The Roadblocks
May 11, 2020
I know that we are now in PKPB where almost all local roadblocks have been
lifted. I think there are some at the districts' borders, no idea actually as I
haven't try crossing the district yet.
Lots of time, the scenario was like this:
During the PKPD, I need to pass through 2 roadblocks between my house and the
hospital. It was supposed to be 8 minutes journey, but with roadblocks, I need
to leave the house at least 15 minutes earlier. Less cars actually at the
beginning and the middle of PKPD, but fuhhh the traffic was torturing towards
the end of it, especially when we were entering the PKPB.
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Kad Petugas Kesihatan |
Similar to other health care workers, I received my own card too. Just
sharing this here so that I can read this later. Still not fancy much to
share life journey on Facebook. And I still prefer the blog to elaborate my
stories and experiences than on Instagram.
Police / army: Assalamualaikum Cik/Puan. Nak pergi mana ni?Me: Nak pergi kerja encik.Police / army: Oh, kerja mana?Me: Kat hospital.Me: *I can see they suddenly took a glimpse on the front screen*Police / army: Ohhh, maaf Cik/Puan, tak perasan kad ni. Okay, boleh jalan, lambat pulak sampai nanti.Me: No problem. Terima kasih Encik.
I am not sure if the card is small to be seen, or maybe I put too deep between
the dashboard and the screen so it could be hard to be seen. Haha
But, never mind as the questioning did not take too much time every time I
mentioned about the hospital.
To make it even easier was by hanging my stethoscope around the rear-view
mirror.
Honestly, I think they have a challenging task to check every cars. I felt so
bad seeing them standing in the middle of the road under hot sun, even on
rainy days too. T_T
Police / army: Ohh doktor kee? Boleh check kami tak? *sambil gelak-gelak*
Haha, here I knew they were already tired. You know, sometimes, you can see a
tired face trying to say something funny to cheer themselves. :)
Me: Bolehhhh, nanti saya inject sekali. Nak saya cucuk kat mana?Police / army: *sambung gelak*
Thank you to all frontliners.
Now, everyone need to take care of our own.
- Always think twice before leaving the house especially if we don't have solid reasons.
- Always wear face masks outside especially if we are dealing with people
- Always wash our hands / use sanitizers
- Keep 1 meter distance with each other - social distancing.
- Avoid 3C - closed conversation, confined space, crowded place.
Day 7 of May Photo A Day - A Throwback
SM, Perak, Malaysia
200511
I Made This PPE :)
May 10, 2020
On last Wesak day, I had this opportunity to learn and watch the staff nurses making our own Personal Protective Equipment (PPE) in our observation ward, this ward was closed due to rearrangement of our Emergency Department into Respiratory area & Non-Respiratory area and has become our 'store' and staff area.
- Respiratory area - attending patients with any complaints of SARI (severe acute respiratory infection) symptoms like fever / shortness of breath / cough / runny nose / sore throat / any history of Covid contact. Sometimes, the patients may come with other main complaints like infected wound over foot but just because he/she have any of these SARI symptoms, the patient will be attended in Respiratory area.
- Non-Respiratory area - attending patient with any complaints without SARI symptoms
Me: kak, nak try buat satu bolehh?
SN: haa, nah try jahit bahagian lengan ni dulu.
At first I just need to sew the stretchy area over the end of the sleeves. Then, slowly and patiently, Kak Daini & Kak Atun taught me how to sew the whole PPE. Since I have no skills of using the sewing machine, my product was not that neat. Terlebih sana, terkurang ni. Hahaha. Nasib baik laa PPE ni pakai buang. If you compared to their products, fuhh, dah macam baju raya, kemas sangat!
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| My first PPE everrrr. |
Honestly I only have the most basic skill for sewing, which means, I can only do hand sew like picture attached below.
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| Source - https://www.apartmenttherapy.com/how-to-sew-basic-stitches-221433 |
Though my mum is literally good in this, I guess I don't inherited the skill haha. For every Eid celebration, my mum will usually send some plain cloth to her favourite tailor and then she will make her own decoration on the dress with all those beads, labuci etc. For mine, my mum will 'encourage+force' me to the same so that I can survive with hand sew haha.
But, my skills of using the sewing machine - NIL
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After completed one and a half of PPE suit, we heard the bell informing there were new cases in the respiratory area. So, that marks the end of my PPE sewing journey. Lol, when I returned to the sewing area later, seems like they already finished sewing. :D
It was honestly a nice experience.
Thank you akak-akak sabar mengajar!
p/s - my mother-in-law has awesome sewing skill too! :D
Day 6 of May Photo A Day - I Made This
SM, Perak, Malaysia
200510
My Fave Room
May 9, 2020
If you have read my blog since I was still a student in Czechia, you must have seen this view somewhere. :) Hehe
Though it looks quite messy (read: too many colours), at that time, I was satisfied with the wall. There were lots of memories that I can see almost every second being in the room.
To those who have just being a reader to my blog, welcome :)
This is actually from my room back in Czechia, it was a rooftop (4th floor) flat, 2 bedrooms + 1 bathroom with toilet + a kitchen. When I tried to recall memories staying in the flat, alhamdulillah, I must say I should be grateful to be able to rent it due to many reasons
1. Nice landlord.
- though there was a huge language barrier (even with our agent), we managed to confirm our rental with agreed amount of monthly rent. The landlord was initially an uncle with his wife. After he passed away, his daughter took over (she even decided to return to Czechia to take care of her mother although she already settled down somewhere in African continents).
