Dr Iliana9
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Forwarded from HA
I saw the news here that eHO is opening soon, Housemanship will not be easy in any hospital

However you will learn a lot. Please be proactive during your training. Think beyond just Houseman. Think like an MO.

"If I'm MO standing in front of this patient, how will I manage this case properly?" Then you will slowly progress.

Don't forget your dream too. Few of my friends had set their future early. By the time they finished Housemanship training, they have also completed part 2 MRCP.
Forwarded from Dr Iliana9
Repost in conjunction with E-HO opening soon;

List of Guide on Choosing your hospital πŸ₯

▢️ 5 factors to #consider when choosing your hospital for HOship training

https://t.me/driliana9/3025


▢️ Banyak hospital #dekat2 dgn rumah saya, nak pilih yg mana satu?

https://t.me/driliana9/3043


▢️ #Hostel/quarters availability for each Hosp πŸ₯

https://t.me/driliana9/2816


▢️ Is it advisable to do HO at #Sabah/Sarawak?

https://www.facebook.com/100000012518463/posts/5154646941212339/?d=n


▢️ E-HO tips & live E-HO experience

https://t.me/driliana9/3030


▢️ #New hosp for HOship, ok ke?

https://t.me/driliana9/3033


▢️ I have specific #interest in certain field (surgery/O&G/psy etc), which hospital is the best for my HOship training?

https://t.me/driliana9/3038


▢️ #Penangguhan semasa E-HO;

https://t.me/driliana9/5053
Forwarded from Dr Iliana9
πŸ‘†πŸ»Yes. Ada yg call KKM last week & diberitahu 2nd intake will only be in May ie no HO intake in March 🚨🚨🚨

(Saya baru terima info ni semalam & since info ni diterima melalui phone call, saya tak pasti sama ada info ni boleh dipercayai atau tak - Dr Iliana, Wednesday, 25th January 2023)
Forwarded from Dr Iliana9
Siapa yg expect akan masuk E-HO minggu depan? (Saya nak estimate berapa org included in HO intake bil 1/2023)
Anonymous Poll
40%
Yes
32%
No
29%
Not sure
Morning dr, just called PTM staff and they confirmed that PTM will be physical from 13/03 - 17/03πŸ™πŸ»

Info from one of med grads - Wednesday, 8th Feb 2023
So important date for HO intake bil 1/2023 will be as above πŸ‘†πŸ»
How to document physical examination findings in patient’s case note? 🧐
1st πŸ‘‰πŸ» General observation & vital signs (compulsory for all patients)
2nd πŸ‘‰πŸ» CVS & Respi (we usually perform for all patients)
3rd πŸ‘‰πŸ» per abdomen examination (if indicated)
4th πŸ‘‰πŸ» the dreaded neurological examinations 😌 (if indicated)

Sorry 2nd picture not so clear, plz zoom in πŸ™πŸ»
Forwarded from Dr Iliana9
πŸ“‹πŸ“‚πŸ“‹πŸ“‚πŸ“‹πŸ“‚πŸ“‹

Hello Dr, can you explain more about #pass_over, I dont really understand the concept? 🧐

πŸ”Ό A very good question from participant of #Online PreHO course 🌟🌟🌟

βœ… Pass over means you communicate #concisely with your colleague about patients under your care.

βœ… It can be done via WA, call, or when both parties are available in the ward - like what is usually done by nurses.

βœ… Usually during pass over, we'll update to our colleague about patients' latest #progress & pending management plan (investigation result to trace, pending referral/procedure/operation etc).

βœ… Passing over is a good practice as it will help you to #understand & remember the case better.

It is also critically important to ensure #continuation of patients’ care.

Most MO & specialist practice oassing over the ustable patients to their oncall colleagues.

