The Daily Routine of novaTopFlex

Hello! This is novaTopFlex from numerous social media accounts! While I am actively considering changing my daily routine for off-days throughout my life, I have recently scheduled myself predominantly around The Lunduke Journal and host Bryan Lunduke. Therefore, throughout much of the past year, my spare time that had been available had predominantly revolved around the shows that had been created by Lunduke. While I do not expect to eliminate the influence of any journalist in the tech […]

https://novatopflex.wordpress.com/2025/06/19/the-daily-routine-of-novatopflex/

The Daily Routine of novaTopFlex

Hello! This is novaTopFlex from numerous social media accounts! While I am actively considering changing my daily routine for off-days throughout my life, I have recently scheduled myself predomina…

novaTopFlex

My First Day In General Surgery – Tagging Day 1

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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.

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My First Night Shift In Surgery | Housemanship Diaries

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My first “ON” or “On-night” or night shift in General Surgery was in the Female Surgical Ward with a friend whom I’ve known since around my first posting but have yet to be in the same posting together till our fourth posting in General Surgery.

We were blessed enough to have at least 2 people per ward for the night shift.

Our shift as “on-night” in Surgery began from 7pm and will usually last till all the discharges are done the following morning.

Upon my arrival to the ward, I was informed that one patient in particular had no urine in her CBD (urinary catheter) bag and that she felt like urinating but was unable to void. Considering that she had a urinary catheter in-situ, voiding should not have been an issue.

I attended STAT and assessed her. She had a mass over her abdomen which was hard, non-mobile but had smooth edges, around 15cm by 10cm, a rather large one which I assumed was a tumour, probably pressing onto her urinary bladder as well.

It did not occur to me to check if the patient was previously passing urine, it also did not occur to me to check her intake and output chart. All I could think of at that time was, she felt like voiding, she is in pain, there is no urine flowing into her urine bag.

Thus, I prepped the trolley to reinsert a new CBD. I donned my plastic apron and prepped my materials needed and proceeded to clean the patient’s vagina and reinsert a new urinary catheter in as probably as sterile as I could, bedside.

Upon insertion of the new urinary catheter, there was no urine outflow. Thinking that I may have blocked it or inserted not all the way in, totally abandoning my theoretical principles learnt, I proceeded to reinsert about 3 times and each time was met with no urinary outflow but there were bloodstains from the urethra.

I called my partner for help and he proceeded to help me in informing in the oncall group and referred to Urology medical officer oncall who was rather grumpy.

It was during his referral that I realised that the patient had been anuric (not passing any urine) for sometime now. Clearly, she would not have any urine output and although she felt the need to void, it would not have been an issue considering there is a urinary catheter in-situ.

I had unnecessarily caused trauma and I felt foolish for acting prior performing a thorough examination and understanding her case.

The Urology medical officer came and reinserted a CBD to which she asked us not to remove and to request for an ultrasound the following day for assessment as she suspected that the tumour over her abdomen had infiltrated into her urinary bladder or urinary system.

That was settled but definitely ate up a huge amount of our time because of my mistake.

Subsequently I was rather slow and there were a few post-operative patients and new patients admitted into the ward. Hence, I proceeded to do the needful. By the time I was done, my partner had completed taking the blood for the whole ward and at that time, it was around 3am. I could sense the back-to-back disappointment I have caused him and at that point, I have given up on apologising.

We then proceeded to complete our planned discharges of the patients and by 6am, started tracing the blood results of the patients before retiring into the house officer’s room for a break.

In the morning, as usual as in other postings, we would be “summoned” in the group to take any bloods or to start our discharges.

We returned home around 11am and our post-night shift was followed by an off day.

Personally, I felt that I could’ve done a lot better as I was rather slow that night. However, for a first night shift in Surgical, it was not as bad as it seems.

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My First Day Back At Work After A 6-Week-Break | Housemanship Diaries

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I officially returned to work on the 2nd of October 2024.

Initially, I was stationed to work the morning shift at ward. However, a colleague of mine decided to take a sick leave on that day when she was initially stationed as the House Officer in the Emergency Department, ETD HO.

Being the Allocation Leader in this department, it is my duty to immediately look for a replacement and to update in the group with the medical officers. Not one person came to mind and I felt bad since it was a friend of mine who took a sick leave or did I feel comfortable dragging another person to cover this shift since it is a shift most people avoided.

Thus, I offered to be the ETD HO myself. It was during an anaemic House Officer period and there were only one House Officer stationed at the Emergency Department.

