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Surviving Tagging And Finally Celebrating Christmas In The Medical Posting – Housemanship Diaries

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In the Medical Posting, seniors were required to tag for a minimum of 10 days prior to off-tag while juniors had to tag for a full 14 days.

I was due to have my off-tag assessment and in the Medical Posting, we were required to off-tag with Physicians, meaning the specialists.

Tagging everyday in the Medical Posting was rather annoying for me since we had to stay until 10pm and being a regular early riser, I would start feeling sleepy around 8pm as that is the time I start to unwind and go to bed.

However, I can’t because I am still tagging. On top of that, since I am tagging, I would be too exhausted by the time I reach home to even consider studying. I had to prioritise my sleep more or I would crash.

Thus, I tagged for a total of 12 days which consisted of two off days. Thus, in reality, I only actually tagged for 10 full days.

In order to officially off-tag, I had to have my logbook signed by the physician who assessed me as well as to have each procedure filled and countersigned by the medical officers.

Long story short, I finally off-tagged on Christmas Eve and did not realised that I have been allocated an off day on the 25th of December.

This was perfect as my parents flew in on the 24th night. Thus, upon having officially off-tagged, I left and started getting ready to travel to the airport to meet my parents.

The following day of course was Christmas which was well spent with my parents.

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Reflection Of The Surgical Posting | Housemanship Diaries

Can you share a positive example of where you’ve felt loved?

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As you can see based on the prompt that I would be answering, Surgical Posting is definitely the place where the environment among the superiors felt more like a family to me and I’ve always felt the love and care towards one another and the patients in the whole team.

Prior to entering this department, I’ve always had my doubts and fear considering that I’ve heard numerous negative comments in regard to the department. Mostly, the department was deemed “toxic”.

However, upon entering there during my first day, I was guided and encouraged to follow rounds even when I seemed rather lost. I was not reprimanded or shouted at but instead I was guided and taught.

No doubt it is a tiring posting and after having completed my tagging period in all of the 5 major postings (Orthopaedics, Paediatrics, Obstetrics & Gynaecology, Surgical and Medical), the tagging period in the Surgical Posting is the most tiring for me.

This posting sort of reminds me of Orthopaedics except the amount of patients are full-blown, never ending with random or common surgical-related issues and the patients are even more unstable.

The thing about being in this posting is that usually when an order is given by our superiors, it is expected to be carried out STAT, meaning immediately and they will usually keep checking in to know the progress and status of the patient which is both good and also annoying. Good because it keeps you on our toes and ensure things are being carried out. Bad as the day could be burning with multiple issues and joblists and there is lack of manpower and you barely had time to sit or even had a drink and next, you’re being summoned again.

However, looking back, I definitely enjoyed every bit of my journey over there. Eventually, I was given the responsibility of being one of the leaders in this department, the daily allocator to be exact, by my friend.

This unknowingly deepens my relationship among my superiors as we would constantly reach out to each other.

Along the way, I made friends with the nurses at Male Surgical Ward and I will always be grateful for their help.

The Surgical Posting also made me realise how much I enjoy Surgical-based and that I am one. Despite my initial interest in Medical upon entering my housemanship journey, I realised that I love hands-on more and I need to “see” the issue. For example, if a patient complaints of abdominal pain, assess the patient, send some blood workups which might help and in your direction of care as well as scans.

Most of the time, the issue is identified through the scan with the blood workup being highly suggestive. Thus we move on from there.

I can’t quite explain. Somehow it just make sense to me just like when I was previously in the Orthopaedics Department.

This posting is also where I spent the longest time. I entered the posting on the 4th of July 2024, which is around 5 months as I took a break in between due to my injury.

The Surgical Posting definitely holds a dear place in my heart. Upon bumping into my old superiors, I still greet them with joy and a smile, reminiscing my good times within the department.

If you are due to join the Surgical Posting, please prepare yourself both mentally and physically.

In my opinion, the Surgical Posting is a physically tiring and not as bad as it seems despite the multiple negative remarks. Perhaps, it was a different experience for others but in my humble opinion, it is NOT a toxic department. At least at the place that I am practicing in.

Have faith, hang in there and try your ultimate best everyday in both your work as well as in trying to learn the most you can out of this posting and journey.

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My Experience as A Plastics House Officer | Housemanship Diaries

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When I entered the Surgical Posting, we initially did not have the privilege of experiencing subspecialities like other batches.

This was due to the fact that there were lack of house officers.

However, mid-Nov, there was redirection of House Officer allocation and suddenly, the posting was overflowed with House Officers.

