The Lie of Leaving an Impact

When did you stop expecting things to leave an impact? I figured it out right after high school. Not in some dramatic, movie-scene way. Just a slow, annoying realization that kept tapping me on the shoulder until I finally turned around and went, “oh… this is it?” Nobody cared then. Nobody cares now. Not really. All that talk about impact, legacy, making a difference. Cute. Sounds great in a speech. Doesn’t survive contact with real life. People graduate, scatter, and immediately […]

https://ericfoltin.com/2026/04/03/the-lie-of-leaving-an-impact/

Her Voice Against a Changing Climate

How would you improve your community? Today again I was thinking about climate change.Earlier I never really cared much. It felt like something happening somewhere far away. Not in my life. But now it feels different. The heat is too much these days. Even water doesn’t come like before.At home, I notice these things more. Maybe because I manage these small things daily. I keep thinking about saving water, not wasting anything. These are small things, but still they matter.Sometimes I […]

https://aarya045.com/2026/04/03/her-voice-against-a-changing-climate/

Moth to a Moon

Daily writing promptHow would you improve your community?View all responses Morgan: Build a library and purposefully leave it empty so that people from the community can come and donate any books they feel the library should have so that knowledge and wisdom can be more widely available. The internet changes information on an almost hourly basis depending on the needs of people in power but books were set in ink hundreds of years ago. Their words have been made immortal and untouchable. Any […]

https://internationaldatingcozycultures.com/2026/03/31/moth-to-a-moon/

My First Hour Of The Day

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What are your morning rituals? What does the first hour of your day look like?

By default I rise around 4-5am. Perhaps out of habit as I usually take my time in the morning. Sadly, this also happens during my off days even when my alarms are off. My body clock is somehow tuned to waking up at such.

As mentioned, I take my time upon waking up. Thus, upon waking up, the rain sounds which I fall asleep to would be playing in the background and I would sit by the side of my bed and slowly make my way to my kitchen which is just across my bed, since I live in a studio unit and put my kettle to boil.

The kettle is usually filled the night before and hence, one thing less for me to think in the morning. This is then followed by my morning bathroom rituals and brushing my teeth.

Usually by then, I would have been much more awake and proceed to consume my iron tablet, vitamin C and making my morning coffee which is a mixture of 3-in-1 sachet and a teaspoon of black coffee since I prefer an even stronger coffee.

If I were working that morning, I would prepare both of my 1.5L of flasks by filling them with cold coffee which I have brewed a day prior for me to bring to work. 

Why 2 flasks? Well, one is not enough.

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There are days when I’m feeling hungry or in the mood, I would prepare myself breakfast. My go-to-regular is frying egg mixed with mushrooms, chopped chilli and curry leaves and adding them to my breakfast sandwich. During my time being vegetarian, I would usually grill or air-fry my premixed tofu which I have marinated with spices, acting as a burger patty and my breakfast sandwich is prepared. 

There are days, despite waking up earlier, I would still miss breakfast, thus instead I would pack it for work. 

After that is followed by showering and getting ready for work. I usually wash my hair in the mornings daily. Thus, prior leaving for work, I would dry my hair with a hair dryer and style it up in a bun and I’m good to go.

How about if I’m not working on that day or if I’m night shift for that day? 

Usually I proceed with my usual cup of coffee or I would go the extra mile by brewing myself a pot of masala or ginger tea with the tv playing in the background of some random YouTube video on productivity, to which I’m usually not listening to and merely keeping it on in the background for some background noise.

Then, I would proceed to prepare my breakfast and start my day with some writing or studying.

Well, that’s my first hour for the day, or perhaps a little more than that.

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Iced Tea & Cold Brew Coffee

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What is your favorite drink?

As the title entails, it is Iced Tea and Cold Coffee.

1. Iced Tea

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I fell in love with tea, green tea, black tea and oolong tea in particular when I was 14 years old.

At that time, I was looking into drinks to aid my weight loss and I came across green tea and oolong tea being suitable drinks in facilitating weight loss when consumed without sugar.

Thus, I brewed my first proper sugarless green tea and fell in love with the taste. Ever since then, I started drinking it on a regular basis and it has pretty much replaced water for me.

Did it aid with weight loss?

Perhaps in the beginning, eventually, I continued drinking it because I enjoyed the taste be it warm or cold.

As I started working, I would usually prepare cold brew green tea in order for me to bring to work the following day.

Photo by Charlotte May on Pexels.com

Why cold?

