Mastodawn

Football Stadium Bot 21h ago

Sarawak Stadium

https://en.wikipedia.org/wiki/Sarawak_Stadium

Capacity: 40000
Location: Kuching, Malaysia
Team: Sarawak FA

#Kuching #Malaysia #stadium #soccer #football #fussball #fedifc #mastodonFC

Sarawak Stadium - Wikipedia

The Theoretical Doctor 6d ago

My Grocery List As A Junior Doctor – While I Was In My Vegetarian Phase

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Being a Junior Doctor or a House Officer, we are located the lowest in the hierarchy of medical personnels. That is because we have just started practicing which means there is still a lot for us to learn on top of learning how to be a safe doctor as well as the simple management of the patients’ condition down to their tailored management. Thus, this automatically translates into long hours at work, a mentally and physically tiring journey as well as a reduction in our total night’s sleep.

Are we married to our work? In a way yes and also no.

Not that we want to or that we are workaholics but being in this field, it is an unspoken expectation which seems to have befallen us.

Thus, our so-called “work-life balance” is almost always in disequilibrium and we try our best to destress in whatever way suits us best.

For me, it is cooking and recently, I have embarked on a vegetarian journey for the Lenten season (at the time of writing this article, it was during Lent), as well as a way of trying to be a pinch healthier to my already unhealthy lifestyle.

Since I enjoy making my own meals, I rarely eat outside. Thus, the idea that vegetarian food is a little bit difficult to be obtained or ordered online, does not really bother me.

A bright side to this is that, I’m lacto-ovo-vegetarian, meaning I consume egg amidst being vegetarian as well as dairy products and throughout my vegetarian season, I did not reduce my food portion (which may be bad). Rather, I simply changed my food choices from non-vegetarian to vegetarian and from ordering take-outs to consuming more home prepared meals.

Thus, what are the grocery items that I ensure I stock up on a regular basis?

1. Tofu

Photo by Polina Tankilevitch on Pexels.com

I absolutely CANNOT live without tofu. It is extremely versatile as I could make any kind of dish with it. Most of the time, I would simply dice it and marinade with some spices and air fry it.

At times, when I’m feeling fancy, I would use it as a burger patty as well.

2. Mushrooms

Photo by Pixabay on Pexels.com

This is another versatile ingredient. From enoki mushrooms to crab mushrooms, oyster mushrooms or button mushrooms, you name it. I’m a big fan.

I try my best to stock up on fresh mushrooms. However, since I go through it pretty fast, I would usually fall back to dried mushrooms since it is readily available in the mart of my residential area.

3. Eggs

Photo by Pixabay on Pexels.com

Luckily, I chose to be lacto-ovo-vegetarian, meaning if I ran out of ingredients, I could pretty much add egg, be it just cracking them into my broth or frying them.

4. Bird’s Eye Chilli

Photo by Anna Nekrashevich on Pexels.com

Bird’s eye chilli or “cili padi” as we call it in Malaysia.

I am a big fan of spicy food and since I go through chilli powder pretty fast, I started incorporating them into my dishes.

Be warned though, if you’re not a fan of spicy dishes, adding one too many may render the dish unconsumable.

5. Rolled Oats

Photo by Karyna Panchenko on Pexels.com

This usually takes some time before it finishes.

Since I am a “heavy eater”, I started substituting my rice with rolled oats instead, which is something I started doing 2 years ago.

I’m not a big fan of having my oats with milk as I find it rather sweet or sometimes just bland for my palate. Instead, I prefer savoury dishes and the oats complements most of the dishes well.

6. Curry Leaves

Photo by Rahul Sonawane on Pexels.com

This does not really serve any purpose except I merely enjoy the aroma emitting when I sizzle it with oil, adding a nice aroma to my dishes.

7. Random Vegetables – Cabbage, Leafy Vegetables, Potatoes, Cabbage

Photo by Mark Stebnicki on Pexels.com

I started eating greens again.

I have always loved eating vegetables. However, it is not easily obtained since I do not have a car, I rarely go out and the nearby residential mart does not sell them.

