Jun 22, 2017

The Attachment Diaries – Part 2

With the name of Allah the Most Gracious and Most Merciful

Day 1 (05/06)
Today is the second week of attachment. And first day of attachment in Ramadhan. So, starting today I cant enjoy all the food in cafeteria anymore L But well the best part is we are allowed to go back at 3 pm! Hihi yeay! This week rotation made us to be in Nephro Ward. First impression? A bit scary because I am not really good in renal, kidney, nephro and etc. But this is the time to learn, aite? So, first day is umm a bit of leisure day since our preceptor is not in. So, Oya and me choose our case to clerk. There are soooooooo many people in this unit T_T and mostly presenting with CKD on HD T_T Okay, so we clerk and discuss our case. And then tetiba je its already 3 pm haha time flies so fast during this fasting month uhuk

Day 2 (06/06)
Today, we will meet Puan Ruwaida. Umm feeling nervous a bit, but then she turn out to be someone that is so sporting! Whyyyy all the pharmacists that I meet here semua baik baik uwaaa nak nangis sebab seronok sangat! She corrected our PCI and siap tolong tuliskan sekali dalam cp2 form tu tau! Sempoinya alahai pastu asyik gelak gelak je dengan dia hahaha best discussion ever memang tak stress, no anxiety, no nervous at all.

Day 3 (07/06)
Oh today I am a bit emotional. My patient that I clerk passed away this afternoon. Pagi pagi pergi check progress note and then noted that patient is gasping, sweaty and coolish peripheries. Then, memang commence CPR STAT but patient vomit blood coffee ground. Pastu dah cuak dah bila baca progress note. Thennnn, check sekali lagi around 1 pm patient is already pronounced death at 12.10 pm because of UGIB. Diagnosis is CRBSI caused of ESRF. (Sorry too much jargon here, kalau HCP maybe faham lah kot). But then, sedih sangat. It makes me realised that how close death is to us T________T . And how important proper management to patient to prevent further complications.

Day 4 (08/06)
Final day, we have another discussion with Puan Ruwaida. Its to finalise and to update on our cases with Puan Ruwaida. PCI pun dah much better dah bila masuk second week ni. Takda lah terkial kial cari PCI lagi. And then, before end discussion, sesi QnA sikit dengan Puan Ruwaida, She graduated from UM and kawan PASUM dengan Dr Azyati haha patut lah perangai pun sama je. Gila gila je dedua orang ni. Pastu jadi pharmacist berjaya pulak tuuu uwaaa jelesss! Eh takkk, inspiration haa gitu!



And thats the end of Week 2 in Nephrology Ward. Learnt a LOT OF NEW KNOWLEDGE especially on CKD, ESRF, HD and those related stuffs. Well, I used to dislike all about kidney previously (during high school). Sebab dulu kat sekolah tak faham bila belajar pasal kidney ni hahaha so I simply dislike it. But now, rasa macam nephrology is an important part kot. Its main excretory system for the body so kena lah tahu kan. I think thats all for Week 2, lets wait for next week in Cardio Unit! xoxo

May 27, 2017

The Attachment Diaries - Part 1

22/05
Today is the first day of attachment. This final semester we need to undergo a 4-weeks clinical attachment in the ward. And I’ve been attached to Hospital Serdang. Not really sure how will it goes but according to seniors, Serdang Hospital sangat best! (Im hoping the same thing will happen to us this year). So like previously, I need to wake up at 4.15 am because well I took 1 hour plus minus to get ready. We need to go out early and be ready at faculty before 5.30 am. First impression when I reach here is besaqnyaa cantiknyaa hospital! Hospital baru kan mestilah lawa dan canggih. After briefing session, we meet with our preceptor Miss Lai whose in charge with Male Medical Ward 7C. First day, we go and clerk 2 cases. Our first case is really a long case, jenuh gak aaa nak habiskan progression notes and medication chart. But then, it’s easier because we can access the HIS and everything is recorded there. Our second case is just a simpler one, very simple because he just admitted to the ward.


23/05
Me, Aten and Ama join the morning ward round with specialist, MO and HO. Miss Lai as the clinical pharmacist is there too. I am so amazed how pharmacist did the intervention during the ward round. Also on how the specialist including MO discuss the recommendation by pharmacist. Like they really work together as one healthcare team.I mean like (from the stories I heard), usually physicians are not really ‘accepting’ the recommendation from pharmacist. And even sometimes they might end up quarrelling over the best therapeutic plan for the patient. To look it from a bright side, actually whether you are a pharmacist or a physician, we want the best therapeutic plan for the patient. So yeah, this is a common thing happened in practice. After lunch, we just completed the case that we clerked and try to understand fully the case.


