My Teenage Years

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Describe a phase in life that was difficult to say goodbye to.

Upon reading this prompt, I was reminded of my high school days. The first year of high school was very tough for me in terms of adjusting to a new school, cultures and subjects.

I went from a comfortable place to a different one without any guidance nor advice and I went from being a senior to a freshie all over again, which I did not like.

In addition to that, I had a very bad temper and used to talk back to my seniors which did not aid in my reputation. Well, that was the first year, things started getting better the following year onwards and my grades picked up. I have accustomed myself to the flow.

It was during my teenage years that I met my good friends whom I still keep contact to this day albeit not meeting much.

Looking back, I enjoyed my routine and studying very much. Waking up early was the hardest part of the day, which surprisingly isn’t one for me now, I have transitioned into an early riser.

This is followed by shower, preparing my breakfast and lunch for school, which mostly just includes me grabbing bread or biscuits and stuffing it in my bag and wait for my parents to send me off to school, which is usually my dad. He would send me off prior going to work.

I was truly blessed to have experience that.

In school, it was about attending classes, completing homework or assignments, gossiping with my friends or attending extra-curricular activities. However, the place I truly enjoyed spending my time was in the library. Thus, if I were to bunk class, I would lock myself inside the library and just study or read. The perks of being a librarian. Thankfully, my teacher-in-charge of the library always had my back if I were to be questioned regarding my whereabouts.

After school, my mother would be the one who usually picks me up from school and most of the time, we would eat outside. Occasionally, she does cook at home and as I am writing this reflection, I truly miss these simple heartwarming dishes.

This is then followed by me showering, completing my homework, studying, chilling, going out with my mom and getting ready for tuition or extra classes which are usually in the evenings or on alternate days.

Life was simple and predictable. I remembered attending multiple tuition classes during the week, mainly because I was bored being at home as I was not allowed to simply go out with my friends as I pleased. Thus, I looked forward to those evenings.

Holidays and weekends were the things I looked forward to as well and I enjoyed recuperating or simply helping my parents out with their chores, watching movies or TV shows, studying with music, writing and playing video games.

Surprisingly, what aid me in studying back in high school was due to video games. Perhaps it was the way I “destress” and it drives my mind.

I was not allowed to work during the holidays as my parents feared that once I get the taste of my own earnings, studying will no longer be a priority. However, my pocket money wasn’t great either. But I still got by and occasionally, my dad would slip in some money without my mom knowing just so I could enjoy a nice meal across the road with my friend.

The stress back then were focused on exams and completing homework. Occasionally, life dramas do get in the way, all part and parcel of being a “teenager”, having crushes, jealousy and bullying.

However, for the most part, I enjoyed my teenage years and looking back, I wouldn’t change a thing except to be more disciplined in my studying and to learn more.

Those years flew by rather quickly. Before I knew it, I was a senior and the stress of choosing a major or course and the university applications kicked in. Over the years, I’ve accumulated multiple fond memories with my friends as well which were a mixed of beautiful ones, silly and extremely foolish ones, which we do look back and laugh about during our meet-ups.

If you are reading this, I hope that you did enjoy your teenage years as much as I did too. If you are a teenager, do not fill your time with just studying, immerse yourself in extracurricular activities as well and discover new habits. It is the season of discovering yourself, and hopefully in years to come when you do look back and ponder, it will be filled with sweet memories as well.

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Part 2 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | Main Building, Side Building, Infectious Disease Ward

Related Posts:

• Part 1 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | The Emergency Department
• My Evening Routine In The Medical Posting | Housemanship Diaries
• My Reflection of 2024
• 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 First Night Shift In 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 Peri Medical House Officer Team takes care of:

In this article, I will be sharing my experiences as a Perimedical House Officer covering main building, side building, SDC as well as the Infectious Disease (ID) ward.

As I previously mentioned in my previous article, the work begins from 7am till 6pm (short days), 7am till 10pm (long days) and 8am till 9am (night shifts).

Covering this part of the hospital meant taking care of “stranded patients” which are medical patients who are lodging in other department wards as there are no space or beds available in the main medical wards. Usually, patients like these are somewhat stable enough to be left on their own without constant supervision. Those that do require, are usually left in the Emergency Department or transferred straight to medical wards.

