-even the smallest size glove isn't my best friend :p -
now its time to talk about my 3rd posting - paeds
After surviving medical and the hormones-and-adrenaline roller coaster called O&G, somehow i found myself entering another completely different world.
A world of tiny humans.
tiny humans with tiny veins, tiny airways, tiny doses,,,
but somehow capable of producing very, very big anxiety :D
---
Welcome to paeds
first thing I learnt?
in paeds, everything comes with a calculation
“how many kg?”
“maintenance berapa?”
“2/3 maintenance? why not full?”
“PCM dose? bila last mama bagi ubat?”
“antibiotic dose? japp ni neonates ke toddler dose”
“urine output?”
and suddenly my calculator became my best friend
Welcome to paeds
first thing I learnt?
in paeds, everything comes with a calculation
“how many kg?”
“maintenance berapa?”
“2/3 maintenance? why not full?”
“PCM dose? bila last mama bagi ubat?”
“antibiotic dose? japp ni neonates ke toddler dose”
“urine output?”
and suddenly my calculator became my best friend
i still remember my first day in general ward - been questioned of how to calculate paeds urine output
if my last time mo read this, just know that i still simpan memory tu :D
sweetsour memory actually..initially its okay to ask that kind of question - which i dont mind at all..tapi bila u mentioned about that every single time even calculate betul pun, and make us (bukan i sorg kena) feel like we not smart enough to calculate, its unnecessary..
no hard feelings, just a little memory that still be remember till today :D
adult:
T pcm 1g QID - thats it
paeds:
okay weight berapa? 15 mg/kg,, syrup concentration berapa,, maximum dose,,
T pcm 1g QID - thats it
paeds:
okay weight berapa? 15 mg/kg,, syrup concentration berapa,, maximum dose,,
"eh jap Dr, tu berat 2bulan lepas..kejap nak timbang :D"
HAHA.
one decimal point suddenly felt like a one step into the mahkamah dunia. :D
---
the patient is small. the responsibility isn't
i think this was one of the biggest adjustments for every young Drs
everything felt more delicate.
a child may not be able to tell you exactly what's wrong
HAHA.
one decimal point suddenly felt like a one step into the mahkamah dunia. :D
---
the patient is small. the responsibility isn't
i think this was one of the biggest adjustments for every young Drs
everything felt more delicate.
a child may not be able to tell you exactly what's wrong
a baby definitely cannot tell you, “Dr, actually saya shortness of breath sejak semalam.. ada headache jugak sikit”
so you learn to look
how the child breathes
how they cry
how they feed
whether they're playful or unusually quiet
how they interact with their parents
and slowly, you realise that in paeds, sometimes the history isn't spoken by the patient.
you read it from them.
so you learn to look
how the child breathes
how they cry
how they feed
whether they're playful or unusually quiet
how they interact with their parents
and slowly, you realise that in paeds, sometimes the history isn't spoken by the patient.
you read it from them.
---
and then there's taking blood.
oh, bloodtakingg :D
finding a vein on a chubby little hand while the baby is screaming, the mother is watching, someone is holding the arm, and you're trying very hard to convince yourself -
"ada vein ni..ada..ada ni.."
u cant simply said "eh awak tak minum air cukup2 ni, vein kering"just like how it always was in adult :D
suddenly getting that one tiny flashback of blood felt like winning something.
and if dapat sekali attempt?
achievement unlocked! :D
---
you're not just treating the child
one thing paeds taught me quite quickly was that you rarely have only one person to manage
you have the child
and you have the parents
sometimes the child is completely fine, happily playing with a toy -
while the parents are the ones looking like they're about to collapse :D
yet still, understandably so.
as when you're looking after someone's child, you're looking after someone's entire world
a fever that looks routine to us can be terrifying to a parent
a child who's breathing a little faster can make a mother stay awake the whole night
and paeds slowly taught me to appreciate that fear rather than dismiss it
sometimes reassurance is part of the treatment too
---
the little things
paediatrics was tiring in its own way
suddenly getting that one tiny flashback of blood felt like winning something.
and if dapat sekali attempt?
achievement unlocked! :D
---
you're not just treating the child
one thing paeds taught me quite quickly was that you rarely have only one person to manage
you have the child
and you have the parents
sometimes the child is completely fine, happily playing with a toy -
while the parents are the ones looking like they're about to collapse :D
yet still, understandably so.
as when you're looking after someone's child, you're looking after someone's entire world
a fever that looks routine to us can be terrifying to a parent
a child who's breathing a little faster can make a mother stay awake the whole night
and paeds slowly taught me to appreciate that fear rather than dismiss it
sometimes reassurance is part of the treatment too
---
the little things
paediatrics was tiring in its own way
the calculations.
the cries.
the difficult lines.
the endless monitoring.
the worried parents.
but strangely,
it also had some of the softest moments in ho-ship
a previously lethargic child suddenly sitting up and playing again.
a baby finally feeding well.
a fever settling.
a child who cried every single time you approached them eventually giving you a tiny smile from across the bed.
those moments were small
but somehow, they stayed
---
and just like my previous postings, i met people who made the difficult days easier
seniors who taught instead of simply expecting you to know
people who showed you how to approach a child, how to recognise when something wasn't right, and how to stay calm when a tiny patient suddenly wasn't doing well
because sometimes, surviving a difficult posting isn't only about how capable you are
sometimes it's about being lucky enough to have people around you who are willing to guide you while you're still learning
---
medical taught me how much i didn't know
O&G taught me to function amidst hormones, emotions and adrenaline
and paediatrics?
paeds taught me something a little softer
that medicine isn't always about doing something dramatic
sometimes it's noticing that a child looks slightly quieter than before
sometimes it's getting that tiny IV line
sometimes it's explaining the same thing again to an anxious parent
and sometimes,,
it's simply seeing a sick little human become a little human again
running around
playing
smiling
and probably crying the moment they see your steth again. :D
that was paeds
---
medical taught me how much i didn't know
O&G taught me to function amidst hormones, emotions and adrenaline
and paediatrics?
paeds taught me something a little softer
that medicine isn't always about doing something dramatic
sometimes it's noticing that a child looks slightly quieter than before
sometimes it's getting that tiny IV line
sometimes it's explaining the same thing again to an anxious parent
and sometimes,,
it's simply seeing a sick little human become a little human again
running around
playing
smiling
and probably crying the moment they see your steth again. :D
that was paeds
tiny patients.
tiny doses.
tiny veins.
but definitely not a tiny responsibility.
and just like other previous one, i wouldn't say every day was easy.
but looking back,
im glad i was able to go through it.
tiny veins.
but definitely not a tiny responsibility.
and just like other previous one, i wouldn't say every day was easy.
but looking back,
im glad i was able to go through it.
me? disagree
i tetap takminat :p
rate: 3/5
xoxo,
yanie
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