Thus, I order online, I usually have a few fallback vegetables which I would add to my cart which are cabbages, any leafy vegetables, potatoes and aubergines.

Photo by Laker on Pexels.com

Cabbage is another versatile vegetable as I could add it to my curry dishes and it does not wilt immediately, as an extra ingredient in my stir fried noodles as well as when I cook “okonomiyaki”.

These are my food grocery list by default. I’m not exactly a health conscious person despite being a doctor myself nor do I reduce my food portion. It is merely a step for me to try and be a little bit healthier which is sustainable for me and hopefully in time, it deems fruitful.

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The Theoretical Doctor

The Theoretical Doctor May 8

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

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The Peri Medical House Officer Team takes care of:

The Emergency Department

Green zone
Yellow zone
Yellow respiratory zone
Green-Yellow zone
Asthma Bay
Red Zone I
Red Zone II
Decon
CSSD
EDOU

Main Building

Side Building

Infectious Disease Ward

SDC (Surgical Daycare)

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.

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Part 1 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | The Emergency Department

An article regarding my life as a Peri-Medical House Officer in my Fifth Posting, The Medical Department (Part 1).

The Theoretical Doctor

The Theoretical Doctor Apr 28

An article regarding my life as a Peri-Medical House Officer in my Fifth Posting, The Medical Department (Part 1).

-

#blog #blogging #writing #medical #housemanship #malaysia #kuching #doctor

http://theoreticaldoctor.com/2025/04/28/part-1-life-as-a-peri-medical-house-officer-in-hospital-umum-sarawak-the-emergency-department/

Part 1 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | The Emergency Department

An article regarding my life as a Peri-Medical House Officer in my Fifth Posting, The Medical Department (Part 1).

The Theoretical Doctor

The Theoretical Doctor Apr 28

Part 1 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | The Emergency Department

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Upon entering the Medical Posting, I was stationed into the “Peri-Medical Pool”. My “birthplace”, so-called.

Prior to entering the Medical Posting, many of my colleagues commented that the Peri-Medical pool is probably one of the worst place to enter considering that it is rather hectic, busy and messy, not to mention the joblist is never ending.

The working shift for a Medical House Officer is as such:

Short Day (SD): 7am till 6pm
Long Day (LD): 7am till 10pm
Night Shift (ON): 8pm till 9am

The Emergency Department in Hospital Umum Sarawak is rather huge and consists of:

Green Zone
EDAU
CSSD
Yellow Zone
Yellow Respi Zone
Green Yellow Zone
Red Zone I
Res Zone II
Decon

Usually a House Officer is allocated to take care of more than one zones.

For example:

Green Zone / EDAY / CSSD
Yellow Zone / Green Yellow Zone
Red Zone I / Red Zone II / Yellow Respi Zone

When the amount of manpower is high, the job gets done quickly and keeping track of the patients is easier.

However, in days where we are stretched thin it is rather difficult.

The Day Shift

Photo by Laura James on Pexels.com

Since I entered the Peri Medical Pool on my Day 1 of tagging in the Medical Posting, my working hours were from 7am till 10pm every day till I offtagged.

I begin my day by first tracing the casenotes of the patients in the zone I am allocated to, snap pictures of the chest x-rays, any relevant radiological reports as well as to trace their bloods.

If bloods were not taken or not in the system, we would then proceed to “summon” the post-night team for help with their bloods.

After all the patients have been traced and the Google Lists have been updated (this is to aid us during our rounds as well as following up on their location later, to ensure that they are not being missed), then I would proceed with my morning reviews.

The morning reviews are just as usual as any morning ward reviews, rounds with the Medical Officer and Specialists and finally carrying out any active joblists.

Since we are in the emergency department, there is usually no afternoon reviews. It depends on the medical officer. Most of the time, rounds are just once daily.

After we are done with our morning joblists, we have to actively screen through the patients in our allocated zones as there is constant movement of the patients in both in and out of the emergency department.

