces-in-new-york-city-my-diy-micro-studio/

Improvising Living In Small Spaces In New York City: My DIY Micro-Studio

Describe the most ambitious DIY project you’ve ever taken on. A highly ambitious project I took on, that I didn’t know I was taking on, was how to make the best use of small spaces when…

Eve in The City 🗽

thunkdeep Feb 26, 2024

Daily writing prompt Describe the most ambitious DIY project you’ve ever taken on. View all responses

Have You Embraced AI? We can still ponder how far we can push the envelope before it rips right? Those daymares i get from thinking about Black Box algorithms has stopped. Havent we already opened pandoras box? I really need to know how deep we can dig into the digital era’s treasure trove without hitting a landmine? That’s where ThunkDeep punches in. It’s not just about dabbling with tech; nah, it’s about a seismic shift in how we churn out content. It’s about being so ahead of the curve, the curve’s trying to catch up. Embracing AI? That’s not just our move; it’s our masterstroke.

ThunkDeep: The AI Revolution Unleashed

Let’s get one thing straight: when ThunkDeep flirted with AI, we didn’t just flirt; we went full-blown Shakespearean sonnet on it. We’re talking an all-in, heart-and-soul kind of commitment that’s reshaping the content cosmos. Every character typed, every pixel painted, it’s a duet of human ingenuity and AI’s endless possibilities. Through the looking glass of platforms like Make.com and OpenAI’s API, we’ve not only peeked into the future – we’re building it, brick by digital brick.

A Symphony of Platforms

Imagine every tweet, every Instagram story, and every rant not as solitary notes but as a full-blown orchestra playing across the internet. That’s ThunkDeep’s reality. We’re not just hanging out on one platform; we’re omnipresent. Twitter, Instagram, Mastodon, LinkedIn, Facebook, Civitai.com, Stable Diffusion – you name the digital stage, we’ve got a seat reserved. And here’s the wild part: it might seem like I’m chained to my screen, but in truth, it’s all part of the grand plan. A vision of blending AI’s prowess with the raw, unfiltered essence of human creativity to forge something undeniably epic.

The Real Behind the Screens

But ThunkDeep ain’t just about the digital dazzle. Nope. Behind every code, every algorithm, there’s a story of flesh and blood. Me and the missus, we’re cooking up realness amidst this tech extravaganza. It’s about life, with all its messiness, its beauty, its learning curves, and yeah, even its endings. We’re here, living through the tech revolution, making sure the heart of our human experience beats louder than any keyboard click.

Facing the Music: Beyond the Backlash

And let’s chat about those death threats, shall we? Over AI art? C’mon now, that’s just static in our signal. ThunkDeep ain’t about backing down; it’s about rising up, about turning noise into a melody, challenges into stepping stones. We’re here to stir the pot, sure, but it’s all in the name of growth, of exploration, of pushing past the fear into a realm of creation that’s limitless.

SEO Magic: Press The Word into Action

Now, let me introduce you to a little something called Press The Word – our SEO wizard in the ThunkDeep toolkit. This custom GPT ain’t just about optimizing content; it’s about revolutionizing it. With a sprinkle of SEO magic, we’re not just getting noticed; we’re getting remembered. It’s our secret sauce, turning the mundane into the magnificent, ensuring that when ThunkDeep speaks, the digital world listens.

Press the Word SEO

The ThunkDeep Dossier: An Exposé

So, what’s ThunkDeep really about? It’s about breaking molds, about a refusal to be boxed in by the conventional. It’s a manifesto of innovation, where AI isn’t seen as a threat but as the most badass collaborator we’ve ever had. We’ve embraced AI, adopted it, utilized artificial intelligence, and leveraged it to not just keep up but set the pace.

It’s about recognizing that in this blend of binary and humanity, there’s a new frontier to explore. A place where creativity isn’t just preserved; it’s amplified. Where every piece of content, be it a tweet, a blog, or an AI-generated masterpiece, is a testament to what happens when you dare to dream, to think, and yes, to thunk deeply.

