Thursday, March 04, 2010
Sunday, February 28, 2010
Life as a labour room houseman
Somehow the horrors of the previous housemen seem exaggerated. The night was fun with little tension, and thanks to an overdose of coffee, I messed around more than sleep/worked. Initially I did get a little confused, but take a breath and the nrp training kicks in. The mo on-call will be there most of the time anyway. The nurses are-as always, extremely helpful.
Like I said before, labour room rocks. Still, i've only done the night shift so far, and my night shifts are almost always free. And now it's even better as I'm provided with my own room.
What do I do as the paediatric houseman on standby?
Obviously we are on standby round the clock for resuscitation of any and all deliveries. Babies with high risks/probability of needing resuscitation are singled out and attended to by the mo on call and extra personnel if needed i.e. the houseman.
Some cases at risk of needing resuscitation include a gestation of less than 35w,>
To be on standby you need to have successfully completed the newborn resuscitation programme (NRP) and at least a month's experience at the neonatal ward or NICU or both.
It's scary but that's what makes it exciting. The labour room is always like that. Like the job itself, you'll either like it or hate it.
Tuesday, January 12, 2010
assessment
well, my assessment was finally over..i didnt really study but experience in the dept was enough i guess..although i did lose sleep, my ex-roomates would vouch for how i could spent sleepless nights worrying but still manage to NOT study..any basic knowledge they asked was easily answered..hopefully my fourth assessment has proven the credibility of me and my university once again..really the only person i need approval from is myself...i could care less about any ignorant jerks who still doubts the fact that i am a certified and capable doctor if they died in their ignorant bliss. First posters will do dumb things, no matter how 'prestigious' a university they come from. I know I'm being a little biased..there are really people who IMO reallly need to buck up, mentally, knowledge-wise, and rationally. They might get extended, and maybe they deserve it. Some things are actually too basic not to know...unless you've been enjoying yourself too much after spm..even though I still think you forget a lot of the stuff you try to cram in during those long med student years...
After medical, I had always acknowledged the possibility of being extended as long as I am labelled as a HO, no matter how hard I try. Although I still thought the extension in my first posting was one biased, unjustified decision that will leave a scar in me that seems to never heal. Another guy I know got extended in medical for the simplest and probably a stupid reason - he was accused of taking another patient's blood sample for a blood transfusion and mislabelling it with another patient's blood. A serious offence if it was true, but did they really check? because he adamantly denies it, and they kept him another 2 months for a mistake that he might have made..come on, in O+G I was faced with the same situation, a patient's blood group came up as B+ when in 2007 it was A+...I personally went with the blood MO to check the patient's blood group, and I was in the right all along. A dumb HO in 2007 who probably is a happy MO somewhere, oblivious to what he did, was in the wrong, and we have no idea who it was.
Some new guys are just annoying, telling me stuff I already know, to do things I already did, correcting mistakes I never did, and even telling the MOs about it..when I did my job correctly in the first place. This was 2 months ago, and I'm good with them now, as we got along later and they understood how I work,and how to work in itself..i dont blame them anyway, they started their job with some people who really liked to fire up the littlest mistakes into something big for the bosses to see, so they could look good.
personally i hate people who kiss ass too much..they are just big sissies who think they are better because they can find little mistakes other people make, and cover their own mistakes nicely. of course, i dont really go on an all-out war with them, unless they make me look bad, which occassionally do happen.most of the time I've had a good work relationship with almost everyone I met
So did some superiors, who initially were somewhat hostile, but later trusted this houseman..winning these little battles are actually pretty rewarding in itself..
After medical, I had always acknowledged the possibility of being extended as long as I am labelled as a HO, no matter how hard I try. Although I still thought the extension in my first posting was one biased, unjustified decision that will leave a scar in me that seems to never heal. Another guy I know got extended in medical for the simplest and probably a stupid reason - he was accused of taking another patient's blood sample for a blood transfusion and mislabelling it with another patient's blood. A serious offence if it was true, but did they really check? because he adamantly denies it, and they kept him another 2 months for a mistake that he might have made..come on, in O+G I was faced with the same situation, a patient's blood group came up as B+ when in 2007 it was A+...I personally went with the blood MO to check the patient's blood group, and I was in the right all along. A dumb HO in 2007 who probably is a happy MO somewhere, oblivious to what he did, was in the wrong, and we have no idea who it was.
Some new guys are just annoying, telling me stuff I already know, to do things I already did, correcting mistakes I never did, and even telling the MOs about it..when I did my job correctly in the first place. This was 2 months ago, and I'm good with them now, as we got along later and they understood how I work,and how to work in itself..i dont blame them anyway, they started their job with some people who really liked to fire up the littlest mistakes into something big for the bosses to see, so they could look good.
personally i hate people who kiss ass too much..they are just big sissies who think they are better because they can find little mistakes other people make, and cover their own mistakes nicely. of course, i dont really go on an all-out war with them, unless they make me look bad, which occassionally do happen.most of the time I've had a good work relationship with almost everyone I met
So did some superiors, who initially were somewhat hostile, but later trusted this houseman..winning these little battles are actually pretty rewarding in itself..
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