Mastodawn

Culinary Adventures: When Food Abroad Bites Back!

📌Disclaimer: Please note that if you click on any of the links in this blog, I will be receiving a small commission at NO extra cost to you!📌

Prepare your taste buds and buckle up for a gastronomic rollercoaster ride as we explore the wild world of culinary adventures abroad. From mouth-watering delicacies to unexpected surprises, join me as we delve into the delightful and sometimes downright daring realm of international cuisine.

https://benable.com/abnolte/81c35f813073af56266c

1. The Spicy Spectacle

You pride yourself on your tolerance for heat, so when the friendly street vendor in Bangkok offers you a taste of their “mild” curry, you confidently accept with a smile. But as the first fiery bite hits your tongue like a flamethrower in a chili factory, you quickly realize that you may have underestimated the true meaning of “Thai spicy.” Cue the frantic gulps of water and the impromptu fire-breathing performance that leaves your fellow diners both impressed and slightly concerned for your well-being.

https://www.bing.com/ck/a?!u0026amp;u0026amp;p=1af6e7abb1f6d9dcJmltdHM9MTcxMTkyOTYwMCZpZ3VpZD0wODliYmU2Yi02OWRkLTY4MGQtMzdhYy1hY2MwNjhhZjY5MjMmaW5zaWQ9NTE5NAu0026amp;ptn=3u0026amp;ver=2u0026amp;hsh=3u0026amp;fclid=089bbe6b-69dd-680d-37ac-acc068af6923u0026amp;psq=funny+articals+of+the+most+spicey+food+from+around+the+worldu0026amp;u=a1aHR0cHM6Ly9hbWF6aW5nZm9vZGFuZGRyaW5rLmNvbS9zcGljeS1mb29kLWRpYXJ5LWRhcmluZy1zcGljeS1kaXNoZXMvu0026amp;ntb=1

2. The Mystery Meat Mishap

You’re feeling adventurous, so when the menu at that quaint little bistro in Paris lists “escargot” as the house specialty, you decide to throw caution to the wind and give it a try. But as you take your first tentative bite of the slimy delicacy, you can’t shake the sinking feeling that you may have just eaten something that was alive mere moments ago. Cue the existential crisis and the fervent vow to stick to more familiar fare for the remainder of your culinary adventures.

https://benable.com/abnolte/81c35f813073af56266c/details?detail_id=5416811

3. The Cultural Conundrum

You’re determined to immerse yourself in the local culture, so when your gracious host in Tokyo presents you with a steaming bowl of what can only be described as “mystery soup,” you graciously accept with a smile and a bow. But as you tentatively take a sip and try to identify the various unidentifiable floating objects, you realize that sometimes, cultural immersion comes with a side of gastrointestinal distress. Cue the polite nods and the silent prayers for a speedy recovery as you struggle to maintain your composure in the face of culinary adversity.

https://www.facebook.com/reel/1104783950741628

4. The Street Food Fiasco

You’ve heard rave reviews about the street food scene in Marrakech, so when you stumble upon a bustling market teeming with tantalizing smells and exotic flavors, you can’t resist the siren call of the street vendors. But as you dig into your first bite of falafel, you quickly realize that street food adventures come with their own set of risks – namely, the inevitable battle with food poisoning that leaves you regretting every culinary decision you’ve ever made.

https://fb.watch/raaTplsMbg

5. The Sweet Surprise

Amidst the chaos and confusion of culinary mishaps abroad, sometimes you stumble upon a hidden gem that restores your faith in the power of international cuisine. Whether it’s a piping hot plate of pad thai in Bangkok or a decadent slice of tiramisu in Rome, these unexpected delights serve as a delicious reminder that sometimes, the best culinary adventures are the ones that catch you by surprise.

https://benable.com/abnolte/81c35f813073af56266c

So there you have it, fellow foodies – a humorous glimpse into the world of culinary adventures abroad, where every bite is an adventure and every meal is a memory. Remember, no matter how many culinary mishaps you encounter along the way, it’s all part of the delicious journey. Until next time, happy eating and may your taste buds be forever adventurous!

This is the second last post about Travelling…..keep your eyes peeled for the next blogs all about????

Linktree #adailyprompt #adventure #dailyprompt #dailyprompt1879 #dailyprompt1880 #dailyprompt1881 #dailyprompt1883 #dailyprompt1884 #dailyprompt1888 #dailyprompt1889 #dailyprompt1891 #dailyprompt1901 #dailyprompt1905 #dailyprompt1906 #dailyprompt1908 #dailyprompt1910 #dailyprompt1911 #dailyprompt1912 #dailyprompt1913 #dailyprompt1914 #dailyprompt1915 #dailyprompt1916 #dailyprompt1917 #dailyprompt1918 #dailyprompt1923 #dailyprompt1924 #dailyprompt1925 #dailyprompt1929 #dailyprompt1932 #dailyprompt1935 #dailyprompt1938 #dailyprompt1939 #dailyprompt1941 #dailyprompt1947 #dailyprompt1949 #dailyprompt1950 #dailyprompt1951 #dailyprompt1954 #dailyprompt1957 #dailyprompt1975 #dailyprompt1981 #dailyprompt1988 #dailyprompt1989 #discovery #Food #instagram #life #lifestyle #love #luxury #personality #reading #relax #selfCare #TimeToTravel #travel #unwind #wisdom

The Theoretical Doctor Jan 13

Lazy Days As A Medical Officer

Click here for more articles & daily dose.

