minggu ni genaplah sebulan aku menjejakkan kaki ke posting O&G…prasaan aku?haha mcm sukar ntuk dipercayai coz makin lama aku makin suke dgn posting ni..frankly speaking, aku dulu paling takut dgn posting ni coz perlu conduct delivery plus kene buat all those vaginal examination…eee aku klau bleh x mo buat tu sume…seram plus malu siot nak sentuh part2 yg tersangatlah private tu..
first 2 weeks…not really enjoyed the posting…reasons?? morning ward round not so interesting as in SJP..haaizz sometimes feel unwanted leeh...Dr bukannya layan kami pun..ditambah lgi dgn pandangan menyampah from Dr A..aiggo~ mcm je dia x penah jdi med student before this..no need so sombong la..even specialist oso know how to smile wif us..
huhu i miss the moment when all of us kene shot dgn soklan by Mr Ng…miss the moment to see Mr jerry’s interact wif patient…miss the moment kene “fire” dgn dr Joe coz byk sgt org berkerumun dlm burn room during ward round..haiiz i wonder napelah bdak SJP skang x bape suke follow ward round..best ape!ditambah lgi biler mr jerry yg handle ward round tu ^_^
2nd reason…we dun have a proper restroom/classroom as in SJP..sometimes lect will be at ICU..smtimes at MOPD..smtimes at level 6..smtimes pinjam bilik surgical ward..n last choice is at bandar maju…
3rd reason..the clinic???wuuuu i really dun like attend clinic session…coz its really different from SJP..for me i really learnt a lot during SJP..but in OGP?huhu dunno lah..most of the Drs not really have time to teach us..if u want to learnt..pandai2 lah survive sndri ye..wat makes it so different compare to SJP is..we ekceli kene pantau by Dr WWM & Dr O..dah ler kene present case kat dorang (till now i havent present any case yet to them)..haaiizz i prefer the way in SJP in which each time clinic ,we are stick to 1 Dr n will rotate weekly..by doing dat, we’re able to learnt a lot from different dr..in OG,sometimes i feel “lost” during clinic coz dunno wat to do…nak clerk case, tp malas..end up juz lepak at the korner “study” smbil tunggu Dr wwm bla dri situ..
other reason..most of us having difficulty in do clerking..blur! dunno how to clerk patient esp obs case..omo~ byk kot bnda kene tnya..antenatal booking..past obs..past gynae..plus oso need to know details regarding the investigation tu sume..hayoo stres!!erm tp skang, i oredi can get used wif it..ekceli takdelah susah mane pun kan hehe..thanks a lot to Dr coz x jemu2 dok ulang bnda yg sma each time we do ward round or bst >.<
ekceli, the main reason yg buatkan i’m not really enjoy the posting at the “1st trimester” is when i still dun get chance to conduct any delivery…stress siott coz most of them ady conduct at least once..i feel quite down last week coz when i feel smgat to go on call..my friends dun have feel to go for it..ditambah dgn sindiran from midwife when they keep on puji bdak laki coz dah byk kali conduct delivery compare to bdak pompuan esp me yg x penah skali pun conduct,i decide to try my luck on last sunday..i said to my self..no matter wat happen, i must conduct delivery within this week..
ekceli i plan to stay after saturday’s class..but cancel coz there’s ady group onkol dat day..so sia2 je kot if stay..kang kene ckp curi peluang org plak..so nak tak nak ahad je lah peluang aku..ditambah plak tarikh hri tu mmg smart giler..10.10.2010..hoho i bet there will be many deliveries..
i know sunday ros will go for church..so i ask edith to accompany me..but sayangnya she ady have date wif her sister..aiggoo~ then i ask chalen to teman me..malangnya she oso cant make it coz not feeling well..ok fine..i’ll go by myself...i really have to..if not bile lgi nak curi peluang ntuk conduct..if nak tngu next onkol..high chance dat we’ll not go for onkol..if wait till next session of labour room??huh klau lambat grab chance mmg confirm kene bolot oleh mamat 2 ekor tu..