So, to the naysayers, the skeptics, and the downright scared, we say this: Embraced AI isn’t the endgame; it’s just the beginning. It’s the dawn of a new era in content creation, where fear gives way to creation, where the unknown becomes the canvas, and where ThunkDeep stands, not just as a participant but as a pioneer.

In the heart of this digital odyssey, ThunkDeep remains unapologetically audacious, always on the lookout for the next boundary to push, the next limit to defy. Because at the end of the day, it’s not just about the content we create but the worlds we open up through it. That’s ThunkDeep for you: always thinking, always dreaming, always on the edge of tomorrow.

A ThunkCap

Welcome to ThunkDeep: Embracing AI with Open Arms

And that, my friends, is how you embrace AI. Not with trepidation, but with open arms, ready to ride the wave of innovation into uncharted territories. It’s a wild ride, but hey, wouldn’t have it any other way. Welcome to ThunkDeep, where the future isn’t just something we predict; it’s something we create.

The Integration of AI in Our Journey

In this journey, we’ve not just embraced AI; we’ve fully adopted it, making it an integral part of our digital exploration. It’s about seeing the potential of utilized artificial intelligence and leveraging AI in ways that defy the conventional. Our commitment to innovation goes beyond mere adoption; it’s about integration into the very fabric of our creation process.

Shaping the Digital Evolution with AI

As we chart new territories with AI by our side, ThunkDeep stands as a beacon for those who dare to think differently. Leveraging AI, we’re not just following the digital evolution; we’re actively shaping it. Every piece of content, every project, and every idea is a testament to how we’ve utilized artificial intelligence, transforming the landscape of digital expression.

Embrace, Adopt, and Leverage AI for Endless Possibilities

So, to all out there on the brink of their own digital ventures, remember: embracing AI, adopting AI, and leveraging AI is not just about harnessing technology. It’s about opening doors to endless possibilities, where creativity knows no bounds, and the future is an ever-expanding horizon of potential.

Join ThunkDeep: Where We Create the Future with AI

Welcome to ThunkDeep, where the future isn’t just something we predict; it’s something we actively create, with every tweet, post, and project. Together, let’s continue to embrace AI, adopt AI, and leverage AI, crafting a tomorrow that’s as limitless as our combined imagination. Ready to join us on this adventure? The journey into the future, powered by AI, is just getting started.

ABOUT ThunkDeep

Disclaimer: “Content generated by AI is part of our innovative approach. While we face challenges, like unwarranted threats, our commitment to positive, educational content remains.”

https://thunkdeep.com/embraced-ai-beyond-fear-into-creation/

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Inside the Red Head's Head Feb 26, 2024

Daily writing prompt Describe the most ambitious DIY project you’ve ever taken on. View all responses

I do a lot of musical DIY projects, but that isn’t my answer today. I’m right in the grip of my 17th RPM Challenge. I’ve done the 50 songs in 90 days challenge a bunch of times and have even succeeded on a few of them. That isn’t it though.

Our kitchen is about to be remodeled. The project starts today. It is not a DIY project though. We hired a contractor this time.

This time.

The last time though… We’ve been picking at the kitchen for a few years. The last couple of little changes were DIY. One of them was hanging a cabinet and counter top that we bought from IKEA. They have a neat system for hanging things. I thought it was going to be beyond us, but we pulled it off… mostly. It was a little crooked on one section. Just a little.

I am pretty sure that counter and cabinet are not going to survive the new project. We looked into having the contractor move it, but there doesn’t really seem to be enough room. That’s okay though. It was always meant to be a temporary thing until we figured out a way to do the real project. The real project being the sucker that sort of starts today.

Big changes coming to our house. We’re pretty excited to see how it goes. Wish us luck.

https://robertjames1971.blog/2024/02/26/kitchen-crazy/

#dailyprompt #dailyprompt1860 #DIY #diyProjects #homeImprovement #homeRenovation #interiorDesign

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