Do lazy days make you feel rested or unproductive?

While I’m at work, I’d be looking forward to returning home or towards my off day. In contrary, while I’m at home or on my off day, I’d be thinking about returning to work.

Do you feel the same way?

Previously, as a House Officer, I’m used to the “one off day per week”. Whereas, as a Medical Officer, weekends and public holidays are granted off days, except if you’re well… oncall and that depends on your current department as well as some departments require you to put in a half day shift during weekends or public holidays.

I’d say for me, considering I live alone and I don’t even own a car here in Sarawak, I’m pretty much lazy and unproductive to the point I get restless sometimes.

That’s counter productive as rest days are meant to make you feel… rested, right?

Thus, on my off days, since I’m an early riser, I try not to disturb my circadian rhythm by getting up at the same time as usual every morning, partly because I forgot to off the alarm or somehow, my body clock just wakes me up every time.

To feel so-called “productive”, I’d do some studying with my morning coffee till I well, lose my focus, then I start wondering about lunch and start cooking, handwash my clothes because I’m too lazy to walk downstairs with a bag of clothes and finally doze off for my afternoon nap.

I’d then wake up in the evening to have dinner and pack my essentials and bag for work the following day before finally, retiring to bed early.

I really need to be more productive during my off days.

Even me writing this just sounds too depressing.

Click here for more articles & daily dose.

YouTube | Instagram | Pinterest | Facebook | Spotify

About Me | Privacy Policy | Contact Me

#article #Blog #blogging #dailyprompt #dailyprompt1823 #dailyprompt1829 #dailyprompt1834 #dailyprompt1836 #dailyprompt1838 #dailyprompt1943 #dailyprompt1945 #dailyprompt1946 #dailyprompt1947 #dailyprompt1948 #dailyprompt1949 #dailyprompt1950 #dailyprompt1952 #dailyprompt1954 #dailyprompt1956 #dailyprompt1959 #doctor #doctorSLife #hospital #hospitalUmumSarawak #housemanship #kuching #lazy #lazyDays #medical #medicalOfficer #Medicine #plasticAndReconstructiveSurgery #plasticSurgery #plastics #sarawak #sarawakGeneralHospital #surgical #writing

The Theoretical Doctor Jan 12

Reflection: 2 Months As A Floating Medical Officer

Related Posts:

At the time of writing this article, I’m on leave which I took from the 1st of October till 15th of October, which my Head of Department (HOD) was more than kind enough to allow.

I needed the break, perhaps it was an adjustment disorder on my side but I was struggling. Physically, I caught up, I showed up and I was there but mentally, I felt left behind and lost and on most days, I was low.

Perhaps, it was out of tiredness as I have just recently off-tagged and in combination with my low mood, I felt demotivated and in general, felt that I have lost my love for medicine. I decided then that clinical life in the hospital was not for me. True, we were lacking doctors in various departments and hospitals in general across Malaysia. However, during that time, even if there enough manpower, I don’t think I would still want to continue.

I tried looking on the bright side, tiny things as well as the positive aspects of things to help me to get through the day.

Firstly, I’m thankful to be in a subspeciality department instead of the bigger and more hectic departments, I think I would have broken down within the first week itself. Secondly, I was in the department with the sweetest and kindest bosses who were more than happy to teach or lend a helping hand when needed. We are small in number, yes. But it felt like being part of a family.

I was happy, the environment was good, kind and non-toxic. However, mentally, I knew that this is not my place.

This further saddens me as I have always looked forward to being part of this lovely department. Yet, I knew, it’s just a matter of time before I slip and broke down. My body knew that I wouldn’t last long here nor do I foresee myself handling the complex and complicated cases here. If my interest is not here, how would I even make it through to specialise?

Amidst the business and my mind and body trying to keep up with the steep learning curve place before me, I was unable to view my options or to consider other departments.

I was just done in general and sadly, I wouldn’t be able to fulfil my quote in my medical school yearbook, I feel myself losing my will every single day nor do I find the strength within myself to serve.

Sadly,“sometimes what we like is not necessarily what is suited for us”, a fellow colleague told me and that hit me hard. I had no interest in other departments either or practicing in general at that point. All I could think of at that point was to quit and to hand in my resignation letter. After all, I have successfully completed my 2 years of internship / housemanship training. I can still locum if I wanted to. But of course, I didn’t enjoy it either. All I was ever passionate of was to teach. Thus, I considered changing my field and entering university as a lecturer did not sound appealing either as I did not like research at all.

Thus, after much contemplation, I approached my Head of Department (HOD) to validate my 30-day-resignation letter. My HOD is another kind soul who enquired to know what prompted me to come to such a decision. She signed my papers but advised me to consider changing departments instead of quitting.