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so, as planned..i woke up early dat morning…mulenye plan nak nek bas je pagi tu coz ros tak jdi pegi church..tp ros dgn baiknya offer to send me to hosp..hehe kamsae hae ros! she said she will joining me but maybe in the evening…
smpai je kat hosp, aku trus melangkahkan kaki ke labour room..nebes siot p sorang2..smpai je rest room tu, nmpak ade 1 beg student..aik mcm kenal je..tnpa buang msa, aku trus gerak ke labour room..aigoo~ byk nye dr dlm tu..xkan ler tgah buat ward round plak..aiseh x brani nak approach, aku pun g turun beli breakfast dulu..after dat bru aku mnuju ke labour room smula..Lol rupenye dr yg ramai2 td dok observe or supervise si firdaus conduct delivery…walaweh mamat tu lgi awal siot..time tu just aku dan dia je, takde pun kelibat student lain..hoho good2..means adelah chance ntuk conduct delivery..
msa tu ade anothe patient…so aku pun branikan diri ntuk approach n minta consent ntuk conduct..alhamdulilah berjaya..my 1st patient is madam suhana G4P3..at last i manage to experience how to conduct delivery..midwife yg sma2 conduct dgn aku tu JM Suriati..aku ske tgk kakak tu coz dia cantik hik3..plus oso baik n sudi mengjar..tp msa preparation ntuk delivery, kakak tu ade “marah” aku coz lmbat sgt prepare antiseptic..omo~ time tu “lotion: dah habis..so kak tu suh aku gune NS jek..susah siot nak transfer air tu gune syringe..dah ler time tu pt dah start ajan..last2 kak tu suh aku letak ketepi NS tu n trus prepare ntuk smbut baby..huhu gomen kak..org barulah ler katekan..mmg ler byk salah sane sini..
msa conduct tu, aku takdelah 100% conduct coz msa kpala baby dah kuar, kak tu yg tolong kluarkan badan baby coz time tu kpala baby mcm terlekat..omo~ biru bdan baby msa kluar..means ade fetal distress..but thankfully no need for any resuscitation..juz aspiration only…klau tak confirm aku fobia nak smbut baby lgi..then proceed wif placenta delivery…omo mcm ni rupenye prasaan pegang placenta..isk3 lembik btol mcm jelly..then part kluarkan drah form uterus tu aku still x bape mahir..biler aku korek xpun drah kluar..skalinya bile kak tu korek,bergumpal2 drah kuar..haizz..
for me its really a nice experience..thankfully pt tu dun have any tear..so no need to jait loo..officially, my 1st baby out at 11.29am (10/10/10)..baby boy 3kg..
finish conducted, i feel to conduct another delivery..somemore dat time there’re 3 more pts..firdaus oso decide to conduct another del..he ask this pt named madam Nia,G2P1 but haved previous scar..so in her case, she’s consider as primigravida n med student basically is not allowed to conduct..
aku plak dok usha pt sblah madam nia tu..aisey x ingat ler plak nama ape..but she is oso G2P1 but no previous scar..hehe which mean i can take her case..since firdaus unable to take any case, he decide to go somewhere else to study..ekceli there’s another pt but the pt got GDM somemore she oso seems have other problem coz during VE done i heard that midwife mention she can feel fetal hand..omo dunno wats ekceli happen..since dat pt mcm “dikawal ketat” kmi pun x jdilah nak approach..
nak dijadikan crita, msa aku tgh dok timing contraction pt yg aku cop tu, suddenly midwife kecoh2 kat sblah coz pt madam nia tu dah nak bersalin..tb2 midwife tu dok cari2 si firdaus coz she want firdaus tu conduct..at first mmg dia x bgi conduct but since the mother condition seems well n the progression of labour is good, dia pun benarkan student ntuk conduct..msa dorang dok cri2 firdaus, aku pun try ler nak kol tp last2 midwife tu suh aku je yg conduct coz x tau kemana hilangnya mamat tu..hehe mianhae firdaus..nmpaknya i have to take ur case..
msa aku dah prepare ntuk conduct, midwife tu asyik2 dok ulang yg dia nak firdaus yg conduct..ciss nmpak sgt gender discrimination kan..aku time tu senyum jek lah..x kan nak buat muke seposen plak..tp midwife tu baik jga mcm kak suriati..dia xdelah mrah2..siap bgi arahan 1-1 how to conduct..kali ni bleh dikatakan 99% i conduct the delivery..hehe baby aku yg kuarkan plus the placenta..but i still failed to evacuated the blood from uterus..aisey seram siot nak korek dalam2..tak psal2 tersalah korek ke huhu..tp biler tgk midwife tu buat, slamber bdak je dok korek dlm2..yg madam nia tu plak comey btol..dia komplen sakit tp dok ketawa je mcm kegelian..