Thus, this means assisting the current on-call team for the day with any STAT bloods or STAT radiological requests as well as updating their progress.

On most days, it is manageable despite the chaos. However, on days where we are lacking in manpower, the difficulty sets in.

The Night Shift

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The night shift begins at 8pm till 9am the following day or until we are done with our “summons”.

I was blessed enough to have gone through perimedical with a partner. Thus, there were two House Officers allocated for the night shift.

As night House Officers in Peri-Medical. We are expected to continue screening through all the casenotes for any new joblist or patients in all the zones in the Emergency Department as well as to assist in any procedures, take STAT bloods or request STAT radiological procedures.

In addition to that, we also have to cover the main building and the side building. This means, if there are any medical patients lodging in non-medical wards, we are in charge of them as well. Most of the time, it is just new transfer ins, sometimes, it is attending to any acute issues.

This is then followed by taking the “coming mornings” or bloods of the stranded patients in the Emergency Department of the lodging patients.

The amount of patients in the Medical Department is extremely high and thus, the medical patients can be stranded up to days in the Emergency Department which can even last till they are being discharged.

Thus, this ensures that the patients are being continued on their treatment irregardless of their location within the hospital.

The night shift as a perimedical house officer can get rather hectic if there are back-to-back influx of new patients in the Emergency Department, tons of coming mornings as well as acute issues in the ward.

In the morning, the “summoned” list can get rather extensive and chaotic as well and can be rather endless.

Hence, on top of the constant walking about the whole hospital, it can get rather tiring. But like I said, it is doable and manageable.

In fact, I enjoyed life as a perimedical house officer a lot.

If you are due to join Peri-Medical, fret not. Keep yourselves equipped with necessary forms and just work quick and as fast as you can.

On some days, one might get lost in the sea of chaos. However, stay strong and know that help is always within reach and that you are not alone.

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My Evening Routine In The Medical Posting | Housemanship Diaries

An article regarding my Evening Routine while I was serving as a House Officer in my Fifth Posting, the Department of Medical.

The Theoretical Doctor

Football Stadium Bot Apr 14

Sarawak Stadium

https://en.wikipedia.org/wiki/Sarawak_Stadium

Capacity: 40000
Location: Kuching, Malaysia
Team: Sarawak FA

#Kuching #Malaysia #stadium #soccer #football #fussball #fedifc #mastodonFC

Sarawak Stadium - Wikipedia

The Theoretical Doctor Apr 13

My Evening Routine In The Medical Posting | Housemanship Diaries

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On most days in the Medical Posting, at least in the hospital that I’m practicing in, we are allocated to work the “Short Day” or “SD” shifts.

“Short Days” last till 6pm. Occasionally, we would have to work the “Long Day” shift or “LD” which lasts till 10pm or “on-night” which is the night shift.

On days where I’m allocated to work the short day shift, I try to leave work by 6pm. Most of the time, it is feasible while on some days, it is not so.

However, my evening routine is pretty much the same upon returning home irregardless of the time I leave work.

1. Preparing My Dinner

Photo by Pixabay on Pexels.com

I love to cook. However, considering I live alone, the meals that I prepare are usually many for one person. Thus, I would keep the extra, rendering me an extra meal prepped for a day or two.

Depending on my mood as well, should I be working the morning shift the following morning and I’m just too exhausted after work and there is no food, I would go for my regular comfort food, instant noodles.

My version of instant noodles involves sautéing chopped onions, curry leaves, mushrooms and diced chilli before adding the water and mixing the instant sachet powders into the broth. I usually add additional curry powder as I like the broth of my instant noodles to be extra soupy and not dry. Once it has come to a boil, I would crack two eggs into the gravy and boil it for a minute or two before adding “half” of the instant noodles and finally topping with some leafy vegetables.

Yes, that’s right, I only consume half. My instant noodles are extra soupy and has less noodles.

Partly because I love adding rolled oats into my broth, thus the whole meal would be too heavy for me if I were to eat all the noodles.

What do I do with the other half of the uncooked noodles?