However, at that time and at that current state of mind, I was fixed on my decision. Hence, the following week on a Monday, I submitted my 30-Days-Notice of Resignation, only to have it retracted the following day. Although I have handed in my 30-Days-Notice, a part of me felt a tinge of regret and sadness. Somehow, some part of me did not want to leave but I could not see any way out of this virtual box that I appear to be caged in.

My colleague and my parents played an important role in my decision to retract my resignation. Instead, despite my limited amount of leaves left for the rest of the year, I chose to take some time of work. Perhaps it was due to tiredness that contributed to my rash and impulsive decision.

On the 1st of October 2025, I took the first flight out and then throughout my leaves, I locummed at several General Practitioners. Remember when I said that I did not like locum either? This time, I decided to give it a second try and to keep an open mind.

The first GP I locummed at was a rather chill one with only 3 cases being seen throughout the whole day. The subsequent GPs were hectic and had multiple procedures, literally from the beginning of my shift till the end. In all of those times, I was the only doctor in the clinic. In my previous experiences, I have locummed at clinics which had 2-3 resident doctors.

Honestly, I don’t know how I managed to pull it off. Despite the hecticness and the patient load, I found myself looking forward to return and I enjoyed talking, listening and consulting the patients. It was fun. Slowly, I found myself enjoying and falling back in love with medicine and practicing medicine and thinking on how I could improve myself to serve better.

Then, I realised, perhaps venturing into family medicine might not be such a bad thing. True, there is abundant of family medicine doctors now and lack of doctors practicing in the hospital but that doesn’t mean that they are still not needed. Sadly, as much as I want to force myself to carry on and stay practicing in the hospital, I knew that it is not meant for me in the long haul or for me to last for even a year.

The opportunity to specialise is there but how can I continue if I can’t even see myself as one, or even have the inspiration?

Suddenly, the plan and my pathway seems clearer and I’m more than ecstatic to embark on my next journey. It was definitely the rest that I needed. To think and to reflect. If I were to stick to this journey, how can I do so for the long haul and at the same time, enjoy it?

I hope that in months or years to come, the decision to stay is the right choice. Perhaps, I still need time to discover my interest in this vast field. At times, I wish that it can be simple and that I would know what or which department I’m fitted to or destined to specialise in.

About Me | Privacy Policy | Contact Me

#Articles #Blog #blogging #dailyprompt #dailyprompt1826 #dailyprompt1828 #dailyprompt1829 #dailyprompt1833 #dailyprompt1834 #dailyprompt1839 #dailyprompt1841 #dailyprompt1843 #dailyprompt1852 #dailyprompt1944 #dailyprompt1946 #dailyprompt1948 #dailyprompt1949 #dailyprompt1950 #dailyprompt1951 #dailyprompt1953 #doctor #doctorSLife #healthcare #hospital #hospitalLife #hospitalUmumSarawak #kuching #Malaysia #medical #medicalOfficer #Medicine #plasticAndReconstructiveSurgery #plasticSurgery #plastics #sarawak #sarawakGeneralHospital #surgery #writing

The Theoretical Doctor Jan 10

My FIRST SOLO Oncall Shift As A Floating Medical Officer

Related Posts:

My first solo oncall shift was on the 17th of August 2025 a few days after I have completed my tagging period.

I had a passive oncall on standby just in case things got out of hand, which is a good thing. However, I was adamant to try to survive on my own as if I only had myself and the specialist. Thankfully as well, it was on a weekday which meant I was able to reach out and ask for help if needed and the others would be able to assist if needed or advice me.

As usual, morning rounds, followed by peri rounds. The role as an oncall medical officer of the day is to update the progress of the patients in the specialist’s WhatsApp group as well as to upload any latest wound pictures, if any.

The day was rather busy with rounds and in between I would receive calls from Klinik Kesihatan (Community Clinics), usually requesting a clinic date. Thankfully, no referrals yet.

After rounds, I headed back to the ward to complete any pending joblists before heading into the operating theatre (OT) for a patient that was awaiting her call to OT.

During that operation, there was a referral from the Emergency and Trauma (ETD) Department, referring a case of laceration wound over the forehead for a 3 year old boy.

The medical officer at the ETD was kind enough to assist in taking the bloods as well as admitting the patient. My colleague on the other hand came to check in on me after her day in the clinic and attended to this kid.

After the first operation, the following case was called which was the 3-year-old kid. I have always enjoyed being in the operating theatre, or any hands on procedures.

Despite knowing that I should be conserving energy, instead, I proceeded to carry on and after the second op, I entered an ongoing flap operation next door to assist.

Another referral came for a laceration wound over the forehead for an Orthopaedic patient who was post-operative and transferred to ICU. Apparently, it was missed when the patient arrived at the Emergency Department as he suffered multiple opened fracture and was posted for operation immediately. Thankfully, he was intubated and sedated and I was able to perform a bedside toilet and suturing for him.

