My First Night Shift Covering Medical 4 / Medical 5 / Infectious Disease Ward In Sarawak General Hospital – Housemanship Diaries

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Around my third month in the Department of Medical at Sarawak General Hospital, I was reallocated to Medical 4 which is the “Nephrology Ward” meaning patients who are admitted with newly diagnosed chronic kidney disease or have underlying kidney pathology requiring biopsy or haemodialysis (HD support) but clinically stable as in not requiring oxygen support, not in sepsis or not requiring medications for blood pressure support are admitted here.

I will explain more about that ward in another article.

Anyway, back to the reason for this article, being allocated in this ward meant that I had to cover not just this ward, Medical 4 but also Medical 5 as well as the Infectious Disease Ward during my night shift.

In the Department of Medical, the night shift is from 8pm till 10am the following day.

While I was allocated here, I was blessed enough to have a few taggers in the ward and tagging is from 7am till 10pm.

Thus, upon heading down at 8pm, there are usually a few people in Medical 4 till 10pm. Thus, upon entering my shift, I would first head over to Level 9 to place my bags, pop into Medical 4, for a while and then head over to Medical 5 to take the coming morning bloods.

Upon completion, I would then head over to Medical 4 and begin my coming mornings there. Usually while I’m taking my coming mornings, new patients will come in and thus I would transfer in at the same time.

Upon completion of my coming mornings in Medical 4, I would usually send my bloods at around 2am and then head over to the Infectious Disease Ward to take the coming mornings.

In between I would be free but sometimes I would receive call for new transfer ins at Medical 4 and Medical 5.

At 5-6am, I start running the blood gases. Usually when I take the coming mornings bloods, I would take the blood gases as well and keep it in a separate syringe in the cooler.

Surviving the night shift initially was intimidating as I have yet to experience it and Medical 4 and Medical 5 were located far apart from each other.

My main concern was if something were to occur at both wards at the same time.

Thankfully, my experiences were mostly good and I enjoyed every night shift I’ve experienced thus far in this ward.

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A Junior Doctor In Boots

Tell us about your favorite pair of shoes, and where they’ve taken you.

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Prior to having my first pair of boots in 2021 while I was in my third year of medical school, I have always dreamt of wearing boots. Be it short cut or the long ones till mid calf or up till the knee, I loved them all. 

I prefer them over heels or flats or slippers.

Partly because I have always imagined myself as a “country girl” in summer dress or jeans, always paired with boots. 

However, I’ve never had a pair of boots till I was in my third year of medical school, even that, was given by my aunt. I remembered using it to almost every occasion because it was so comfortable and versatile. The colour was dark green, an ankle length boots with zips on the side. I wore it till one of the shoe had a hole on the side and even then, I was still adamant to wear it till my mom got me a new pair of boots and threw my first pair away.

Since then, I’ve gone through another 2 pair of boots, one pair with heels and another flat. I occasionally wear the one with heels and often use the flat one. The flat one is my go-to everyday boots be it for outing or travelling or a simple trip to the market. However, I rarely use them to work. At work, I have specific types of shoes that I usually wear since I’m on my feet most of the time and these shoes gives me the sole support that I need (if you know what I mean).

But there are days when I’m feeling fancy that I would dress up a little and don a nice blouse over my black leggings to work. Those would be the days when I would wear my favourite regular pair of boots to work, which boosts my self-esteem for the day considering that it is my style, one that I feel brings out the inner-me, the junior doctor-in-boots.

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40 Days Since I’ve Started Being Vegetarian

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Describe one positive change you have made in your life.

The positive change? Being vegetarian. Well, for 40 days then I’m non-vegetarian again.

Why did I even embark on this journey?

Every year during Lent, I would embark on a vegetarian journey, a lacto-ovo-vegetarian journey to be exact and this year, it was from the 5th of March till the 19th of April 2025.

Thus, I went from consuming meat to consuming tofu almost everyday as well as started consuming vegetables again.

Albeit being vegetarian, I try to reduce my rice consumption. Thus, I mainly mixed rolled oats into my dishes.

I started shopping for groceries even more (which may not be such a good thing) but I was surprised at the number of items I could buy and only spend minimal.

Well, vegetables are cheap, which is good.

Changing my diet in combination with my usual routine at work and ensuring I reach my daily steps of 10,000 steps, I started losing weight.

Not much. However, I’ve been struggling with losing the weight that I have gained during my time off in the Surgical Posting.