I keep it and usually comes in handy if I were to cook stir fried noodles.

Photo by Amar Preciado on Pexels.com

Then, there are evenings where I’m filled with energy and the following day happened to be an allocated off day or my night shift, allowing me to cook something different.

Nevertheless, irregardless of my dish of choice for the evening, I would always prepare a set of chopped tofu and mushrooms which I would marinade with some oil, salt, crushed black peppers, diced chilli, slides garlic, curry leaves and some curry powder or chilli powder prior to air frying it.

Thus, by the end of 10 minutes, my dinner would usually be ready.

2. Resetting My Room

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I don’t go through a major spring cleaning in the evenings, just simple tiny actions to reset my room back to an “acceptable” state.

This includes folding my clothes and keeping them back in my cupboard and their designated places, taking out the trash and vacuuming.

Considering I wash my hair every morning prior going to work, there would be strands of hairs on the floor after drying my hair and dusts and tiny debris begins to gather. Thus, I would vacuum almost every evening.

Since I live in a studio apartment, this action is merely a 5 minute job.

3. Preparation For The Next Day

Photo by Alena Darmel on Pexels.com

“Your morning begins the night before.”

I’ve forgotten where I’ve heard this but it’s what I’ve been practicing since I was a kid. Usually the night before, I would know of the set of clothes that I would be wearing the following day.

Next, I would prepare my jars of cold coffee. I usually save up spaghetti glass bottles or jam bottles to keep my tea or coffees or sometimes to be even used as drinking glasses.

I usually carry two 1.5L of flasks to work, one of it contains green tea and the other, my special prepped coffee.

After all of that is done, next would be…

4. Unwinding for the Day

Photo by KATRIN BOLOVTSOVA on Pexels.com

This begins with me pampering myself with a hot long bath to wash myself of the stench and tiredness of the day, followed by donning myself in a soft, flowy night dress and going about my self-care nighttime routine.

Only after that would I have dinner as I usually fall into a state of food coma after eating.

This is then followed by me clearing the dishes for the last time and finally, heading to bed, which on some days, would be as early as 8pm. However, on average, it is usually around 9-10pm.

This is my evening routine in my Fifth Posting, the Department of Medical, as a House Officer thus far.

I often get questioned by my fellow colleagues as to why I would even consider cooking considering that there are a lot of steps or effort that goes into the process.

However, I do not find it tiring at all as it is my version of de-stressing.

Nothing calms my mind more than listening to music or putting a good show on Netflix while going about my dinner preparations with my phone in “Do Not Disturb” or “Sleep” mode.

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The Theoretical Doctor Apr 11

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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The Theoretical Doctor Apr 9

My Reflection of 2024

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Albeit it being March 2025, at the time of writing this article, let’s take a walk down memory lane.

2024 started with me being in the Obstetrics & Gynaecology (O&G) Department and ended with me being in the Medical Department.

Each department has its own sweet memory of which I shall cherish when I reflect upon my days as a House Officer.

2024 was also the year I took a 6-week-break from my journey as a House Officer, unintentionally, while I was in the Surgical Posting which was a good break indeed. It felt more like a school holiday and I returned home and was being pampered by my family and loved ones.

Sadly, it was also the time I regained all my weight that I have successfully lost along my journey as a House Officer and have more or less kept it on since then.

The struggle to lose weight has returned and amidst the busyness, I still somehow managed to eat which certainly did not help with my weight management.

2024 was also the year I met my partner and best friend as well as his family. My circle of loved ones have been expanded of which I am truly grateful and blessed. Despite being in a long distance relationship, we both try our best to make time for each other everyday which was not at all hard and leaned onto each other for moral support. It made my journey even easier and lovelier.

In short, 2024 flew by rather quickly just like every year. But, it was a beautiful year, one that’s filled with love and multiple odd and funny experiences as well as important ones.

There were challenges as well. The year would not be complete or interesting without it. However, I pulled through or else I would not be writing this reflection today.

As for 2025?

I’m hopeful and I know , it’s going to be another interesting and beautiful year.