By the time I was done, it was midnight. I went back to the oncall room to shower and change for the night. I would usually change into scrubs again if I were to be oncall, just to be on standby in case I was needed immediately.

I did not sleep that night, it just felt wrong as the flap operation was still ongoing since 8am.

I went in again to check in on them, however, I was not needed at that time. Thus, I kept a fellow colleague company.

At 2am, I returned back to ward to complete the planned discharge of a patient and started my morning review. Thankfully, I did. In between, I was referred a new case of another kid who suffered another laceration wound at his right eyebrow. Thus, counselled the parents, obtained consent and admitted the patient.

After that, I was requested to collect bloods or bags packed cell for the patient who was still ongoing operation. When the commotion was done, I returned to continue my early morning reviews.

By 4am, I went back inside the operating theatre to check in on the ongoing operation. Technically, still far from done. Scrubbed in to assist with harvesting the skin for split thickness skin graft and refashioning of the affected limb.

At 8am, we were finally done. The operation officially lasted for 24 hours. All of us scrubbed out and I changed out of my attire to return to ward and follow rounds.

During peri rounds, a patient was called to OT and I entered organ as I dislike peri rounds. After the OT, all of us were just beyond tired and I went home for the day.

No doubt, it was my first “solo oncall”, it did not feel lonely at all as since there was an ongoing operation, physically, I felt comforted knowing that there were people nearby and felt more like a slumber party instead.

And the most important part… I survived it!

About Me | Privacy Policy | Contact Me

#article #Blog #blogging #dailyprompt #dailyprompt1804 #dailyprompt1813 #dailyprompt1819 #dailyprompt1826 #dailyprompt1828 #dailyprompt1829 #dailyprompt1834 #dailyprompt1838 #dailyprompt1945 #dailyprompt1949 #dailyprompt1950 #dailyprompt1953 #dailyprompt1955 #dailyprompt1956 #doctor #floatingMedicalOfficer #healthcare #hospitalUmumSarawak #housemanship #kuching #Malaysia #medical #Medicine #oncall #plasticSurgery #plastics #sarawak #sarawakGeneralHospital #surgery #writing

The Theoretical Doctor Jan 8

My First Tagging On-Call Shift As A Floating Medical Officer

Related Posts:

My first tagging oncall shift was on a Sunday with a fellow medical officer I knew when I was a House Officer in General Surgery. Back then, he was having his attachment in General Surgery.

Just like a House Officer, we had to undergo a period of “tagging“.

In the Department of Plastics and Reconstructive Surgery at Sarawak General Hospital, I had to undergo a tagging period of one month, every other day (EOD). This is because, I am a newborn medical officer with no previous experience in General Surgery (as a Medical Officer).

This is an advantage as I would be able to learn as much as I could within a span of 1 month. However, it was also a disadvantage as I’m afraid, I would be burnt out mentally and physically considering the on-calls were on every other day (EOD).

“I can do it. If others could, I could too.” , I repeated this mantra to myself but the learning curve is going to be an extremely steep one.

During my first tagging oncall, thankfully, it was with a fellow senior colleague who I was rather comfortable with.

We started with our morning ward rounds followed by passover and peri-rounds. After we were done, we went back to the ward to settle our pending job-lists followed by lunch.

As a tagging on-call medical officer, the first call would be to me for referrals. After which, I would discuss with my senior and proceed to see the referred patient together. After reviewing our newly electively admitted patients, pre-op rounds with surgeon and demarcating the op site and pre-op meeting, we went back home in the evening and returned at night together for our night reviews which we updated in the Department’s WhatsApp Group on the progress of certain patients. Incidentally, a patient whom we were awaiting for op was called into the operating theatre and the operation ended at 2am. Finally, we returned home for the night.

I was nervous of course as I usually get anxious easily. However, I took my shower and headed to bed.

My phone was kept beside me in case I were to receive calls or referrals. At 6am, I returned to the ward and started our morning reviews as well as prepared for our morning rounds.

Since, it was a Monday, it was morning ward rounds, handover and peri rounds as usual. However, since I was still tagging, I was expected to stay till 5pm or to join the ongoing surgeries.

Thus, my first postcall was spent in the operating theatre assisting till 6pm. However, despite the ongoing operation, I excused myself to return home and rest.

The following day will be another one, thankfully, not oncall but within office hours.

Thankfully, it was a good call with a fellow senior that I was comfortable with in terms of approaching in regards to my doubts which was undoubtedly, many.

I can only hope that I would be able to survive this whole month of tagging.

About Me | Privacy Policy | Contact Me

#article #Articles #Blog #blogging #dailyprompt #dailyprompt1828 #dailyprompt1836 #dailyprompt1853 #dailyprompt1855 #dailyprompt1857 #dailyprompt1858 #dailyprompt1861 #dailyprompt1943 #dailyprompt1944 #dailyprompt1945 #dailyprompt1946 #dailyprompt1948 #dailyprompt1949 #dailyprompt1952 #dailyprompt1954 #doctor #hospital #hospitalUmumSarawak #housemanship #kuching #Malaysia #medical #medicalOfficer #Medicine #oncall #plasticAndReconstructiveSurgery #plasticSurgery #plastics #sarawak #sarawakGeneralHospital #surgery #tagging #writing

The Theoretical Doctor Jan 7

My First Day As A Medical Officer In KKM

Related Posts:

Housemanship or Internship for Doctors in Malaysia lasts for a duration of 2 years, upon completion of our medical school journey.