24/05
It’s the presentation day! Last night, Oya and me, we were both so exhausted that we didn’t manage to complete our slide. So, this morning we are so busy completing and discussing on our case. Presentation to Miss Lai goes well. We discuss on the PCI a lot! Miss Lai is totally such a woman crush. She is a clinical pharmacist, have lots of knowledge, beautiful, kind, talk softly and so many more! Wish that I can be like her one day. We finished our presentation just about lunch hour. And yeay we are free after that teehee!


25/05
Last day for this week at medical ward. Since we have done our presentation, literally we did nothing today except for killing time. We discussed on the case and how to do the report etc. Then, we can have our own time. Pastu, the best part is balik awal today yay! Oh yaa, this is our last day before Ramadhan starts. We will go home at 3pm during Ramadhan. It is because our Dean is so concerned on us that we need to wake up early in the morning and only to reach Palam almost Maghrib. So she give us the approval to go back early yay! 

May 15, 2017

A letter to self

With the name of Allah the Most Gracious and Most Merciful

Today, I just found out something that might be changing my life, soon perhaps. To be honest, I don’t know what should I feel or how should I react. At first, I am just being neutral because I wanted to know what is happening to myself. I feel grateful because at least I am able to know why I always had few episodes of headache.

Then, I wanted to share with the closest people in my life knowing that they deserve to know what I am going through. And also with an intention that I might be getting some moral supports. At this time, I started to wander of all the (negative) possibilities that I actually don’t want to think of but it just slipped into my mind. Well, being strong is the only option available and I really don’t want to look weak (or be weak). It is just sad when I thought that I will be getting supports during my lowest point where actually it turned out to be vice versa. I felt disheartened. Whatever it is, I need to face the reality. 

I know everyone deserve to be happy and to live perfectly well. I don’t mind to let go things that are not mine. I know I shouldn’t bridle a bird from flying high. I understand that lucidly. And I undoubtedly be open to whatever things that might be happening soon. I always have faith in You. Make me strong please. 


p/s: not sure whether I should keep this post or just posted it anyway. I always write when I am in despair. 

May 10, 2017

Counting days?

With the name of Allah the Most Gracious and Most Merciful

So its already May. I have been wanting to do blogging (so badly) but I always ended up doing other things. Always and always good at procrastination.

Can’t believe the fact that I’m leaving this place in another approximately 2 months time. A place with thousand of memories. A place that thought me to be better and wiser, in all aspects. A place where I learned to survive living alone and start everything from scratch. Yes from scratch. And I never regret of that.

6 years ago (back in 2012), this is the place where I started my first tertiary education. And it was my first time being apart from my family. I had never thought that I am coming again to this place for my undergraduate studies. But, He is the best Planner and He knows what is the best for each of us. And yet, I really love my undergraduate years here. UITM Di Hatiku!

Okay sekejap nak fikir apa tujuan buat post ni haha hmm I actually wanted to rant over something but come to think about it again, I don’t think that is feasible because yeah I know lots of people (whom I knew) actually read my blog. So no, I just want all the positive vibes in my blog. Although my desire for blogging will be at its peak whenever I am at my lowest point.

A year passed by so quickly, like really quick. I still remember my first hospital attachment last year in Hospital Putrajaya (oh I love everything about HPJ!). And now, its my junior’s turn. And we are now the senior who will be having the 4-weeks-of-clinical-attachment and also the longest hospital attachment among these 3 semesters. I actually really looking forward for this attachment (no not a nerdy geek) but I don’t know I just get excited. Mungkin juga because its the longest hospital attachment sebab I suka duduk hospital. But surely its also nerve-wrecking because I don’t know whether I am ready physically, mentally or whether I am ready with all the clinical knowledge. But I'm excited to clerk case and acting like a real pharmacist (hmm too much maybe?) I'll talk about my hospital attachment in next post, maybe? (kalau rajin!)

For sure ilmu di dada belum cukup but to think on the other side, I like the practical session more and I believe we can learn more in that way. But of course with a theoretical session beforehand. So I need to constantly remind myself to REVISE and REVISE and PREPARED MYSELF before the practical session. We have like another 11 more days to go. Haa ambik kau sempat ke nak cover semua ilmu klinikal dalam 11 HARI! Mohon doakan yuk kawan kawan :’)

Semoga Allah melapangkan dada dalam menuntut ilmu dan semoga ilmu yang belajar dapat dimanfaatkan untuk kesejahteraan umat. Amiinnn.

So lets start having a productive days ahead, pretty please. Man jadda wajada! 

p/s : its so hard to give this post a title because I dont have any theme pun