Hence, I went to work and stocked up my necessary supplies before meeting the post night House Officer in the Emergency Department to receive my handover.

Of all days, it had to be one whereby no coming mornings (bloods) were taken for the patients and there were a lot of active job-lists not being carried out. Not to mention scans to be requested the following morning.

Basically, there were a ton of “shits” being thrown to me and if I do not settle it myself or to push my post night colleague to help me, I would be in a mess for the day.

Imagine having just returned to work to this. Without thinking much, I started identifying the patients who had bloods to be taken and proceeded to take all of them and sent it off. After sending them off, I started preparing for scans and called the radiology medical officer oncall to present my case.

Finally, after I thought I was done, I decided to review the stranded patients.

Normally, the stranded patients should be reviewed around 7am as we would begin our morning rounds around 7:30am till 8am. Thankfully, it was the weekend and rounds began much later.

I went through my list of stranded patients and there were almost 20. 20 stranded patients at various locations.

Would I have the time to review all of them? What about the active joblists or scans? Can I rely on my post night colleague? What if there is a new case?

I remembered it being a rainy day and the referrals were initially from wards and not from the Emergency Department (ETD).

Perhaps it would be a slow day. I thought to myself.

But, I thought too soon.

Soon, referrals started piling up. My medical officer’s phone (MO) was blowing up with calls. Other sub-specialities kept reaching out for me to help them out and at one point, me and my medical officer had to split to ensure we got everything done to the best that we could.

I wished that I could literally divide myself but I couldn’t. On top of that, my right foot started to ache. I just came back from a 6-week-break. I can’t afford to go on anther few weeks. If I do, just when am I going to end this posting?

I recalled it being a terribly hectic day and I felt bad as I was mostly away, having been dragged away by other sub-specialities, escorting patients or carrying out the active job-lists. I could not really be by my medical officer’s (MO) side to see the cases.

Finally, the end of my shift approached. 7pm and my night colleague came for handover.

Despite it being the evening already, the fire was still burning strong, referrals did not stop coming in and I still had tasks to complete or I would be handing over “shits” to my night colleague.

Finally, it was around 8-9pm, I can’t really remember as I was following night rounds with the OT call medical officer and registrar. My medical officer told me to return home since the following day, I would be morning shift.

I remembered returning home that day, somewhat unsatisfied with myself. No doubt that it was a tough day, but I could definitely do better. If only my leg did not slow me. The pain seems to increase with every step I took and with every exertion I made.

However, as I remembered, I was blessed to have an angel as my medical officer oncall for that day. Instead of shaming me or being sarcastic or mentioning that I could do better, she simply thanked me for putting my best effort on the first day back and welcomed me back.

It’s angels like this who makes me want to try to be better the following day.

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The House Officer’s Dilemma | Housemanship Diaries

An article regarding my dilemma on which department or speciality to pursue in after completing my 2-year-journey as a House Officer.

The Theoretical Doctor

What are your daily habits?

Daily Writing Prompt

Daily habits. I don’t know if I really had any daily habits prior to the whole weight loss surgery thing. Now I have a bunch of them, mostly due to having all of these post-op goals to hit every day.

  • Have some water and my morning vitamins before breakfast
  • Exercise every morning before breakfast
  • Eat a lot of protein for breakfast
  • Make sure the cats are fed
  • Make the bed (I fail on this one a lot, but I hate it when I do)
  • Exercise again during lunch, just a bit
  • Hit my daily water/liquid intake goal of at least 64 ounces
  • Hit my daily protein goal of at least 80 grams
  • Hit my daily Apple Watch Activity app exercise goal of at least 30 minutes, preferably more like 60
  • Hit my daily Apple Watch Activity app move goal by burning at least 1000 calories
  • Hit my daily Apple Watch Activity app stand goal by standing for at least one minute each hour for 12 hours
  • Write at least one blog post
  • Take at least one photograph, preferably with my Nikon Z5
  • Most important of all, be kind and loving to my wife
  • Track my sleep stats with my Apple Watch
  • Wake up and do it all again

I am sure I am missing a few things. I find the whole exercise and post-op thing a ton easier if I stick to a routine. Like, I overslept by almost two hours this morning and I am worried about staying on target for all of the exercise and food/water goals already. It’s only 7:30am, but I should have a bunch of that stuff done already. It bugs me a bit.

Anyway, those are some daily habits. I may be insane. Just a smidgen.

