Managing an arrest

I attended an ILS (Intermediate Life Support) course the other day. All of us 5th years are required to attend one before graduating. So hopefully everyone with be equipped with the necessary skill needed by the time one start working as FYs.

One of the ILS instructors looked familiar. He was one of these people that you come across alot in hospital (in wards/in canteen/along the corridor/in shuttle bus) but yet still don't know who he is or what is his job really. Of course me being me- I want to know everything about everybody. So when I first saw him that ILS morning, it was killing me that I don't know who he is.

By lunch time, we were split into smaller groups so that actual scenarios of cardiac arrest could be simulated for a smaller number of attenders. I was in his group. Then for the first time in 3 years I heard his voice. And you guys would be amazed to know that he speaks in a language that I don't know. Yup. Really.

So there he was yapping about stuff (stuff because I had no idea of wth he was talking about) to the whole group and me straining/struggling to understand what exactly he was going on about.

He speaks English.

English with heavy Welsh accent.

I swear to God, out of all people that I've heard giving instruction for the whole 5 years I'm here, his accent was something of a different level. Well above the level of thick Lancashire accent of an 80y-o gentleman, the Scouse, the Scottish, the newly arrived doctors from India/Africa, Manglish of the IMUs students and the rest.

So imagine the shock that I had when each of us had to manage a case of cardiac arrest each, having not understanding half of the guideline.

Well initial shock anyways.

Luckily I kinda well abreast with the ILS algorithm.

And its not a simple one I tell you.

Learning Points:
i) Double check the medications with at least another person before administrating them. Beware they all start with "A" (Adrenaline, Atropine and Amiodarone).
ii) Keep calm and carry on. (sure as hell one will be nervous with the adrenaline rush when put on spot managing cases like these).
iii) You can refuse to do mouth-to-mouth resuscitation provided that you have a strong reason not to and could justify it in the court.

Question:
Ok now I had my ILS cert already, when I can do the ADVANCED Life Support Course??

I hate my medical school

ooooOOOOOOOoooOOOoo....
This (talking about my medical school) has been quite an area of potential hatred.

Today 22 Feb 09 is a fine day. Sunny and hot-ish.
I was stucked indoor all because I have to write a frigging portfolio piece.
The comm team made it compulsory for each Year 5 student to submit an entry for that.
WTF.

Harrrrrroooowwwww!!!!

coz that's how I say 'hello' in my world.. haha...so better get use to it.

So, whats up everyone?? I'm fine thank you.

Im so sick and tired from all the revision, its unbelievable. EMQs, PTs, OSCE, Skills, Revision sessions... the list never end...Hope I'll pass (see I am NOT even aiming for anything more than pass)

So, updates from the first week of 2009.

i) Today I attended revision day at my base hospital and one of the consultants is so handsome, it was worth turning up just to look at him. His presence was THAT overwhelming, my heart fluttered. *drool*

ii) A joke (laugh laaa.... so funny)

*****

Anne Robinson (on the weakest link): In medicine, what "p" is said to be better than cure?
Celebrity A: Prescription.

*****

iii) A new dress code/regulation for coming FINALs was emailed to students. My friends were talking about it over dinner at a restaurant where I was sitting at the other end of the table. So this was me trying to chip in (as per a student who didnt know about the said email)..

Friend A: ........dress code.....haha......ni..qop.....of course......... (..... : something2 I couldnt hear clearly coz she's at the other end of the table)

ME: Haaa..... bikini top? Of course la you cannot wear that. Its the exam for God's sake.

Friend B, C, D and E turned to look at me (with such look that means "Is this girl retarded or what?")

ME: What? Dont say anyone is planning to wear that!!

Others: hahahahhahahahha

ME: What?? Its not funny la wearing bikini top to exam. Its gonna be frigging cold somemore.

Friend A: Ni-qap* lah, not bikini top.

I swear if I'm in a pantomime at the very moment, background music will go: Kuang.. kuang...kuang...erk! and there'll be a cue card for "LAUGH as loud as you could".

*Niqap is a type of extended hijab worn by Muslim women to cover their face.

iv) I did many questions (like almost 2000 EMQs already) but I have a doom feeling that the more I do, the more muddled up I am. The last set I did I was so frustrated with myself for scoring only 55%. So stupid right? The questions was not so difficult but they certainly were very tricky- like I know the answer roughly but not accurately just yet. Really fed-up.

v) Im actually very scared of the FINALS.