- I was beyond happy when they agreed after we requested to reduce our rental a bit (due to final year, I planned to do my attachment in Malaysia). And it was fated to be, I went home 4x that year (summer break - my brother passed away - medical attachment - back for good).
2. Strategic location
- it was located very close to the main train station, so it was such a relieve if my friends and I return late at night from Prague. At that time, we usually take a day trip to Prague to buy those varieties of halal meat or for usrah, so the final train was around 10pm (arrived at Hradec Kralove around 12am)
- Tesco was just within walking distance. I found to be awesome as I can go to Tesco any time I want haha.
- most official offices are around as well - Vodafone (internet plan), main post office, 2 shopping malls, library.
- peaceful neighborhood (despite being in the city center). The main road in front of the flat was only for residents and public transport, so there was no traffic at all!
3. Fully furnished.
- I am still searching photos of the flat (they are somewhere in the gallery), but the price is totally worth the flat - in view of most basic furniture and electrical appliances were included - fridge, washing machine, dishwasher, oven, microwave, 2 sets of bedroom furniture, full set of kitchen table. If I am not mistaken, it was CZK 12000 approximately RM2000/flat/month.
Alhamdulillah, this time around, I managed to get good landlord in Manjung too :)
Anyway, I miss Hradec Kralove, I miss Czech! Hehe.
Okay, off to night shift, pray for a smooth one kay :)
Day 5 of May Photo A Day - A Fave Room
SM, Perak, Malaysia
200509
Neighbourhood
May 6, 2020
This was taken on the first day of PKPB. :)
The view look much fresher than before, I can say.
Day 4 of May Photo A Day - Neighbourhood
SM, Perak, Malaysia
200506
I am Dreaming of...
May 5, 2020
... this pandemic to be over.
I am sure everyone hope for the same too.
It was a hard year, I can say. Beginning from end of January, when the team was given a briefing about the potential spread of Covid19 in Malaysia, then we were taught on how to properly don and doff our PPE. At that time, the cases were still low, there was no social distancing even in the hospital. When the cases increased in number, almost all seminars / teaching sessions / CME have been cancelled. In the middle of March, healthcare workers' leaves were freeze and most of us need to work and go to the health care center as usual.
It is already 2 months since I last met my parents too. I miss hugging them.
I miss the beach, so close yet so far.
I miss travelling.
I miss freedom of playing badminton at the courts with friends.
I miss going to body massage (which my body need it right now).
I miss eating out.
But, I believe everything surely happens for reasons.
I hope by the time this pandemic is over, we already learnt how to appreciate the health more. Always continue all the proper hygiene we have learnt through out the MCO. We will appreciate the moments we can spend with the families too. InsyAllah :)
Day 3 of May Photo A Day - Dreaming of...
SM, Perak, Malaysia
200505
Dalgona Coffee's Impact
May 2, 2020
I was working morning shift that day when my colleague passed over a pending night case. I That was my earliest day of returning to work after 2 weeks of quarantine as I became close contact to 2 positive Covid19 colleagues. Alhamdulillah my swabs turned out to be negative and I need to be non-symptomatic and complete 2 weeks of quarantine.
So, this young lady (Miss A) was in her 20s, with no underlying diseases, presented to us with palpitation and no other symptoms. Basically palpitation is an uncomfortable feeling that the heart is racing or the heart beats too fast. Same feeling when you are about to receive your exam results, or maybe when you see your crush walking around. :)
This same feeling is normal to me ever since I started working too. Haha. Nak masuk kerja selalu nervous sebab tak boleh nak expect much apa akan jadi sepanjang shift. So, I will always expect the worst situation so that I can get more prepared.
Okay, back to the patient.
Palpitation is normal is you feel it after a sprint or physical activities
It is also normal if you are stressed or anxious about anything.
Not to forget, if you drink alcohol or caffeine.
Why? your heart is pumping blood more frequently to the rest of the body to support it. :)
However, if you came to the hospital because of this, the health care staff will definitely need to rule out the emergency causes especially the heart problem. Along with palpitation, you definitely need to visit your doctor if you ALSO feel difficulty to breath / dizziness / collapse / fainting.
For this patient, some blood investigations will be taken - usually:
- full blood count (FBC) - we can see if there is any low hemoglobin, so it can be a sign that your body does not receive enough oygen.
- renal profile (RP) - to check your baseline for kidney function
- cardiac marker (in my hospital setting, we will take troponin I) - here, it can show if there is any problem with your cardiac (heart) muscles, maybe the muscles also do not receive enough oxygen and start to break down.
- electrocardiogram (ECG) is a must - this can show the rhythm of your heart, is the conduction of impulse okay or not
For Miss A, the blood results turned out to be normal and serial ECG was normal (improving sinus tachycardia, without ischemic changes going on)
Back to the history that we already taken at the beginning, she admitted that she drank lots of coffee during this Movement Control Order (MCO). She claimed that prior to this, she drink a cup of coffee as usual and she denied having this symptom.
To my surprise, during MCO, her caffeine intake was 4 TIMES DALGONA COFFEE A DAY!
If I use the viral Dalgona Coffee's recipe, it mentioned to use 2 sachet of Nescafe for one drink. So can you imagine how much sachets she drank a day? T_T
Diagnosis: Palpitation secondary to Caffeine
We re-accessed her after a while and decided to discharge her after she claimed her symptom is much improving and she looked very comfortable. We as well advised her to reduce caffeine intake and to come to ED urgently if she developed any other symptoms (especially chest pain / shortness of breath etc)
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I know that we are encouraged to give all out in everything we do, but please do not jeopardize our health. Okay?
SM, Perak, Malaysia
200502
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