My response from last year

I’m thinking this is the last time I do this. That’s my theory at the moment. I might change my mind, but this just feels silly now. Not that it ever didn’t feel silly before… it’s just more silly now, and in a more pathetic kind of way.

https://robertjames1971.blog/2024/06/28/habits-again/

#dailyprompt #dailyprompt1983

Daily Habits

Daily writing promptWhat are your daily habits?View all responses Daily habits. I don’t know if I really had any daily habits prior to the whole weight loss surgery thing. Now I have a bunch …

Inside the Red Head's Head

Can you share a positive example of where you’ve felt loved?

And

Then

You promised

You started loosing control

Crazy nights

Broken beds

Internet Sex

Desire

Fantasy to life

Always and forever

And then ?

You ran away

And ran away again

Do you remember me when you f..k him

Does he knows you suppose to love till end of days ?

Till the day almost …

Kill me ..

And now ?

Leaving you from behind ?

That’s where your eyes are looking back while you are moving forward seeing nothing but back loook

Let’s touch the mint and smell our hands

Let’s mint our planet ..page 25/Budapest light

From 100 boring story ( Garden of mint )

Ok readers relax it’s just a song i was hearing , I doubt I captured the phrases all but that’s what I heard and shared with you manually (typing it )

Info@hichammneimne.com

yeah !

The prompt

I’ll give one example

YOU WILL ASK WHOEVER YOU BELIEVE ON TO GIVE YOU MORE DAYS TO BE WITH HIM OR HER

Find them !

The tree I hugged where all the history started in the land of the Art sharing it with you my planet I love you

TRUTHOPPOSITEREALITY .COM

Info@hichammneimne.com

Abstract@hichammneimne.com

https://thelastexpressionist.com/2024/01/17/first-you-loved-%f0%9f%93%8c/

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First you loved 📌

Can you share a positive example of where you’ve felt loved? And Then You promised You started loosing control Crazy nights Broken beds Internet Sex Desire Fantasy to life Always and forever …

The Last Expressionist

Can you share a positive example of where you’ve felt loved?

And

Then

You promised

You started loosing control

Crazy nights

Broken beds

Internet Sex

Desire

Fantasy to life

Always and forever

And then ?

You ran away

And ran away again

Do you remember me when you f..k him

Does he knows you suppose to love till end of days ?

Till the day almost …

Kill me ..

And now ?

Leaving you from behind ?

That’s where your eyes are looking back while you are moving forward seeing nothing but back loook

Let’s touch the mint and smell our hands

Let’s mint our planet ..page 25/Budapest light

From 100 boring story ( Garden of mint )

Ok readers relax it’s just a song i was hearing , I doubt I captured the phrases all but that’s what I heard and shared with you manually (typing it )

Info@hichammneimne.com

yeah !

The prompt

I’ll give one example

YOU WILL ASK WHOEVER YOU BELIEVE ON TO GIVE YOU MORE DAYS TO BE WITH HIM OR HER

Find them !

The tree I hugged where all the history started in the land of the Art sharing it with you my planet I love you

TRUTHOPPOSITEREALITY .COM

Info@hichammneimne.com

Abstract@hichammneimne.com

https://hichammartstudio.art.blog/2024/01/17/first-you-loved-%f0%9f%93%8c/

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First you loved 📌

Can you share a positive example of where you’ve felt loved? And Then You promised You started loosing control Crazy nights Broken beds Internet Sex Desire Fantasy to life Always and forever …

The Last Expressionist

What snack would you eat right now?

Yes it’s called monkey balls and it’s sold in Fiji islands 3 balls for a 1$

Monkey balls ( taste awesome )

Since the prompt is short answer let me give you a story from my mind . ( fiction )

From the heaven of my heart and from the munchies land munchington

Once upon a time in the whimsical town of Munchington, there lived a mischievous little creature named Snackington. Snackington was known for his insatiable appetite for snacks, especially the enchanted candies that sparkled in every color imaginable.

One sunny afternoon, Snackington discovered a hidden treasure trove of snacks deep within the Enchanted Forest. Unable to resist the temptation, he indulged in one delightful treat after another until he had consumed more snacks than his tiny belly could handle.

As the sun dipped below the horizon, Snackington felt an odd sensation. To his astonishment, his teeth started to tingle and then, one by one, they began to wiggle and fall out. Panic set in as he realized the consequences of his snack-filled escapade.

Distraught and toothless, Snackington sought the advice of the wise old wizard, Molarus, who lived atop Candy Mountain. Molarus revealed that the enchanted snacks had a magical side effect when consumed in excess—they made teeth as light as air, causing them to float away.