The environment that I’m working in can get rather warm and considering I am a person who perspires easily, the temperature of the tea eases me and provides immediate rejuvenation.

Even after a long day at work, nothing refreshes me more than a cold brew green tea served in mason jar and a straw.

2. Cold Coffee

Photo by Marta Dzedyshko on Pexels.com

I am a HUGE fan of coffee, black sugarless coffee in particular.

My love for coffee began since I was in primary school, which I think is a bad thing since children are not supposed to consume coffee.

Back then, my mother would used to prepare coffee for my father and milo for me prior to my father sending me off to school and heading to work.

Me and my father would then switch drinks after he has drank half of his drink.

Then, when I turned 14 years old, I started pulling an all nighter or getting up at midnight just to study.

Eventually, I developed immunity towards coffee and is able to fall asleep even after consuming it. Thus, I merely consume it out of addiction and routine.

As I started working, as mentioned in my explanation for cold tea, the environment is rather warm for me to be consuming hot coffee. Hence, I would prepare my mason jars of coffee the night prior and transfer it into my flask the following day.

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

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• My First Day In Medical Posting – Tagging Day 1 | Housemanship Diaries
• My Morning Routine Being A House Officer Leader In The Surgical Posting | Housemanship Diaries
• Reflection Of The Surgical Posting | Housemanship Diaries
• My Experience as A Plastics House Officer | Housemanship Diaries
• My First Day In General Surgery – Tagging Day 1
• My First Night Shift In Surgery | Housemanship Diaries
• The House Officer’s Dilemma | Housemanship Diaries
• Surviving A Month Of Tagging In My Fourth Posting – Surgery | Housemanship Diaries
• Appreciation Towards The Medical Officers (MOs) – Housemanship Diaries
• My Downfall In Surgery Which Led To My Extension – Housemanship Diaries
• 1 Year Of Housemanship Update – Housemanship Diaries
• Another Good Advice I Will Remember For The Longest Time – Housemanship Diaries
• Enjoying The Journey – Housemanship Diaries

In the Medical Posting, seniors were required to tag for a minimum of 10 days prior to off-tag while juniors had to tag for a full 14 days.

I was due to have my off-tag assessment and in the Medical Posting, we were required to off-tag with Physicians, meaning the specialists.

Tagging everyday in the Medical Posting was rather annoying for me since we had to stay until 10pm and being a regular early riser, I would start feeling sleepy around 8pm as that is the time I start to unwind and go to bed.

However, I can’t because I am still tagging. On top of that, since I am tagging, I would be too exhausted by the time I reach home to even consider studying. I had to prioritise my sleep more or I would crash.

Thus, I tagged for a total of 12 days which consisted of two off days. Thus, in reality, I only actually tagged for 10 full days.

In order to officially off-tag, I had to have my logbook signed by the physician who assessed me as well as to have each procedure filled and countersigned by the medical officers.

Long story short, I finally off-tagged on Christmas Eve and did not realised that I have been allocated an off day on the 25th of December.

This was perfect as my parents flew in on the 24th night. Thus, upon having officially off-tagged, I left and started getting ready to travel to the airport to meet my parents.

The following day of course was Christmas which was well spent with my parents.

Related Posts:

• My First Day In Medical Posting – Tagging Day 1 | Housemanship Diaries
• My Morning Routine Being A House Officer Leader In The Surgical Posting | Housemanship Diaries
• Reflection Of The Surgical Posting | Housemanship Diaries
• My Experience as A Plastics House Officer | Housemanship Diaries
• My First Day In General Surgery – Tagging Day 1
• My First Night Shift In Surgery | Housemanship Diaries
• The House Officer’s Dilemma | Housemanship Diaries
• Surviving A Month Of Tagging In My Fourth Posting – Surgery | Housemanship Diaries
• Appreciation Towards The Medical Officers (MOs) – Housemanship Diaries
• My Downfall In Surgery Which Led To My Extension – Housemanship Diaries
• 1 Year Of Housemanship Update – Housemanship Diaries
• Another Good Advice I Will Remember For The Longest Time – Housemanship Diaries
• Enjoying The Journey – Housemanship Diaries

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Pensamiento de Oscar «Madrid necesita un cambio radical»

Sugerencia de escritura del día ¿Cómo mejorarías el lugar donde vives? Ver todas las respuestas

¿Cómo mejorar el lugar donde vivo? Pues en primer lugar seguro que mejoraría si tuvieramos otro presidente o presidenta en la Comunidad de Madrid, alguien que no apueste por la confrontación, que apueste por lo que nos une y no por lo que nos separa, que no se haga la victima ante las críticas y que tenga valor admitir errores y mejorar, que sea honesto/a y transparente, que tengo modos muchos más educados y sosegados, que gobierne para toda la ciudadanía de la región de Madrid y no para unos pocos, ante todo que se haga justicia a 7291 personas que faltan y no se morían igual.