Things I'm into Right Now

i) Interior design- i've been visiting design websites/blogspots and the likes every single day. more than i should anyway- just for ogling over the gorgeous pictures- which will then lead to countless hours of daydreaming of how MY house will look like.

ii) Fashion blogs- wth? as if they have anythg to do with me. that's where everyone gets it wrong- i love dressing up, i'm just lazy to make the effort. gimme theme party anyday! going to hospital may be like going to an event- yeah- bring out those sexy, super-tight pencil skirts.

iii) Edward Cullen. I dont even want to start.

iv) Edward Cullen should be at number one of this list btw. I love him more than life itself- at least for the pre- and post-sleep periods where I truly believe that I'm in his arms. (Hypnopompic and hypnogogic hallucinations for you medics out there!)

v) Shopping? wait- no- thats a chronic obsession since like forever.

vi) Chatting on yahoo messenger with my dad AND my mom. I'm not kidding. The last time I chatted to my dad, he asked whether its alright for him to find a husband for me. OK was my answer, can you believe it!

vii) Revision: like of course. *&^%$#^&%$$$@!((@&#^%

**disclaimer: if i have extra time on my hands, i'll probably elaborate more on each of the subject matter. damn it decorno.blogspot.com- leave me alone!!!!!!!! (its like watching porn for interior design- seriously- give me tingle in the silly place.***

Moon

For the last few weeks, my friends (other final yr medics) and I have been attending afternoon revision sessions that usually finish at around 7pm-ish... which is very late considering that there are days that we have to been in hospital at around 8am and also the fact that dusk is around 4pm.

Well anyway, coming back from one of the revision session the other day, I was walking with another 6 friends toward the bus stop. It was damn cold, wet night. 

Friend A: Look at that moon.

All: waaaaaa

Friend B: Sooo pretty!!!

Me: Halo around it, phwaoah!

Friend C: Looks like Kayser-Fleischer Rings.

All: Sheesshh.

You know when you start making medic joke, then, thats when you revise too much!

GP land

GP land so far has been very tiring but entertaining. 

At the beginning, I started with apprehension thinking that its all gonna be damn ol boring depressive patients. And common cough and cold. Plus the fact that I have to travel to an even smaller town for it (40min door to door journey).

I was right to some extend. Many patients like that. However, I've seen interesting cases. For example: barotrauma post scuba-diving, meningioma and palpitations that turned out to be an ectopic case.  

One of the GPs is an absolute bonker! I love him (just like how I love my BIGPROJECT's tutor). He (now will be called- THE GP) is a type of person who will put minimal possible effort to get by and hates patients who come in with nitty gritty problems. 

Quotes so far:

Patient #1: I think its the bugs that've been around. I bet you have a lot of patients with it.

THE GP: Hmmm... not a lot... only like hundreds each day.

Me: Is it alright if I go out through the back door? 

THE GP: Yup sure, because if you try to go through the front one, you'll find it impossible to do so. I've locked it. 

Then, there is another GP whom I like very much. He's so nice. When I found myself with a non-functioning otoscope and surgery list of multiple ear problems, I frantically went searching for a replacement.

GP: You can use my otoscope.

Me: But then what if you need it later?

GP: Its alright, I'll use yours.

Me: But its NOT working.

GP: (big smile + wink) I'll pretend that it is. Patients wont know any difference.

A lil' concert

Last night I went to a little charity concert do at a local park organized by fellow students to raise money for a charity in Bangladesh. The thing about this concert was that, even though that it was really small scale business (nothing like Glastonbury), it felted really warm. Warm - not the temperature warm- but the warmth that glow from within knowing that you had done something good for the day by helping others. All collection (from ticket sales and cakes sales) and donation will go towards building a school for blind children in Bangladesh.