Hence, subspecialities were reintroduced. The subspecialities reintroduced are neurosurgical, plastics and urology.

Ever since my first posting in Orthopeaedics, I’ve always wanted to experience being in Plastics after assisting my medical officer at that time with SSG.

Thus, during my final weeks, I was given the priviledge.

The Burn Ward is located at Level 3 of the Main Building, and is able to host at most, 10 patients, with each patient having their own room/cubicle.

Usually the burnt patients are kept at Burn Ward whereas other patients who are admitted for AVF creation or SSG are placed at Surgical Ward.

The timing for us House Officers is from 7am till 6pm, Sunday till Friday with an off day on Saturday.

During my time in Plastics, I would usually arrive on time at 7am and proceed to trace the bloods first. After all the bloods have been traced, I would proceed to help out with morning reviews.

Morning reviews are usually done by the postcall medical officer. This is then followed by rounds with the surgeons, usually starting with the acute or rather, the intubated patients followed by the rest.

Rounds at Burn Ward is only once daily. After morning rounds, we would gather at the “Handover Room” whereby the patients who are not in the Burn Ward but is being seen by Plastics as another team or as a primary team are being handed over in terms of case and progress as well as the newly admitted ones.

Next, we will proceed to follow the “Peri rounds” and change dressings if needed. Usually after the Peri rounds is when us House Officers go about our joblists in terms of posting case, referrals or bloodtakings or imaging request.

The rest of the day could be pretty chill if there is nothing going on but usually, there would be new patients to be transferred in, take blood or any post-op patients to be reviewed.

Sometimes there are cases being called and we are more than welcome to join the operation. In between, there are arterial blood gases (ABGs) to be take in between or bloods to be sent.

Finally, in the evening, prior to leaving at the end of our shift, we would prep the coming mornings and leave them nearby before informing in our Surgical House Officer’s group in regards to the “coming mornings”.

My time in Plastics was rather short-lived and I felt that there was so much more to be learnt. But my time spent there was extremely wonderful and the medical officers and surgeons were more than helpful and welcoming towards the new people into their team.

Definitely, a department that I would want to return to.

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The Worst Morning Shift In General Surgery | Housemanship Diaries

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I can’t really remember when as at the time of writing this article, I am about to cross into the second week of 2025.

Perhaps it was somewhere in October last year or early November.

It happened to be the day shift on a weekday and we were lack of manpower. 3 House Officers in the Male Surgical Ward, 2 House Officers in the Female Surgical Ward. Out of the 5 of us, I am the senior and the rest are first posters, three of which are only Day 3 into their housemanship life.

Oh dear…

We all know how busy Surgical can get and being the only senior that day surrounded by newbies, it was as good as being alone as they were not familiar with the system or the work or the procedures.

Learning does take time.

The day started with me taking care of the acute beds. The acute beds in the ward is considered the most unstable, hence it only made sense to allocate the senior, which is myself there, followed by the subacute cubicles.

The front cubicles and back cubicles are relatively stable patients. Hence, I allocated my juniors there. Usually for first posters in their first week of life, I would not allocate them independently to take care of a cubicle. However, we were desperately short staffed that day and taking care of the front or back cubicles are not easy either especially if you’ve just entered.

The day was busy enough. Started with me following rounds at acute and subacute with my medical officers and again with the ward surgeon, only to leave midway as the Hepatobiliary Team (HPB) had their own separate rounds and I was the HPB house officer for that day.

After rounds, it is the completion of the joblists. Amidst trying to complete the joblists, we had to transfer in new patients, take and send off the bloods of patients who have just entered as well as attending to any acute issues.

On that day, I had to assist with the front and back cubicles as well and in the afternoon, the juniors left for their Operating Theatre (OT) orientation.

My phone literally rang non-stop that day and the nurses kept haunting me down for everything. If only, I had the ability to clone myself…

Suddenly my phone rang and I had to assist a registrar to help tend to a visiting outpatient, attend the female surgical ward acute issues because the medical officer on-call called me as well as attend a virtual meeting.

Time flew by rather quickly, one minute I was escorting a patient, next was being called upon by this and that medical officer or registrar or nurses. To the point, my post-call registrar stayed back to assist me.

As the evening progressed, most of my patients desaturated. The annoying thing about Surgery, we had to update the whole story properly in the oncall WhatsApp Group for the day.

If only it were as easy as that.

We couldn’t just take a picture of our entry and update. Instead, we had to properly type the whole summary or stay.

I finally completed my task for the day at 10pm. It was an extremely exhausting and tiring day. One which I have no interest in relieving again.

