when the cold got colder

assalamualaikum w.b.t...

-somewhere-

Some sorrow become so familiar that they no longer look like melancholy at all
They begin to resemble habits
A quiet table in the corner of a café;
A cup held for too long;
A conversation avoided;
A smile given at the right time so nobody asks too many questions

There are people who know how to grieve loudly,
and there are others who learn how to make heartbreak look graceful

The second kind usually sits quietly beside untouched coffee
Not because the drink matters that much,
but because it becomes easier to hold a cup than to hold together everything unraveling inside the chest
So the coffee stays between both hands like a secret no one is supposed to read

And somehow, lately, even the cold coffee feels warmer these days
Warmer than certain conversations that slowly lost sincerity
Warmer than affection that changed its shape without explanation
Warmer than the silence left behind after giving too much of the heart to places that never intended to keep it safe

Perhaps that is why the coffee is never finished quickly anymore.
The ice melts first.
Then the foam disappears.
Then the bitterness settles quietly at the bottom, untouched.

Minutes stretch into hours while the cup remains half full, as though time itself is hesitating to move forward

From the outside, it only looks like someone enjoying a slow evening
Someone lost in thought
Someone tired after a long day
No one notices that the longer the coffee stays untouched,
the heavier the heart probably feels
No one notices how sadness often hides itself in ordinary things
In lingering too long before going home
In staring absentmindedly through café windows while pretending to admire the rain
In replaying songs only because they hurt in familiar ways
In letting drinks grow cold because swallowing emotions is already difficult enough

There is a certain loneliness that does not ask to be understood
It only asks for somewhere quiet to exist
And coffee has always been kind to that kind of sadness
It never interrupts
Never asks why the eyes seem distant
Never questions the silence
It simply waits there patiently, growing colder with every passing thought,
while the person holding it tries to survive another evening without letting the ache become visible

Sometimes the saddest people are not the ones crying openly
Sometimes they are the calmest ones in the room -
the ones who mastered the art of looking composed while quietly breaking apart underneath

The ones who keep saying “it’s okay” because explaining would take too much energy
The ones who laugh softly so nobody notices the exhaustion hidden beneath their voice
The ones who sit alone with coffee long enough for the entire café to change around them

And maybe that is the secret.
Maybe the untouched coffee was never just coffee at all..
Maybe it was a way of delaying the moment of going back to an empty feeling
A way of keeping the hands occupied while the heart struggled to stay steady
A small warmth to hold onto when everything else started feeling unbearably cold

So if someday there is a person sitting quietly before a cup long after the warmth has disappeared,
fingers still wrapped gently around it as though it contains something fragile - 
it may not mean they enjoy cold coffee
It may simply mean they are trying very hard not to let their longing be seen



xoxo,
yanie



from HO to floating MO

assalamualaikum w.b.t...




housemanship ended

no more “posting ke berapa?”
no more counting down postings

---
the adrenaline of not knowing where we will be placed was nervewrecking
but i dont wanna talk more about it

to cut story short, i got ED! <3

did i suddenly wake up the next morning knowing everything?
--of course not.

HAHA.

becoming an MO came with a different kind of realisation:
oh..now i'm actually expected to make decisions. 🫠

kejap je floating..taklama pun..so oke je mana2

tapi i dah ambik medex ed zaman awal ho..maka dengan itu, memang nak ed! 😂

---
back to ED - but this time, different

the department was familiar.
the monitors.
the ambulance calls.
the endless ECGs.
the sound of the resus area.
the “Dr, patient kat bed **…”

all familiar.

except this time -
i wasn't there as an HO anymore.
and somehow that tiny difference felt... huge.
as an HO, there was always someone above you.

you assess.
you present.
you ask.

“Dr, plan macam mana?”

thats it .
anything - "MO saya yg suruh.."

as an MO, suddenly people start looking at you.

“Dr, plan?” - the 'Dr' is you

kejap fikir :D

---
i loved not knowing what was coming through the door next.

every patient was different.
every shift was different.
and my brain somehow liked that.

---
i love the chaos - the organized kind of chaos :D

ED is chaotic.
there's no point pretending otherwise.

sometimes five things happen at once.

someone needs a referral.
someone's BP is dropping.
someone needs a procedure.
an ambulance arrives.
the monitor starts alarming.
your phone rings.
and someone casually asks—

Dr, boleh discharge patient ni?
:D

but beneath all that chaos, there's actually a system.

you prioritize.
who needs you now?
who can wait?
who looks sick?
who might become sick?
what can kill this patient first?

ABCDE.
Stabilize.
Investigate.
Reassess.
Disposition.


---
i love that ED makes me think

in the ward, most patients already come with a diagnosis.
in ED, sometimes all you get is -

rasa tak sedap badan.

you start from almost nothing.

History.
Examination.
Vitals.
ECG.
POCUS.
Bloods.
Imaging.


and slowly you build the picture.
sometimes the diagnosis becomes obvious.
sometimes it doesn't.
and sometimes the most important decision isn't even finding the exact diagnosis.

it's recognizing - this patient is sick.

that part of Emergency Medicine fascinated me

the uncertainty.
the pattern recognition.
the need to make decisions with incomplete information.
and the constant question running somewhere in your head:

what am i missing?

---
and yes… I Love the Adrenaline

there's a particular feeling when a critically ill patient arrives.
everyone moves.
monitor on.

IV access.
Bloods.
Airway.
ECG.
POCUS.
Drugs.
Someone calls the referral.
Someone prepares equipment.


and somehow, without needing many words, everyone knows their role.
for those few minutes, the entire team is focused on one thing - keeping this person alive.\
that feeling is difficult to explain to someone who has never stood inside a resus bay.

it's stressful.
sometimes frightening.
sometimes exhausting.

but when a patient who arrived crashing eventually becomes stable enough to leave your resus bay...there's a quiet satisfaction in that.

not that i saved this patient.
but - we gave this patient a chance.
and i think i fell in love with that.

---
ofcourse, loving ED doesn't mean every shift is beautiful

some shifts were horrible.
sometimes the department was overflowing.
sometimes I was tired.
hungry.
mentally drained.
sometimes I made decisions and later replayed them repeatedly in my head - 
-was that the right call?
-should I have done something earlier?
-did I miss anything?

and sometimes there were patients we couldn't save.
those cases always felt heavier.

so no -
loving emergency doesn't mean loving every moment of it.

---
somewhere between HO and MO…
i think ED changed for me.

now i wasn't only learning how to manage patients.
i was learning how to make decisions.
how to prioritise.
how to communicate.
how to lead when necessary.
how to ask for help without feeling that asking meant i wasn't good enough.
and how to accept that being an MO doesn't mean knowing everything.

it means taking responsibility for finding the safest next step.

---
the noisy department.
the unpredictable shifts.
the endless ECGs.
the resus bay.
the adrenaline.
the teamwork.
the uncertainty.
the tiny victories.
the heartbreaking losses.

---
choose a place where you found a peace in the middle of a chaos


xoxo,
yanie