For some, they began shortly upon graduation whilst for others, they took a gap year.

I submitted my application to pursue my internship in the Ministry of Health, Malaysia (Kementerian Kesihatan Malaysia, KKM) shortly after my graduation but did not actually begin till 6 months later in 2023. Two years later, thankfully, I’ve completed and fully registered with the Malaysian Medical Council (MMC) and possess a valid Annual Practicing Certificate (APC).

Post housemanship, I went on a 3-weeks-break and on the 21st of August 2025, I reported for duty as a Medical Officer.

Upon my completion of housemanship, one would have to go through a “floating period” of maximum 6 months prior to receiving their placement in whichever department, hospital or state of choice. Usually, the floating period occurs in the same hospital that one had completed their housemanship or internship in.

Thankfully, I was offered to float in the Department of Plastic and Reconstructive Surgery. However, I was diving into the world of Surgery with no experience or knowledge in basic suturing.

During my first day, I reported for duty at the Hospital Director’s Office to receive my “floating” placement letter, checked my remaining leaves and proceeded to Burn Ward of Sarawak General Hospital.

The Burn Ward.

I’ve had good memories previously as a House Officer here and I was beyond ecstatic as well as relieved to be accepted into this department which is filled with understanding and helpful bosses.

I was then given orientation by one of the medical officers, clerked a burn patient that was just admitted and spent most of my time accompanying a fellow friend who thankfully is in the same department. Considering it was my first day and a rather slow one, I was able to return home at 5pm.

There’s just so much more that I have yet to learn. Hopefully, I’ll have both the mental and physical strength to push through.

Thankfully, the environment is one that is filled with love and encouragement.

About Me | Privacy Policy | Contact Me

#article #Articles #Blog #blogging #burnWard #dailyprompt #dailyprompt1805 #dailyprompt1826 #dailyprompt1829 #dailyprompt1852 #dailyprompt1946 #dailyprompt1949 #dailyprompt1950 #dailyprompt1951 #dailyprompt1953 #dailyprompt1954 #dailyprompt1955 #dailyprompt1969 #doctor #doctorSLife #hospitalUmumSarawak #housemanship #kuching #Malaysia #medical #medicalOfficer #Medicine #plasticSurgery #plastics #sarawak #sarawakGeneralHospital #writing

The Theoretical Doctor Jan 5

2026 – The Beginning

Related Posts:

First of all, Happy New Year! I hope you have had a great start to this year and if you have any New Year’s Resolutions planned, I hope that you will be able to stick throughout the year.

I did not have any New Year’s Resolutions planned as I usually did the previous years. Mainly because I have just moved to a new place, settling in with things still pending in Kuching, trying to adapt to my working environment as well as picking up on new skills.

Thus, New Year’s Resolution? It’ll come as the year progresses.

My New Year’s Eve was spent at work and mainly in the ambulance with a dear friend as well as work colleague, however, that is a separate post for another time.

As usual, since I’ve started working as a doctor in 2023, I’ve always made it a point to work on New Year’s Day, a habit which I’ve adapted from my dad ever since he has started working at the age of 18.

However, New Year’s Day is a public holiday here in Sarawak. Thus, I was allocated as the oncall medical officer on the 1st of January as well as on the 2nd of January. Per oncall shift is from 8am on that day till 8am the following day (which means, mine ended at 8am on the 3rd of January).

My first case began with a case of wound breakdown over the right wrist, which the patient chose not to seek hospital treatment followed by another case of upper gastrointestinal bleed which was sent to hospital. This was then followed by another case of possible acute appendicitis which the patient and family decided to “discharge against medical advice” because they wanted to seek treatment in their hometown considering they were travelling and happened to be in the same area.

Upon returning home, I was called back for a case of breakthrough seizure likely secondary to under-dosage of medications. The patient had three episodes of seizure that day followed by a regular 1-2 monthly episodes. Hence, referred and sent to hospital.

Finally, I can return home. Time to get some rest since I would be working the next day. Shortly after, I was called back, a patient sustained laceration wound over the medial aspect of his antecubital fossa. Mechanism of injury? Unknown and he was in an extremely drunken state.

Otherwise, he was stable. Sadly, my medical assistant at that time could not be contacted to escort the patient to hospital and the family members did not have their own transportation.

If only, he was fully awake, I would have triaged him to green zone. However, transportation issues… Thankfully, the patient’s family has an uncle who was willing to send. The only thing was he needed some time to arrive due to the heavy rain and slippery roads.

I didn’t feel good leaving the patient behind although he was stable. Thus, I stayed till 4am until his uncle came and the patient himself had woken up.

