H Æ-6 𝕏🦆🍉

18-year-old phthartic boi

[H Æ-6 𝕏🦆🍉 @alhasiff]

@shachoerry and will come back forever, this is literally abusing us

[H Æ-6 𝕏🦆🍉 @alhasiff]

nak marahnyaaaa bila patients non compliant to medications and ROF pastu datang datang sakit sebab diri sendiri, so annoying

[H Æ-6 𝕏🦆🍉 @alhasiff]

being complimented by the physician
me: saya taksey sambung medical bos

[H Æ-6 𝕏🦆🍉 @alhasiff]

MSQH ni macam banyak pembaziran je tibah

[H Æ-6 𝕏🦆🍉 @alhasiff]

to break bad news to patient’s relatives, and then continue my day like usual, is something psychopath

[H Æ-6 𝕏🦆🍉 @alhasiff]

ya Allah, this oncall is so exhausting :(
please ease my oncall tonight and grant me strength

[H Æ-6 𝕏🦆🍉 @alhasiff]

kinda addicted to body massage

[DopamineAbuser @differential404]

Rheumatology is by far the most boring unit of medicine

[H Æ-6 𝕏🦆🍉 @alhasiff]

oncall story;

got 2 LO young patients, di ambang ramadan :(
one unstable MI, another one septic shock secondary to disseminated Varicella zoster infection.

tak sempat bertemu dengan ramadan kareem :(

[H Æ-6 𝕏🦆🍉 @alhasiff]

almost achieved 0 referrals last night oncall! tibah referral at 3am then no more

[Kerry-stopher. @Akokerryy]

I get shocked when I hear people say that they want to specialize in Internal Medicine😂😂

[H Æ-6 𝕏🦆🍉 @alhasiff]

referral story;

indonesian male, syncope, vomiting
ECG x1 SVT
ECG x2 AF
medications and cardioversion
further history underlying ?thyroid disease defaulted medications ~1 year
employer not keen to support financial

me: stabilise then AOR discharge

[H Æ-6 𝕏🦆🍉 @alhasiff]

@shachoerry naurrr hahaha the referral was from KK hahaha

[H Æ-6 𝕏🦆🍉 @alhasiff]

referral story;

this patient was in shock, BP 110/56
given bolus 1pint, BP 115/60 je pick up

me: discharge

[H Æ-6 𝕏🦆🍉 @alhasiff]

@shachoerry usually a lot but last night was less than 10 💖

[H Æ-6 𝕏🦆🍉 @alhasiff]

referral story;

patient post CABG 1 year ago, unsure baseline ECG, came with epigastric pain, cardiac enzymes non suggestive

me: discharge with reassurance

[H Æ-6 𝕏🦆🍉 @alhasiff]

@shachoerry dah palliative kan😞

[H Æ-6 𝕏🦆🍉 @alhasiff]

patient came with neuro symptoms, already d/w several physician and neurologist, planned for IVIG

tibah patient d/w family members - refused treatment sebab ni kena buatan orang and keen for traditional treatment

me: AOR

[H Æ-6 𝕏🦆🍉 @alhasiff]

NAG

[H Æ-6 𝕏🦆🍉 @alhasiff]

anyways, leptospirosis we start IV Benzylpenicillin yaa based on latest NAG
no more Rocephine

[H Æ-6 𝕏🦆🍉 @alhasiff]

me praying for improvement on my clinical and management skills 🤲

[H Æ-6 𝕏🦆🍉 @alhasiff]

diagnosis; Guillain Barre Syndrome

[H Æ-6 𝕏🦆🍉 @alhasiff]

patient came with neuro symptoms, already d/w several physician and neurologist, planned for IVIG

tibah patient d/w family members - refused treatment sebab ni kena buatan orang and keen for traditional treatment

me: AOR

[H Æ-6 𝕏🦆🍉 @alhasiff]

btw yalls can find the protocol guidelines based on centre

[H Æ-6 𝕏🦆🍉 @alhasiff]

referral story;

RVD positive with disseminated TB, newly diagnosed Penicilliosis (skin biopsy taken), d/w ID to start IV Amphotericin B

me: hello district takde ubat tu 😭