Sunday, March 21, 2010

I'll do my best in whatever that is in front of me now

This is currently that is in my mind. I'll finish my 4 years physiotherapy course if I have no opportunity to change course. However, will I practice it after I graduate? This is be a question mark.

For me, currently, what I'm thinking is this course is only an extra knowledge for me. Whether I want to be a physio in the future or not, it all depends on my 'happiness'. If I am happy working as a physio, so be it. I'll continue to be. On the contrary, if I'm not happy, then I will definitely change field. Happiness is the most important, isn't it? Otherwise I'll have to work in a field that I dislike so much, this will definitely affect my performace.

So, now, I'll do my best. The path in front of me, I'm not sure where it will lead me to. But, I'll do my best. This is a promise, and I hope I can keep it.

Wednesday, March 17, 2010

first practical exam today (OSPE)

Today is my first practical exam. There are 8 stations which tested on the students' skills on neurology, musculoskeletal, electrotherapy and cardiorespiratory.

Basically, what I can say is I have done badly. (I think)
Because many small small parts I missed out. For example, I didn't tell my 'patients' the functions and purposes of the tests that I wanted to do. I think this is due to my habit because since my clinical posting in PPUKM, I seldom/never tell my patients what are the purposes of the tests that I'm doing because I don't even have time to do my assessments. Sigh....wrong wrong habit. Must change it ASAP.

Next, there are something that I never heard before during the examination. i.e. alternating hip and knee flexion? What the hell is that? I only heard of alternating ankle movement (dorsi/plantarflexion), alternating hand supination and pronation but NOT hip and knee flexion.............???

Then, things taught to us during lecture are different from the expectation from the examiners. In practical sessions, we did exactly what the lecturer has taught us (ie, anterior lung surface marking until intercostal joint 6)but examiners said it is until joint 8. WHich one should we follow?

There are some examiners who are very kind and lenient and willing to give tips by asking you questions. But there are also some who only sat there without saying a single word.

The moral of the story: I should really improve my practical skills. I think my theory is ok but when it comes down to practical, sometimes, I do not know/sure how to do it. So, practise! Practise!

Another thing, I should really learn to read the questions properly. Because of the nervousness during exam, most of the students tend to be panicked and read the questions very very fast until they may misunderstand/overlook/miss out some important message in the questions. Such a simple thing, read. And I can't do it properly. How shame.....................''=_=""""""""

I hope I can really improve my practical skills. Practise!

Monday, March 8, 2010

I have chosen the wrong path?!

This week, second week of my clinical posting in PPUKM. What do I feel? What do others feel?

Working in hospital is not a funny and nice job at all I would say. Especially in patient cases, it is so depressing. Everyday you will be seeing those almost 'half-dead' patients that only awaiting for their time to return to God. How will you feel?

Outpatient is still ok. But until today what I see is "ar, pain....pain....stop...etc etc". The patients shouted pain because of prolonged immobilisation. People already feel so sad after their illness or bad luck, and the physio still 'hurting them'. How will they feel?

When I was in my first year of study, I have already thought of this. My dream job is the type of job that allows me to wear pretty clothes, high heels, sit in air-cond room, work with pen or computer and some says" can have more chances to see those handsome guy" (haha ^^). Not such hospital-based job which I need to wear the old-fashioned "formal clothing" which is not convenient to work at all (for a physiotherapist), seeing all the old, depressed and sick patients, a working environment that is full of germs and the risk of infection is very high etc etc.

But, I am satisfied when my patients are satisfied with me. At least they will not have the feeling of hatred when they see me.

So, what should I do? The feeling of "I have chosen the wrong course" comes to my mind not the first time and does not fade until now where I am a second year student which will be a 3rd year student in this July.

However, I have completed almost half of my course. If I quit now:
1) it's a waste (??)
2) what can I do? work? or study other courses? (business related)

I do not have the guts to quit. Because if I do, I have nothing. So, currently, my decision is to continue and finish my degree. And whether I'll work as a physiotherapist or not, it all depends. After I graduate, maybe my thought will be different isn't it?

Saturday, March 6, 2010

first week of clinical posting in PPUKM

This week was the first time and the first week of my clinical posting in PPUKM. My first station was orthopaedics male ward. There are 5 stations in total. Neurology in patient, neuro outpatient, musculoskeletal out patient, cardiorespiratory in patient and musculoskeletal in patient.

The patient that worthwhile for me to mention is this case. He has frozen shoulder, bilateral OA knee, pyogenic discitis at L4-S1. Generally, his upper limbs and lower limbs muscle power are 2.

I'm lucky that I get this patient because he was very 'obedient' and comply to whatever I said. Even though he was in pain, he still hold on and did the exercise that I taught him. Salute You!

For 5 days I was with him. Until the last day, Friday, he told me :" tomorrow you must come again and help me in my exercise. I want to walk". Unfortunately, the 'tomorrow' then he meant was Saturday. I'm off on Saturday. And the next week I'll be in neurology outpatient.

Generally, I was happy because the patient likes me. (maybe I think too much ^^)

However, my bed head ticket (SOAP), I didn't do a good job. I did not do a good and detailed assessment. This causes me to miss out some important points that the patient faced. I did not go home and read for more assessment that I can do for him. Sorry ~0_0~

I still can recall. The first day when I went to the ward, I was so scared and nervous until I get butterfly tummy for 2 days consecutively. sigh...''=_=

I hope I can improve more in my skills. I must study and practice harder !!