After that, I went back home and straight away gotten ready for work since it’s a working day and I am still oncall.

The following day on the 2nd of January, went by smoothly during office hours with referrals here and there but it was manageable.

In the afternoon, another patient came in for symptomatic anaemia secondary to abnormal uterine bleeding with newly diagnosed cervical carcinoma. Her haemoglobin level was 5, who again, refused hospital referral claiming she visited the clinic for fever and not for her anaemic symptoms. After much convincing and discussion with my specialist, the patient still opted to “discharge against medical advice”.

Which makes me wonder… Why in the world?…

This was followed by dinner with my friend. I remembered thinking to myself that evening that maybe… just maybe… I would have a cold night. Enough of referrals.

However, at 11:30pm on the 2nd of January 2026, I received a call from my medical assistant that a patient presented to the clinic breathless with an SpO2 of 50% under room air, started on high flow mask and at best, it is only 90%.

Sounds like an impending intubation and CPR case.

I called up my friend immediately as I rushed to the car as she lives closer to the clinic. I needed all the help I could get for this patient. The roads were slippery and it was a rainy night. Yet, I sped. Thankfully, my friend had already arrived before me.

The patient?

I remembered seeing this patient on the 23rd of December 2025. At that time, his lungs already had crepitations with reduced air entry over the right side and yet he chose to “discharge against medical advice”. I remembered telling him that he would collapse if he didn’t go and true enough, here he was… sitting up, gasping for air.

His vitals? Blood pressure was sky high, lungs filled with crepitations but no pedal oedema, lines were set, no ECG done but we didn’t have time to waste…

I called up the Emergency Physician in the nearest hospital (which is an hour away), presented shortly and informed that we had to proceed with intubation because he was too tachypnoeic.

We prepared for intubation, informed the family members as well as explained the risk of CPR and death. The family understood and agreed.

Intubation… This was a difficult intubation for the guy was a very large guy with hardly any neck visible.

But before we could start, his GCS dropped and so did his heart rate, I started CPR while my friend attempted to crash intubate. We attempted to crash intubate and both times, it failed… I called up the Emergency Physician again and told her that we were 30 minutes into the CPR, she told me to call off after the current cycle.

My first death at a new workplace and on the third day of the year at 0027H, 3rd of January 2026.

Then, I proceeded to complete my notes for the family members to bring to the police station to lodge a police report and broke the news to the family. I was calm and so were the patients’ family. After that, I called up the Emergency Physician to thank her and then, I broke down.

I broke down because had he gone on the 23rd itself, he wouldn’t have to gone through this.. He lives alone and his so-called family members aren’t even his biological family members but neighbours and friends… I broke down because I also felt defeated… We tried our best with such limited resources and manpower…

Yet, I couldn’t save him…

If you have YET to come up with a New Year’s Resolution… At least consider this, adhere to your regular check-ups if you have any… Stay compliant to your medications, diet restrictions or any fluid restrictions if you do have…

And if something is off or not right, please RUSH to the nearest clinic or better, the hospital… Because there is only so much that we can do with such limited resources in a community clinic.

Otherwise, I wish that you have a Blessed 2026 filled with love, beautiful memories and wonderful opportunities.

Remember to have fun and do enjoy it but please do so, responsibly.

About Me | Privacy Policy | Contact Me

#Articles #bintulu #Blog #blogging #communityClinic #cpr #dailyprompt #dailyprompt1804 #dailyprompt1812 #dailyprompt1829 #dailyprompt1933 #dailyprompt1940 #dailyprompt1941 #dailyprompt1944 #dailyprompt1945 #dailyprompt1946 #dailyprompt1947 #dailyprompt1949 #dailyprompt1952 #dailyprompt1963 #dailyprompt1968 #doctor #doctorLife #emergency #emergencyDepartment #familyHealth #familyMedicine #housemanship #intubation #klinikKesihatan #Malaysia #medical #medicalOfficer #Medicine #newYear #sarawak #tatau #writing

The Theoretical Doctor Aug 21, 2025

Tagline: “Hourly Toilet Break”

Click here for more articles & daily dose.

If humans had taglines, what would yours be?

Those who have worked with me know that I have such thing called “The Hourly Toilet Break”.

Firstly, because I consume lots of fluids and secondly, that is how I ensure I do get the break once in a while on a busy day or maybe, the day is quite slow and I am just, bored.

Of course when the day is rather busy and hectic, time just flies and that I do not even realise the time passing by. By the time I actually do complete my task and take the opportunity to just rest for a while, 2-3 hours have gone by.

How Did The Hourly Toilet Break Started?

Photo by Hafidz Alifuddin on Pexels.com

I didn’t actually planned for such thing at work. Obviously.

At home, I do frequently go for my toilet breaks as I’m forever consuming green teas or black coffees or water. All of which contributes to the filling of my bladder, in addition to the fluids being diuretics.

It wasn’t until I started my tagging in my sixth rotation, the Emergency & Trauma Department that I reinforced this so-called “hourly toilet break”.