Ok enough about that. Now on to highlights of the night.

i) My BIG PROJECT tutor performed!!! Yeah, he did. And he did look like he was completely enjoying himself on the centre stage. He was in a two man band with another consultant. They played us few songs which I reckon must be very famous songs in their era. Because I hardly know any! ha! So maybe I can get away yet for another few days not writing up as his is in such a good mood.

ii) My O&G consultant was there too! Remember him? You guys maybe wondering why were there so many consultants and medic students there - oh well- what do you expect - an event organized by medical students for medical students and consultants. Performers were the same group again + few budding talents from local university.

iii) Oppps.. this gonna be about my O&G consultant again. haha. I looooveeeee him. I said and I'm quoting myself "He is the best looking 50y-o man, hands down!" One of my friends said and I quote "But he got small bum!" haha. HM#1 came very close to blurting out to him that I (yes, I = p53) have a crush on him. Sigh - what if i really do?

iv) One of my friends sang. Beautifully. It was a Eva Cassidy's rendition of Sting's song. I never heard of it before, but apparently it is very famous. Her voice was impeccable. But I know deep down she must had been very nervous. You can just tell from the look of the corner of her eyes. No direct eyes contact with audience.

v) One of my male friends played saxophone (which was fantastic- never thought that one playing saxophone can attract so much attention) and one of my friends (a girl from the year below) almost died. Not literally. Die of ecstasy (also not the literal meaning) more like it. haha. She has always like this guy. Let me give a brief description about this guy: more than 6' tall, tan, well-toned, muscular, well-mannered, out-of-bed golden brunette hair, greenish-brown eyes. So imagine how he looks like. Now. He has a girlfriend though. A pretty one too. So bless him.

vi) Me and my friend asked my O&G consultant to ask the other two performing consultants for our behalf; for a 5 min session with them. O boy, I almost died of intimidation of singing to two most respectable gynae-onco doctors in the Trust. It was life-changing! My friend sounded much better than me, I have to say.

I was seeing things

Mountains of work waiting for me was the only thing that I didn’t look forward too when I was on the plane back home from my vacation (other things that I kinda cant wait to have/do: meeting my best friends, sleeping on my own back, not having to wake up at half 6 every morning). So when I went in on Thursday, as expected I have mountains of case notes (literally) waiting for me. 30-ish. Which was a lot considering that some of them were terribly thick!

I worked through (half of) them all morning. Pain in the ass. POO POO.

The cleaner said hi to me and asked: where have I been? No one knew that I was away in some foreign continent, enjoying my heart out. I said I was unwell, determined to keep it as my little secret. Later my tutor asked me the same question, to which I answered with the same excuse. They fell for it. (I promise I wont do it again- this academic year! Ha.)

Then I took an a hour break for lunch and afternoon prayer.

I was having an ablution at the prayer room when someone (let us call this guy, x) walked in and walked out straight away immediately (after seeing me?). I hadn’t had any visual aid (my glasses off) when x walked in, but from the blurry vision that I had, I thought, well, he was quite good looking (aka smartly dressed with dark blue shirt with a lighter blue tie, tall and has a dashing smile- oh yeah- he did smile to me). Bear in mind that I am very very short sighted. So, I did what I was supposed to do (read my afternoon prayer) and sorted myself out and got ready to walk out of the prayer room. Then it strucked me that x could have possibly been one of my friends, Mr Y. Yikes, if I (ever) thought that Mr Y is good looking, it must have been the end of the world because I always this disliking sort of feeling for Mr Y. My Y, in my opinion, is beyond salvation, too goofy looking, unkempt at times, has this messy kind of look especially with his unshaven beard. Gosh, I must have been very tired then that I started seeing things and to say he’s good looking.

Yikes, indeed.

I got back to my work in my tutor’s office and continued working.

After 3 hours of hard work, at around 5.30pm, I left hospital walking and of course what else could have happened? I met Mr Y! He greeted me first, when the original plan is to walk straight pass him as I really don’t fancy making social contact when looking horrible myself (3 hours of notes reading had just sucked out whats left of life in me- pretty much zombie). So I had to stop and chat with him, talking about nothing in particular.

However, later after finishing the small talk with Mr Y, I glad I did stopped. I realized midways during the talk, that the guy that I thought good looking from the prayer room was not Mr Y. Mr Y wore a white shirt (oversized albeit nicely pressed) with a black sweater vest. Yeay! X is not Mr Y. The next question is: is X is not Mr Y, then, who is him?

That’s gonna be a challenge for me, to find out who is the (mysterious) nice-smiling x. Cross my fingers that I will figure out his identity soon.

Traveling (the bad one)

Sitting in the train the other day, looking outside as the world passed by, I thought to myself: in less than an hour I will be at home in my own bed. The distance (door to door) between my home in smallcity to my friend's place in BIGCITY is about 40miles. Here in UK I can travel between the aforementioned locations in just under 2 hours (provided that I don't miss any connection) all with public transport.

Now lets compare it to public transportation back home (especially my hometown).