The Main Building

Taking care of the Main Building meant that one would have to cover:

• 2nd floor: Urology Ward
• 3rd floor: Male and Female RTU Wards
• 4th floor: Labour Ward
• 5th floor: Maternity 2 (Antenatal Ward), Maternity 3 (Postnatal Ward)
• 6th floor: Female and Male Orthopaedic Ward
• 7th Floor: Male and Female Surgical Wards

On some days, there would not be any perimedical patients in certain wards. Thus, there are days that we do not have to go to these wards. On bad days, there are perimedical patients on every floor and the patient count will be extremely high.

During my time serving in the main building, I was blessed enough to have a partner. Thus, despite the high volume of patients, it felt manageable.

Upon my arrival, I usually begin from the highest floor and work my way down. Thus, I begin from the 7th floor by checking with the TL or Team Leader to identify new cases and update the list followed by tracing the blood investigations.

This is to ensure that the patients are not missed during rounds.

I proceed with doing this in the wards of every floor till I am done prior to beginning my morning reviews.

Usually by then, the Medical Officers have arrived and are proceeding with their morning reviews.

Sometimes, we join in and sometimes, we are asked to review the other patients and on our own until the specialist arrives.

Upon the specialist’s arrival, we would all meet up at one place to begin out rounds.

Rounds in perimedical is similar to that in the ward. The only difference is that rounds are once daily and the patients are all around the place.

In between, there would be new transfer ins, attending to acute issues of which the nurses from other wards would call or inform the House Officers from other departments.

After that, it is followed by preparation of the coming morning bloods. The wards and bed numbers are labelled on top of the forms and kept in the ETD for the night House Officers to take.

The Side Building

The Side Building is less hectic than main building and that meant we had to cover:

• 3rd floor: Neurosurgical ward / Neurosurgical HDU, ICU extension
• 4th floor: Paediatrics Orthopaedic Ward
• 5th floor: Gynaecology Ward, Ophthalmology Ward

As usual, upon my arrival, I would begin at the topmost floor and check for any new patients as well as to trace the bloods.

After all of it is done, I begin my review in the ICU Extension 2 Ward. The ICU Extension 2 ward consists of unstable, intubated patients of various departments.

Usually by the time I begin my morning review, the specialist would have just arrived and we begin our rounds.

After the ICU Extension 2 is followed by Neurosurgical Ward since they are located at the same place, then Neurosurgical HDU.

Upon completion of morning rounds is followed by carrying out the active joblists, discharges and requesting for radiological scans.

Similar to Main Building, the coming morning bloods are prepped and kept at the Emergency Department for the night house officers to collect.

SDC – Surgical Day Care

SDC is the Surgical Day Care as per the name. Usually patients who are admitted here come in on the day of the procedure itself and is discharged in the evening.

However, when the wards are fully occupied and the Emergency Department is overflowing with stranded patients, the SDC converts temporarily to host the stranded patients.

At max, the patient load is only two cubicles full and the patients being admitted there are usually relatively stable.

Similar to main building and side building, I begin my day with tracing the bloods, x-rays or any relevant radiologist reports before beginning my review and rounds with the medical officer and specialists.

The Infectious Disease Ward

The Infectious Disease Ward or “ID Ward” is located in a building separate from the main or side building.

Previously, it used to be the House Officer’s Accommodation. However, it was subsequently converted into a ward.

The ward consists of two floors with each floor containing 6 isolation rooms for each floor. Upon entering the ward itself, one has to change into the hospital scrubs and prior entering the ward isolation rooms, one has to don apron, shower cap and gloves, the standard PPE.

The casenotes are not allowed to be brought in, thus all reviews are written outside.

What do I do if I were stationed to at the Infectious Disease Ward?

The house officer allocated to the ID ward are those from the Peri Pool, meaning our shift is from 7am till 6pm for short days.

Thus, upon my arrival, I would change into the hospital scrubs. Then, I would proceed to trace the bloods. The bloods sent from the ID ward are usually late. Thus. It would either be pending in the system or yet to be in the system.