The tagging hours in the Emergency & Trauma Department is long, just as in other postings whereby we had to work from 7am til 10pm everyday with an off day each week for 10 days straight.

Thus, it helped me in ensuring that I either get to sit and recollect myself during hectic days or to make the hours pass during slow days.

Click here for more articles & daily dose.

YouTube | Instagram | Pinterest | Facebook | Spotify

About Me | Privacy Policy | Contact Me

#article #Articles #Blog #blogging #dailyprompt #dailyprompt1822 #dailyprompt1829 #dailyprompt1833 #dailyprompt1834 #dailyprompt1838 #dailyprompt1839 #dailyprompt1841 #dailyprompt1843 #dailyprompt1858 #dailyprompt1863 #dailyprompt1881 #dailyprompt1941 #dailyprompt1949 #dailyprompt1950 #dailyprompt1952 #dailyprompt1957 #dailyprompt1964 #dailyprompt1968 #doctor #emergency #healthcare #hospitalUmumSarawak #housemanship #internship #kuching #medical #Medicine #sarawak #sarawakGeneralHospital #tagging #tagline #toiletBreak #writing

The Theoretical Doctor Aug 15, 2025

My Last Shift As A House Officer in Medical | Housemanship Diaries

Related Posts:

At the time of writing this article, I am no longer in my Fifth Rotation, Medical but already in my Sixth Rotation, The Emergency and Trauma Department and at the same time, due for my last shift in my Sixth rotation as well as being a House Officer.

Looking back, my last shift in the Medical Department seemed ages ago.

However, I remembered that I was night shift at that time and was at Male Medical Ward (MMW).

My duration working in this ward was around 3 weeks. However, it was my least favourite as compared to Medical 3, Medical 4, the Infectious Disease (ID) Ward or being part of the Perimedical team. The superiors were alright but it was the vibe of the ward in general that I found unsettling that I can’t quite place my fingers on.

The night shift in Medical is from 8pm till 9am. However, on that day, I recalled leaving home at 6:30pm to go to work as we were not allocated any “long day” shifts.

“Long Day” or “LD” are those who work from 7am till 10pm. Thus from 6pm till 8pm, prior to the night shift person coming, there is a 2 hours gap which is filled by them.

On that week, there were no “Long Day’s” and everyone had the opportunity to return home at 6pm. However, who would fill in the “2-hours gap”?

Thus, I remembered me and my colleagues at that time coming into a mutual agreement and compromise that one person would stay till 7pm and the night shift person would arrive an hour earlier at 7pm.

It was a good compromise except there would be nobody to accompany us till 10pm and usually their help is valuable. Those hours till 10pm can get rather hectic at times.

I remembered arriving around 6:45pm and started receiving handover from the AM teams and was cautioned to lookout for a particular patient in the acute cubicle who was rather unstable.

Upon finishing our handover, the Medical Officer on-call for that ward arrived and things started to go hectic.

I can’t exactly remember what happened but I was on my feet the whole time and did not begin my “coming mornings” till 3am.

Thankfully, I was still able to complete them before 5am and the morning bloods were out in the system on time.

That morning during my post night shift, I was “summoned” for minimal bloods which I completed immediately. Usually during my post night shift, I would remain within the sights of the “AM team” and offer to help out where I could.

But I remembered at that time that I was completely spent. I decided to rest in the House Officer’s room and take any bloods a little later prior to my shift ending, if there were any.

Surprisingly there were none after that. I recalled seeing a junior taking the blood of a patient as I was exiting the ward and asked him as to why he did not just ask me.

He claimed that upon arriving for his morning shift, I looked rather spent and after I left to take a short break in the House Officer’s room, he just did not want to disturb me. After all, he said, it was only one patient.

I was touched and grateful. It was a small gesture. However, it’s small, simple things that sometimes touches you.

After that, I clocked out for the last time as a House Officer in the Medical Department.

About Me | Privacy Policy | Contact Me

#article #Articles #Blog #blogging #dailyprompt #dailyprompt1804 #dailyprompt1833 #dailyprompt1839 #dailyprompt1841 #dailyprompt1844 #dailyprompt1853 #dailyprompt1858 #dailyprompt1861 #dailyprompt1865 #dailyprompt1878 #dailyprompt1881 #dailyprompt1885 #dailyprompt1892 #dailyprompt1895 #dailyprompt1903 #dailyprompt1949 #dailyprompt1953 #dailyprompt1954 #dailyprompt1955 #dailyprompt1956 #dailyprompt1963 #doctor #hospitalUmumSarawak #houseOfficer #housemanship #kuching #lastShift #medical #medicalPosting #Medicine #sarawak #sarawakGeneralHospital #ward #writing

The Theoretical Doctor Jul 10, 2025

The Most Enjoyable and Tiring Day In Medical 3

Related Posts:

I can’t remember which day it was but it was probably during the weekend or a public holiday as I remembered that I was allocated on call who was in charge of this ward.

I was allocated to “General” on that day and was I was alone at that time. I remembered sitting at the other end of the ward at around 11am when one of my colleagues who was allocated to be covering the “Neuro” patients went to have lunch.