dis time my 2nd baby oso boy,3.3kg n out at 1.27pm (10/10/2010)…alhamduliah sumenye brakhir dgn jayanya..but this pt got tear coz she had episiotomy..hoho nasib ler midwife tu yg jait..i really dun have any courage to jait luke org esp kat part2 yg private tu hoho…
ekceli msa aku dah hbis conduct 2nd delivery tu, firdaus pun muncul..hehe nak tak nak trpksa ler dia ambik kes aku yg awal2 td..so kurang ler rasa brsalah aku kat dia..at the end he oso manage to conduct 2 times..msa tu he conduct wif dr jauty..Lol lawak oo dr jouty tu..comey btol..innocent je rupe..byk btol mistakes yg dia terbuat smpaikan truk kene buli dgn midwife haha..
around 4pm ros came joining me..ekceli dat time i ady got consent to take case GDM tu..but since i ady conduct twice, so decide to give chance to ros plak..somemore i ady feel tired..smbil2 kmi monitor pt tu, we got chance to witnessed vacuum delivery which was done by Dr Azizi..the pt is primigravida..kesian btol kmi tgk coz dia brabis teran tp kpala baby tak descent2..
at first suasana quite meriah ler coz dr jouty n dr azizi dok bgi smngat kat pt..me n ros oso joining bgi smgat kat pt..after omost 1 hour still at stage 2, midwife n dr try to assisted the delivery by helping apply direct pressure to the mother’s uterus..when the mother tgah ajan, dorang pun dok tekan perut mother tu tolong baby ntuk descent..2 kali dorang try but failed..at first dr jouty yg apply the pressure..then midwife ganti..midwife tu smpai dduk skali atas bed pt..adoii klau tgk mmg kuat giler midwife tu tekan perut smbil tolak ke bwah..at last they decide to using vacuum to delivered the baby coz the baby seems in risk of fetal distress..
smpaikan dr amory pun kene pngil ke tmpat kejadian..adoii mmg cemas giler le keadaan time tu..dah ler msa kuarkan kpala baby tu, the vacuum terlepas from baby’s head..nasib ler dr sempat hold kpala baby from termasuk balik..alhamdulilah baby manage to out safely..but need to do resuscitation coz got fetal distress..
finished with the case, me n ros dok lepak kat “kaunter” tu smbil belajar psal Apgar score dgn fr jouty..hehe dr tu mmg baik laa..sempoi jek..smbil2 kmi dok mnggu biler la pt GDM tu nak bersalin, suddenly ada ura2 yg pt tu will undergo EMLCS coz from CTG fetal heart rate seems not so good..
aisey xdelah chance ros nak conduct del..but nvm coz we able to observe the operation wat..dr jouty ni plak sempat lgi buat lawak biler nk inform pt psal operation tu..expression dah ler hapy giler..then dr azizi tegur lah awat excited sgt coz brita yg nak dikhabarkan bukannya brita baik pun..dr J ckp kat pt yg dia ada 1 brita baik n 1 brita buruk..brita baiknya baby will out at 10/10/2010..but brite buruknya the pt need to undergo EMLCS..
sedey kmi tgk biler pt started to cry when she heard bout the news..ekceli the pt not afraid bout the operation..we believe deep in her heart, she’s ekceli really worried bout her baby coz previously she’s ady had history of IUD..
dat nite, the pt successfully undergo the EMLCS which done by dr Amory…hehe msa pt kene usung p OT, me n ros brlari mnuju ke OT mngalahkan dr yg nak perform the operetion je..hik3 bukannye ape, kmi takut terlewat smpai baa..aku time tu dah ler takde bwa inner n tudung spare..so nak tak nak i just wear the green cap only..lgipun time tu dah mlm maneda classmated yg len pun..firdaus plak dah lama balik..
midwife from labour room terkejut tgk kmi coz awal2 dah ready d OT..hoho ini membuktikan kesungguhan kmi baa ^.^
7.25pm baby brjaya dikeluarkan..omo comey siott baby pt tu..baby boy 3.6kg..chubby giler!! rase mcm nak cubit2 je pipi dia..alhamdulilah both mother n baby are safe..yg paling menyetuh hati, biler kmi kluar dri OT, relatives pt tu approach us & asking bout pt condition..we told them no need to worry coz baby n mother are safe..they ask whether they can see the baby, we’re not sure bout that, but we just told them to wait for the mother back from OT n after her condition is stable, they can visit the mother with the baby..
msa kmi mnuju ke rest room ntuk ambik beg, we saw the baby inside the “baby’s room”..hehe soooo kiut! we did took some pictures of him..when we on our way back, we singgah dlu at level 2 to meet wif pt’s relatives n we showed them the baby’s picture..they all seem soooo hepi n thankful! oh god its hard to describe the feeling that time..both of us feel touch n hepi for them..