That was probably the worst morning shift I’ve ever experienced.

However, looking back at what I’ve written, it doesn’t do justice to what I actually felt that day.

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Welcome to rainbow nation 🌈 maafrika dzonga

Write about a few of your favorite family traditions.

South Africa is a tapestry of cultures, languages, and traditions. In our remote villages, every gathering feels like a family reunion. As an African woman, I cherish our belief that it takes a village to raise a child. Uninvited guests at celebrations are a norm; we embrace everyone as family. When we mourn, the community unites, often slaughtering a cow to honor the departed. We don’t worship the dead, but we express gratitude for their impact on our lives. During Easter and December, we gather, light herbs, and share stories of our ancestors, believing they watch over us. Our homebrew beer fuels laughter, singing, and dancing, sometimes for three days straight.

In our tight-knit communities, we care for one another—checking in when someone is sick or facing hardship. We have stokvel societies to support each other financially, ensuring no one is left behind. Church strengthens our bonds, reminding us of our shared faith. In our language, we say, “umuntu ngu muntu ngabantu,” meaning we are who we are because of each other. This is the essence of ubuntu—humility and togetherness.

We brew umqobothi, our homebrew beer, and cook goat with pap, creating a feast that lasts for days. These gatherings are not just about food; they are about connection, sharing stories of our triumphs and challenges. We support each other in times of need, ensuring no one is left behind. Our stokvel society strengthens our bonds, pooling resources for funerals and community needs. Church unites us in faith, reminding us of our shared humanity. As we say, “umuntu ngu muntu ngabantu” – a person is a person through other people. This is the essence of our community, where we thrive together.

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5 Things I Do For Fun

List five things you do for fun. Five things I do for fun are: Playing video games Finagling with things on the internet like my WordPress site Making plans for things I'd like to achieve, but likely never will Placeholder Placeholder I can only think of 3. The last 2 would be things that I used to do, but I hardly ever do anymore, which are playing the cello, doing yoga, and drawing, so can't really call them "for fun".

https://evenyc.com/5-things-i-do-for-fun/

List five things you do for fun.

Drugs sex alcohol sleep repeat ! That’s 5 no ?

Ok everyone has different fun view

As a petit Artist

Writing: Creative humans often find joy in expressing themselves through writing, whether it’s crafting stories, poetry, or personal reflections.
Painting/Drawing: Many creative individuals enjoy unleashing their artistic talents through painting or drawing, using colors and shapes to create captivating works of art.
Music: From composing melodies to playing instruments or simply listening to music, the world of sound offers endless opportunities for creative expression and enjoyment.
Photography: Capturing moments in time through the lens of a camera enables creative minds to explore the world from a unique perspective, finding beauty in the everyday and transforming it into art.
Finishing of course baby

The truth opposite reality

https://thelastexpressionist.com/2024/01/26/sharing-is-caring-%f0%9f%93%8c/

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Bloganuary writing prompt List five things you do for fun. View all responses

Five things I do for fun… I can do that, I think…

Spend time with my family. Jen, Bellana, and Harry. My wife and my two step kids. Anything any of us do together is more fun than I know how to describe. Even if we are just sitting around doing nothing, I love every second of it. I don’t think this needs any more detail. I love them and I love being with them.
Music. Playing it, listening to it, writing it, recording it, sharing it with other people, going to concerts, performing in concert. All of it. I love it. I always have. Guitar, saxophone, once for a year or so trumpet. It has more or less defined me since I was about 10 years old. Maybe even younger.
Photography. I don’t call myself a photographer. I call myself an amateur hack who takes lots of pictures. Digital, film, iPhone, you name it. Even video, sometimes. I like going out and taking pictures. I like being home taking pictures. I like taking pictures.
Travel. Road trips, longer plane trips. Anything and anywhere. Going to different places and seeing new things is so much fun. Me, Jen, the kids if they are available. Let’s just hop in the car and go somewhere.
One more… You can do this, Robert… Lately it’s been binge watching TV. We can throw watching movies into this too. Lately I have been diving head first into science fiction TV. What’s the deal, AppleTV? They just keep dropping excellent sci-fi on us and I am here for it. We can include watching sports here too. Hockey and baseball are the games for me. Harry and I went to a hockey game in person a few weeks ago and it’s reminded me how much I enjoy being in the room where a game happens. I used to have season tickets for minor league hockey and baseball teams and I used to go to NHL and MLB games multiple times a year. I forgot how much I missed it.

Okay, there you go. Five things that I do for fun. Sweet.

https://robertjames1971.blog/2024/01/23/fun-things/

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