βœ…Usually we'll pass over abouts patients under our care. So you need to know which ward & cubicle you'll be incharge of for the next shift before you can do the pass over πŸ‘ŒπŸ»

This is eg of passing over via WA (Medical Dept, general male ward) πŸ”½πŸ”½πŸ”½πŸ”½πŸ”½
Forwarded from Dr Iliana9
Hi Jamie, I’m passing over all the patients in subacute ward as I will be working ON (night shift) tomorrow
.

Bed 7; En. XXX,
πŸ”Ό Resolving APO secondary to non compliance to ROF, with underlying CCF, 3VD, HPT, Obesity with OSA

Issue; difficult venous access (take care of the branula ok 😭), awaiting for Cardio to review on Monday. KIV discharge if otherwise well, need to take ENT TCA
.

Bed 9; En XXX,
πŸ”Ό DF with warning signs (vomiting) in critical phase.

Issue; monitor Sx & oral intake, ensure I/O +ve balance. KIV t/o dengue ward once more stable
.

Bed 10; En XXX,
πŸ”Ό CAP to complete 3/7 IV Augmentin CM. Discharge if no active complaint, no TCA
.

Bed 11; En XXX,
πŸ”Ό CKD, undecided for RRT.

Issue; difficult blood taking, make sure daily blood samples not hemolysed. KIV transfuse 1 pint WB if Hb < 8 (today 8.5)
.

Bed 12; En XXX,
πŸ”Ό RVD +ve with IE

Issue; difficult venous access (take care of the branula ok 😭)

Due repeat 2/52ly blood cultures CM (aerobic, anaerobic, fungal, mycobacteria) good luck 🀣 Blood form ready in BHT ❀️

Dont fill up the empty beds ya XOXO


[biasanya lagi pendek kalau pass over via WA, ni saya type proper sket so that you all can understand all the cases]

[for my previous hosp, medical subacute cubicles usually have 12-18 beds πŸ˜…, ni saya bg contoh sikit je lah]

Any unfamiliar abbreviations? Ask in comment k πŸ˜‰
Tuesday & Thursday is Medicorp’s postage day 🀩

Tq everyone who has made your purchase with us ❀️❀️❀️
Must have #book/references for medical graduates & HOs

⚑️Ampang HO guide for all dept. Download for FREE here; https://t.me/nota_perubatan/164

⚑️state/hosp #O&G protocol. Download here & print for revision; https://t.me/driliana9/4156

⚑️#Ortho; Melaka orthopaedic HO guide & Xray guide. Bolah order dua buku ni dekat https://t.me/themedicalbooksPS

⚑️Paeds πŸ‘ΆπŸ‘¦πŸ»
-malaysian #paediatric protocol 4th edition
-Alia’s NNJ & TFI (total fluid index) workbook

⚑️JB manual of #surgery

⚑️ #medical;
-sarawak handbook
-CPG made easy for HOs
.

I highly #recommend medical students (during your clinical years) to get these books too, especially those who graduated outside Malaysia πŸ‘πŸ»
.

All books are available at ❀️Medicorp store (unless other links are provided-as mentioned above)

Order your books here; https://www.medicorp.store/
Why our profession is so noble πŸ˜‡
Beli kerusi mahal-mahal pun peserta prefer duduk atas lantai jugak ya πŸ˜†

Rajin betul buat study group dia orang niπŸ‘ semoga terus kekal rajin & #bersemangat bila masuk kerja HO nanti.

.

It won't be easy, but if you #prepare yourself well, at least half of the battle is won insyaAllah.
.

Especially kalau ada #teamwork macam ni, kerja banyak mana pun dekat ward it will be tolerable.

Baru half day kenal, masing-masing dah boleh bekerja sama;

- member buat procedure, yg lain chaperone/assist

- kalau ada barang/steps yg kawan terlupa, yg lain ingatkan πŸ‘
.

Yes there’s endless list of things that we need to #improve in our healthcare system, but I believe change should always start from the people.

Each small effort counts,
& every doctor matters πŸ˜‡

#leadingthechange
V/E 5 cm everyone πŸ˜†

Alhamdulillah, enthusiastic crowd today ❀️