También en la ciudad de Madrid me encantaría un alcalde como Enrique Tierno Galván, uno de mis sueños es ser yo el Tierno Galvan el siglo XXI la verdad es esa, pero adaptado al siglo XXI, que se promueva «Una Movida Madrileña» adaptada al siglo XXI, que se promueva una explosión cultural, donde el arte, la música y la alegría vuelva a las calles de Madrid.

Fomentar la participación ciudadana, fomentar espacios Decide Madrid del ayuntamiento de Madrid y extenderlo a la Comunidad y otras localidades de Madrid.

Fomentar la sostenibilidad urbana, fomentar la mejor gestión de los residuos, fomentar el transporte sostenibles, aumentar los carriles bici en Madrid y mejorar los espacios verdes y crear otros nuevos.

Por supuesto la vivienda es uno de los temas principales de esa acción de gobierno de Madrid, promover vivienda social y asequible, también recuperar el centro de la ciudad para los madrileños, facilitando reformar las casas antiguas y promoviendo alquileres accesibles.

Por supuesto fomentar el empleo de calidad es otro de los objetivos, reindustralizar Madrid, invertir en empleo verde, poner atención también en la empleabilidad de colectivos vulnerables como mujeres, jovenes, mayores de 50 años y personas con discapacidad.

Mejorar el transporte en Madrid, mi proyecto es reinstaurar el tranvia en la ciudad de Madrid, mejorar los frecuencias en el transporte, poner el abono gratuito para desempleados, personas con discapacidad, mayores de 65 años, y poner permanente la reducción de precio vigente en los abonos y billetes del Gobierno.

Avanzar en la digitalización, mejorar sensiblemente la conectividad en las zonas rurales, facilitar el acceso a Internet en los hogares y mejorar e impulsar la digitalización de PYMES

Aumentar el presupuesto en Educación, mayor inversión en educación pública y de calidad para todos los madrileños, desde primaria a la Universidad, fomentar la educación y la cultura es un objetivo para mi prioritario.

Fomentar el comercio de proximidad y local, las PYMES frente a las grandes superficies.

Por supuesto aumentar significativamente en el presupuesto para Sanidad y arreglar de inmediato todas las deficiencias en Centros de Salud y Hospitales de la Comunidad de Madrid, revertir el proceso de privatización y volver a tener para Madrid una sanidad pública y de calidad para todo el pueblo madrileño.

Fomentar la colabaración interinstitucional, para implementar muchas de estas reformas, es muy importante fomentar la colaboración entre diferentes niveles de gobirno (nacional, regional, local) con organizaciones civiles.

Y volver a hacer de la radio televisión pública madrileña un canal para todos/as los madrileños, que ya no haya ni TeleAyuso, ni TeleEspe, hacer una ley para blindar la neutralidad y despolitización de Telemadrid y Onda Madrid.

Y seguro que me dejo muchas cosas mas, esto es una de muchas reformas que emprendería en mi Comunidad Autónoma y mi ciudad, yo sólo quiero el Madrid abierto que siempre ha sido y no el lugar antipático que parece ser para algunos o algunas, así es como pienso, por supuesto esto es muy debatible por supuesto, yo sólo quiero sentir que mi ciudad, mi región, mi país la sienta como mía y de todos y todas, así de claro.

Abrazos enormes, amigos y amigas.

#dailyprompt #dailyprompt1897 #Madrid #politica #proyectos #sueños

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

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• Reflection Of The Surgical Posting | Housemanship Diaries
• My Experience as A Plastics House Officer | Housemanship Diaries
• The Wards In The Surgical Department | Sarawak General Hospital
• My First Day In General Surgery – Tagging Day 1
• My First Night Shift In Surgery | Housemanship Diaries
• The House Officer’s Dilemma | Housemanship Diaries
• Surviving A Month Of Tagging In My Fourth Posting – Surgery | Housemanship Diaries
• Appreciation Towards The Medical Officers (MOs) – Housemanship Diaries
• My Downfall In Surgery Which Led To My Extension – Housemanship Diaries
• 1 Year Of Housemanship Update – Housemanship Diaries
• Another Good Advice I Will Remember For The Longest Time – Housemanship Diaries
• Enjoying The Journey – Housemanship Diaries

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.