10/10/2010 definitely was a great and meaningful memory for me..in a single day i able to experience so many things..conduct deliveries..witnessed instrumental delivery..went to OT at nite time..and the most meaningful thing is able to share the happiness with others..
its really a great feeling to see baby yg kite sambut brada slamat di pangkuan ibunya..aaaaahh i feel like i oso wanna to have baby ASAP(n.n)
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so far i managed to conduct 3 deliveries..at last my 1st baby girl born on 12/10/2010 at 11.15am..adoii hri tu mmg byk btol dugaan before i got chance to conduct the delivery..
me n ros went to hosp at 4.30 am n decide to stay till class finished..somemore our gp mmg d labour room pun pagi tu..but dat time pt tak byk pun..ada pun kes primigravida..so x bleh nak conduct..ros je ade pt..then till 8 lebih cam tu dorang vinsern pun smpai..time tu i manage to cop 1 pt G10p9..adoii but end up failed to conduct coz during the CTG, FHR show bradycardia..pt tu hmpir diusung ke OT but at last managed to vaginal delivery..ekceli os dia bru buka 5 cm time tu, dats why dr decide to perform EMLCS..skalinya biler Dr yew kluarkan his magic hand, the os omost full dilatation..so end up no EMLCS needed, just the SVD..but the case was taken by Dr Azhar..adoii takpelah..bukan rezeki sy ntuk conduct kot..
yg geramnye, dorang kawai kan lambat smpai..tp dorang dgn luckynya dpt conduct delivery awal dri kmi haha..ada 1 pt ni bru je msuk x smpai stgah jam trus bersalin..hmm bertuah btol si kawaai ni..vinsern plak since xde chance nak conduct, he just assisted the case of hep B..prema oso got chance to conduct..aigooo sedey siott…me n ros dtg since 4.30 am but still x chance to conduct..maybe inilah dinamakan nasib kan..if diikutkan dorang sume dpt conduct dat day..just me n edith je x peluang..c firdaus plak x tau mana mghilang…dlm kul 10 lebih tu edith dpt pt..
i decide to accompany her if we x managed to attend the lect at 12pm..msa tgh timing contraction pt edith, suddelny ade 2 new pt msuk..but sygnya 1 tu ade PIH n another 1 ade GDM..omo mmg x rezeki btol..but i ady got conset from the GDM pt..she give me green light..but midwife not allowed me to conduct since the pt has GDM..but i still x putus asa, n keep on stay by pt’s side..
during the admission the os only open 5cm..but since the pt looks really in pain n mcm ada tnda2 nak labour, 2nd ve done n suprisingly the os ady 9cm!! omo! so fast one..then ada 1 midwife ni bgi kebenaran me ntuk conduct..yeeeaaahhh at last!! akhirnya tak sia2 jga penantian sy..
mmg senang siot nak delivered baby yg 3rd ni..x sempat pun nak clean the genitalia dah nmpak kpala baby..rasanya x smpai 15 minit teran baby pun kluar..
for me the 3rd experience quite meaningful coz i started to manage the pt since early till the end..msa pt bru msuk labour room, i start approach her n have a chat..during the delivery, cam biasa i did everything except for the blood evacuated n jait2 thing..but after midwife tu siap jait, dia trus hangover pt to me..so i do the cleaning, pakaikan pad,n tukarkan bju pt tu sume..
the next day i went to post natal ward to pay a visit..hehe of coz ler pt still recognize me..aaaaahh day by day i started to enjoy this posting so much!!
thanks to all mama yg bagi peluang for me to conduct the delivery…thanks oso to the midwives yg byk bgi tunjuk ajar..i hope i have another chances to conduct more delivery..
Ya Allah, semoga Engkau permudahkanlah segala urusan kami..bagilah kami kekuatan untuk menempuh segala dugaan dan cabaran..bantulah kami sekiranya kami dalam kesulitan dan kesusahan..amiinn..

1st baby boy - 3kg
10/10/2010 @ 11.29am
p/s: cian..kene letak dlm kotak for awhile d/t
fetal distress..
2nd baby boy - 3.3 kg
10/10/2010 @ 1.27pm
p/s: chubby n putih siot..mum dia bugis but papa dia
chinese

3rd baby girl - 2.95 kg
12/10/2010 @ 11.15am
p/s: adey xde gaye baby girl kan coz rmbut dia x bape
lebat..tp x pe..still maintain cute =)
-The End-