Now that I’m non-vegetarian again, obtaining food is easier and I actually miss being vegetarian.

Perhaps soon I will embark on this journey again.

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Witchcraft Priestess & Healer

What is the legacy you want to leave behind?

I want to become an important and extremely knowledgeable Witchcraft Priestess and Healer. I want to spread my knowledge and share my Grimoires with aspiring and seasoned witches alike. They will make a good example of me and tell tales of me for years to come.

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Reflexión «Empatía, virtud que se está perdiendo»

Como bien dice el diputado de Esquerra Repúblicana de Catalunya, Gabriel Rufián, que ayer tuvo uno de sus discursos más brillantes y mas conmovedores de los últimos tiempos, dijo algo que nos debería calar a toda la ciudadanía, pensemos lo que pensemos, yo coincido con Gabriel en casi todo, pero yo si quiero a Cataluña dentro de España, aunque si defiendo a derecho a decidir como el, añado, bueno el dijo lo siguiente «tiene que volver a dar verguenza ser canalla» y «Están poniendo e moda ser un malnacido» además en su discurso ha dado un repaso criticando ese psedouperiodismo que está intoxicando la convivencia en nuestro país y está dividiendo a la población, esta gentuza, si gentuza, como Vito Quiles, Beltrand Ndongo, Javier Negre, Alfonso Rojo., Eduardo Inda..etc que no hacen periodismo, son propagandistas de la derecha extrema y la extrema derecha, porque derecha moderada, la única que yo veo es la derecha nacionalista vasca, el PNV, por lo demás ni rastro de derecha moderada, decente, equiparable a una democracía de estandares europeos, además Rufián condenó en su discurso el apoyo decidido de PP y de Vox a un régimen que está , en mi opinión, cometiendo un genocidio como es Israel, y recordó los mas de 10.000 muertos menores de edad en Gaza.

Y si, hay que estar alerta, porque la empatía, el ponerse en lugar de otras personas, y sentir al menos el dolor que pasan otras personas, se está perdiendo, el odio y el no ver más allá de las narices es lo que está ganando terreno, los intereses partidistas al interes general, y luego además la gente ahora es muy manipulable, yo soy de izquierdas y yo critico lo que hace mal la izquierda, que se equivoca muchas veces por supuesto, yo no pienso que los míos lo hacen todo bien y el contrario todo lo hace mal, yo no pienso que los mios son los buenos y los contrarios somos malos, hay de todo en todas las ideologías, hay gente de izquierdas excelentes personas y gente mala hay gente de derechas excelentes personas y gente mala, sobre todo yo respeto los principios de cada persona, cada cual tiene su forma de ver la vida y el mundo, en una democracia tiene que ser así, heterogenea y tenemos que convivir y respetarnos y estar unidos en lo fundamental, en el respeto de los derechos de los demás, el respeto de los derechos humanos que no es de ninguna ideología y simplemente es de los seres humanos,

España es un país maravilloso para vivir, por su gente, gastronomía, su forma de ver la vida y sobre su variedad, en España es un país plurinacional si, lo es, pero esto realmente es lo que la hace grande, la diversidad, tener varias lenguas además del castellano, maravillosa y preciosa lengua al igual que son maravillosas y preciosas lenguas el catalán, gallego, valenciano, euskera y mas otras lenguas mas minoritarias como el asturiano, aranés, aragones..etc, la pluralidad de España no nos debe dividir, el respeto a esa diversidad es la clave para unir a este país, es como yo lo veo.

En fin, este es mi discurso, espero que os haya gustado, darle me gustado si os ha gustado y comentar libremente, abrazos amigos y amigas.

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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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Fake News & Social Media

Daily writing prompt What is the legacy you want to leave behind? View all responses

Active-Revolutionist

Absolutely the most wicked system of Satan,
Sly like A Fox News in order to sow dissension.
Pouring gasoline on stories turned into fables,
Controlling thoughts only because YOU’RE unable.
YOU watch and eat it all as if it’s nourishment,
Listening to the wicked tools of their government,
Twisted: “Man shall not live off bread alone…”
Only off CNN’s subliminal new way of praying.
“but off every word…” so, religion is overthrown.
That feeds the news of ABC, I’m just saying…
This and that about everything we don’t care,
They can even tell you what is and isn’t fair.
“You’re paranoid and slavery don’t matter now.”
Nor do a cop when he kills one, that’s also allowed.
As long as Black men get killed never to rise up,
NBC, BBC, like mathematics what the f-ck?
They conceal all, except the Black on Black crimes,
Yes, Media coverage, one of the signs of the Time.
Spread sin by any means necessary does the devil,
He whispers and you listen, proof is in the detail.
Here’s an example of our propaganda tools,
How it’s progressed and made a race into fools.
Women dress like the prostitutes of years past,
Revealing all private parts, prints and ass.
If a celebrity decides to pull his pants down,
A once King now sags and wear a Qweens gown.
He becomes a backwards dupe in the encyclopedia,
Shaped and molded, by: The News and Media.