Determined to remedy his predicament, Snackington embarked on a quest to retrieve his wandering teeth. With a toothbrush sword in hand and a floss rope at his side, he journeyed through the Marshmallow Marsh, crossed the Licorice Bridge, and ventured into the Gummy Bear Cave.

Along the way, Snackington encountered friendly creatures who offered guidance and shared tales of their own snack-related adventures. Together, they formed a merry band of snack enthusiasts, determined to find a way to reverse the enchantment.

As the group approached the elusive Candy Mountain, they faced a final challenge—a maze made of chewing gum. With clever teamwork and a few strategically placed snacks, they navigated the sticky labyrinth and reached the summit where Molarus awaited.

Molarus, impressed by Snackington’s determination, performed a magical ceremony to restore his teeth to their rightful places. Snackington learned a valuable lesson about moderation and the importance of caring for one’s pearly whites.

With his teeth once again intact, Snackington returned to Munchington, promising to savor his snacks in moderation and share the tale of his toothy adventure with others in the town. And so, the legend of Snackington’s toothy escapade became a cautionary tale for snack enthusiasts far and wide in the enchanted land of Munchington..

Do you still want to try monkey balls ?

https://hichammartstudio.art.blog/2024/01/12/monkey-balls-%f0%9f%93%8c/

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Monkey balls 📌

What snack would you eat right now? Yes it’s called monkey balls and it’s sold in Fiji islands 3 balls for a 1$ Monkey balls ( taste awesome ) Since the prompt is short answer let me give you a sto…

The Last Expressionist

What is your mission?

It’s about one nation one god one believe one order equality .

Planet 1one

But

In life, abstract expressionist artists dedicate themselves to a profound mission – a relentless pursuit of the intangible,

a quest to distill the intricate symphony of emotions that course through the human spirit.

And as for me my canvases become portals to the depths of existence, each stroke a deliberate dance between chaos and order. Truth vs reality

Through the unpredictable language of color and form, I seek not only to create but to commune, inviting viewers to embark on a visceral journey into the enigmatic landscapes of own inner worlds that resonates with truth and emotions In this boundless exploration,

The mission often involves conveying emotions, exploring inner thoughts, and emphasizing the spontaneity and authenticity of the creative process through non-representational forms and gestures in in every art work and every letter.

I forge a connection between the tangible and the transcendent, leaving an enduring legacy that echoes the vibrant tapestry of the human experience.

The world without art is just meh 🫤

I’ll make sure it’s epic

Info@hichammneimne.com

https://hichammartstudio.art.blog/2024/01/09/to-save-the-planet%f0%9f%93%8c/

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To save the planet📌

What is your mission? It’s about one nation one god one believe one order equality . Planet 1one But In life, abstract expressionist artists dedicate themselves to a profound mission – a relentless…

The Last Expressionist

What skills or lessons have you learned recently?

It’s all about experience

It’s how much we are willing to change our eye glasses and how we see things

It’s all about to protect our hearts

Lessons:

  • Embrace Resilience: Life’s journey is filled with twists and turns. Embracing resilience teaches us to navigate challenges, bounce back from setbacks, and emerge stronger. Like a tree bending in the wind, resilience allows us to weather the storms of life while staying rooted in our purpose.
  • Practice Empathy: Understanding others’ perspectives fosters compassion and unity. By practicing empathy, we build connections that bridge gaps and create a world where kindness and understanding prevail. It’s a lesson that transforms not just our relationships but the entire fabric of society.
  • Cherish the Present: Amidst the rush of life, it’s essential to savor the present moment. Whether in moments of happiness or simplicity, learning to appreciate the now brings a profound sense of fulfillment. Life unfolds in the present, and recognizing its beauty enriches our journey. ( remember it’s Devine timing no matter what we do )
  • Great Skill:

    Mindfulness:

    Mastering mindfulness is a powerful skill. It involves being fully present, aware of my thoughts and feelings without being overwhelmed by them. This skill enhances focus, reduces stress, (tbc ) and allows us to make more conscious choices.

    By practicing mindfulness, we cultivate a deeper connection with ourselves and the world around us, fostering a more balanced and meaningful life.

    Hicham Mneimne

    https://hichammartstudio.art.blog/2023/12/16/dont-leave-the%f0%9f%8c%8dworld-behind%f0%9f%93%8c/

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    Don’t leave the🌍world behind📌

    What skills or lessons have you learned recently? It’s all about experience It’s how much we are willing to change our eye glasses and how we see things It’s all about to protect our hearts

    The Last Expressionist