For a 40miles journey, I won't even attempt to use public transport (not even for anything else for that matter actually). I will drive; or get someone to drive me to my destination. Back home, I certainly feel limited as to what is accessible. Restricted in other word. Imagine having use the tube-equivalent then still have to use a cab to get back home (no bus!). I can walk, but hell no with all the shopping.

Medical students are more likely to own a car once they get into clinical years. Community placements, DGH placement; being in one hospital for AM session, then communication skill session (PM) in another hospital, only to rush back to base hospital to borrow some books; the potential annoying traveling stories are endless. Thank God, so far I managed to travel/commute with bus/train/coach/tram only (only used as a paradox). The cost of train tickets are extortionately expensive (Editor's Note: p53 will probably talk about this in some other entries).

There are times that I thought of buying a car here. But is it really necessary?

P.S: Traveling (the good one) is going to somewhere foreign with lots of sun.
P.P.S: Click here for my dream summer car.

i'm sleepy

Gosh, yesterday (monday) I slept like the whole day.
11pm-11am, then got back home (in smallcity) and slept again 5-9pm.
then managed NOT to do any work despite sitting in front of computer for solid 4hours (or in other way of looking at it: because I sat infront of computer I had NOT get any work done).
and slept again 3-8am.

So today I'm sleep deprived. Right now I'm yawning excessively, I think I better make my way back home (Im in hospital reading patients' notes)

PS: Nothing to do with my super big lunch right? What a heffa!

GPland

Hi ya all, sorry for the lack of updates.
We are already at toward the end of April, and I havent even have 10 entries. Appalling.

Anyway..
I'm writing this entry at GP.
For my SSC this time around, I chose a community placement.
Albeit a bit too far from my house in SmallCity, I'm at least now in the BigCity.
Hehe.

Topic: Women Health (FP and GUM and Contraception)
Write up: Audit of 3000words
Location: A GP practice at the ourskirt of BigCity
GP tutor: A very keen super young female GP

So far so good. i'll let you guys know how am i getting on with the audit (fyi: my first audit!)

Hi ya all,
Sorry for the lack of posts.
Its not due to lack of things happening in my life, yeah I do have some drama in my life, but only just lack of time to actually sit down and type in things.
Pardon- I'm a slow typer.

I'm dead tired.
I've been sleeping more and more, all to no avail.
It seems that my life consists of going to hospital and back home to sleep.
I know, its not a surprise.
But hey, falling asleep a lot in time like this not gonna help as exam in less than a week.

During a study group session with my friends today I almost eat my best gay friend alive.
GOD- how he drives me off the wall. He is super annoying in times like this. Disagreeing to every single thing that I've said. I was so pissed off its untrue. Gosh, I'm so moody. However afterward, he was all fine talking to me like a civilized person, gossiping and all. Booo..

Anyways...

Here are something I'd like to share:-
i) DOCTORS' SLANG, MEDICAL SLANG AND MEDICAL ACRONYMS
just to entertain myself... in between writing up notes for tomorrow's PBL
ii)
an original song by Julia Nunes.... superb!!! I must have listen to it like hundreds of time.
iii) FACEBOOK is a great time waster. Certified by others.

Oh how much I miss O&G

Last night I read an O&G book in a frail attempt to revise for coming Osce. (I fell asleep after 1hr- booo!- nevermind that) and it made me realized how much I miss O&G. Everything clicks! So easy to understand all those bleeding problems, pregnancy related problems, etc. Oh- how I miss talking to women pre-operatively. Weird I know. I am looking forward to take the O&G Osce.

Updates

Dear readers,

Sorry for the lack of entries. I have been relatively busy with O&G, this being my last week there. Cramming in as much clinical experience as I could in my final week here. That mean I attended every single clinic albeit being late for some due to (not un-fore-seen events of) oversleeping. (shocking?!)

There was a mock OSCE (later referred as Mosce) on Thursday organized by the Registrars. I was like: Shit! I hardly know anything (in term of acting in front of examiners, just yet: I mean come on, OSCE is all about acting isn't it?). I am fine talking/dealing with patients in clinics and wards, but certainly not at all prepared for an assessment.

Indeed, I did quite good for my standard. haha. Me being super nervous in my first station (as usual) and then went along rather swiftly through the rest of the Mosce. Feedback session at the end of the Mosce revealed good level of medical knowledge but should have improve in term of controlling pace of talking (I talk very fast when I'm nervous) and getting the techniques of doing the skills methodically.

