I now got posted to Port Dickson hospital for 7 days, after that I'll continue my posting back to my hospital. Spending 30 minutes of driving to the hospital isn't really fun.
But one good thing is that the atmosphere there is more relaxed, since it's a district hospital, instead of a general hospital.
Right there, we see different cases, cases that we might not see in the general hospital. According to the statistics showed by the hospital, the top 5 cause of admission to the hospital are;
Neonatal jaundice, acute gastroenteritis, febrile fits, pneumonia and asthma.
To my colleagues who will get posted to this hospital later on, it's recommended to read and understand these cases.
Now we don't take history from the patient. History is to be taken from the patient's parents or guardian. We can still take history form the patient if the patient is old enough and able to communicate
I like the examination part. Those babies hands are so... small. The skin is so silky soft and looked so delicate. I really afraid that I might hurt them.
Auscultating the heart isn't easy. Physiological splitting of second heart sound is best heard in young children. But the heart beats are so fast and it sounds like a fixed splitting to me instead of respiratory depended splitting.
Building rapport with the patient is a must during clerking. For adult patient we build rapport by talking, for paediatrics, rapport needs to be build by... erm, playing?
Playing with the patient is part of our clerking I'd say. It's good when you have the mood to play with them. But it's real bad if you don't have the mood, and yet you still need to be happy and play around with them so that you can complete your clerking.
Unlike the others, I don't have any soft toys to bride or to distract the children. Those things that I have, which you may consider as toys, looked like this;
How can I possibly give this kinda "toy" to a 15 months old child to play?
Anyone has a Winnie the Pooh soft toy to lend? I'll buy you a real Winnie the Pooh from the zoo.
Paediatrics, not too bad after all. I like internal medicine and paediatrics is just the under 18 version of medicine. Will try my best to finish the posting. And finals is next.