The medical officer on call at that time, a rather “happy-go-lucky” and rather jovial person struts into the respiratory cubicle and asked if there were any house officers available?

To which I responded, we’re right here and he came over. He asked for the person who was in charge of the front cubicles which happened to be my colleague who went for lunch. I asked what’s wrong, is there anything I can help with?

He casually replied, nothing much, just walked in and saw a patient’s pulse oximeter reading 70% under room air. Then he laughed.

Me and my friend who happened to be there at that time were shocked and rushed to the patient. True enough, the pulse oximeter reading was 70%, well, 68%. Oddly enough, the patient seemed rather comfortable and not tachypnoeic. In fact, he was surprised as we crowded around his bed, looking concerned.

I asked him if he was having any difficulty breathing which he was not. Thus, our first instinct was probably the machine was faulty and proceeded to check with another vital signs machine.

This time, it was 65%.

I proceeded to take full set of bloods while my medical officer was writing his review and my friend attempted to call my colleague.

I ran his arterial blood gas and it showed Type 1 Respiratory Failure. Considering he did not have a baseline during this admission, we do not know if this was near his baseline or a sudden deterioration.

We called the Peri ICU team and referred the patient for non-invasive ventilatory support (NIV). Imagine, not knowing why this long stay patient was ever here in the first place to summarising the reason for admission down to his current progress. It turns out, he was due to be stepped down to a district hospital for continuation of antibiotics.

Well now, he can’t.

We transferred hum to the acute cubicle for closer monitoring while awaiting the Peri ICU team.

While awaiting, my medical officer decided to check on a patient who was handover to him for afternoon reviews.

This lady was in her 60’s and was admitted for left pleural abscess, meaning there’s pus in her lungs and for this patient, the whole left lung was completely filled. Clinically, she seemed well, speaking in full sentences and laughing to her family members as well in the morning.

In fact. I was even taking her bloods that morning only to have it splashed all over me after attempting to fill the blood culture and sensitivity bottle.

I recalled walking past her as I made my way to the front of the ward and she seemed alright. However, the moment me and my medical officer oncall stood in front of her. She desaturated an started being tachypnoeic.

Well, here’s another one.

There goes the next referral to the Peri ICU team for intubation and also Urology for emergency suprapubic catheter insertion as we attempted to insert a urinary catheter multiple times but failed.

Now, all these events happened very fast but at the same time, time flew by fast. The second patient was intubated and we inserted a femoral venous catheter. My medical officer then wanted to excuse himself to settle the pending discharges in his other ward. However, the first patient wasn’t saturating well under NIV and needed to be intubated.

There goes another intubation as well as another femoral venous catheter insertion. Finally, after all the chaos, things began to finally settle down.

I proceeded to trace my coming mornings, considering that I was the only one in charge of “General” that day and nobody would be helping me. Finally, I proceeded to begin my oncall reviews. This was around 8pm by that time.

After completing my in all reviews with intermittent disturbance in between. I proceeded to aid my friend in preparation of her coming mornings.

It was close to 11pm, I was just clearing my stuffs and getting ready to go when a nurse informed me that a patient seemed rather tachypnoeic.

Annoyed and tired, I attended STAT to find a patient sitting at the side of the bed with his BiPAP machine unlatched and hanging at the side of the bed. The patient beside him then told me, he removed it himself an hour ago.

Boy… Why am I not surprised?

This is another impending intubation.

At this rate, I might as well not leave anymore.

The day was busy enough. I sometimes wonder why is it that we feel guilty to even desire to return home on time? To walk out with the family members watching us finally ecstatic to return home for the day while their family members are stuck in the hospital?

Back to that patient, I didn’t left him gasping on his own of course, I fixed back the BiPAP machine, took an arterial blood gas and alerted my night colleague and medical officer oncall to which they attended STAT.

Thankfully, the following day, I was allocated as night shift. Thus, despite returning home late, I was able to sleep in and recuperate a little before returning back to work that night.

It was a busy day but considerably a rather fun one considering that I happened to work with a rather jovial medical officer oncall and my colleague stayed back to accompany me despite her shift being till 6pm.

Working with certain people definitely helps alleviate some of the pressure of the day.

About Me | Privacy Policy | Contact Me

#article #Articles #Blog #blogging #dailyprompt #dailyprompt1804 #dailyprompt1826 #dailyprompt1833 #dailyprompt1834 #dailyprompt1838 #dailyprompt1921 #dailyprompt1939 #dailyprompt1941 #dailyprompt1942 #dailyprompt1946 #dailyprompt1947 #dailyprompt1948 #dailyprompt1949 #dailyprompt1951 #dailyprompt1953 #dailyprompt1954 #dailyprompt1955 #dailyprompt1957 #dailyprompt1959 #dailyprompt1963 #dailyprompt1971 #desaturation #doctor #enjoyable #hospitalUmumSarawak #houseOfficer #housemanship #kuching #medical #Medicine #sarawak #sarawakGeneralHospital #tiring #writing