Related Posts:

• Reflection Of The Surgical Posting | Housemanship Diaries
• My Experience as A Plastics House Officer | Housemanship Diaries
• The Wards In The Surgical Department | Sarawak General Hospital
• My First Day In General Surgery – Tagging Day 1
• My First Night Shift In Surgery | Housemanship Diaries
• The House Officer’s Dilemma | Housemanship Diaries
• Surviving A Month Of Tagging In My Fourth Posting – Surgery | Housemanship Diaries
• Appreciation Towards The Medical Officers (MOs) – Housemanship Diaries
• My Downfall In Surgery Which Led To My Extension – Housemanship Diaries
• 1 Year Of Housemanship Update – Housemanship Diaries
• Another Good Advice I Will Remember For The Longest Time – Housemanship Diaries
• Enjoying The Journey – Housemanship Diaries

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The Wards In The Surgical Department | Sarawak General Hospital

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• My First Day In General Surgery – Tagging Day 1
• The Worst Morning Shift In General Surgery | Housemanship Diaries
• My First Night Shift In Surgery | Housemanship Diaries
• The House Officer’s Dilemma | Housemanship Diaries
• Surviving A Month Of Tagging In My Fourth Posting – Surgery | Housemanship Diaries
• Appreciation Towards The Medical Officers (MOs) – Housemanship Diaries
• My Downfall In Surgery Which Led To My Extension – Housemanship Diaries
• 1 Year Of Housemanship Update – Housemanship Diaries
• Another Good Advice I Will Remember For The Longest Time – Housemanship Diaries
• Enjoying The Journey – Housemanship Diaries

The main General Surgery wards in this hospital is located on the 7th floor of the main building which are Male Surgical Ward (MSW) and Female Surgical Ward (FSW).

I entered my General Surgery Posting during a time whereby there were no House Officers being allocated into sub-specialities. The only so-called “sub-specialities” that were available were “Vascular” and “Hepatobiliary Team – HPB”. Both of which are added under General Surgery.

Other teams such as Neurosurgery, Plastics, Urology and Paeds Surgery did not have House Officers. It wasn’t till towards the end of my service in this Posting that it was reintroduced.

Thus, our exposure towards the wards in General Surgery were limited but also made it pretty easy for us to manage.

1. Male Surgical Ward, MSW

Located on the 7th floor of the main building, it is considered the ward which is feared and avoided by many but is also where I’ve spent most of my time while being in this posting.

As the name suggests, it is mainly for male patients with underlying surgical issues or at least being managed by Surgical as the primary team.

This ward is usually avoided by many due to the overwhelming amount of patients which is twice the amount in Female Surgical Ward.

Twice the amount usually meant twice the amount of drama as well as the usual chaos.

My journey in General Surgery ended with my service in this particular ward.

2. Female Surgical Ward, FSW

This ward is also situated on the 7th floor of the main building and it is opposite the Male Surgical Ward, MSW.

As per its namesake, it mainly consists of female patients with underlying surgical issues or at least being managed by surgical team as the primary team.

Albeit it being a “Female” Surgical Ward, there would occasionally be male patients being treated there as the beds in the other wards are usually filled, causing an overflow of patients into this ward.

I started my tagging days in this particular ward and I would consider this ward relatively chiller and laid back compared to the other.

3. Vascular Ward

The Vascular Ward is located on Level 3 of the main building.

If you have done the Paediatrics Posting, it is situated in the same location as “Paeds Nursery Level 1″.

The ward is essentially divided into two, catering to both the Paediatrics Team as well as the Vascular Team.

4. Vascular Extension Ward

The Vascular Ward could only cater to at most, 10 patients. Thus, if there were any more patients to be managed under the Vascular Team, they would be placed in the Vascular Extension Ward or in the main surgical wards.

The Vascular Extension is located on the second floor of the main building, inside the Urology Ward which is situated opposite the emergency department, ETD.

During my service period in General Surgery, I have paid a few visits to the Vascular Ward and Vascular Extension Ward. However, I have never served my time there as I was not allocated to be the House Officer in the Vascular Team and also because it was a team I was avoiding.

Upon my exit from this posting, the sub-specialities were reintroduced again and House Officers were being allocated to other teams.