Fair enough. This should get me cracking for the real one! (In April if I remember correctly)

Then MY consultant mentioned that one of the registrars said that I performed well in her station. Me and my wit! ha! So that helped. He said "I know you, you're a fast thinker. Quick and have your own wits. But you cant solely depend on that alone. You've got great personality and appear brilliant in front of the patients and get along well with the team. Remember this! I want a clinician who is very composed, not someone who is anxious because I don't want my patients to be scared to hell by my junior doctors."

Yadayadayada. Well. I just can't help it, my facial expression changes so dramatically depending on the cues given by the examiners. I was in fact only slightly nervous in the stations, but nooooo my face gave me away. BOOO!

"I can see you becoming a great clinician in whichever specialty your choose to do"
--> now, that coming from the most gruesome, tough Foundation Year Director of this hospital, surely IS something.

Good.

The registrar who did the first station dragged me along with her to see all her antenatal patients. She was surprise to see that I was all fine, interacted well with the real life patients and got all my techniques correct. See! I can do it after all. She advised taking yoga to improve the self-control. Especially during stressful times. Ok, note taken there.

Then I bid goodbye to both of them. Definitely gonna miss MY consultant and all the registrars. Plus the SHO who I just starting to get to know. So in short, O&G is amazing! I havent learn much from MY consultant (he only ever taught me 2 things: infertility and menopause)

On a different note:
i) I have been quite active this week. Rockclimbing twice. Tried bouldering as well. Body combat. Gym and a lot of running outdoors too.
ii) I've put on 3kg from (almost) a week worth of Italian foods -making my total weight 44kg. Yippee! Another kilo before I can donating blood. Target on hold.
iii) I've started planning for my grand Europe tour. AMAZING!!! Just by looking at the proposed map, I was all excited. (I still need to plan my elective.)
iv) My blog hopping habit is becoming worse. I can sit in front of computer and do the random blog hopping (fashion and celebs gossip blogs especially) for hours. ARGGGGHHH!!!
v) Result of Jan progress test came out. I was fine. lalalala.

So, that are highlights from this week. Personally, I have changed. Am a different person now, though not completely. This O&G placement has not only been a good learning experience but also part of my journey to find myself. Emotionally challenged at some points. Conflicts within myself. Confronting my fear head-on. Standing for what I believe. Receiving advises along the way by those who I respect and trust. Gosh. Sotto hohoende!!!

Next week: Paeds--> bring it on!!

Why does other consultant always pick on me?

yeah, why?

They kinda pick on students of other consultants. I think. From my personal experience, other consultants that I have worked with didn't seem impressed me asking a lot of questions and not knowing half of the stuff. MY consultant never say anything about that.

"So you are MR ******'s student?" asked a gynae consultant today. Rather in a sarcastic manner.
"Yupe!" (I would rather answer it sarcastically too... like.. Hell yeah, I AM student of MR ******!!)

He asked me questions regarding his subject of interest. Few of which I failed terribly to answer, muddling up definition of few things. He speaks with a posh London accent. And joked about medical school doesnt teach us anything these days. Now i understand what MY consultant meant when he said this consultant speak as if he got an orange stuck up his arse.

For all honesty, his subject of interest is my subject of interest too. So despite the continuous questions about figures and statistics, and of course correction for my answers, I managed to stay focus for the 3hours long clinic. For this consultant, I think I should just ignore his quirkiness about having other student in his clinic because he is INDEED a very good consultant. Have to look wayyyyy pass his up front behaviour in order to learn. For our last patient of today's clinic he brought me along into the examination room (instead of the FY1) so that I could see how vulval carcinoma looks like.

That was today, few weeks back when MY consultant was away another one picked on me too by asking me advanced level of anatomy. How the hell I was supposed to know the name of other ligaments in pelvic except for the usual ones like broad and round ligaments? Even my registrar noted that for which afterwards she consoled me for. "take no notice" she said "he likes to questions students especially the ones he just met".

After moderate level of bashing during operations (4 if I remember correctly) I left because it was not doing me any good. I felt completely degraded that day. The registrar backed me up a lot of time in the theatre room and she suggested me to leave as the rest of the operations are the common ones that I have seen before (read: there's no point staying if he's gonna throw insults expecting me to swallow it all). She was right. I left. I think if I stay any longer I would have start replying in a rather retaliating way.

Boo...