Next, I will begin my reviews, first to the newly transferred in patients followed by the rest while awaiting the medical officer.

There is a whiteboard consisting of the names of the patients in the isolation rooms. Usually in the morning prior to entering the isolation rooms, we would have a short round and presentation with the ID consultant with the whiteboard.

Thus, during my time there, I would constantly update and personalise it according to my style which would be easier for me during my presentation with the ward consultant.

After that, we will all proceed to the isolation room. As House Officers, we are the scribe and assistants of the medical officers. Since, we are not allowed to bring the casenotes into the isolation room, thus we will type everything inside our phone and transfer it onto paper after our grand rounds with the patients.

Rounds at the Infectious Disease Ward is only once daily.

After the completion of rounds, just like any ward is the completion of active joblist.

Personally, I enjoyed my time in the Infectious Disease Ward a lot, mainly because I was given the autonomy to customise the board as I liked, present to the consultant myself and was asked multiple questions during rounds and having discussions which I find rather stimulating and enjoyable.

On top of that, I even had time to return home for a quick lunch every time I was stationed at this ward.

In the afternoon, some patients on high oxygen support may need arterial blood gases (ABGs) at certain time. If not, it is the preparation of coming morning bloods and transfer ins of any new patients.

Being in charge of the other places is considerably less hectic than being allocated in the Yellow Zone which can get rather crazy at times as there is massive movement of patients constantly. It actually feels like as if I am at KL Sentral during peak hours.

However, do not fear if you are allocated into the Peri Medical Pool. The workload can get extremely hectic and it can be rather messy. But, always try your best to learn as much as you can during your period serving there and to enjoy your journey.

Related Posts:

• Part 1 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | The Emergency Department
• My Evening Routine In The Medical Posting | Housemanship Diaries
• My Reflection of 2024
• 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 First Night Shift In 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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What jobs have you had?

Kind of a loaded topic to ask which jobs I’ve worked. I have my current job, and it’s a company I’ve worked for on and off for a lot of my adult years. But that doesn’t mean I’m not looking at potentially finding something in tech, that’s remote, and something I can put my laser-focused brain in. But, that’s an ongoing search, and I have a habit of rambling into different topics when I’ve already got one set.

Before I graduated from high school, I started working for a diner that used to be kind of medium-big. The place was called Eat N’ Park. It was like a fake diner. Their food was made with assembly instructions and everything was frozen. Ramsay would’ve hated them. It was my first job ever, the first place I dropped fifty plates in front of a bunch of customers who were eating, and the first place one of the line cooks asked me to his car for a drink–At which point I finished my shift extremely drunk, and potentially poisoned.

I left that job.

Afterward, I went off and started working at a local Pizza Hut close to where I lived in Steelton, Pennsylvania (this was the time when I still lived in a haunted house). I kind of liked that job, mostly because I’m a big fan of pizza. Nowadays, Pizza Hut pizza kinda makes me gag a little. They use way too much pan grease on their dough.

I eventually left that job too, after the police raided the place and found out the franchise owner was using the delivery drivers to sell drugs.

I wasn’t involved, don’t worry.

After that, I started working for a steakhouse. Can’t remember its name, but that was also a bit of a tumultuous job. I was still really young and naive, and my boss took advantage of that. I was the prep guy who set up everything for the salad bar every day. One day it rained real bad, and guess who got stuck on overtime mopping up the entire basement?

Me.

That’s not the reason I left that job, though. I ended up leaving after a dinner rush when I was ordered to chop a bunch of lettuce as quickly as possible … and nearly chopped off an index finger. I remember squeezing my fingers together, and my boss kind of laughing asking if I wanted an ambulance. I decided to let my girlfriend pick me up, and I went the hell home. For good.

Then, before I entered the company I currently work for, I went to work at a gas station in Harrisburg, Pennsylvania. That job was also … strange. Nothing in the store had barcodes you could scan when a customer was buying something. You had to … memorize the prices. That was all fine and dandy, if at least a little tricky, but then my boss stuck me on the night shift.

I think this was around the time I noticed my coworker, who got me into chewing tobacco for a short period of time, was doing whippets in the coolers at the back.