An activist is a person who campaigns for some kind of social change. When you participate in a march protesting the closing of a neighborhood library, you’re an activist. Someone who’s actively involved in a protest or a political or social cause can be called an activist.

A revolutionist is someone who wants to change the world — not just sitting around talking about it, but actually doing something to bring about change.

What is the legacy you want to leave behind? (Active-Revolutionist) Muhammad, Raheem. “Oh, Say Can You See!?”: Secrets Kindle. Kindle Edition.

Book 18, Hadith 1633 What does this mean: “women who will be dressed but appear to be naked, inviting to evil; and they themselves will be inclined to it.”

Muslim Women’s Dress in Accordance with the Qur’an and Sunnah

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Daily writing prompt What is the legacy you want to leave behind? View all responses

100 years from now some archeologist who probably looks a little like Indiana Jones is going to stumble across my alonetone account, listen to all of the music I have posted there and decide that it is some of the greatest music created in the 21st century. My songs will be studied in universities, splashed across all social media (because there will still be social media 100 years from now), and deftly woven into the fabric of 22nd century society. You can bank on it, folks.

What legacy will I leave behind? A Legacy of Rock.*

Okay, now that you’ve stopped laughing…

I don’t know what my legacy should be. Hopefully it’s our kids, Harry and Bellana. Hopefully they continue to be good people who always chose to do the right thing. Hopefully having me around for most of their lives has had some small influence on them that helped lead them in that direction. Hopefully they will someday have kids of their own (no pressure though) and they are able to pass on whatever tiny influence I might have had on to the next generation.

That would be enough for me. I would be proud to leave a little legacy like that. Proud and honored.

*If I don’t use that as the title of my next album, Spinal Tap should.

https://robertjames1971.blog/2024/05/21/a-legacy-of-rock/

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My First Night Shift Covering Medical 4 / Medical 5 / Infectious Disease Ward In Sarawak General Hospital – Housemanship Diaries

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Around my third month in the Department of Medical at Sarawak General Hospital, I was reallocated to Medical 4 which is the “Nephrology Ward” meaning patients who are admitted with newly diagnosed chronic kidney disease or have underlying kidney pathology requiring biopsy or haemodialysis (HD support) but clinically stable as in not requiring oxygen support, not in sepsis or not requiring medications for blood pressure support are admitted here.

I will explain more about that ward in another article.

Anyway, back to the reason for this article, being allocated in this ward meant that I had to cover not just this ward, Medical 4 but also Medical 5 as well as the Infectious Disease Ward during my night shift.

In the Department of Medical, the night shift is from 8pm till 10am the following day.

While I was allocated here, I was blessed enough to have a few taggers in the ward and tagging is from 7am till 10pm.

Thus, upon heading down at 8pm, there are usually a few people in Medical 4 till 10pm. Thus, upon entering my shift, I would first head over to Level 9 to place my bags, pop into Medical 4, for a while and then head over to Medical 5 to take the coming morning bloods.

Upon completion, I would then head over to Medical 4 and begin my coming mornings there. Usually while I’m taking my coming mornings, new patients will come in and thus I would transfer in at the same time.

Upon completion of my coming mornings in Medical 4, I would usually send my bloods at around 2am and then head over to the Infectious Disease Ward to take the coming mornings.

In between I would be free but sometimes I would receive call for new transfer ins at Medical 4 and Medical 5.

At 5-6am, I start running the blood gases. Usually when I take the coming mornings bloods, I would take the blood gases as well and keep it in a separate syringe in the cooler.

Surviving the night shift initially was intimidating as I have yet to experience it and Medical 4 and Medical 5 were located far apart from each other.

My main concern was if something were to occur at both wards at the same time.

Thankfully, my experiences were mostly good and I enjoyed every night shift I’ve experienced thus far in this ward.

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