Thus, if you are due to experience the General Surgery Posting, I hope that you will find it as enjoyable as I did especially while working in the Male Surgical Ward.

It is indeed hectic and busy and going home on time is almost unheard of. Albeit MSW being an extremely busy ward, the medical officers I worked with as well as the specialists were kind, helpful and willing to teach.

Related Posts:

• My First Day In General Surgery – Tagging Day 1
• The Worst Morning Shift In General Surgery | Housemanship Diaries
• My First Night Shift In Surgery | Housemanship Diaries
• The House Officer’s Dilemma | Housemanship Diaries
• Surviving A Month Of Tagging In My Fourth Posting – Surgery | Housemanship Diaries
• Appreciation Towards The Medical Officers (MOs) – Housemanship Diaries
• My Downfall In Surgery Which Led To My Extension – Housemanship Diaries
• 1 Year Of Housemanship Update – Housemanship Diaries
• Another Good Advice I Will Remember For The Longest Time – Housemanship Diaries
• Enjoying The Journey – Housemanship Diaries

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My First Day In General Surgery – Tagging Day 1

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• The Worst Morning Shift In General Surgery | Housemanship Diaries
• I Ordered A Chest X-Ray For The Wrong Patient | Housemanship Diaries
• My First Night Shift In Surgery | Housemanship Diaries
• The House Officer’s Dilemma | Housemanship Diaries
• Surviving A Month Of Tagging In My Fourth Posting – Surgery | Housemanship Diaries
• Appreciation Towards The Medical Officers (MOs) – Housemanship Diaries
• My Downfall In Surgery Which Led To My Extension – Housemanship Diaries
• 1 Year Of Housemanship Update – Housemanship Diaries
• Another Good Advice I Will Remember For The Longest Time – Housemanship Diaries
• Enjoying The Journey – Housemanship Diaries

My “Day 1 of life” in the Surgical Department commenced on the 4th of July 2024 which fell on a Thursday.

I was allocated to work in the side room of Female Surgical Ward (FSW) with a fellow colleague whom I’ve worked previously in the night shift in Paediatrics.

I left home around 5.45am and arrived at almost 6am and started reviewing as usual. I took some time as I read through the previous entries and used it as a guide to write my morning reviews.

Upon reviewing around 4 patients, a fellow medical officer arrived and automatically, I greeted him and followed him. It has become a reflex of mine as in other postings, we had to be like that, which is a good practice.

He was friendly and had a kind demeanour. Thus, I followed him, not knowing that he is actually the medical officer in charge of the HPB (Hepatobiliary) patients.

Usually, there will be a house officer in the ward in charge of the HPB patients, which I did not know of course, considering that it is my first day. Thankfully, I had a partner who followed the “GS – General Surgery” rounds with the other medical officer instead.

As usual, rounds with medical officers followed by rounds with specialists in the morning and as House Officers, we are their assistant and scribe. The morning rounds ended and we proceeded with tracing the joblists for each patients in our allocated cubicles and updating it in the “MOHO” group as well as proceeded to complete the active job-lists.

This is then followed by afternoon reviews, afternoon rounds with medical officers and specialists followed by the completion of the active joblists and finally starting with on-call reviews and preparing our handover lists.

Considering that I am still tagging, I had to stay till at least 10pm. After completion of the on-call reviews, we followed the on-call rounds and HPB (oncall rounds), clerked and transferred in the new patients, completion of the active joblists before finally heading home.

Overall, my first day in Surgery was surprisingly good and calm. The medical officers and specialists seemed rather kind and patient. Thus, giving me the encouragement to continue despite having heard that this particular posting seemed like a rather toxic one which only serve to instil fear in me prior to joining this department.

Related Posts:

• The Worst Morning Shift In General Surgery | Housemanship Diaries
• I Ordered A Chest X-Ray For The Wrong Patient | Housemanship Diaries
• My First Night Shift In Surgery | Housemanship Diaries
• The House Officer’s Dilemma | Housemanship Diaries
• Surviving A Month Of Tagging In My Fourth Posting – Surgery | Housemanship Diaries
• Appreciation Towards The Medical Officers (MOs) – Housemanship Diaries
• My Downfall In Surgery Which Led To My Extension – Housemanship Diaries
• 1 Year Of Housemanship Update – Housemanship Diaries
• Another Good Advice I Will Remember For The Longest Time – Housemanship Diaries
• Enjoying The Journey – Housemanship Diaries

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