But the night shift, that was a completely different ballgame. I got to see the kids coming out late at night partying, buying up teas and cigarettes. You know, people who were my age. I also got a date from a girl who did figure-eight donuts in a Chevy Berreta around the pumps one night. She spent a few days with me until she decided to drop the bomb that she had … an incurable STD (that wasn’t the last time I saw her that year).

Those aren’t the worst things that happened when I had this job, though. I’d say the worst things were probably the much older customers who would come in at night.

To say I almost got robbed would be an understatement. I’m pretty sure I did, but by two guys who were asking me for money from my own bank account, and totally not the guy who came in and stared at me for fifteen minutes. I had to call the police multiple times in this position, and I’m pretty sure it was my fresh-faced naivety that stopped me from getting a gun to the face.

The potential thieves who were asking me for money from the ATM? Yeah, I’m pretty sure the dudes just wanted me out of the building. Again, I didn’t realize this at the time, because I was just a kid, with no real world experience whatsoever.

I ended up leaving that job after my boss got busted for stealing winning lottery tickets, while shorting my drawer every morning. She tried to pin that on me (she was arrested), and the new manager believed her. I got a lifetime ban from that particular station.

Believe me when I say this, I, in no way, ever stole anything from that place. I worked my shifts, I almost got robbed, I almost kissed a girl who had genital warts, and then I got terminated via never returning.

My first set of jobs were really ridiculous, and I got taken advantage constantly. I was just naive, not very aware, and that made me seem unintelligent. Things changed though, and I kind of became more aware, more vigilant. I don’t let things get past me so easily anymore. I don’t let customers give me the sleight of hand in retail settings, and I don’t ask random girls on dates just because they know how to drift without exploding some gas tanks.

But that’s how I entered the workforce, and I remember specifically trying to get my first job back (because I kind of actually enjoyed working in a restaurant), but my boss told me no. Not because I walked out the door, not because he probably knew I was silly-drunk one night, but because I didn’t burn him a bunch of music CDs to replace what was stolen from his Jeep. Because … I was totally responsible for that, right?

When I tell you I was seriously taken advantage of, I mean it. If you’re around the age I was when I rifled through these jobs, keep this sort of stuff in mind. The corporate world, whether it be retail, or food service, it is not kind to high school kids, or people who have just become adults.

https://cmdr-nova.online/2024/05/30/jobs-ive-done/

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I’ve had a ton of jobs. All but one being crappy, menial, grunt work. All but two, maybe. Maybe three. I don’t know. I’ve had so many there is no way I’ll remember them all while writing this.

• I was on the clean up crew for an organization that ran a weekly BINGO game. I was 14 when I started and by the time I was 18 (I think) I was in charge of it
• I worked part time as a groundkeeper/janitor while I was in high school
• I was a loader at the UPS Northern New England Hub
• I worked for Northeast Broadcasting School supervising student access to the audio recording facility
• I worked at a sporting goods retail chain’s warehouse as the guy who processed all of the non-clothing item returns
• I had a bunch of temp jobs including working for a moving company and a pet supply mail order chain as an order picker/packer
• I worked as a long term temp in the shipping and receiving office of a company that sold medical devices. Anesthesia delivery units, to be precise. I was there three summers in a row and the last summer I was in charge of the department.
• I worked for a lab in the computer science department of UMass Lowell. My “job” was to put on a talk show on the campus radio station, WULM 91.5 FM. The rest of the time my “job” was to have a place to do my home work.
• My first job out of college (the last time) was a programmer/analyst for a software company that makes systems used by hospitals. Nine years later I was promoted to supervisor. In two months I’ll have my 20th anniversary with the company

That’s the gist of it. I’m sure I forgot a few things along the way. I was a janitor more than once, but I am not going back in to edit the list now. I hope you are fascinated by my endless string of less-than employment.

https://robertjames1971.blog/2024/05/29/work-history/

#dailyprompt #dailyprompt1953

Well I have done a lot go jobs in my career. From Real Estate, to Advertising, to Client Servicing, to teaching. But the one job that I have found the most challenging is to work on myself. Its something that I need to do every day so I can focus better on my professional work and my family. The days I am able to balance my emotions is the day I feel at peace.

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