Hey guys,

I am in Surg too. Much more free compared to Seremban. I get to go back at 4.30pm everyday unlike Seremban where surg ppl go back at 9pm. I have 6 calls this month. Did one call already. Luckily no MVA case that night, so it was pretty ok. The roads here to Seremban and other districts very winding one, so higher chance of MVA especially after happy hour.

Feels like surg patients here are not managed properly. Got only one surgeon and he is more like a tukang bedah, he rarely actually delves into patients problems and addresses them. He just do the op. Morning round with him also super fast. The actual ppl making decisions for pts are the M.O. (there is no registrar here). The M.O. also 2nd or 3rd yr in govt service. Management here is more like symptomatic, the underlying cause not addressed and pt keep coming back. Any sakit abdomen that is not a/appendicitis - buscopan. Epigastric pain? -Cimetidine. RIF pain not fitting description of a/appendicitis - "subacute appendicitis". Renal colic - M pot citrate. No ultrasound for surgery here. OGDS also is the rigid metal one. No tube with camera. All radiology inv must be sent to Seremban. Usually before their TCA SOPD to review their IVU/US/CT etc, the pt will be readmitted bcos of the same symptoms.

This is not a place for ppl aiming for FRCS. Sure, we houseman get more chance to do procedures, but donno the way they teach us to do is correct or not.

Anyway, the good part about it is I really get a lot of free time for myself, which I really need for my own reading. So, I kerja pun tutup sebelah mata, just follow the M.O instruction only lah. Next time when I become M.O./registrar then only I try to do what is right for the patients.

I am in female surg ward. At the max also 17 + 3 beds at ony time. Last week only 6 pts for 2 days. Workload is really ok.

Remember the senior Lim Choo Ghee (i think is 3 yrs older than us), he is preparing for MRCP but he is put in O&G by the pengarah.

We got morning assembly (like school one) every first monday of the month where we line up and sing negaraku and the pengarah talks. Ridiculous, dont u think. Wonder if u guys got this also.

There is also this UPM chinese senior houseman at O&G (Alan is at O&G now), whom I think is full of himself.

Alan and I live in a rented house all by ourselves. We have not found time to make the house cosy.

Take care.


P/S BM phrases are creeping into my conversational speech, since working in govt hosp. I heard here for the first time the expression "jonah"(really unlucky; many admissions). Do they use this phrase also at ur place?