PS: In case you guys are wondering how vulval cancer looks like... it is gross. And if I wasnt imagining, this one has got a distinct smell to it.

Highlights of my labour week! (and tips too)

(Editor's note: Labour week is the week when medical students are let loose in the Delivery Suite. About 2-3 students at one time. Shadowing midwifes most of the time, but also assisting in theatre and putting on nappies!)

1. I saw 3 LSCS (Lower Segment Ceasarean Section). Unremarkable. The sections were quick but the babies were very poorly. And I saw 2 normal vaginal deliveries, which took ages.

2. 1 baby didnt cry after 1 hour and the Neonatal Team came crashing. It turns out that she has idiopathic pulmonary hypertension. Gosh.

3. I was particularly keen on knowing what's happening on the baby (refer no.2) so I stood close to Neonatal Team. My Obstetric registrar summoned me to get closer to the operation table where the mother was being stitched-up.

Registrar: Why are you standing so far away?
Me: Hmm..
SHO: (jumping in) She's probably afraid of you asking her anatomy questions!
All three: Hehehe.
Me: No, I'm not actually. I am just looking at the baby (who was resuscitated at that particular moment).
Registrar: What is this? (pointing to something glaringly obvious, and smiling!)
Me: (I knew she was just kidding) Hmm... that's a tough one! I think... hmmm.... Uterus?
SHO: Good girl. Now tell us the layers that we have to cut through to get to the baby.
Me: Easy. (And I proceeded naming all the layers with success. I was asked the same question the day before).

4. If you're doing night shift, please sit down at every chance that you have. Sitting down reduces the energy usage. I was completely shattered by 3am on the second night (in a row!)

5. Why people scream (and swear in some) so much? Back home there was hardly any sound. Yeah, yeah, its painful. But hey!

6. These days pregnant ladies are asking for pain relief earlier and earlier. It's like: on admission: "give me morphine now!" the 10 min later, " I want an epi!!!" (of course, screaming with their requests). Is everyone pain-intolerance?

7. Pre-eclampsia patients can deteriorate very fast. One minute they are fine (with just proteinuria and high BP), one minute later they are being rushed into the theatre!

8. Midwifes gossip a lot. Seriously a lot.

9. 5am toast is the best thing ever!

10. Placenta is possibly the most gross thing in the world ever! Smelly and mushy!

11. There was a case of ruptured UTERUS!!! CTG tracing was abnormal (prolonged sustained deceleration) but the mom hardly felt anything (she was on epidural). The whole delivery suite became chaotic. Emergency C Section and fortunately the baby is OK.

12. For the first time ever, I came across this capillary thingy used for immediate blood test. It is amazingly cool. Step one: take blood from patient. Step two: fill it in the capillary glass tube. Step three: go to the machine. Step four: insert the tube into the port (then the machine give a flashing green light which is so futuristic.) Step five: Wait for the result. All this in less than 2 minutes.

13. Avoid drinking beverages with caffeine. They are just gonna make you pee a lot. Easier to get dehydrated. Not good for long shift, rite?

14. I was sitting at the midwifes' station when another registrar came and inquired about her previous email sent to my whole PBL group. A list of topics were provided for which we have to choose form and prepare a presentation for Friday teaching. I was like... erkk.. can I do pre-eclampsia one? (having seen 3 complicated case of pre-eclampsia) She mentioned that the topic was taken by someone else already. Bugger! I gave it a thought for a bit (2 seconds really) and said I would do CTG (because she was staring at me waiting for a definite answer) just because i was holding a CTG print-out of a patient. That was on Tuesday afternoon. Then Wed and Thurs I had my night shifts. When do I have time to prepare the slides? (I heard you asked). EXACTLY. I hardly have any free time to prepare the slides. However came Friday, somehow I managed to do a full 15slides presentation plus printed out some interesting CTG of patients in the ward. All in all, it was a feat!

15. It all comes down to who's who. Who's the registrar oncall? Who's the SHO? The midwifes? Is there is any student midwifes? (not good- medical students are kinda neglected when there is/are student midswife(s). I managed to arrange my shifts to those I like. One particular registrar is wicked. I just love her.

PS: It took me ages to type all this out. I'm tired but otherwise still not SLEEPY. Watching tv at the same time. DINGDONG (by Alan Carr!) replaced the usual Friday Night Project. It was equally funny though. Then "the law of the playground" and then TV Heaven Telly Hell. Much fun!